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Effects of Interleukin-4 and Interleukin-12b Gene Polymorphisms on Hepatitis B Virus Vaccination
Eun Youn Roh*,,, Eun Young Song, Jong Hyun Yoon*,,, Sohee Oh§, Ju Young Chang||, Hyunwoong Park, Soo Hyun Seo*,, Sue Shin
,,,
Corresponding author
jeannie@snu.ac.kr

Correspondence and reprint request:
* Department of Laboratory Medicine, Seoul National University Boramae Medical Center, Seoul, Korea
Department of Laboratory Medicine, Seoul National University College of Medicine, Seoul, Korea
Seoul Metropolitan Public Cord Blood Bank-ALLCORD, Seoul, Korea
§ Department of Biostatistics, Seoul National University Boramae Medical Center, Seoul, Korea
|| Department of Pediatrics, Seoul National University Boramae Medical Center, Seoul, Korea
Department of Laboratory Medicine, Gyeongsang National University College of Medicine, Jinju, Korea
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="s0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0015">Introduction</span><p id="p0005" class="elsevierStylePara elsevierViewall">Hepatitis B virus &#40;HBV&#41; infection is a serious public health problem&#46; An estimated 240 million people are chronically infected with HBV&#44; and approximately 650&#44;000 individuals die annually from HBV-related cirrhosis and cancer&#46; HBV infection chronicity following an acute infection occurs mainly at birth &#40;90&#37;&#41; or before 5 years old &#40;20-60&#37;&#41; but is rare in adulthood &#40;&#60; 5&#37;&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> Therefore&#44; HBV vaccination is the most effective means to prevent HBV infection and to decrease HBV-related morbidity and mortality&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="p0010" class="elsevierStylePara elsevierViewall">Korea once was an endemic area for HBV infection&#59; the HBsAg positivity rate was 2&#46;98&#37; in 2010&#46; The consecutive successful HBV vaccination programs conducted by the Korean government&#44; i&#46;e&#46;&#44; the Newborn Vaccination since 1995 and the Perinatal Transmission Prevention since 2002&#44; were regarded as the most important factors that reduced seropositivity in children and adolescents from 4-5&#37; to 0&#46;2&#37; in Korea during the past few decades&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4-6</span></a></p><p id="p0015" class="elsevierStylePara elsevierViewall">HBV vaccination is conducted in accordance with a 0&#44; 1&#44; and 6 month schedule&#44; and the first dose is recommended to be given within 24 h after birth&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7&#44;8</span></a> A non-responder &#40;NR&#41; is defined as a person with an anti-HBs antibody &#40;Ab&#41; titer &#60; 10 mIU&#47;mL 1-6 months after the 3 dose regimen&#46; Among properly vaccinated individuals&#44; 90&#37; of adults and 95&#37; of children&#47;adolescents show proper immunity &#40;anti-HBs Ab &#8805; 10 mIU&#47;mL&#41;&#46; Although Korea is now classified as an intermediate HBV endemic area &#40;2-7&#37; prevalence&#41; as a result of the vaccination program&#44; NR status even after proper vaccination is a concern&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;10</span></a></p><p id="p0020" class="elsevierStylePara elsevierViewall">Host factors that can contribute to ineffective vaccination include intrauterine infection&#44; a high viral load in the maternal blood&#44; vaccine escape mutants&#44; viral reactivation&#44; host genetic factors&#44; a compromised immune system&#44; and premature birth&#46; Other causative factors include improper storage and transportation of vaccines&#44; and inappropriate timing&#44; interval&#44; or site of vaccination&#46;<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">11&#44;12</span></a> The immune response to viral vaccines is influenced by various immu-noregulatory genes&#46; Among these genetic determinants&#44; HLA genes are of great interest&#46; The association of HBV vaccine responsiveness and HLA alleles in healthy Korean infants and children was shown in a previous study&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a> Cy-tokines play essential roles in regulating antigen presentation in both innate and adaptive immune responses&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a> Associations of cytokine genes and cytokine receptor genes with immune responses to mumps&#44; influenza&#44; and HBV vaccination have been reported&#46;<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">15-17</span></a> Recently&#44; an increasing number of studies have shown a correlation between immune responses to the HBV vaccine and the SNPs of immunoregulatory cytokine genes&#44; such as <span class="elsevierStyleItalic">IL-1&#946;&#44; IL-4&#44; IL-10&#44; IL-12B&#44;</span> and <span class="elsevierStyleItalic">IL-13&#46;</span><span class="elsevierStyleSup">17-19</span><span class="elsevierStyleItalic">IL-4</span> is a typical pleiotropic T helper &#40;Th&#41; 2 cytokine that plays an important role in humoral and cell-mediated immunity&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a><span class="elsevierStyleItalic">IL-4</span> induces the expression of class II MHC molecules on resting B cells and induces the secretion and expression of IgE and IgG1&#46; <span class="elsevierStyleItalic">IL-4</span> gene mutations may alter its expression and downstream signaling&#44; which may affect vaccine responses&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">21</span></a><span class="elsevierStyleItalic">IL-12</span> is an important cytokine that maintains a sufficient number of memory and effector Th1 cells that generate long term protection toward intracellu-lar pathogens&#46;</p><p id="p0025" class="elsevierStylePara elsevierViewall">The aim of the present study was to identify <span class="elsevierStyleItalic">IL-4</span> and <span class="elsevierStyleItalic">IL-12B</span> gene polymorphisms associated with non-responsiveness to HBV vaccination in a Korean population&#46;</p></span><span id="s0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0020">Material and Methods</span><span id="s0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0025">Subjects</span><p id="p0030" class="elsevierStylePara elsevierViewall">Seoul Metropolitan Public Cord Blood Bank provides several laboratory tests&#44; including HBsAg and anti-HBs&#44; for cord blood &#40;CB&#41; donors when they visit the Boramae Medical Center at the age of 9-15 months&#46; During this time&#44; most infants are examined for their response to three doses of the HBV vaccine&#46; Among the 1&#44;737 infants who participated in the donor reward program during the 5 year period &#40;Feb 2007-Jan 2012&#41;&#44; 300 infants between the ages of 9-15 month old whose parents were of Korean descent were enrolled&#46; Originally&#44; 