Role of genetic polymorphisms in hepatitis C virus chronic infection

Nicola Coppola1, Mariantonietta Pisaturo1, Caterina Sagnelli1

  • 1Nicola Coppola, Mariantonietta Pisaturo, Lorenzo Onorato, Evangelista Sagnelli, Department of Mental Health and Public Medicine, Section of Infectious Diseases, Second University of Naples, 80131 Naples, Italy.

Insights

Host genetics significantly impact chronic hepatitis C (CHC) progression and treatment outcomes. Genetic variations, like those in interleukin 28B, influence viral clearance and response to antiviral therapies, guiding personalized patient management.

Area of Science:

  • Hepatology and Immunology
  • Medical Genetics

Background:

  • Chronic hepatitis C (CHC) presents a significant global health challenge.
  • Understanding host genetic factors is crucial for predicting disease trajectory and treatment efficacy.

Purpose of the Study:

  • To review and analyze host genetic factors influencing the clinical course of CHC.
  • To evaluate the impact of genetic polymorphisms on the response to antiviral treatments in CHC patients.

Main Methods:

  • Systematic literature review of PubMed, MEDLINE, and Cochrane Library databases (2000-2014).
  • Analysis of 73 retrieved articles focusing on genetic associations in CHC.
  • Synthesis of findings on specific gene polymorphisms and their clinical relevance.

Main Results:

  • Interleukin 28B (IL28B) gene polymorphisms are strongly associated with spontaneous viral clearance and treatment response to pegylated interferon (Peg-IFN) and ribavirin.
  • Inosine triphosphate pyrophosphatase (ITPA) variants may protect against ribavirin-induced anemia in CHC patients.
  • Patatin-like phospholipase domain-containing protein 3 (PNPLA3) polymorphisms are linked to hepatic steatosis in CHC.
  • Vitamin D-associated polymorphisms show potential, though not conclusive, links to sustained virologic response.

Conclusions:

  • Multiple host genetic polymorphisms appear to modulate CHC clinical outcomes and treatment responses.
  • These genetic insights support the development of individualized follow-up and therapeutic strategies for CHC patients.
Abstract

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