8% in the general population. It has been reported that human leucocyte antigen (HLA) alleles are associated with the outcome of HCV infection, but this associations showed ethnic and geographical differences. The objective of this study is to investigate the Selleck Carfilzomib association between the frequencies of HLA Class I and chronic HCV infection in Egyptian patients and to find out whether there is a relation between certain HLA Class I antigens and HCV viral load, degree of fibrosis, activity and alanine aminotransferase (ALT) level. A case control study was conducted on 100 patients with chronic HCV infection and 150 healthy controls. HLA-A and HLA-B
typing by complement-dependent micro-lympho-cytotoxicity assay was performed for
both groups. HLA-A11 antigen was significantly increased in patients with chronic HCV infection versus controls (OR 3.98; 95% CI = 1.85–8.89; P = 0.001; and Pc = 0.021). HLA-B12, HLA-B13, HLA-B17 and HLA-B40 were higher in patients, and HLA-A32 and HLA-B14 were higher in controls, although the significance was lost after correction for multiple testing. HLA-A9 was significantly associated with low viral load (P = 0.008, Pc = 0.048). The results of this work implicate that HLA-A11 Osimertinib antigen may influence chronic HCV infection and may play a role in viral persistence. Different HLA Class I antigens are not associated with degree of liver fibrosis, grades of activity or level of ALT. However, HLA-A9 is associated with low HCV viral load in chronic HCV Egyptian patients. The World Health Organization has declared hepatitis C a global health problem, with approximately 3% of the world’s population infected with the hepatitis C virus (HCV). There are more than 170 million HCV chronic carriers at risk of developing liver cirrhosis and/or hepatocellular carcinoma (HCC) [1, 2]. Egypt has the highest prevalence of HCV
in the world, ranging from 6% to 28% with an average of approximately 13.8% in the general population [3–7]. The recently released Egyptian Demographic Health Survey (EDHS) tested a representative sample of the entire country for HCV antibody. The sample included both filipin urban and rural populations and included all 27 governorates of Egypt. Over 11,000 individuals were tested. The overall prevalence (percentage of people) positive for antibody to HCV was about 14.7%. The current population in Egypt is about 78–80 million. A total of 14.7% of this population (0.147 × 78 million) is 11,466,000 persons who have been infected with this virus [8]. Because the prevalence of HCV is exceeding that of hepatitis B virus (HBV) infection, HCV infection has become the leading risk factor for HCC in Egypt (antibodies present in as many as 75–90% of HCC cases) [9, 10]. The frequency of liver-related cancers (>95% as HCC) relative to all cancers in Egypt has increased from approximately 4.0% in 1993 to 7.3% in 2003 [11].