Research Article

ARV相关肝毒性中白细胞介素-2(330 G / T)启动子多态性的发生

卷 19, 期 3, 2019

页: [206 - 215] 页: 10

弟呕挨: 10.2174/1566524019666190411093451

价格: $65

摘要

背景:IL-2细胞因子参与HIV复制,并且还已知会引起肝损伤。 IL-2基因中的多态性与白细胞介素-2产生的改变有关。 方法:因此,我们使用PCR-RFLP方法评估了165名HIV患者(34名患者和131名无肝毒性患者)和155名健康对照者中IL-2-303G / T多态性的患病率。 结果:在肝毒性患者中,IL-2-303GT,-303GT + TT基因型与无肝毒性和健康对照相比较不普遍(29.4%对42.7%,58.8%对69.5%; 29.4%对40.6%) ,分别为58.8%和66.5%。在使用烟草和酒精的肝毒性患者中,IL-2-303GT,-303TT基因型与非使用者相比分布较高(42.9%对25.9%,OR = 8.52,42.9%对25.9%,OR = 9.09,和28.6%对比29.6%,OR = 1.63,42.9%对25.9%,OR = 2.93),而IL-2-303TT基因型在饮酒的HIV患者中更常发生(34.1%对23.0%)。与efavirenz相比,具有肝毒性的奈韦拉平使用者代表IL-2-303GT,-303TT基因型(34.8%对18.2%,OR = 4.64,34.8%对18.2%,OR = 3.88)。在奈韦拉平使用者中,IL-2-303GT基因型与获得肝毒性的易感性相关,具有临界意义(OR = 4.24,P = 0.06)。使用奈韦拉平的HIV患者主要代表IL-2-303TT基因型(26.9%对25.0%,OR = 2.35),而使用奈韦拉平+酒精的HIV患者以更高的频率呈现IL-2 -330TT基因型(34.2 %% vs .23.5%,OR = 1.51)。在使用奈韦拉平+酒精的肝毒性患者中,基因型IL-2 - 330TT占优势(60.0%对27.8%,OR = 3.16)。 结论:因此,IL-2-303G / T多态性不能赋予ARV相关肝毒性的易感性。然而,使用奈韦拉平的IL-2-303G / T多态性可能有助于获得ARV相关肝毒性的风险。

关键词: IL-2基因,遗传多态性,ARV相关肝毒性,HIV患者,NNRTI方案,细胞因子。

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