8&#46;1&#37; of the total infants of the donor reward program were in the NR group&#46; However&#44; because our intention was to enroll a larger proportion of subjects in the NR group than the epidemiologic percentage&#44; the NR group was increased to include 20&#37; of the total subjects&#46; Cord blood units &#40;CBUs&#41; from the study subjects had been voluntarily donated with informed consent and properly preserved&#46; A proper CBU is defined as follows&#58; a sufficient number of nucleated cells&#44; negative for all serologic tests of infectious diseases&#44; including HBsAg in both CB and maternal blood&#44; negative for potential hazardous medical conditions such as genetic disorders or pregnancy complications&#44; no smoke or alcohol ingestion during pregnancy&#44; full term delivery&#44; and no significant abnormalities or serious diseases at the recon-tact 6 months after CB donation&#46; The data indicated that all of the study subjects were normal&#44; healthy Korean infants that were delivered full term and vaccinated according to the suggested schedule&#46;</p><p id="p0035" class="elsevierStylePara elsevierViewall">All of the subjects were HBV vaccinated following the recommended protocol&#46; The vaccine &#40;10 &#956;g in 0&#46;5 mL&#41; was intramuscularly injected at 0&#44; 1&#44; and 6 months&#44; and 4 types of recombinant HBV vaccine &#40;Hepavax-gene TF&#174;&#44; Hepamune&#174;&#44; Heptis-BII&#174; and Euvax&#174;&#41; were used&#46; The composition of 4 vaccines was identical with 20 &#956;g&#47;mL of purified hepatitis B surface antigen protein and 0&#46;5 mg of aluminum hydroxide gel adjuvant&#46; The anti-HBs Ab titer was analyzed at least 2 months after the 3rd vaccination&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a></p><p id="p0040" class="elsevierStylePara elsevierViewall">We excluded individuals who had asthma&#44; severe atopy&#44; or a history of severe infectious disease or major surgery based on medical records and self-provided information&#46; The design and protocol of this study&#44; including consents&#44; were reviewed and approved by the Institutional Review Board of the Seoul National University Boramae Medical Center &#40;26-2015-103&#41;&#46;</p></span><span id="s0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0030">Cytokine gene analysis</span><p id="p0045" class="elsevierStylePara elsevierViewall">Three SNP sites for the <span class="elsevierStyleItalic">IL-4</span> gene &#40;rs2243250&#44; rs2070874&#44; and rs2227284&#41; and 2 SNP sites for the <span class="elsevierStyleItalic">IL-12B</span> gene &#40;rs3213094 and rs17860508&#41; were analyzed&#46; Genomic DNA had been extracted from anticoagulated CB using a QIAamp&#174; DNA Mini Kit &#40;Qiagen GmbH&#44; Hilden&#44; Germany&#41; at the time of donation and was cryopreserved at -80&#176;C until analysis&#46; PCR amplification was performed with sequence-specific primers &#40;<a class="elsevierStyleCrossRef" href="#t0005">Table 1</a>&#41; and h-Taq &#40;Sol-gent Co&#46;&#44; Ltd&#46;&#44; Daejeon&#44; Korea&#41; according to the following protocol&#58; 94&#176;C for 5 min&#44; 94&#176;C for 30 s&#44; 58&#176;C for 30 s&#44; and 72&#176;C for 50 s for 35 cycles&#44; followed by 72&#176;C for 10 min&#46; Using a Millipore MSNU030 filter plate &#40;Millipore SAS&#44; Molsheim&#44; France&#41;&#44; the purified PCR products were Sanger-sequenced using a BigDye terminator v3&#46;1 sequencing kit and a 3730xl automated sequencer &#40;Applied Biosystems&#44; Foster City&#44; CA&#41;&#46;</p><elsevierMultimedia ident="t0005"></elsevierMultimedia></span><span id="s0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0035">HBsAg assay &#38; anti-HBs antibody assay</span><p id="p0050" class="elsevierStylePara elsevierViewall">The serum samples were assessed for qualitative HB-sAg and quantitative anti-HBs Abs &#40;Architect&#44; Abbott Laboratories&#44; North Chicago&#44; IL&#41; using a chemiluminescent microparticle immunoassay &#40;CMIA&#41; in the clinical laboratory of the Boramae Medical Center&#46; This center was accredited by the Korean Association of Quality Assurance of Clinical Laboratory &#40;KAQACL&#41;&#46;</p></span><span id="s0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0040">Statistical analysis</span><p id="p0055" class="elsevierStylePara elsevierViewall">SNP frequencies &#40;AFs&#41; were calculated for five cy-tokine genes by direct counting&#46; The &#967;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> test or Fisher&#8217;s exact test &#40;Fisher&#8217;s exact test was used if one of the expected values in 2 x 2 comparison is &#60; 5&#41; was used for AF comparisons&#46; The odds ratios &#40;ORs&#41; and 95&#37; confidence intervals &#40;CIs&#41; were used for 2 x 2 comparisons&#44; showing significant p-values &#40;&#60; 0&#46;05&#41;&#46; The interval-by-interval correlation coefficients &#40;Pearson&#8217;s R&#41; were used for the line-ar-by linear-associations&#46; To analyze the contribution of independent SNP factors to the vaccine response&#44; we performed the &#967;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> test or Fisher&#8217;s exact test after stratification by the presence or absence of each factor&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a> Where indicated as corrected p <span class="elsevierStyleItalic">&#40;p<span class="elsevierStyleInf">c</span> &#41;&#44;</span> a Bonferroni correction was applied by multiplying the probability value by the number of comparisons made &#40;e&#46;g&#46;&#44; number of alleles compared&#58; 13 for HLA-DRB1 locus&#41; to control for overall type I error&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a></p></span></span><span id="s0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0045">Results</span><span id="s0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0050">Demographic data</span><p id="p0060" class="elsevierStylePara elsevierViewall">A total of 300 infants &#40;153 females and 147 males&#41; were enrolled&#46; All of the subjects were HBV vaccinated on schedule and received the 3rd vaccine more than 2 months &#40;range&#44; 2&#46;7-9&#46;3 months&#41; before anti-HBs quantification&#46; The gestational age and birth weight at birth were 39&#46;7 &#177; 1&#46;1 weeks and 3&#46;39 &#177; 0&#46;37 kg&#44; respectively&#46; The age of the infants was 11&#46;3 &#177; 1&#46;4 months at anti-HBs quantification&#46; Among total subjects&#44; 29&#37; &#40;87&#47;300&#41; were analyzed to determine their antibody titer more than 6 months after the 3rd dose of HBV vaccine&#46;</p></span><span id="s0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0055">Anti-HBs antibody titer</span><p id="p0065" class="elsevierStylePara elsevierViewall">We divided the subjects into three subgroups according to the Ab titer&#58; &#60; 