학술논문

Association of the IFNL4-ΔG Allele With Impaired Spontaneous Clearance of Hepatitis C Virus
Document Type
article
Source
The Journal of Infectious Diseases. 209(3)
Subject
Biomedical and Clinical Sciences
Immunology
Genetics
Chronic Liver Disease and Cirrhosis
Liver Disease
Hepatitis
Emerging Infectious Diseases
Digestive Diseases
Hepatitis - C
Infectious Diseases
HIV/AIDS
Infection
Good Health and Well Being
Adult
Black or African American
Alleles
Cohort Studies
Female
Genetic Predisposition to Disease
Hepacivirus
Hepatitis C
Humans
Interleukins
Prospective Studies
genetic
HCV
IFNL4
IL28B
viral clearance
Biological Sciences
Medical and Health Sciences
Microbiology
Biological sciences
Biomedical and clinical sciences
Health sciences
Language
Abstract
Interferon lambda 4 protein can be generated in IFNL4-ΔG carriers but not IFNL4-TT homozygotes. We studied 890 anti-hepatitis C virus (HCV)-positive participants in the Women's Interagency HIV Study. Among blacks (n = 555), HCV was more often cleared for those with genotype IFNL4-TT/TT (32.6%; odds ratio [OR], 3.59; P = 3.3 × 10(-5)) than IFNL4-TT/ΔG (11.3%; OR, 0.95; P = .86) or IFNL4-ΔG/ΔG (11.9%; referent). Pooling these data with published results in blacks (n = 1678), ORs were 3.84 (P = 8.6 × 10(-14)) for IFNL4-TT/TT and 1.44 (P = .03) IFNL4-TT/ΔG, and the area under the curve was 0.64 for IFNL4-ΔG genotype and 0.61 for rs12979860 (IL28B). IFNL4-ΔG is strongly associated with impaired spontaneous HCV clearance.