Interferon lambda 4 (IFNL4) gene polymorphism is associated with spontaneous clearance of HCV in HIV-1 positive

Camila Fernanda da Silveira Alves1, Camila Schultz Grott1, Vagner Ricardo Lunge1

  • 1Programa de Pós-Graduação em Biologia Celular e Molecular Aplicada à Saúde, Universidade Luterana do Brasil (ULBRA), Canoas, RS, Brazil.

Insights

A specific gene variant, IFNL4 TT/TT, significantly increases the likelihood of spontaneous hepatitis C virus (HCV) clearance in individuals with human immunodeficiency virus type 1 (HIV-1) co-infection. This finding offers a better predictor for HCV clearance in this population.

Area of Science:

  • Virology
  • Genetics
  • Immunology

Background:

  • Hepatitis C virus (HCV) co-infection is common in human immunodeficiency virus type 1 (HIV-1) patients, increasing liver disease risk.
  • IFNL3 gene variants influence HCV clearance, but a novel IFNL4 polymorphism (rs368234815) shows promise as a superior predictor.
  • Understanding genetic predictors of HCV clearance is crucial for managing co-infected individuals.

Purpose of the Study:

  • To investigate the prevalence of IFNL4 ΔG > TT variants in Brazilian HIV-1 patients.
  • To assess the association between IFNL4 ΔG > TT genotypes and spontaneous HCV clearance.
  • To compare IFNL4 ΔG > TT with IFNL4 rs12979860 for predicting spontaneous HCV clearance.

Main Methods:

  • Genotyping of IFNL4 ΔG > TT variants using polymerase chain reaction and restriction digestion.
  • Analysis of 138 HIV-1 positive patients with confirmed HCV infection.
  • Statistical evaluation of genotype distribution and its association with spontaneous HCV clearance.

Main Results:

  • Spontaneous HCV clearance was observed in 24.6% of the studied patients.
  • A significant difference in IFNL4 genotype distribution was found between spontaneous clearance and chronic HCV groups (p=0.002).
  • Patients with the IFNL4 TT/TT genotype had a 3.6 times higher probability of spontaneous HCV clearance compared to those with the IFNL4 ΔG allele (p=0.001).

Conclusions:

  • The IFNL4 ΔG > TT polymorphism is a significant predictor of spontaneous HCV clearance in Brazilian HIV-1 co-infected patients.
  • The IFNL4 TT/TT genotype is strongly associated with spontaneous HCV clearance.
  • This polymorphism appears to be a more effective predictor than IFNL4 rs12979860 for spontaneous HCV clearance in this population.