10 mIU&#47;mL &#40;non-responder&#44; NR&#41;&#44; 10-100 mIU&#47;mL &#40;low-titer responder&#44; LR&#41;&#44; and &#8805; 100 mIU&#47; mL &#40;high-titer responder&#44; HR&#41;&#46; Among the 300 subjects&#44; 20&#46;3&#37; &#40;61&#47;300&#41;&#44; 37&#46;7&#37; &#40;113&#47;300&#41; and 42&#46;0&#37; &#40;126&#47;300&#41; were in the NR&#44; LR&#44; and HR groups&#44; respectively&#46; We adjusted the proportion of each group&#44; which resulted in a higher percentage of NR individuals than the epidemiologic range of 5-10&#37; &#40;our previous result was 8&#46;1&#37;&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a> but the subject selection within each group was random&#46; No difference in Ab titer was found between female and male &#40;233&#46;7 and 258&#46;7 mIU&#47;mL&#41; subjects&#46; All of the subjects were negative for HBsAg&#46;</p></span><span id="s0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0060">Cytokine gene SNPs associated with anti-HBs antibody titer</span><p id="p0070" class="elsevierStylePara elsevierViewall"><ul class="elsevierStyleList" id="l0010"><li class="elsevierStyleListItem" id="u0005"><span class="elsevierStyleLabel">&#8226;</span><p id="p0075" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">IL-4</span> and <span class="elsevierStyleItalic">IL-12B</span> SNP phenotype distribution in accordance with responsiveness to HBV vaccination&#46;</p></li></ul></p><p id="p0080" class="elsevierStylePara elsevierViewall">We divided the subjects into two groups according to the time interval from the 3rd dose of HBV vaccination to Ab quantification&#58; &#62; 6 months from the 3rd dose and &#8804; 6 months from the 3rd dose&#46; We compared anti-HBs Ab titers with the response between the groups&#46; Additionally&#44; we investigated cytokine SNP associations within the &#8804; 6 months group&#46; The Ab titer was significantly higher in the &#8804; 6 months group than the &#62; 6 months group &#40;276&#46;9 <span class="elsevierStyleItalic">vs&#46;</span> 170&#46;1 mIU&#47;mL&#44; p &#61; 0&#46;006&#41;&#46; The NR rate was not different between the groups&#44; but subjects with a high Ab titer &#40;HR&#41; had a slightly increased frequency of NR in the &#8804; 6 months group compared to the &#62; 6 months group &#40;45&#46;5 <span class="elsevierStyleItalic">vs&#46;</span> 33&#46;3&#37;&#44; p &#60; 0&#46;1&#41;&#46; Among the three Ab titer subgroups &#40;NR&#44; LR&#44; and HR&#41;&#44; a lower frequency of NR and a higher frequency of HR were observed in the &#8804; 6 months group &#40;p &#61; 0&#46;047&#41; &#40;<a class="elsevierStyleCrossRef" href="#t0010">Table 2</a>&#41;&#46;</p><elsevierMultimedia ident="t0010"></elsevierMultimedia><p id="p0085" class="elsevierStylePara elsevierViewall">In the comparison of the NR group with the respond-ers&#44; neither the SNP phenotype &#40;individual possessing a given allele&#41; nor the genotype showed an association with non-responsiveness&#46; In the comparison of low titer subjects &#40;NR and LR&#44; Ab &#60; 100 mIU&#47;mL&#41; with the HR group&#44; the rs2243250C allele showed a significantly higher frequency in the latter &#40;p &#61; 0&#46;028&#44; OR &#61; 1&#46;71&#41;&#44; and the rs2070874C allele showed a borderline association &#40;0&#46;05 &#8804; p &#60; 0&#46;1&#41;&#46; In the &#8804; 6 months group&#44; the rs2243250C and rs2227284G alleles showed significantly higher frequencies in the HR than the non-HR group &#40;p &#61; 0&#46;014&#44; OR &#61; 2&#46;04 and p &#61; 0&#46;018&#44; OR &#61; 2&#46;25&#44; respectively&#41;&#44; and the rs2070874C allele showed a borderline association &#40;0&#46;05 &#8804; p &#188;0&#46;1&#41;&#46; We also compared SNP distributions among the three Ab titer subgroups &#40;NR&#44; LR&#44; and HR&#41;&#46; Although no SNP alleles differed significantly in frequency among the three subgroups of the total subjects&#44; the rs2243250C and rs2227284G alleles showed significantly higher frequencies in HR subjects &#40;p &#61; 0&#46;04 and 0&#46;038&#44; respectively&#41; within the &#8804; 6 months group&#46; The allelic frequencies of each SNP were not associated with the response to HBV vaccination &#40;<a class="elsevierStyleCrossRef" href="#t0015">Table 3</a>&#41;&#46; The &#62; 6 months group did not show an association between SNPs and the Ab response&#46; No association of <span class="elsevierStyleItalic">IL-12B</span> SNPs with the HBV vaccination response was detected in any comparison&#46;</p><elsevierMultimedia ident="t0015"></elsevierMultimedia><p id="p0090" class="elsevierStylePara elsevierViewall">For the genotype association&#44; only the rs2243250 genotype &#40;CC&#44; CT and TT&#41; showed a significant association with the Ab titer &#40;p &#61; 0&#46;049&#41; among the total subjects&#46; The rs2243250 and rs2227284 genotypes showed weak dose effects &#40;0&#46;1 &#60; &#124;R&#124; &#60; 0&#46;3&#41; with significant p-values &#40;0&#46;017&#59; 0&#46;015 and 0&#46;028&#41; in the &#8804; 6 months subjects&#44; but neither <span class="elsevierStyleItalic">IL-4</span> in the &#62; 6 months group nor the IL-12B genotype showed dose effects &#40;<a class="elsevierStyleCrossRef" href="#t0020">Table 4</a>&#41;&#46;</p><elsevierMultimedia ident="t0020"></elsevierMultimedia><p id="p0095" class="elsevierStylePara elsevierViewall"><ul class="elsevierStyleList" id="l0015"><li class="elsevierStyleListItem" id="u0010"><span class="elsevierStyleLabel">&#8226;</span><p id="p0100" class="elsevierStylePara elsevierViewall">Independent and additive effects of associated cytokine gene SNPs on the response to HBV vaccine&#46;</p></li></ul></p><p id="p0105" class="elsevierStylePara elsevierViewall">Individual risk factors of low Ab titers&#44; rs2243250C &#40;-&#41; and rs2227284G &#40;-&#41;&#44; did not show independent associations after stratification with one another but did show a significant combined association within the &#8804; 6 months group &#40;OR &#61; 2&#46;44&#41;&#46; In addition&#44; the cytokine gene factors &#40;rs2243250C negativity and rs2227284G negativity&#41; and the previously demonstrated factor <span class="elsevierStyleItalic">DRB1</span>&#42;<span class="elsevierStyleItalic">07</span> showed independent and additive associations with poor responsiveness to HBV vaccination&#46; The rs2243250C genotype showed an association independent of <span class="elsevierStyleItalic">DRB1</span>&#42;<span class="elsevierStyleItalic">07</span> &#40;OR &#61; 2&#46;11&#44; p &#61; 0&#46;005&#41;&#46; However&#44; in the &#8804; 6 months subjects&#44; rs2243250C &#40;-&#41; and rs2227284G &#40;-&#41; &#40;OR &#61; 2&#46;36&#44; p &#61; 0&#46;007&#44; <span class="elsevierStyleItalic">p<span class="elsevierStyleInf">c</span></span> &#61; 0&#46;044 and OR &#61; 2&#46;55&#44; p &#61; 0&#46;015&#44; respectively&#41; showed