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Association of DRB1*11 and DRB1*12 alleles of the HLA system with the evolution of the Hepatitis B virus infection in Burkina Faso

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Abstract

Background

Hepatitis B Virus (HBV) infection affect all social strata of humanity and in the absence of any management, this infection has a different outcome from one infected person to another. This suggests that there are specific individual factors that influence the outcome of the pathology. Sex, immunogenetics and age of contraction of the virus have been cited as factors that influence the evolution of the pathology. In this study, we looked at two alleles of the Human Leucocyte Antigen (HLA) system to measure their possible involvement in the evolution of HBV infection.

Method and results

We conducted a cohort study involving 144 individuals spread over 04 distinct stages of infection and then compared allelic frequencies in these populations. A multiplex PCR was conducted and the data obtained was analyzed using R and SPSS software. Our study revealed a predominance of HLA-DRB1*12 in our study population without, however, showing a significant difference between HLA-DRB1*11 and HLA-DRB1*12. The HLA-DRB1*12 proportion was significantly higher in chronic hepatitis B (CHB) and resolved hepatitis B (RHB) compared to cirrhosis and hepatocellular carcinoma (HCC) (p-value = 0,002). Carrying HLA-DRB1*12 has been associated with a low risk of complication of infection (CHB → cirrhosis; OR 0,33 p-value 0,017; RHB → HCC OR 0,13; p-value = 0,00,045) whereas the presence of HLA-DRB1*11 in the absence of HLA-DRB1*12 increased the risk of developing severe liver disease. However, a strong interaction of these alleles with the environment could modulate the infection.

Conclusion

Our study shown that HLA-DRB1*12 is the most frequent and it’s carriage may be protective in the development of infection.

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Data availability

Data will be made available on reasonable request.

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Acknowledgements

We would like to thank all the staff of the “Centre medical avec antenne chirurgical Paul VI” and “Centre Hospitalier Universitaire Yalgado Ouedraogo (CHU-YO)” for their help during the sampling. We are grateful to all patients who agreed to voluntarily participate in this study.

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Not Applicable.

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Authors and Affiliations

Authors

Contributions

All authors have approved the submitted version of the manuscript. SVZ, FWD, ATY, PAS, MBN and JS: participate to the conception, the design of the work and data acquisition/analysis/interpretation. DS, LJA, EL, CCBS4, LMJS, BS, RAS, LT and A.K.S. contribute for samples acquisition and analysis. D.O.Y contribute for the final validation of the manuscript.

Corresponding author

Correspondence to Florencia Wendkuuni Djigma.

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The author(s) declare(s) that they have no competing interests.

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Our study has received the approval of the Central Regional Direction (DRSC), the national ethics committee in its deliberation number 2022–02-027. In addition, verbal informed consent was obtained from all participants. All the methodology has been performed in accordance with the Declaration of Helsinki.

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Zongo, S.V., Djigma, F.W., Yonli, A.T. et al. Association of DRB1*11 and DRB1*12 alleles of the HLA system with the evolution of the Hepatitis B virus infection in Burkina Faso. Mol Biol Rep 50, 5039–5047 (2023). https://doi.org/10.1007/s11033-023-08353-0

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