Pseudoachalasia

Abstract

Toll-like receptors (TLRs) are suspected to play a critical role in liver diseases and the progression of chronic hepatitis B (CHB) infection. In this study, we investigated the possible association between TLRs and hepatitis B virus (HBV) infection chronicity in Turkish population.TLR4 (+896 A→G) (rs4986790), TLR5 (+1846 T→C) (rs5744174) and TLR9 (−1237T→C) (rs5743836) polymorphisms were screened in 131 CHB patient and 168 individuals by polymerase chain reaction (PCR) – restriction fragment length polymorphism (RFLP) technique.Of the screened polymorphisms, TT genotype of the missense variant TLR5 (rs5744174) (NM_003268.5:c.1846T > C (p.Phe616Leu) is significantly more frequent in the control group than CHB patients (P < 0.001), presence of TT genotype of the upstream variant TLR9 (rs5743836) (NM_017442.3:c.−1237T > C) is more frequent in CHB group (P = 0.043). However, no significant association was found for the missense variant TLR4 (rs4986790) NM_138554.4:c.896A > G (p.Asp299Gly) polymorphism and CHB in Turkish population.From all three analyzed SNPs association of TLR5 (rs5744174) with CHB is the most significant. Since TLR5 is associated with interferon-γ production, a high frequency of TT at rs5744174 in controls subjects suggests that it represents a protective genotype against CHB plausibly associated with an increased interferon-γ production.