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                  <mods:namePart>Jimenez-Sousa, Maria Angeles</mods:namePart>
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               <mods:identifier type="citation">AIDS. 2016 Jan 28;30(3):465-70.</mods:identifier>
               <mods:identifier type="doi">10.1097/QAD.0000000000000908</mods:identifier>
               <mods:identifier type="e-issn">1473-5571</mods:identifier>
               <mods:identifier type="journal">AIDS (London, England)</mods:identifier>
               <mods:identifier type="pubmedID">26760234</mods:identifier>
               <mods:identifier type="uri">http://hdl.handle.net/20.500.12105/17241</mods:identifier>
               <mods:abstract>Objective: To analyze the association between patatin-like phospholipase domain-containing 3 gene (PNPLA3) rs738409 polymorphism and severity of liver disease in HIV/hepatitis C virus-coinfected patients. Methods: We performed a cross-sectional study of 215 patients who underwent a liver biopsy. PNPLA3 rs738409 polymorphism was genotyped using GoldenGate assay. The outcome variables were as follows: advanced fibrosis (F ≥3 and FIB-4 ≥3.25), rapid fibrosis progression (FPR ≥0.10 fibrosis units/year), severe activity grade (A≥3), and steatosis (fatty hepatocytes ≥10%). The genetic association analysis was carried out according to an additive genetic model through logistic regressions adjusted by the most significant covariables. Results: Overall, 21.4% had F at least 3, 8.9% had FIB-4 at least 3.25, 11.4% had A at least 3, 60.6% had steatosis, and 32.5% had FPR at least 0.10. For each rs738409 G allele, we found an increased frequency of patients with advanced fibrosis (F at least 3) (0% CC, 18.5% CG, and 25.2% GG; P = 0.049) and FIB-4 at least 3.25 (0% CC, 3.8% CG, and 13.2% GG; P = 0.016). Furthermore, for each rs738409 G allele, the odds of having F at least 3 increased 2.15 times (95% confidence interval=1.07; 4.35; P = 0.029) and having FIB-4 at least 3.25 increased 8.77 times (95% of confidence interval = 1.11; 69.0; P = 0.039). Note that rs738409 G allele carriers tended to higher likelihood of having FPR at least 0.10, but statistical significance was not reached (P = 0.054). Finally, we did not find any association for A at least 3 and liver steatosis. Conclusion: PNPLA3 rs738409 polymorphism was associated with the severity of liver fibrosis in patients coinfected with HIV and hepatitis C virus, suggesting that this polymorphism might also play a significant role in the progression of hepatic fibrosis in this group of patients.</mods:abstract>
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                  <mods:topic>AIDS</mods:topic>
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               <mods:subject>
                  <mods:topic>Chronic hepatitis C</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Liver fibrosis</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>PNPLA3</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Single nucleotide polymorphisms</mods:topic>
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                  <mods:title>Impact of patatin-like phospholipase domain-containing 3 gene polymorphism (rs738409) on severity of liver disease in HIV/hepatitis C virus-coinfected patients</mods:title>
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