associations independent of <span class="elsevierStyleItalic">DRB1</span>&#42;<span class="elsevierStyleItalic">07</span> &#40;<a class="elsevierStyleCrossRef" href="#t0025">Table 5</a>&#41;&#46;</p><elsevierMultimedia ident="t0025"></elsevierMultimedia></span></span><span id="s0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0065">Discussion</span><p id="p0110" class="elsevierStylePara elsevierViewall">HBV infection remains a public health problem with high mortality &#40;22&#46;5&#47;100&#44;000 people&#41; and a considerable socioeconomic burden of KRW 5&#44;453 billion &#40;USD 5 billion&#41;&#44; which is approaching 6&#37; of the national budget for health service in Korea&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a> Although the successful vaccination program implemented by the Korean government reduced the HBsAg positivity rate&#44; the existence of NR individuals who lack immunity to HBV after proper vaccination is concerning&#46; The factors that influence the immune response to HBV vaccination must be elucidated to overcome the problem of poor responses&#46; Th1 cytokines play a role in the immune response to HBV vaccination&#46; However&#44; no reports have examined HBV vaccine responses and polymorphisms of cytokine genes in a Korean population&#46;</p><p id="p0115" class="elsevierStylePara elsevierViewall">In this study&#44; we examined the <span class="elsevierStyleItalic">IL-4</span> and <span class="elsevierStyleItalic">IL-12B</span> genes&#44; which may be associated with the response to HBV vaccination&#46; Among the five SNP sites of both cytokine genes&#44; <span class="elsevierStyleItalic">IL-4</span> gene SNPs &#40;rs2243250 and rs2227284&#41; showed consistently strong associations with low Ab titers&#46; These al-leles also showed significant dose effects on anti-HBs Ab titers&#46; These findings are consistent with the previous hypothesis that variability in the <span class="elsevierStyleItalic">IL-4</span> gene may alter an individual&#8217;s response to the HBV vaccine&#46; These polymorphisms may be useful as biomarkers in predicting an individual&#8217;s response to different vaccines&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a></p><p id="p0120" class="elsevierStylePara elsevierViewall">To provide more comprehensive understanding than an individual&#8217;s allele analysis&#44; we analyzed the independent and additive effects of each allele combination&#46; The association of the individual factors&#44; rs2243250C &#40;-&#41; and rs2227284G &#40;-&#41;&#44; with ineffective response disappeared after stratification by each allele&#44; which could be the result of a strong positive linkage disequilibrium of the &#8216;rs2243250C &#40;-&#41; - rs2227284G &#40;-&#41;&#8217; haplotypes&#46; When combined&#44; rs2243250C &#40;-&#41; and rs2227284G &#40;-&#41; showed ORs &#40;2&#46;44&#41; similar to those of the individual alleles &#40;2&#46;04 and 2&#46;25&#41;&#46; These data suggest a minimal synergistic effect of these alleles on poor responsiveness to HBV vaccination&#46; Diminished secretion of both Th1 &#40;IFN-&#947;&#41; and Th2 &#40;IL-4 and IL-10&#41; cytokines in HBsAg-stimulated peripheral blood mononuclear cells &#40;PBMCs&#41; from HLA-DR7&#43; individuals vaccinated for HBV suggests that the expression of HLA-DR7 may influence cytokine secretion by HBsAg-specific T cells after HBV vaccination&#44;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">26</span></a> and the <span class="elsevierStyleItalic">DRB1</span>&#42;<span class="elsevierStyleItalic">07</span> allele was a strong and independent risk factor for poor responsiveness to vaccination in our previous study&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a> Therefore&#44; we analyzed the independent and additive effect of <span class="elsevierStyleItalic">DRB1</span>&#42;<span class="elsevierStyleItalic">07</span> with the above factors on vaccine response&#46; The independent association of rs2243250C &#40;-&#41; and rs2227284G &#40;-&#41; with poor responsiveness after stratification by <span class="elsevierStyleItalic">DRB1</span>&#42;<span class="elsevierStyleItalic">07</span> indicates that these cytokine genes play a role in the Ab response after HBV vaccination&#44; particularly among the &#8804; 6 months from the 3rd dose group&#46; A recipient should respond to the vaccine within 1-6 month after the 3 dose vaccine series&#44; which is the peak period of the anti-HBs response&#46; As expected&#44; the anti-HBs Ab titers were significantly higher in the &#8804; 6 months group than the &#62; 6 months group&#46; Generally&#44; more and stronger associations were observed in the &#8804; 6 months subjects than in either the total or &#62; 6 months subjects&#46;</p><p id="p0125" class="elsevierStylePara elsevierViewall">Several studies have shown an association between <span class="elsevierStyleItalic">IL-4</span> genetic polymorphisms &#40;rs2243250&#44; rs2227284 and rs2070874&#41; and an individual&#8217;s response to the HBV vaccine among Asian populations&#44; whereas similar associations were not observed among Caucasian populations&#46;<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">27&#44;28</span></a> In contrast to our study&#44; a study of hemodialysis patients revealed a borderline association of the <span class="elsevierStyleItalic">IL-12B</span> rs321227AC gene with positive vaccine responses&#44;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">29</span></a> and a study of adults showed an association of <span class="elsevierStyleItalic">IL-12B</span> rs17860508 with low responses to HBV vaccination&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a> Differences among studies investigating the association of cy-tokine genes with particular disorders are expected and may be due to several reasons&#44; such as differences in study design&#44; sample size&#44; subject ethnicity and source&#44; and genotype methods&#46; <span class="elsevierStyleItalic">IL-4</span> is an immunomodulatory cytokine secreted by activated Th2 lymphocytes&#44; basophils&#44; and mast cells&#46; This cytokine plays a major role in the modulation of the homeostasis of T lymphocyte subsets&#46; An imbalance between these T lymphocyte subsets has been implicated in the response to therapeutic vaccination in humans&#46;<a class="elsevierStyleCrossRefs" href="#bib0120"><span class="elsevierStyleSup">24&#44;30</span></a> Thus&#44; genetic mutations in the <span class="elsevierStyleItalic">IL-4</span> gene may result in abnormal expression and are likely linked to HBV vaccination&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">31</span></a></p><p id="p0130" class="elsevierStylePara elsevierViewall">Cytokine genes are polymorphic and show differences in distribution among ethnic groups&#46; Thus&#44; different