None of the six SNPs of IL28B could predict treatment responses in genotype 2 chronic HCV infected patients by propensity score matching analysis.

<h4>Background & aims</h4>A combination of pegylated interferon-alpha and ribavirin (PR) is the standard therapy for patients with chronic hepatitis C. The impact of polymorphism of interleukin-28B (IL28B) on sustained virological response (SVR) to PR has been well documented in pati...

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Autores principales: Wen-Juei Jeng, Chun-Yen Lin, Ji-Yih Chen, Chang-Wen Huang, Chien-Hao Huang, I-Shyan Sheen
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Publicado: Public Library of Science (PLoS) 2012
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spelling oai:doaj.org-article:153b985cfc9d4b70b276228ff06e261a2021-11-18T08:08:23ZNone of the six SNPs of IL28B could predict treatment responses in genotype 2 chronic HCV infected patients by propensity score matching analysis.1932-620310.1371/journal.pone.0048217https://doaj.org/article/153b985cfc9d4b70b276228ff06e261a2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23173032/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background & aims</h4>A combination of pegylated interferon-alpha and ribavirin (PR) is the standard therapy for patients with chronic hepatitis C. The impact of polymorphism of interleukin-28B (IL28B) on sustained virological response (SVR) to PR has been well documented in patients with CHC genotype-1 (GT1), but it is controversial in genotype-2 (GT2) CHC patients. This study investigated the predictability of six single nucleotide polymorphisms (SNP) of IL28B on the treatment responses of PR in patients with CHC GT2.<h4>Method</h4>197 CHC GT2 consecutive patients who received PR treatment in our prospective cohort were enrolled. Hepatitis C virus (HCV) genotyping, quantification of HCV-RNA and genotyping of the ten SNPs of IL28B were performed. Six SNPs of IL28B were chosen for analysis. The propensity score matching (PSM) analysis was applied using patients with CHC GT1 in another prospective cohort as a positive comparison to avoid covariate bias.<h4>Results</h4>The distribution of the six SNPs was similar in GT1 and GT2 patients. Five of these SNPs had strong association with treatment responses in GT1 but not in GT2 patients. After PSM analysis, these five SNPs still showed strong association with rapid virological response (RVR), cEVR and SVR in GT1 and had no influence in GT2 patients. Furthermore, rs12979860 and baseline viral load were the predictors for both RVR and SVR in GT1 patients. However, only baseline viral load could predict RVR and SVR in GT2 patients. In addition, in patients without RVR, rs12979860 was the only predictor for SVR in GT1 but no predictor for SVR was found in GT2.<h4>Conclusions</h4>The genetic polymorphisms of IL28B had no impact on treatment responses in GT2 patients.Wen-Juei JengChun-Yen LinJi-Yih ChenChang-Wen HuangChien-Hao HuangI-Shyan SheenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 11, p e48217 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Wen-Juei Jeng
Chun-Yen Lin
Ji-Yih Chen
Chang-Wen Huang
Chien-Hao Huang
I-Shyan Sheen
None of the six SNPs of IL28B could predict treatment responses in genotype 2 chronic HCV infected patients by propensity score matching analysis.
description <h4>Background & aims</h4>A combination of pegylated interferon-alpha and ribavirin (PR) is the standard therapy for patients with chronic hepatitis C. The impact of polymorphism of interleukin-28B (IL28B) on sustained virological response (SVR) to PR has been well documented in patients with CHC genotype-1 (GT1), but it is controversial in genotype-2 (GT2) CHC patients. This study investigated the predictability of six single nucleotide polymorphisms (SNP) of IL28B on the treatment responses of PR in patients with CHC GT2.<h4>Method</h4>197 CHC GT2 consecutive patients who received PR treatment in our prospective cohort were enrolled. Hepatitis C virus (HCV) genotyping, quantification of HCV-RNA and genotyping of the ten SNPs of IL28B were performed. Six SNPs of IL28B were chosen for analysis. The propensity score matching (PSM) analysis was applied using patients with CHC GT1 in another prospective cohort as a positive comparison to avoid covariate bias.<h4>Results</h4>The distribution of the six SNPs was similar in GT1 and GT2 patients. Five of these SNPs had strong association with treatment responses in GT1 but not in GT2 patients. After PSM analysis, these five SNPs still showed strong association with rapid virological response (RVR), cEVR and SVR in GT1 and had no influence in GT2 patients. Furthermore, rs12979860 and baseline viral load were the predictors for both RVR and SVR in GT1 patients. However, only baseline viral load could predict RVR and SVR in GT2 patients. In addition, in patients without RVR, rs12979860 was the only predictor for SVR in GT1 but no predictor for SVR was found in GT2.<h4>Conclusions</h4>The genetic polymorphisms of IL28B had no impact on treatment responses in GT2 patients.
format article
author Wen-Juei Jeng
Chun-Yen Lin
Ji-Yih Chen
Chang-Wen Huang
Chien-Hao Huang
I-Shyan Sheen
author_facet Wen-Juei Jeng
Chun-Yen Lin
Ji-Yih Chen
Chang-Wen Huang
Chien-Hao Huang
I-Shyan Sheen
author_sort Wen-Juei Jeng
title None of the six SNPs of IL28B could predict treatment responses in genotype 2 chronic HCV infected patients by propensity score matching analysis.
title_short None of the six SNPs of IL28B could predict treatment responses in genotype 2 chronic HCV infected patients by propensity score matching analysis.
title_full None of the six SNPs of IL28B could predict treatment responses in genotype 2 chronic HCV infected patients by propensity score matching analysis.
title_fullStr None of the six SNPs of IL28B could predict treatment responses in genotype 2 chronic HCV infected patients by propensity score matching analysis.
title_full_unstemmed None of the six SNPs of IL28B could predict treatment responses in genotype 2 chronic HCV infected patients by propensity score matching analysis.
title_sort none of the six snps of il28b could predict treatment responses in genotype 2 chronic hcv infected patients by propensity score matching analysis.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/153b985cfc9d4b70b276228ff06e261a
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