# The Correlation Between NTCP rs2296651 Variant and Risk of Hepatitis B, Cirrhosis, and Hepatocellular Carcinoma in Iranian Population

**Authors:** Hassan Akrami, Mohammad Reza Fattahi, Mastaneh Zeraatiannejad, Jamal Sarvari, Yousef Nikmanesh, Seyedeh Azra Shamsdin, Zahra Mansourabadi, Saeid Amirizadeh Fard, Nazanin Gohari

PMC · DOI: 10.34172/mejdd.2025.433 · Middle East Journal of Digestive Diseases · 2025-07-30

## TL;DR

This study explores how a genetic variant in the NTCP gene affects the risk of hepatitis B, cirrhosis, and liver cancer in Iran.

## Contribution

The study identifies a novel association between the NTCP rs2296651 variant and liver disease risk in the Iranian population.

## Key findings

- The NTCP rs2296651 variant is positively associated with cirrhosis in the Iranian population.
- A significant link exists between cirrhosis and hepatitis B virus infection.
- The variant shows a negative relationship between cirrhosis and hepatocellular carcinoma.

## Abstract

Millions of people are suffering from different types of liver diseases worldwide. Hepatitis B, cirrhosis, and hepatocellular carcinoma (HCC) are the leading causes of death caused by the hepatitis B virus (HBV). HBV needs to interact with the sodium taurocholate co-transporting polypeptide (NTCP) to enter the cytoplasm of the hepatocyte. single nucleotide polymorphism (SNP) with rs2296651 (Ser267Phe, S267F, G>A) variation in the NTCP has been investigated as a reverse association with the function of NTCP and entry of HBV into the cell in the Asian population. We investigated the relationship between the NTCP rs2296651 variant and HBV infection, liver cirrhosis, and HCC in the Iranian population.

Whole blood DNA of 50 healthy individuals as a control group and 90 patients (HBV, cirrhosis, and HCC) were extracted, and the tetra amplification refractory mutation system polymerase chain reaction (tetra-ARMS PCR) was done to identify the genotypes of the samples.

Based on our analytical tests using SPSS software, there was a positive and significant association between NTCP rs2296651 in the control group and cirrhosis (P=0.002), as well as between cirrhosis and HBV (P<0.001). However, there was a negative relationship between cirrhosis and HCC (P=0.003).

The NTCP rs2296651 variant may confer resistance to HBV infection in the Iranian population.

## Linked entities

- **Genes:** SLC10A1 (solute carrier family 10 member 1) [NCBI Gene 6554]
- **Diseases:** Hepatitis B (MONDO:0005344), cirrhosis (MONDO:0005155), hepatocellular carcinoma (MONDO:0007256)

## Full-text entities

- **Genes:** SLC10A1 (solute carrier family 10 member 1) [NCBI Gene 6554] {aka FHCA2, NTCP}
- **Diseases:** HBV (MESH:D006509), liver cirrhosis (MESH:D008103), infected (MESH:D007239), cirrhotic (MESH:D000094724), death (MESH:D003643), metastasis in HCC (MESH:D009362), Cirrhosis (MESH:D005355), hepatic inflammation (MESH:D007249), liver disease (MESH:D008107), HCC (MESH:D006528), tumorigenesis (MESH:D063646), liver disorder (MESH:D017093), Chronic hepatitis B (MESH:D019694)
- **Chemicals:** EDTA (MESH:D004492), ethidium bromide (MESH:D004996), bile acid (MESH:D001647), MgCl2 (MESH:D015636), Nucleus(t)ide analogs (-), DMSO (MESH:D004121), agarose (MESH:D012685)
- **Species:** Homo sapiens (human, species) [taxon 9606], Hepatitis B virus (no rank) [taxon 10407]
- **Mutations:** Phenylalanine instead of serine, rs2296651, G > A

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12958318/full.md

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12958318/full.md

## References

20 references — full list in the complete paper: https://tomesphere.com/paper/PMC12958318/full.md

---
Source: https://tomesphere.com/paper/PMC12958318