RGD Reference Report - Association between HLA-DQA1/DRB1 polymorphism and development of hepatocellular carcinoma during entecavir treatment. - Rat Genome Database

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Association between HLA-DQA1/DRB1 polymorphism and development of hepatocellular carcinoma during entecavir treatment.

Authors: Kozuka, Ritsuzo  Enomoto, Masaru  Sato-Matsubara, Misako  Yoshida, Kanako  Motoyama, Hiroyuki  Hagihara, Atsushi  Fujii, Hideki  Uchida-Kobayashi, Sawako  Morikawa, Hiroyasu  Tamori, Akihiro  Kawada, Norifumi  Murakami, Yoshiki 
Citation: Kozuka R, etal., J Gastroenterol Hepatol. 2019 May;34(5):937-946. doi: 10.1111/jgh.14454. Epub 2018 Sep 26.
RGD ID: 14398839
Pubmed: PMID:30160782   (View Abstract at PubMed)
DOI: DOI:10.1111/jgh.14454   (Journal Full-text)


BACKGROUND AND AIMS: It remains unclear whether there is an association between single-nucleotide polymorphisms (SNPs) and development of hepatocellular carcinoma (HCC) during entecavir (ETV) treatment in nucleos(t)ide analog-naïve patients with chronic hepatitis B virus infection. We investigated the risk factors for HCC, especially host factors, during ETV treatment.
METHODS: A total of 127 Japanese patients undergoing ETV treatment were enrolled in this study. Univariate and multivariate analyses for clinical factors, hepatic fibrosis markers, and SNPs associated with HCC development were analyzed.
RESULTS: A total of 10 patients developed HCC during the follow-up period (median duration, 3.3 years). The 3-, 5-, and 7-year cumulative rates of HCC development were 4.8%, 10.6%, and 13.6%, respectively. Liver fibrosis (cirrhosis; P = 0.0005), age (>= 49 years; P = 0.0048), platelet count (<= 115 × 10/mm3 ; P = 0.0007), α-fetoprotein (>= 8.0 ng/mL; P = 0.030), type IV collagen (>= 200 ng/mL; P = 0.043), fibrosis-4 index (>= 4.14; P = 0.0006), and human leukocyte antigen (HLA)-DQA1/DRB1-SNP (AA genotype; P = 0.0092) were significantly associated with HCC development according to the log-rank test. In multivariate analysis, AA genotype in the HLA-DQA1/DRB1 gene (P = 0.013; hazard ratio 4.907; 95% confidence interval 1.407-17.113) and cirrhosis (P = 0.019; hazard ratio 4.789; 95% confidence interval 1.296-17.689) were significantly associated with HCC development.
CONCLUSIONS: Our findings suggested that patients with AA genotype in the HLA-DQA1/DRB1 gene or cirrhosis should be carefully followed up as a population potentially at higher risk of HCC during ETV treatment.

RGD Manual Disease Annotations    Click to see Annotation Detail View
TermQualifierEvidenceWithReferenceNotesSourceOriginal Reference(s)
hepatocellular carcinoma susceptibilityISOHLA-DQA1 (Homo sapiens)14398839; 14398839associated with Hepatitis B more ...RGD 
hepatocellular carcinoma susceptibilityIAGP 14398839associated with Hepatitis B more ...RGD 

Phenotype Annotations    Click to see Annotation Detail View

Manual Human Phenotype Annotations - RGD

TermQualifierEvidenceWithReferenceNotesSourceOriginal Reference(s)
Hepatocellular carcinoma susceptibilityIAGP 14398839associated with Chronic Hepatitis B and DNA:polymorphism:enhancer:HLA-DQA1 RGD 
Objects Annotated

Genes (Rattus norvegicus)
RT1-Ba  (RT1 class II, locus Ba)

Genes (Mus musculus)
H2-Aa  (histocompatibility 2, class II antigen A, alpha)

Genes (Homo sapiens)
HLA-DQA1  (major histocompatibility complex, class II, DQ alpha 1)


Additional Information