linkages of specific cytokine gene alleles with &#8216;direct causative factors&#8217; may exist&#46; Another probable hypothesis is that the different genotype frequencies among populations obscure or exaggerate the association&#46; Our study has several limitations&#46; Our study covers only a short term period that is not sufficient to observe a long-term immune response to vaccination&#46; Second&#44; we sought to recruit ideal subjects excluding known confounding factors &#40;e&#46;g&#46;&#44; asthma&#44; severe infection and atopy&#41; that could alter the immune response profile based on the medical history&#44; but as a retrospective study&#44; the possible occurrence of recall or selection bias might have influenced the reliability of the results&#46; Third&#44; we could not exclude the possibility that other genes located close to the &#8216;candidate&#8217; genes played a role&#44; and due to the lack of functional studies&#44; we could not conclusively demonstrate the role of the <span class="elsevierStyleItalic">IL-4</span> gene in the context of HBV vaccine&#46; Although the exact function and effects of <span class="elsevierStyleItalic">IL-4</span> genetic polymorphisms on the response to the HBV vaccine are not yet clear&#44; we predicted an association with anti-HBs Ab production based on the known functions of <span class="elsevierStyleItalic">IL-4</span> and several reports of <span class="elsevierStyleItalic">IL-4</span> association with other vaccination responses&#46;</p><p id="p0135" class="elsevierStylePara elsevierViewall">In conclusion&#44; we presented that the <span class="elsevierStyleItalic">IL-4</span> rs2243250 and <span class="elsevierStyleItalic">IL-4</span> rs2227284 polymorphisms have an association with anti-HBs Ab production after vaccination in healthy Korean infants&#46; This study is the first to investigate the underlying mechanisms related to cytokine gene behind poor immune response to HBV vaccination in Korean infants&#46;</p></span><span id="s0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0070">Acknowledgments</span><p id="p0140" class="elsevierStylePara elsevierViewall">We thank all the staff of Seoul Metropolitan Public Cord Blood Bank and greatly appreciate the efforts of Korean mothers who voluntarily donate cord blood to the Seoul Metropolitan Public Cord Blood Bank&#46;</p></span><span id="s0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0075">Financial Disclosure</span><p id="p0145" class="elsevierStylePara elsevierViewall">No financial assistance was received to support this study&#46;</p></span><span id="s0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0080">Conflict of interest</span><p id="p0150" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest relevant to the manuscript&#46;</p></span></span>"
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              "titulo" => "Cytokine gene analysis"
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              "titulo" => "HBsAg assay &#38; anti-HBs antibody assay"
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              "titulo" => "Statistical analysis"
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              "titulo" => "Demographic data"
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              "titulo" => "Anti-HBs antibody titer"
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              "titulo" => "Cytokine gene SNPs associated with anti-HBs antibody titer"
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          "titulo" => "Discussion"
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            2 => "<span class="elsevierStyleItalic">Interleukin-4</span> gene polymorphism"
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      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abs0010" class="elsevierStyleSection elsevierViewall"><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">Approximately 10&#37; of individuals do not respond to hepatitis B virus &#40;HBV&#41; vaccination&#44; i&#46;e&#46; non-responders &#40;NRs&#41;&#46; We aimed to investigate the association of interleukin <span class="elsevierStyleItalic">&#40;IL&#41;-4</span> and <span class="elsevierStyleItalic">IL-12B</span> gene polymorphisms with responsiveness to the HBV vaccine in Korean infants&#46; Among 300 healthy infants &#40;9-12 month&#41;&#44; SNPs for the <span class="elsevierStyleItalic">IL-4</span> gene &#40;rs2243250&#44; rs2070874&#44; and rs2227284&#41; and for the <span class="elsevierStyleItalic">IL-12B</span> gene &#40;rs3213094 and rs17860508&#41; were compared between subgroups in terms of the response to HBV vaccination&#46; The percentages of NRs &#40;&#60; 10 mIU&#47;mL&#41;&#44; low-titer responders &#40;LRs&#44; 10-100 mIU&#47;mL&#41;&#44; and high-titer responders &#40;HRs&#44; &#8805; 100 mIU&#47;mL&#41; were 20&#46;3&#37;&#44; 37&#46;7&#37; and 42&#46;0&#37;&#44; respectively&#46; No SNPs differed in frequency between NRs and responders or between LRs and HRs&#46; We divided the subjects into two groups according to the time interval from the 3rd dose of HBV vaccination to Ab quantification&#58; &#62; 6 months from the 3rd dose &#40;n &#61; 87&#41; and &#8804; 6 months from the 3rd dose &#40;n &#61; 213&#41;&#46; In the &#8804; 6 month subjects&#44; rs2243250C and rs2227284G were significantly frequent in the lower-titer individuals &#40;NRs &#43; LR&#41; than HRs &#40;40&#46;1 <span class="elsevierStyleItalic">vs&#46;</span> 25&#46;9&#37;&#44; p &#61; 0&#46;014 and 45&#46;1 <span class="elsevierStyleItalic">vs&#46;</span> 33&#46;0&#37;&#44; p &#61; 0&#46;018&#44; respectively&#41;&#44; and the rs2243250C and rs2227284G frequencies were significantly different among the three subgroups &#40;13&#46;2 <span class="elsevierStyleItalic">vs&#46;</span> 26&#46;9 <span class="elsevierStyleItalic">vs&#46;</span> 25&#46;9&#37;&#44; p &#61; 0&#46;040 and 15&#46;5 <span class="elsevierStyleItalic">vs&#46;</span> 29&#46;6 <span class="elsevierStyleItalic">vs&#46;</span> 33&#46;0&#37;&#44; p &#61; 0&#46;038&#44; respectively&#41;&#46; In conclusion&#44; those results suggest that <span class="elsevierStyleItalic">IL-4</span> gene polymorphisms may play a role in the response to the HBV vaccine in Korean infants&#46;</p></span>"
      ]
    ]
    "multimedia" => array:5 [
      0 => array:7 [
