Allele HLA-DQB1*06 reduces fibrosis score in patients with non-alcoholic fatty liver disease

Tan, Hwa Li and Zain, Shamsul Mohd and Eng, Hooi Sian and Mohamed, Zahurin and Mahadeva, Sanjiv and Chan, Wah Kheong and Lau, Peng Choong and Basu, Roma Choudhury and Mohamed, Rosmawati (2020) Allele HLA-DQB1*06 reduces fibrosis score in patients with non-alcoholic fatty liver disease. HEPATOLOGY RESEARCH, 50 (8). pp. 947-954. DOI https://doi.org/10.1111/hepr.13525.

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Abstract

Aim Human leukocyte antigen (HLA) regions were highlighted as important genetic markers for various liver diseases by hepatology-related genome-wide association studies. Replication studies in non-alcoholic fatty liver disease (NAFLD) are limited and none has investigated the association of HLA alleles with non-alcoholic steatohepatitis (NASH) and other histological characteristics. In the current study, we examined the association of HLA-DQA1 and HLA-DQB1 alleles with NAFLD spectrum and its histological characteristics. Methods Consecutive biopsy-proven NAFLD patients (n = 191) and healthy controls (n = 188) were enrolled and genotyped for HLA-DQA1 and HLA-DQB1 alleles using the sequence-specific oligonucleotide-polymerase chain reaction method. Results No association was found between the HLA alleles and NAFLD or NASH in a case-control setting. Nevertheless, among NAFLD patients, the frequency of HLA-DQB1*06 allele was significantly the lowest in NASH with significant fibrosis (10.4%) and approximately similar for NASH without significant fibrosis (22.9%) and NAFL (22.5%) (P = 0.004). It is noteworthy that the association remains significant after correction for multiple comparisons (P-c = 0.04). Multivariate analysis revealed that HLA-DQB1*06 allele is also associated with fibrosis score (P = 0.001); the result remains significant after correction for multiple comparisons. Conclusion These findings suggest that HLA-DQB1*06 is associated with lower fibrosis score in NAFLD patients.

Item Type: Article
Funders: Universiti Malaya BK077-2016
Uncontrolled Keywords: fatty liver; fibrosis; HLA-DQ; human leukocyte antigen; NAFLD; NASH
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Medicine Department
Universiti Malaya Medical Centre (UMMC)
Depositing User: Ms Zaharah Ramly
Date Deposited: 26 Jun 2024 01:12
Last Modified: 26 Jun 2024 01:12
URI: http://eprints.um.edu.my/id/eprint/36619

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