肝脏 ›› 2020, Vol. 25 ›› Issue (11): 1168-1170.

• 病毒性肝炎 • 上一篇    下一篇

IL-17基因多态性水平与慢性HBV感染患者转归的关系

张晓芳, 刘先进   

  1. 226006 江苏 南通市第三人民医院重症感染科
  • 收稿日期:2020-01-20 出版日期:2020-11-30 发布日期:2020-12-22
  • 通讯作者: 刘先进,Email:lxj009650@sina.com
  • 基金资助:
    南通市市级科技计划指导性项目(qyz15092)

The relavance of the polymorphism level of IL-17 gene and the prognosis of chronic hepatitis B virus infection

ZHANG Xiao-fang, LIU Xian-jin   

  1. Department of Severe infection,Nantong Third People's Hospital,Jiangsu 226006,China
  • Received:2020-01-20 Online:2020-11-30 Published:2020-12-22
  • Contact: LIU Xian-jin,Email:lxj009650@sina.com

摘要: 目的 研究白细胞介素-17(IL-17)基因多态性水平与慢性HBV感染患者转归的关系。方法 纳入南通市第三人民医院2017年6月至2018年6月收治的54例慢性乙型肝炎患者作为观察组,另54例无症状慢性HBV感染者为对照组。比较两组血清IL-17水平,采用PCR法结合荧光探针定量检测HBV DNA含量,并以PCR扩增仪检测IL-17 rs763780位点基因多态性分布。比较不同基因型患者1年内进展至肝硬化发生率。结果 观察组血清IL-17显著高于对照组,HBV DNA含量>1×103者比例高于对照组(P<0.05)。两组患者IL-17 rs763780位点基因型和等位基因分布频率分布差异有统计学意义(P<0.05)。IL-17 rs763780位点TT基因型患者1年肝硬化发生率显著高于CC基因型和CT基因型患者(P<0.05)。结论 IL-17基因多态性与HBV感染密切相关,IL-17 rs763780位点TT基因型与T等位基因患者更易发生慢性HBV感染,且肝硬化发生率更高。

关键词: IL-17基因多态性, 乙型肝炎病毒, 预后转归, 相关性

Abstract: Objective To study the relationship between the level of interleukin-17 (IL-17) gene polymorphism and the outcome of patients with chronic hepatitis B virus (HBV) infection.Methods Fifty-four cases of chronic hepatitis B from June 2017 to June 2018 were included as the observation group and 54 cases of asymptomatic chronic HBV infection were as the control group.The level of serum IL-17 was compared between the two groups.The HBV DNA content was quantitatively detected by PCR and fluorescent probe,and the distribution of IL-17 rs763780 gene polymorphism was detected by PCR amplification instrument.The incidence of progression to cirrhosis in different genotypes within one year was compared.Results The serum IL-17 of the observation group was significantly higher than that of the control group,and the incidence of HBV DNA content >1×103 was higher than that of the control group (P<0.05).There were significant difference in the frequency distribution of IL-17 rs763780 genotype and allele between the two groups (P<0.05).The incidence of cirrhosis in TT genotype of IL-17 rs763780 were significantly higher than those in CC genotype and CT genotype (P<0.05).Conclusion The polymorphism of IL-17 gene is closely related to HBV infection.The patients with TT genotype and T allele of IL-17 rs763780 locus are more likely to have chronic HBV infection,and the incidence of cirrhosis is higher.

Key words: IL-17 gene polymorphism, Hepatitis B virus, Prognosis, Correlation