        "identificador" => "t0005"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Gene&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">SNP&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Forward &#40;5&#39; to 3&#39;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Reverse &#40;5&#39; to 3&#39;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Size &#40;bp&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">IL-4</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">rs2243250&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">c&#46;-589C&#62;T</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">CTTGCCAAGGGCTTCCTTAT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">CAGTCCTCCTGGGGAAAGAT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">298&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">rs2070874&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">C&#46;-330T</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">CCTGTTTGTGAGGCATTTTT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">CTGGAGAGATGGTGCCAGAT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">382&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">rs2227284&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">c&#46;183&#43;2527T&#62;G</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">TTTTAGTATCTCTAAGTTGGGTAGCA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">GGTTCTTGACCAGCCTCACT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">392&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">IL-12B</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">rs3213094&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">c&#46;89-432G&#62;A</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">TGTGGCAGACACTGTGCTAA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">GCAAATG CTTG CTGAGATGA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">499&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">rs17860508&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">g&#46;2277&#95;2282delCTCTAAinsGC</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">AGACCTTCCTCGCCCATAG&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">TCGGGACTGACTATTTTGGT&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">400&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
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                0 => "xTab2046059.png"
              ]
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          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Target gene-specific primer pairs for <span class="elsevierStyleItalic">IL-4</span> and <span class="elsevierStyleItalic">IL-12B</span> genes&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "t0010"
        "etiqueta" => "Table 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "fuente" => "NS&#58; not significant&#46; BS&#58; borderline significant &#40;0&#46;05 &#8804; P &#60; 0&#46;1&#41;&#46; &#42; Significant association with P &#60; 0&#46;05&#46;"
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Group&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Interval between the 3rd dose and the assay</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">P-value&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&#8804; 6 months from the 3rd dose &#40;n &#61; 213&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&#62; 6 months from the 3rd dose &#40;n &#61; 87&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Mean &#177; SD&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">276&#46;9 &#177; 353&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">170&#46;1 &#177; 274&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">0&#46;006</span>&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Responsiveness&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NR &#40;&#60; 10 mIU&#47;mL&#41; Responder &#40;&#8805; 10 mIU&#47;mL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39 &#40;18&#46;3&#37;&#41; 174 &#40;81&#46;7&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22 &#40;25&#46;3&#37;&#41; 65 &#40;74&#46;7&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Low <span class="elsevierStyleItalic">vs</span>&#46; high titer&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Low titer &#40;Ab &#60; 100 mIU&#47;mL&#41; High titer &#40;Ab &#8805; 100 mIU&#47;mL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">116 &#40;54&#46;5&#37;&#41; 97 &#40;45&#46;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58 &#40;66&#46;7&#37;&#41; 29 &#40;33&#46;3&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">BS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Three subgroups of Ab titer&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NR &#40;Ab &#60; 10 mIU&#47;mL&#41; LR &#40;10 &#8804; Ab &#60; 100 mIU&#47;mL&#41; HR &#40;Ab &#8805; 100 mIU&#47;mL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39 &#40;18&#46;3&#37;&#41; 77 &#40;36&#46;2&#37;&#41; 97 &#40;45&#46;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22 &#40;25&#46;3&#37;&#41; 36 &#40;41&#46;4&#37;&#41; 29 &#40;33&#46;3&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">0&#46;047</span>&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2046056.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Anti-HBs antibody titers according to the interval between the 3rd dose and the antibody assay&#46;</p>"
        ]
      ]
      2 => array:8 [
        "identificador" => "t0015"
        "etiqueta" => "Table 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "fuente" => "NS&#58; not significant&#46; BS&#58; borderline significant &#40;0&#46;05 &#60; P &#60; 0&#46;1&#41;&#46; No cytokine SNPs differed in frequency between NR and responder groups&#46; Significant results &#40;P &#60; 0&#46;05&#41; are listed with P-value and odds ratio &#91;95&#37; confidence interval&#93;&#34; for the low Ab titer and with p-value and interval-by-interval correlation coefficient &#40;Pearson&#39;s R&#41; in parentheses for the linear-by-linear associations&#46; Bold&#58; significant asso&#172;ciation with P &#60; 0&#46;05&#46; &#34;Frequencies of individuals possessing a given SNP&#46;"
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="3" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Gene&#40;SNP&#41;</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="3" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Phenotype</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="5" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Total subjects &#40;n &#61; 300&#41;</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="5" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Subjects &#60; 6 months from the 3rd dose &#40;n &#61; 213&#41;</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Phenotype frequency&#42;&#42;</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">P--value&#44; OR&#44; &#40;and Peiarson&#8217;s R&#41;</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Phenostype frequency&#42;&#42;</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">P-value&#44; OR&#44; &#40;and Pearson&#8217;s R&#41;</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">NR &#40;n &#61; 61&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">LR &#40;n &#61; 113&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">HR &#40;n &#61; 