Abstract
Intrauterine infection of hepatitis B virus (HBV), which accounts for the majority of mother-to-child transmission, is one of the main reasons for the failure of combined immunoprophylaxis against the transmission. Recent studies have identified that genetic background might influence the susceptibility to intrauterine infection of HBV. We conducted this study to investigate the associations between 10 genetic variants in 9 genes (SLC10A1, HLA-DP, HLA-C, CXCR5, CXCL13, TLR3, TLR4, TLR9 and UBE2L3) of mothers and their neonates and HBV intrauterine infection. A significantly decreased risk of HBV intrauterine transmission were found among mothers who carried the rs355687 CT genotypes in CXCL13 gene compared to those with CC genotypes (OR = 0.25, 95% CI, 0.08–0.82, P = 0.022); and a marginally significantly decreased risk was also observed under the dominant model (OR = 0.34, 95% CI, 0.11–1.01, P = 0.052). Besides, neonatal rs3130542 in HLA-C gene was found to be marginally significantly associated with decreased risk of HBV intrauterine infection under the additive model (OR = 0.55, 95% CI, 0.29–1.04, P = 0.064). However, we found no evidence of associations between the remaining 8 SNPs and risk of HBV intrauterine infection among mothers and their neonates. In conclusion, this study suggested that genetic variant in CXCL13 gene was associated with susceptibility to intrauterine infection of HBV.
Highlights
Hepatitis B virus (HBV) infection is a global public health problem with 350 million people being chronically infected worldwide
We investigated the associations between the genetic variants in 9 candidate genes and risk of hepatitis B virus (HBV) intrauterine infection
Our results showed that maternal rs355687 in CXCL13 gene was significantly associated with decreased risk of susceptibility to intrauterine infection of HBV
Summary
Hepatitis B virus (HBV) infection is a global public health problem with 350 million people being chronically infected worldwide. Variation of the p.S267F (rs2296651) in SLC10A1 gene results in loss of HBV receptor function in vitro and was found to be significantly associated with resistance to chronic hepatitis B11. TLR3, TLR4 and TLR9 are important members of TLR gene family, with TLR3 recognizing virus-derived dsRNA as well as poly I: C, a synthetic dsRNA analogue, TLR4 recognizing lipopolysaccharide, and TLR9 recognizing unmethylated CpG motifs present in bacteria and viruses. Genetic variants in these three genes may influence its biological functions. We evaluated the associations of these loci from both maternal and neonatal aspects with HBV intrauterine infection, respectively
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