Apolipoprotein H expression is associated with IL28B genotype and viral clearance in hepatitis C virus infection

Melissa E Laird1, Amira Mohsen2, Darragh Duffy1

  • 1Laboratory of Dendritic Cell Immunobiology, Institut Pasteur, Paris, France; INSERM U818, Paris, France.

Insights

Hepatitis C virus (HCV) clearance is linked to higher levels of apolipoprotein H (ApoH). This novel host factor, ApoH, interacts with IL28B genetic variants, influencing treatment response and viral clearance.

Area of Science:

  • Hepatology
  • Virology
  • Immunogenetics

Background:

  • Hepatitis C virus (HCV) replication depends on host lipid metabolism.
  • Apolipoproteins are crucial in the host response to HCV infection and treatment.

Purpose of the Study:

  • To investigate plasma apolipoprotein concentrations in patients with acute and chronic Hepatitis C virus (HCV) infection.
  • To evaluate the association between apolipoproteins and IL28B polymorphisms in relation to HCV clearance.

Main Methods:

  • Plasma apolipoprotein levels were measured in three patient cohorts: acute HCV, chronic HCV undergoing treatment, and HIV/HCV co-infected patients.
  • Associations between apolipoproteins, IL28B polymorphisms (rs12979860 CC SNP), and HCV clearance were analyzed.

Main Results:

  • Higher plasma apolipoprotein H (ApoH) levels were observed in patients achieving spontaneous or treatment-induced HCV clearance.
  • ApoH levels correlated with the IL28B rs12979860 CC single nucleotide polymorphism (SNP) across all cohorts.
  • Both ApoH and IL28B CC SNP were independently associated with HCV clearance, suggesting a shared biological pathway.

Conclusions:

  • Apolipoprotein H (ApoH) is identified as the first protein quantitative trait associated with IL28B genetic variants.
  • ApoH represents a novel host factor influencing Hepatitis C virus (HCV) clearance, potentially mediated by IL28B allele-dependent mechanisms.
Abstract

Related Concept Videos

Hepatitis01:25

Hepatitis

Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver.
80
Immune Response Against Viral Pathogens01:29

Immune Response Against Viral Pathogens

The immune system's response to viral infections is a complex and coordinated process involving natural killer (NK) cells, T cell-mediated responses, and antibody-mediated responses.
NK Cells
NK cells are a crucial part of our innate immune system, acting as the first line of defense against viral infections. These cells can recognize and kill infected cells without prior exposure to the virus, effectively slowing down the spread of infection. Additionally, NK cells produce proinflammatory...
2.3K
Inhibitors of Viral Protein Synthesis01:30

Inhibitors of Viral Protein Synthesis

Protein synthesis is indispensable for viral replication, as viruses lack the cellular machinery required for this process and must hijack the host's translational apparatus. In response, host cells deploy a critical innate immune defense involving interferons, specialized cytokines that play a central role in inhibiting viral propagation.Upon viral detection, infected cells release interferons that bind to receptors on adjacent uninfected cells, activating the JAK-STAT signaling pathway and...
57
Viral Hepatitis I: Introduction01:28

Viral Hepatitis I: Introduction

Viral hepatitis is an inflammatory condition of the liver caused by infection with hepatotropic viruses, most commonly hepatitis A, B, C, D, and E. Despite variations in structure and transmission, all viruses mentioned infect hepatocytes and provoke immune responses that can hinder liver function. Additionally, some non-hepatotropic viruses can also lead to hepatic inflammation.Hepatitis A VirusHepatitis A virus (HAV) is transmitted through the fecal–oral route, typically by ingestion...
22