Impact of IL28B genotype on the early and sustained virologic response in treatment-naïve patients with chronic hepatitis C
Standard
Impact of IL28B genotype on the early and sustained virologic response in treatment-naïve patients with chronic hepatitis C. / Stättermayer, Albert Friedrich; Stauber, Rudolf; Hofer, Harald; Rutter, Karoline; Beinhardt, Sandra; Scherzer, Thomas Matthias; Zinober, Kerstin; Datz, Christian; Maieron, Andreas; Dulic-Lakovic, Emina; Kessler, Harald H; Steindl-Munda, Petra; Strasser, Michael; Krall, Christoph; Ferenci, Peter.
In: CLIN GASTROENTEROL H, Vol. 9, No. 4, 01.04.2011, p. 344-350.e2.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Impact of IL28B genotype on the early and sustained virologic response in treatment-naïve patients with chronic hepatitis C
AU - Stättermayer, Albert Friedrich
AU - Stauber, Rudolf
AU - Hofer, Harald
AU - Rutter, Karoline
AU - Beinhardt, Sandra
AU - Scherzer, Thomas Matthias
AU - Zinober, Kerstin
AU - Datz, Christian
AU - Maieron, Andreas
AU - Dulic-Lakovic, Emina
AU - Kessler, Harald H
AU - Steindl-Munda, Petra
AU - Strasser, Michael
AU - Krall, Christoph
AU - Ferenci, Peter
N1 - Copyright © 2011 AGA Institute. Published by Elsevier Inc. All rights reserved.
PY - 2011/4/1
Y1 - 2011/4/1
N2 - BACKGROUND & AIMS: Single nucleotide polymorphisms (SNPs) in the gene that encodes interleukin (IL)-28B predict response of patients with chronic hepatitis C to antiviral therapy. We investigated the roles of polymorphisms rs12979860 and rs8099917 on the early virologic response of treatment-naïve patients.METHODS: SNPs were identified by real-time polymerase chain reaction analysis of samples from 682 patients (genotype [GT]1=372, GT2/3=208, GT4=102) who were treated with 180 μg pegylated interferon-α2a and 400 or 800 mg (GT2/3, depending on the protocol) or 1000-1200 mg (GT1/4) ribavirin/day. The duration of treatment was 24 (GT2/3) or 24-72 weeks (GT1/4).RESULTS: Patients with C/C also had higher rates of rapid virologic response (RVR) (GT1, 38.3% vs 11.6%; GT4, 76.5% vs 23.5%; both P<.001) and sustained virologic responses (SVRs) (GT1, 79.1% vs 43.2%; GT4, 85.3% vs 44.1%; both P<.001). In patients with GT2/3, the RVR was more frequent in carriers of C/C (75.3% vs 52.6%, P<.01), but SVR rates were similar between those with C/C and T (80.5% vs 74.4%, P=.31). Results for rs8099917 were comparable. The positive predictive value of rs12979860 C/C for SVR was higher than that of rs8099917 T/T (80.5% vs 71.6%). Overall, RVR was the best predictor of SVR. In patients who did not have GT1, IL28B polymorphisms did not affect the SVR if RVR data were included in the multivariate analysis.CONCLUSIONS: An early virologic response to pegylated interferon and ribavirin is more likely among carriers of rs12979860 C/C and rs8099917 T/T, which might underlie their high rates of SVR. Determination of the IL28B genotype and whether patients have an RVR might be used in future studies of patients with hepatitis C virus genotype 1 or 4.
AB - BACKGROUND & AIMS: Single nucleotide polymorphisms (SNPs) in the gene that encodes interleukin (IL)-28B predict response of patients with chronic hepatitis C to antiviral therapy. We investigated the roles of polymorphisms rs12979860 and rs8099917 on the early virologic response of treatment-naïve patients.METHODS: SNPs were identified by real-time polymerase chain reaction analysis of samples from 682 patients (genotype [GT]1=372, GT2/3=208, GT4=102) who were treated with 180 μg pegylated interferon-α2a and 400 or 800 mg (GT2/3, depending on the protocol) or 1000-1200 mg (GT1/4) ribavirin/day. The duration of treatment was 24 (GT2/3) or 24-72 weeks (GT1/4).RESULTS: Patients with C/C also had higher rates of rapid virologic response (RVR) (GT1, 38.3% vs 11.6%; GT4, 76.5% vs 23.5%; both P<.001) and sustained virologic responses (SVRs) (GT1, 79.1% vs 43.2%; GT4, 85.3% vs 44.1%; both P<.001). In patients with GT2/3, the RVR was more frequent in carriers of C/C (75.3% vs 52.6%, P<.01), but SVR rates were similar between those with C/C and T (80.5% vs 74.4%, P=.31). Results for rs8099917 were comparable. The positive predictive value of rs12979860 C/C for SVR was higher than that of rs8099917 T/T (80.5% vs 71.6%). Overall, RVR was the best predictor of SVR. In patients who did not have GT1, IL28B polymorphisms did not affect the SVR if RVR data were included in the multivariate analysis.CONCLUSIONS: An early virologic response to pegylated interferon and ribavirin is more likely among carriers of rs12979860 C/C and rs8099917 T/T, which might underlie their high rates of SVR. Determination of the IL28B genotype and whether patients have an RVR might be used in future studies of patients with hepatitis C virus genotype 1 or 4.
KW - Adult
KW - Antiviral Agents
KW - Female
KW - Genotype
KW - Hepacivirus
KW - Hepatitis C, Chronic
KW - Humans
KW - Interferon-alpha
KW - Interleukins
KW - Male
KW - Middle Aged
KW - Polyethylene Glycols
KW - Polymorphism, Single Nucleotide
KW - Recombinant Proteins
KW - Ribavirin
KW - Treatment Outcome
KW - Viral Load
U2 - 10.1016/j.cgh.2010.07.019
DO - 10.1016/j.cgh.2010.07.019
M3 - SCORING: Journal article
C2 - 20728570
VL - 9
SP - 344-350.e2
JO - CLIN GASTROENTEROL H
JF - CLIN GASTROENTEROL H
SN - 1542-3565
IS - 4
ER -