IL28B is associated with response to chronic hepatitis C interferon-alpha and ribavirin therapy.

Vijayaprakash Suppiah, Max Moldovan, Golo Ahlenstiel, Thomas Berg, Martin Weltman, Maria Lorena Abate, Margaret Bassendine, Ulrich Spengler, Gregory J. Dore, Elizabeth Powell, Stephen Riordan, David Sheridan, Antonina Smedile, Vincenzo Fragomeli, Tobias Müller, Melanie Bahlo, Graeme J. Stewart, David R. Booth, Jacob George*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Hepatitis C virus (HCV) infects 3% of the world's population. Treatment of chronic HCV consists of a combination of PEGylated interferon-alpha (PEG-IFN-alpha) and ribavirin (RBV). To identify genetic variants associated with HCV treatment response, we conducted a genome-wide association study of sustained virological response (SVR) to PEG-IFN-alpha/RBV combination therapy in 293 Australian individuals with genotype 1 chronic hepatitis C, with validation in an independent replication cohort consisting of 555 individuals. We report an association to SVR within the gene region encoding interleukin 28B (IL28B, also called IFNlambda3; rs8099917 combined P = 9.25 x 10(-9), OR = 1.98, 95% CI = 1.57-2.52). IL28B contributes to viral resistance and is known to be upregulated by interferons and by RNA virus infection. These data suggest that host genetics may be useful for the prediction of drug response, and they also support the investigation of the role of IL28B in the treatment of HCV and in other diseases treated with IFN-alpha.
Original languageEnglish
Pages (from-to)1100-1104
Number of pages0
JournalNat Genet
Volume41
Issue number10
DOIs
Publication statusPublished - Oct 2009

Keywords

  • Adult
  • Antiviral Agents
  • Australia
  • Drug Therapy
  • Combination
  • Female
  • Gene Expression Regulation
  • Genome-Wide Association Study
  • Genotype
  • Hepatitis C
  • Chronic
  • Humans
  • Interferon-alpha
  • Interferons
  • Interleukins
  • Male
  • Middle Aged
  • Polyethylene Glycols
  • Polymorphism
  • Single Nucleotide
  • Ribavirin
  • Treatment Outcome

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