126&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">NR &#43; LR <span class="elsevierStyleItalic">vs&#46;</span> HR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Among 3 groups&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">NR &#40;n &#61; 39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">LR &#40;n &#61; 77&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">HR &#40;n &#61; 97&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">NR &#43; LR vs&#46; HR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Among 3 groups&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">rs2243250 <span class="elsevierStyleItalic">IL-4</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">C&#40;-&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#46;1&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;9&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">23&#46;9&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">0&#46;028</span>1&#46;71 &#91;1&#46;06-2&#46;76&#93;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">BS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#46;2&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;9&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25&#46;9&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">0&#46;014</span>2&#46;04 &#91;1&#46;15-3&#46;64&#93;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">0&#46;040 &#40;-0&#46;141&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">rs2070874 <span class="elsevierStyleItalic">IL-4</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">C&#40;-&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#46;9&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;9&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24&#46;8&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">BS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#46;5&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;6&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#46;1&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">BS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">NS</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">rs2227284 <span class="elsevierStyleItalic">IL-4</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">G&#40;-&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&#46;9&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29&#46;8&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29&#46;8&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&#46;5&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29&#46;6&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&#46;0&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">0&#46;018</span>2&#46;25 &#91;1&#46;14-4&#46;44&#93;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">0&#46;038 &#40;-0&#46;145&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">rs3213094 <span class="elsevierStyleItalic">IL-12B</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t">4&#46;5&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&#46;4&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&#46;1&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">4&#46;3&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">9&#46;2&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">11&#46;1&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">rs17860508 IL-12B</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">CTCTAA&#40;-&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5&#46;4&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">10&#46;4&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">4&#46;2&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">11&#46;8&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#46;8&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2046060.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Association of <span class="elsevierStyleItalic">IL-4</span> and <span class="elsevierStyleItalic">IL-12B</span> phenotype frequency with responsiveness to HBV vaccination&#46;</p>"
        ]
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      3 => array:8 [
        "identificador" => "t0020"
        "etiqueta" => "Table 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "fuente" => "NS&#58; not significant&#46; BS&#58; borderline significant &#40;0&#46;05 &#60; P &#60; 0&#46;1&#41;&#46; No cytokine SNP genotype showed a dose effect on Ab titer between NR and responder groups&#46; Significant results &#40;P &#60; 0&#46;05&#41; are listed with p-values and interval-by-interval correlation coefficients &#40;Pearson&#39;s R&#41; in parentheses for the linear-by linear-associations&#46; Bold&#58; significant association with P &#60; 0&#46;05&#46;"
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="3" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Gene&#40;SNP&#41;</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="3" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Phenotype</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="5" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Total subjects &#40;n &#61; 300&#41;</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="5" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Subjects &#60; 6 months from the 3rd dose &#40;n &#61; 213&#41;</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Phenotype frequency&#42;&#42;</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">P--value&#44; OR&#44; &#40;and Peiarson&#8217;s R&#41;</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Phenostype frequency&#42;&#42;</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">P-value&#44; OR&#44; &#40;and Pearson&#8217;s R&#41;</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">NR &#40;n &#61; 61&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">LR &#40;n &#61; 113&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">HR &#40;n &#61; 126&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">NR &#43; LR <span class="elsevierStyleItalic">vs&#46;</span> HR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Among 3 groups&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">NR &#40;n &#61; 39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">LR &#40;n &#61; 77&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">HR &#40;n &#61; 97&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">NR &#43; LR vs&#46; HR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Among 3 