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Updated: Jun 11, 2026

A Protocol for Analyzing Hepatitis C Virus Replication
Published on: June 26, 2014
The recent breakthroughs in the understanding of host genomics in hepatitis C
Andri Rauch1, Janine Rohrbach, Pierre-Yves Bochud
1University Clinic of Infectious Diseases, University Hospital Bern and University of Bern, Bern, Switzerland. andri.rauch@insel.ch
Insights
Host genetics influence Hepatitis C Virus (HCV) control. Genetic variations in interleukin 28B (IL28B) are key predictors of spontaneous and treatment-induced HCV recovery, suggesting IL28B
Area of Science:
- Immunogenetics
- Virology
- Hepatology
Background:
- Hepatitis C Virus (HCV) infection is cleared spontaneously in 30% of cases and treatment cures 40% of chronic infections.
- Host genetic factors are suspected to play a crucial role in controlling HCV infection outcomes.
- Understanding these genetic determinants is vital for improving HCV management.
Purpose of the Study:
- To review genome-wide association studies (GWAS) and candidate gene studies on host genetic variation in HCV control.
- To identify key genetic factors influencing spontaneous and treatment-induced HCV clearance.
- To explore the implications of these findings for future HCV treatment strategies.
Main Methods:
- Systematic review of four genome-wide association studies (GWAS).
- Inclusion of two large candidate gene studies assessing host genetic variation.
- Analysis focused on genetic predictors of natural and treatment-induced HCV control.
Main Results:
- Genetic variations in interleukin 28B (IL28B) consistently emerged as the strongest predictor of HCV control.
- Single nucleotide polymorphisms (SNPs) in IL28B significantly predicted both spontaneous and treatment-induced HCV recovery.
- IL28B encodes interferon-lambda (IFN-λ), a type III interferon with antiviral properties.
Conclusions:
- Strong genetic evidence supports the role of interferon-lambda (IFN-λ) in controlling HCV infection, both naturally and post-treatment.
- IL28B genetic variations offer potential for personalized HCV treatment strategies.
- Further research into IFN-λ is warranted for developing novel therapies for chronic hepatitis C.
Background:
Hepatitis C Virus (HCV) infection is spontaneously resolved in about 30% of acutely infected individuals. In those who progress to chronic hepatitis C, HCV therapy permanently eradicates infection in about 40% of cases. It has long been suspected that host genetic factors are key determinants for the control of HCV infection.
Design:
We will review in this study four genome-wide association studies (GWAS) and two large candidate gene studies that assessed the role of host genetic variation for the natural and treatment-induced control of HCV infection.
Results:
The studies consistently identified genetic variation in interleukin 28B (IL28B) as the strongest predictor for the control of HCV infection. Importantly, single nucleotide polymorphisms (SNPs) in IL28B strongly predicted both spontaneous and treatment-induced HCV recovery. IL28B is located on chromosome 19 and encodes interferon-λ, a type III interferon with antiviral activity, which is mediated through the JAK-STAT pathway by inducing interferon-stimulated genes. The SNPs identified in the GWAS are in high linkage disequilibrium with coding or functional non-coding SNPs that might modulate function and/or expression of IL28B. The role of the different IL28B alleles on gene expression and cytokine function has not yet been established.
Conclusions:
These findings provide strong genetic evidence for the influence of interferon-λ for both the natural and treatment-induced control of HCV infection, and support the further investigation of interferon-λ for the treatment of chronic hepatitis C. Furthermore, genetic testing before HCV therapy could provide important information towards an individualized HCV treatment.
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