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Updated: Apr 3, 2026

A Protocol for Analyzing Hepatitis C Virus Replication
Published on: June 26, 2014
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.
Aim:
To analyze the host genetics factors influencing the clinical course and the response to antiviral treatment in patients with chronic hepatitis C (CHC).
Methods:
We conducted an electronic search on the PubMed and MEDLINE (2000-2014) databases and Cochrane library (2000-2014). A total of 73 articles were retrieved and their data were extensively evaluated and discussed by the authors and then analyzed in this review article.
Results:
Several studies associated polymorphisms in the interleukin 28B gene on chromosome 19 (19q13.13) with a spontaneous viral clearance in acute hepatitis C and with the response to pegylated interferon (Peg-IFN)-based treatment in chronic hepatitis C patients. Other investigations demonstrated that inosine triphosphate pyrophosphatase genetic variants protect hepatitis C virus-genotype-1 CHC patients from ribavirin-induced anemia, and other studies that a polymorphism in the patatin-like phospholipase domain-containing protein 3 was associated with hepatic steatosis in CHC patients. Although not conclusive, some investigations suggested that the vitamin D-associated polymorphisms play an important role in the achievement of sustained virologic response in CHC patients treated with Peg-IFN-based antiviral therapy. Several other polymorphisms have been investigated to ascertain their possible impact on the natural history and on the response to treatment in patients with CHC, but the data are preliminary and warrant confirmation.
Conclusion:
Several genetic polymorphisms seem to influence the clinical course and the response to antiviral treatment in patients with CHC, suggesting individualized follow up and treatment strategies.
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