Genetic factors that modify the outcome of viral hepatitis
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Genetic factors that modify the outcome of viral hepatitis. / Stättermayer, A F; Scherzer, T; Beinhardt, S; Rutter, K; Hofer, H; Ferenci, P.
In: ALIMENT PHARM THER, Vol. 39, No. 10, 01.05.2014, p. 1059-70.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Genetic factors that modify the outcome of viral hepatitis
AU - Stättermayer, A F
AU - Scherzer, T
AU - Beinhardt, S
AU - Rutter, K
AU - Hofer, H
AU - Ferenci, P
N1 - © 2014 John Wiley & Sons Ltd.
PY - 2014/5/1
Y1 - 2014/5/1
N2 - BACKGROUND: Genetic factors can play an important role for treatment response and disease progression in chronic viral hepatitis.AIM: To review the influence of host genetic factors on the clinical course as well as on treatment response in patients with viral hepatitis.METHODS: Review of the literature.RESULTS: A landmark genome-wide association study (GWAS) identified polymorphisms in the IL28B gene on chromosome 19 (19q13.13) associated with response to therapy with pegylated interferon-α (PEG-IFN) and ribavirin (RBV) and spontaneous viral clearance in acute hepatitis C. Furthermore, IL28B genotype is associated with changes of lipid metabolism and insulin resistance. A further GWAS demonstrated that ITPA genetic variants protect HCV genotype 1 patients from RBV-induced anaemia. Another polymorphism in the patatin-like phospholipase domain containing 3 (PNPLA3) is associated with hepatic steatosis. Difficult-to-treat hepatitis C patients homozygous for GG had an up to five-fold lower chance of viral clearance on PEG/RBV than non-GG patients. In chronic hepatitis B patients treated with PEG-IFN several retrospective analyses of IL28B rs12980275 and rs12979860 genotypes yielded conflicting results which can be explained by the heterogeneity between the study populations. Some variants of the HLA-DP locus (HLA-DPA1 A allele and HLA-DPB1) protect against progression of chronic hepatitis B infection.CONCLUSIONS: The determination of IL28B polymorphisms may be useful to individualise treatment options when using PEG/RBV based therapies for chronic hepatitis C infection. In contrast, so far identified genetic factors play only a minor role in chronic hepatitis B infection.
AB - BACKGROUND: Genetic factors can play an important role for treatment response and disease progression in chronic viral hepatitis.AIM: To review the influence of host genetic factors on the clinical course as well as on treatment response in patients with viral hepatitis.METHODS: Review of the literature.RESULTS: A landmark genome-wide association study (GWAS) identified polymorphisms in the IL28B gene on chromosome 19 (19q13.13) associated with response to therapy with pegylated interferon-α (PEG-IFN) and ribavirin (RBV) and spontaneous viral clearance in acute hepatitis C. Furthermore, IL28B genotype is associated with changes of lipid metabolism and insulin resistance. A further GWAS demonstrated that ITPA genetic variants protect HCV genotype 1 patients from RBV-induced anaemia. Another polymorphism in the patatin-like phospholipase domain containing 3 (PNPLA3) is associated with hepatic steatosis. Difficult-to-treat hepatitis C patients homozygous for GG had an up to five-fold lower chance of viral clearance on PEG/RBV than non-GG patients. In chronic hepatitis B patients treated with PEG-IFN several retrospective analyses of IL28B rs12980275 and rs12979860 genotypes yielded conflicting results which can be explained by the heterogeneity between the study populations. Some variants of the HLA-DP locus (HLA-DPA1 A allele and HLA-DPB1) protect against progression of chronic hepatitis B infection.CONCLUSIONS: The determination of IL28B polymorphisms may be useful to individualise treatment options when using PEG/RBV based therapies for chronic hepatitis C infection. In contrast, so far identified genetic factors play only a minor role in chronic hepatitis B infection.
KW - Antiviral Agents
KW - Drug Therapy, Combination
KW - Genotype
KW - HLA-DP alpha-Chains
KW - HLA-DP beta-Chains
KW - Hepatitis B, Chronic
KW - Hepatitis C, Chronic
KW - Humans
KW - Interferon-alpha
KW - Interleukins
KW - Polyethylene Glycols
KW - Polymorphism, Genetic
KW - Recombinant Proteins
KW - Ribavirin
KW - Treatment Outcome
U2 - 10.1111/apt.12717
DO - 10.1111/apt.12717
M3 - SCORING: Journal article
C2 - 24654629
VL - 39
SP - 1059
EP - 1070
JO - ALIMENT PHARM THER
JF - ALIMENT PHARM THER
SN - 0269-2813
IS - 10
ER -