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Published on: December 15, 2023
Association of cytokine gene polymorphisms with hepatitis C virus infection in a population from Rio de Janeiro,
Gustavo Milson Fabrício-Silva1, Bruno Silva Poschetzky2, Renata de Mello Perez2
1Histocompatibility and Cryopreservation Laboratory, Rio de Janeiro State University, Rio de Janeiro, Brazil.
Insights
Interleukin-28B (IL-28B) gene variations are linked to spontaneous hepatitis C virus (HCV) clearance and treatment success in Brazilians. The IL-6 (-174) C allele may also aid spontaneous recovery and reduce liver inflammation.
Area of Science:
- Immunogenetics
- Hepatology
- Virology
Background:
- Host immune response significantly impacts Hepatitis C Virus (HCV) infection outcomes and disease progression.
- Investigating cytokine gene polymorphisms offers insights into susceptibility to persistent HCV infection versus spontaneous viral clearance.
Purpose of the Study:
- To explore cytokine gene polymorphisms as potential markers for HCV infection susceptibility or spontaneous clearance.
- To analyze these genetic factors in a Brazilian population from Rio de Janeiro.
Main Methods:
- Genotyping of cytokine polymorphisms including TNF-alpha, TGF-beta 1, IL-10, IL-6, and IFN-gamma using PCR.
- Assessing IL-28B polymorphisms (rs12979860, rs12980275, rs8099917) via real-time PCR.
- Study included 245 chronic hepatitis C patients, 41 spontaneous recovery patients, and 189 healthy controls.
Main Results:
- IL-28B rs12979860 CC and rs12980275 AA genotypes strongly correlated with spontaneous HCV recovery and treatment response.
- The IL-6 (-174) C allele showed a protective association against chronic hepatitis C (CHC) and was more prevalent in spontaneous recovery patients.
- Multivariate analysis identified male sex, specific IL-28B genotypes (CT, TT), and TGF-beta 1 codon 10 TC genotype as factors associated with CHC.
Conclusions:
- IL-28B polymorphisms are key determinants of spontaneous HCV clearance and therapeutic response in the studied Brazilian cohort.
- The IL-6 (-174) C allele appears to play a role in spontaneous recovery and may contribute to reduced liver inflammation.
Background:
The host immune response is an important indicator of the outcome of hepatitis C virus (HCV) infection and disease progression. The aim of this study was to explore cytokine gene polymorphisms as a candidate for susceptibility to persistent HCV infection or HCV spontaneous clearance in a population from Rio de Janeiro, Brazil.
Methods:
Genetic polymorphisms in the cytokines, tumor necrosis factor-alpha (-308), transforming growth factor-beta 1 (codons 10 and 25), interleukin-10 (IL-10; -1082 and -592), IL-6 (-174), and interferon-gamma (+874) were analyzed by polymerase chain reaction sequence-specific primers in 245 patients with chronic hepatitis C (CHC), 41 spontaneous recovery (SR) patients, and 189 healthy volunteers. Further, polymorphisms in IL-28B (rs12979860, rs12980275, and rs8099917) were assessed by real-time polymerase chain reaction in all groups.
Results:
The IL-28B rs12979860 CC and rs12980275 AA genotypes were significantly associated with SR of HCV infection and response to therapy, whereas the C allele of IL-6 (-174) was associated with protection to CHC. A multivariate analysis showed that the male sex and IL-28B rs12979860 CT and TT and transforming growth factor-beta 1 (codon 10) TC genotypes were factors associated with CHC. Additionally, IL-6 (-174) C allele was increased in SR patients compared with patients with CHC.
Conclusion:
IL-28B polymorphisms are associated with spontaneous clearance of HCV and response to therapy in a Brazilian population. Also, IL-6 (-174) C allele is involved in SR and decreased inflammation scores.
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