The relationship between HBV precore and basal core promoter mutations and serum cytokines in patients with chronic hepatitis B
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R512.6+2

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    Abstract:

    ObjectiveTo study the characteristics of hepatitis B virus (HBV) precore G1896A mutation and basal core promoter (BCP) A1762T and G1764A mutations among HBeAgnegative and HBeAgpositive chronic hepatitis B (CHB) patients, and to explore the relationship between the above mutations and the serum levels of interferonγ (IFNγ) and interleukin10 (IL10) in these patients.Methods120 patients with HBV DNA positive CHB including 60 HBeAgnegative CHB (group A) and 60 HBeAgpositive CHB (group B), and 60 healthy persons were enrolled in this study. The serum HBV DNA of group A and B were determined by realtime fluorescence quantitative polymerase chain reaction (PCR). The HBV precore G1896A mutation and BCP A1762T and G1764A mutation in group A and B were detected by PCR  and direct sequencing. The levels of IFNγ and IL10 in serum were measured by enzyme linked immunosorbent assay.ResultsThe total incidence of precore and BCP mutations was 60.00%(72/120) in 120 patients, the incidence of precore and BCP mutation in group A and B was 80.00% (48/60) and 40.00% (24/60) respectively (χ2=20.00,P=0.000). The incidence of precore G1896A mutation (38.33%) and the united mutation (G1896A and A1762T and G1764A mutation,25.00%) in group A were significantly higher than those in group B (16.67%, 0.00%) (χ2=7.06,P=0.008; χ2=17.14,P=0.000).  The serum level of IFNγ in the mutation group were(102.33±27.20)pg/mL, which were significantly higher than (79.18±16.43)pg/mL in the nonmutation group (t=5.72,P=0.000) and (35.77±4.23)pg/mL in the healthy control group (t=19.33,P=0.000) .The serum level of IL10 in the mutation group were(28.13±7.00)pg/mL , which were  also significantly higher than(13.91±5.42)pg/mL in the nonmutation group(t=12.50,P=0.000) and (13.68±2.27)pg/mL in the healthy control group (t=15.65,P=0.000).ConclusionThe G1896A mutation and the united mutation commonly occur in the HBeAg negative CHB patients. The mutations of G1896A and A1762T/G1764A may be related to the serum increased levels of IFN γ and IL10.

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蒋孝华,李小芬.慢性乙型肝炎患者HBV前C区及BCP区变异与血清细胞因子的关系[J].中国感染控制杂志英文版,2010,9(5):320-323.
JIANG Xiaohua, LI Xiaofen. The relationship between HBV precore and basal core promoter mutations and serum cytokines in patients with chronic hepatitis B[J]. Chin J Infect Control, 2010,9(5):320-323.

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History
  • Received:June 24,2010
  • Revised:August 22,2010
  • Adopted:
  • Online: September 30,2010
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