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      Genetic variants of interferon regulatory factor 5 associated with chronic hepatitis B infection

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          Abstract

          AIM

          To investigate possible effects of IRF5 polymorphisms in the 3’ UTR region of the IFR5 locus on susceptibility to hepatitis B virus (HBV) infection and progression of liver diseases among clinically classified Vietnamese patients.

          METHODS

          Four IFR5 SNPs (rs13242262A/T, rs77416878C/T, rs10488630A/G, and rs2280714T/C) were genotyped in clinically classified HBV patients [chronic hepatitis B (CHB). n = 99; liver cirrhosis (LC), n = 131; hepatocellular carcinoma (HCC), n = 149] and in 242 healthy controls by direct sequencing and TaqMan real-time PCR assays.

          RESULTS

          Comparing patients and controls, no significant association was observed for the four IFR5 variants. However, the alleles rs13242262T and rs10488630G contributed to an increased risk of liver cirrhosis (LC vs CHB: OR = 1.5, 95%CI: 1.1-2.3, adjusted P = 0.04; LC vs CHB: OR = 1.7, 95%CI: 1.1-2.6, adjusted P = 0.019). Haplotype IRF5*TCGT constructed from 4 SNPs was observed frequently in LC compared to CHB patients (OR = 2.1, 95%CI: 1.2-3.3, adjusted P = 0.008). Haplotype IRF5*TCAT occurred rather among CHB patients than in the other HBV patient groups (LC vs CHB: OR = 0.4, 95%CI: 0.2-0.8, adjusted P = 0.03; HCC vs CHB: OR = 0.3, 95%CI: 0.15-0.7, adjusted P = 0.003). The IRF5*TCAT haplotype was also associated with increased levels of ALT, AST and bilirubin.

          CONCLUSION

          Our study shows that IFR5 variants may contribute as a host factor in determining the pathogenesis in chronic HBV infections.

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          Most cited references28

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          Immunology of hepatitis B virus and hepatitis C virus infection.

          More than 500 million people worldwide are persistently infected with the hepatitis B virus (HBV) and/or hepatitis C virus (HCV) and are at risk of developing chronic liver disease, cirrhosis and hepatocellular carcinoma. Despite many common features in the pathogenesis of HBV- and HCV-related liver disease, these viruses markedly differ in their virological properties and in their immune escape and survival strategies. This review assesses recent advances in our understanding of viral hepatitis, contrasts mechanisms of virus-host interaction in acute hepatitis B and hepatitis C, and outlines areas for future studies.
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            The IRF family transcription factors in immunity and oncogenesis.

            The interferon regulatory factor (IRF) family, consisting of nine members in mammals, was identified in the late 1980s in the context of research into the type I interferon system. Subsequent studies over the past two decades have revealed the versatile and critical functions performed by this transcription factor family. Indeed, many IRF members play central roles in the cellular differentiation of hematopoietic cells and in the regulation of gene expression in response to pathogen-derived danger signals. In particular, the advances made in understanding the immunobiology of Toll-like and other pattern-recognition receptors have recently generated new momentum for the study of IRFs. Moreover, the role of several IRF family members in the regulation of the cell cycle and apoptosis has important implications for understanding susceptibility to and progression of several cancers.
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              Pathogenesis of liver cirrhosis.

              Liver cirrhosis is the final pathological result of various chronic liver diseases, and fibrosis is the precursor of cirrhosis. Many types of cells, cytokines and miRNAs are involved in the initiation and progression of liver fibrosis and cirrhosis. Activation of hepatic stellate cells (HSCs) is a pivotal event in fibrosis. Defenestration and capillarization of liver sinusoidal endothelial cells are major contributing factors to hepatic dysfunction in liver cirrhosis. Activated Kupffer cells destroy hepatocytes and stimulate the activation of HSCs. Repeated cycles of apoptosis and regeneration of hepatocytes contribute to pathogenesis of cirrhosis. At the molecular level, many cytokines are involved in mediation of signaling pathways that regulate activation of HSCs and fibrogenesis. Recently, miRNAs as a post-transcriptional regulator have been found to play a key role in fibrosis and cirrhosis. Robust animal models of liver fibrosis and cirrhosis, as well as the recently identified critical cellular and molecular factors involved in the development of liver fibrosis and cirrhosis will facilitate the development of more effective therapeutic approaches for these conditions.
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                Author and article information

                Contributors
                Journal
                World J Gastroenterol
                World J. Gastroenterol
                WJG
                World Journal of Gastroenterology
                Baishideng Publishing Group Inc
                1007-9327
                2219-2840
                14 January 2018
                14 January 2018
                : 24
                : 2
                : 248-256
                Affiliations
                Vietnamese-German Center of Excellence in Medical Research, Hanoi, Vietnam
                Institute of Clinical Infectious Diseases, 108 Military Central Hospital, Hanoi, Vietnam
                Vietnamese-German Center of Excellence in Medical Research, Hanoi, Vietnam
                Institute of Clinical Infectious Diseases, 108 Military Central Hospital, Hanoi, Vietnam
                Institute of Tropical Medicine, University of Tübingen, Tübingen 72074, Germany
                Vietnamese-German Center of Excellence in Medical Research, Hanoi, Vietnam
                Department of Pathophysiology, Vietnam Military Medical University, Hanoi, Vietnam
                Vietnamese-German Center of Excellence in Medical Research, Hanoi, Vietnam
                Institute of Tropical Medicine, University of Tübingen, Tübingen 72074, Germany
                Vietnamese-German Center of Excellence in Medical Research, Hanoi, Vietnam
                Department of Pathophysiology, Vietnam Military Medical University, Hanoi, Vietnam
                Vietnamese-German Center of Excellence in Medical Research, Hanoi, Vietnam
                Institute of Clinical Infectious Diseases, 108 Military Central Hospital, Hanoi, Vietnam
                Institute of Tropical Medicine, University of Tübingen, Tübingen 72074, Germany
                Department of Infectious Diseases, Robert Koch Institute, Berlin 13302, Germany
                Vietnamese-German Center of Excellence in Medical Research, Hanoi, Vietnam. velavan@ 123456medizin.uni-tuebingen.de
                Institute of Tropical Medicine, University of Tübingen, Tübingen 72074, Germany
                Department of Pathophysiology, Vietnam Military Medical University, Hanoi, Vietnam
                Author notes

                Author contributions: Velavan TP and Sy BT designed study; Sy BT, Tong HV and Hoan NX performed the experiments; Song LH, Toan NL and Hoan NX are involved in patient recruitment; Bock CT and Velavan TP contributed to study materials and consumables; Hoan NX, Tong HV and Sy BT performed the statistical analyses and interpreted the data; Hoan NX, Sy BT, Tong HV, Meyer CG and Velavan TP wrote the manuscript; Sy BT, Hoan NX and Tong HV contributed equally to this work.

                Correspondence to: Thirumalaisamy P Velavan, PhD, Professor, Molecular Genetics of Infectious Diseases, Institute of Tropical Medicine, University of Tübingen, Wilhelmstrasse 27, Tübingen 72074, Germany. velavan@ 123456medizin.uni-tuebingen.de

                Telephone: +49-7071-2985981 Fax: +49-7071-294684

                Article
                jWJG.v24.i2.pg248
                10.3748/wjg.v24.i2.248
                5768943
                dee1d083-5861-4030-b73d-0bfe7a5d5b75
                ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.

                This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

                History
                : 16 October 2017
                : 15 November 2017
                : 28 November 2017
                Categories
                Case Control Study

                hepatitis b virus infection,liver diseases,irf5,ifr5 polymorphisms,ifr5 haplotypes

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