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Published on: April 17, 2017
Single nucleotide polymorphisms and haplotypes in the IL10 region associated with HCV clearance
T K Oleksyk1, C L Thio, A L Truelove
1Laboratory of Genomic Diversity, National Cancer Institute at Frederick, Frederick, MD 21702, USA.
Insights
Genetic variations in interleukin-10 (IL10) and related genes are linked to spontaneous Hepatitis C virus (HCV) clearance in African Americans. These findings highlight host genetic factors influencing viral persistence versus resolution.
Area of Science:
- Immunogenetics
- Virology
- Infectious Diseases
Background:
- Hepatitis C virus (HCV) infection often becomes chronic, but spontaneous clearance occurs in ~15% of cases.
- Host immune responses, particularly inflammation, are critical in determining HCV infection outcomes.
- Previous studies suggest Interleukin-10 (IL10) gene polymorphisms may influence HCV clearance and treatment success.
Purpose of the Study:
- To investigate the association between single nucleotide polymorphisms (SNPs) in the IL10 gene region and spontaneous HCV clearance versus chronic infection.
- To explore the role of IL10 and its paralogs (IL19, IL20, IL24) in determining HCV infection course.
Main Methods:
- Genotyping of 54 SNPs across the IL10 region, including within the IL10 gene and its paralogs.
- Association analysis of SNPs and reconstructed haplotypes with HCV clearance in African American and European American cohorts.
- Comparison of genetic associations between populations with differing HCV clearance rates.
Main Results:
- SNPs in the IL10 and IL19/IL20 regions were significantly associated with HCV clearance in African Americans (P=0.05-0.002).
- These associations remained significant after haplotype reconstruction using the expectation-maximization algorithm.
- No significant associations were found in the European American cohort.
Conclusions:
- Genetic variants within the IL10 and IL19/IL20 gene regions may play a role in the natural clearance of Hepatitis C virus.
- These genetic associations appear specific to the African-American population, suggesting population-specific host genetic factors.
- The findings underscore the importance of host genetic background in the outcome of HCV infection.
Abstract:
Hepatitis C virus (HCV) is an infectious blood-borne pathogen that usually persists as a chronic infection. However, approximately 15% of the time, patients can clear the virus, indicating that host differences could be critical in determining the course of HCV infection. The inflammatory response is crucial to resolving or failing to resolve an acute HCV infection. Some previous reports have implicated interleukin 10 (IL10) polymorphisms with successful anti-HCV therapy and natural viral clearance. We tested 54 single nucleotide polymorphisms (SNPs) in the IL10 region (+/-300 kb and 24 within the IL10 gene itself), which contains 13 genes including the IL10 immunomodulatory paralogs IL19, IL20, and IL24, for association with HCV clearance vs persistence. SNPs from two haplotype block regions, one at IL10 and the other from IL19/IL20, were associated with HCV clearance in African Americans (91 clearance cases and 183 chronically infected matched controls; P=0.05-0.002) while with expectation-maximization algorithm-reconstructed haplotypes, these associations remained (P=0.05-0.002). However, no significant associations were detected in European Americans (108 clearance and 245 chronic). Our results indicate that variants of the immunomodulatory IL10 and IL19/IL20 genes may be involved in natural clearance of HCV in the African-American population.
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