Tumour necrosis factor-α-857T allele reduces the risk of hepatitis B virus infection in an Asian population

Authors

  • K.-Q. Shi,

    1. Department of Infection and Liver Diseases, Liver Research Center, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China
    2. Institute of Hepatology, Wenzhou Medical College, Wenzhou, China
    Search for more papers by this author
  • X.-H. Cai,

    1. Department of Pediatrics, The Affiliated Yuying Children′s Hospital of Wenzhou Medical College, Wenzhou, China
    Search for more papers by this author
  • D.-D. Xiao,

    1. Department of Infection and Liver Diseases, Liver Research Center, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China
    2. School of the First Clinical Medical Sciences, Wenzhou Medical College, Wenzhou, China
    Search for more papers by this author
  • S.-J. Wu,

    1. Department of Infection and Liver Diseases, Liver Research Center, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China
    2. School of the First Clinical Medical Sciences, Wenzhou Medical College, Wenzhou, China
    Search for more papers by this author
  • M.-M. Peng,

    1. Department of Infection and Liver Diseases, Liver Research Center, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China
    2. School of the First Clinical Medical Sciences, Wenzhou Medical College, Wenzhou, China
    Search for more papers by this author
  • X.-F. Lin,

    1. Department of Infection and Liver Diseases, Liver Research Center, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China
    2. School of the First Clinical Medical Sciences, Wenzhou Medical College, Wenzhou, China
    Search for more papers by this author
  • W.-Y. Liu,

    1. Department of Infection and Liver Diseases, Liver Research Center, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China
    2. School of the First Clinical Medical Sciences, Wenzhou Medical College, Wenzhou, China
    Search for more papers by this author
  • Y.-C. Fan,

    1. Department of Hepatology, Qilu Hospital of Shandong University, Jinan, China
    Search for more papers by this author
  • Y.-P. Chen,

    1. Department of Infection and Liver Diseases, Liver Research Center, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China
    2. Institute of Hepatology, Wenzhou Medical College, Wenzhou, China
    Search for more papers by this author
  • M.-H. Zheng

    1. Department of Infection and Liver Diseases, Liver Research Center, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China
    2. Institute of Hepatology, Wenzhou Medical College, Wenzhou, China
    Search for more papers by this author

Ming-Hua Zheng, Department of Infection and Liver Diseases, Liver Research Center, The First Affiliated Hospital of Wenzhou Medical College, Institute of Hepatology, Wenzhou Medical College, No.2 Fuxue lane, Wenzhou, Zhejiang, China. E-mail: blueman1320@163.com Yu-Chen Fan, Department of Hepatology, Qilu Hospital of Shandong University, Wenhuaxi Road 107#, Jinan, Shandong, China. E-mail: pyfanyuchen@yahoo.com.cn; and Yong-Ping Chen, Department of Infection and Liver Diseases, Liver Research Center, The First Affiliated Hospital of Wenzhou Medical College, Institute of Hepatology, Wenzhou Medical College, No.2 Fuxue lane, Wenzhou, Zhejiang, China. E-mail: ypchen77@hotmail.com

Abstract

Summary.  Tumour necrosis factor-α (TNF-α) plays a pivotal role in hepatitis B virus (HBV) clearance and host immune response determining the chronicity of HBV infection. However, studies of the association between TNF-α-857 polymorphism and chronic HBV infection have reported conflicting results. So a meta-analysis was carried out to draw a more precise conclusion. Pubmed (January, 1966–March, 2011) and the China Biological Medicine Database (January, 1978–March, 2011) were searched using the keywords TNF-α gene polymorphism in combination with HBV infection without language restriction. Fourteen studies including 4929 chronic HBV infection cases and 2702 controls describing the C857T genotype were included in the meta-analysis. All fourteen studies focussed on an Asian population. The overall meta-analysis suggested that TNF-α-857T allele reduced the risk of chronic HBV infection in the Asian population (OR = 0.82, 95% CI: 0.71–0.95, P = 0.008) when compared with a spontaneously recovered population. In the sensitivity analyses of the groups obeying Hardy–Weinberg equilibrium (HWE), without the largest study population and without the smallest study population, a similar association was revealed (OR = 0.81, 95% CI: 0.68–0.98, P = 0.043; OR = 0.77, 95% CI: 0.68–0.87, = 0.0001; OR = 0.81, 95% CI: 0.70–0.95, P = 0.009, respectively). However, when compared with a healthy population, no significant association was found in the Asian population in all groups. So, we draw the conclusion that the TNF-α-857T allele reduces the risk of chronic HBV infection in this Asian population.

Ancillary