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- Title
TNF-α and IL-10 polymorphisms increase the risk to hepatocellular carcinoma in HCV infected individuals.
- Authors
Aroucha, Dayse Celia; Carmo, Rodrigo Feliciano; Vasconcelos, Luydson Richardson Silva; Lima, Raul Emidio; Mendonça, Taciana Furtado; Arnez, Lucia Elena; Cavalcanti, Maria do Socorro Mendonça; Muniz, Maria Tereza Cartaxo; Aroucha, Marcilio Lins; Siqueira, Erika Rabelo; Pereira, Luciano Beltrão; Moura, Patrícia; Pereira, Leila Maria Moreira Beltrão; Coêlho, Maria Rosangela
- Abstract
Hepatitis C virus (HCV) is the major cause of hepatocellular carcinoma (HCC). The risk to develop HCC increases with the severity of liver inflammation and hepatic fibrosis. It is believed that a balance between the releases of pro- and anti-inflammatory cytokines will determine the clinical course of HCV and the risk to develop HCC. The inteleukin-10 (IL-10) and the tumor necrosis factor alpha (TNF-α) play key roles in the Th1 and Th2 balance during the inflammatory response against HCV. The aim of the present study was to investigate the association between polymorphisms in TNF-α -308 G>A (rs1800629), IL-10 -1082 G>A (rs1800896) and -819/-592 (rs1800871/rs1800872) with HCC risk in individuals with HCV. The present study evaluated 388 chronic HCV patients. Polymorphisms were determined by real-time PCR. Diplotypes associated with low IL-10 production and the TNF-α GG genotype were significantly associated with HCC occurrence after multivariate logistic regression analysis ( P = 0.027 and P = 0.029, respectively). Additionally, the IL-10 -819 (-592) TT (AA) genotype was significantly associated with multiple nodules and HCC severity according to BCLC staging ( P = 0.044 and P = 0.025, respectively). Patients carrying low production haplotypes of IL-10 and the TNF-α GG genotype have higher risk to develop HCC. J. Med. Virol. 88:1587-1595, 2016. © 2016 Wiley Periodicals, Inc.
- Publication
Journal of Medical Virology, 2016, Vol 88, Issue 9, p1587
- ISSN
0146-6615
- Publication type
Article
- DOI
10.1002/jmv.24501