groups&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">rs2243250&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">CC</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;7&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;0&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;3&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">0&#46;049</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;5&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;5&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">1&#46;4&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">0&#46;017</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">BS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">IL-4</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">CT</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;1&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&#46;1&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&#46;8&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">&#40;0&#46;115&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;7&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&#46;0&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#46;9&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">&#40;0&#46;164&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">TT</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#46;1&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;2&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#46;8&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#46;8&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
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                0 => "xTab2046058.png"
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        ]
        "descripcion" => array:1 [
          "en" => "<p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">Association of <span class="elsevierStyleItalic">IL-4</span> and <span class="elsevierStyleItalic">IL-12B</span> genotypes with responsiveness to HBV vaccination &#40;dose effect of alleles on Ab titer&#41;&#46;</p>"
        ]
      ]
      4 => array:8 [
        "identificador" => "t0025"
        "etiqueta" => "Table 5"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "fuente" => "In each cell&#44; the result was obtained from the comparison of low titer &#40;Ab &#188; 100 mlU&#47;mL&#41; vs&#46; high titer groups &#40;Ab &#62; 100 mlU&#47;mL&#41;&#46; The first line shows the significant P-value &#40;&#188; 0&#46;05&#41; and the corrected P-value in parenthesis &#40;p<span class="elsevierStyleInf">c</span> &#61; P x number of comparison&#41; and the second line shows the odds ratio with 95&#37; confidence intervals&#46; &#34; Bold&#58; significant association after Bonferroni correction &#40;p<span class="elsevierStyleInf">c</span> &#188; 0&#46;05&#41;&#44; normal font&#58; significant only for P&#46; &#34; Individual association factors of low Ab titer using the same statistics as <a class="elsevierStyleCrossRef" href="#t0015">Table 3</a>&#46; ~l Factor A &#40;&#43;&#41; B &#40;&#43;&#41; vs&#46; Factor A &#40;-&#41; B &#40;&#43;&#41;&#44; t Factor A &#40;&#43;&#41; B &#40;-&#41; vs&#46; Factor A &#40;-&#41; B &#40;-&#41;&#46; &#167; Factor A &#40;&#43;&#41; B &#40;&#43;&#41; vs&#46; Factor A &#40;&#43;&#41; B &#40;-&#41;&#44; II Factor A &#40;-&#41; B &#40;&#43;&#41; vs&#46; Factor A &#40;-&#41; B &#40;-&#41;&#44; &#94;Factor A &#40;&#43;&#41; B &#40;&#43;&#41; vs&#46; Factor A &#40;-&#41; B &#40;-&#41;&#59; p<span class="elsevierStyleInf">c</span> &#61; &#40;Px 6&#41; for independent association&#59; p<span class="elsevierStyleInf">c</span> &#61; &#40;P x 9&#41; for combined association of A and B&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a> p<span class="elsevierStyleInf">c</span> &#61; &#40;P x 13&#41; for individual associations of DRB1&#46;"
        "tabla" => array:1 [
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            0 => array:2 [
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Subjects</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Factor</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Individual association</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Independent factor A association</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Independent factor B association</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " rowspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Combined association<span class="elsevierStyleSup">&#182;</span></th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">B&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Factor A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Factor B&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Factor B&#40;&#43;&#41;<span class="elsevierStyleSup">&#8224;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Factor B&#40;-&#41;<span class="elsevierStyleSup">&#8225;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Factor A&#40;&#43;&#41;<span class="elsevierStyleSup">&#167;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Factor A&#40;-&#41;<span class="elsevierStyleSup">&#124;&#124;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">DRB1&#42;07</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;028 1&#46;71 &#91;1&#46;06-2&#46;76&#93;&#42;&#46;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">0&#46;024 &#40;NS&#41; 2&#46;22 &#91;1&#46;10-4&#46;50&#93;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">0&#46;005&#40;0&#46;03&#41; 2&#46;11 &#91;1&#46;25-3&#46;56&#93;&#42;&#42;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;003&#40;0&#46;018&#41; 6&#46;10 &#91;1&#46;64-22&#46;73&#93;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 6 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">rs2243250C &#40;-&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">DRB1&#42;07</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;014 2&#46;04 &#91;1&#46;15-3&#46;64&#93;&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;032 &#40;NS&#41; 2&#46;42 &#91;1&#46;06-5&#46;51&#93;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">0&#46;007 &#40;0&#46;044&#41; 2&#46;36 &#91;1&#46;25-4&#46;45&#93;&#42;&#42;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;046 &#40;NS&#41; 4&#46;41 &#91;1&#46;06-18&#46;631&#93;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">rs2227284G &#40;-&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">DRB1&#42;07</span> 2&#46;25 &#91;1&#46;14-4&#46;44&#93;&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;018 2&#46;42 &#91;1&#46;06-5&#46;51&#93;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;032 &#40;NS&#41; 2&#46;55&#40;1&#46;19-5&#46;47&#93;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;015 &#40;NS&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">rs2243250C &#40;-&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">rs2227284G &#40;-&#41; 2&#46;04 &#91;1&#46;15-3&#46;64&#93;&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;014 2&#46;25 &#91;1&#46;14-4&#46;44&#93;&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;018 2&#46;44&#40;1&#46;22-4&#46;89&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;011 &#40;NS&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos