Impact of DARC rs12075 Variants on Liver Fibrosis Progression in Patients with Chronic Hepatitis C: A Retrospective

María Ángeles Jiménez-Sousa1, Ana Zaida Gómez-Moreno2, Daniel Pineda-Tenor3

  • 1Unidad de Infección Viral e Inmunidad, Centro Nacional de Microbiología, Instituto de Salud Carlos III, 28220 Majadahonda, Spain. jimenezsousa@isciii.es.

Biomolecules
|April 12, 2019
PubMed

Insights

The Duffy antigen receptor for chemokines (DARC) rs12075 polymorphism influences hepatitis C progression. Patients with the DARC rs12075 AG/GG genotype show a reduced risk of liver fibrosis and cirrhosis development.

Area of Science:

  • Genetics and Immunology
  • Hepatology and Viral Hepatitis Research

Background:

  • Hepatitis C virus (HCV) infection leads to liver fibrosis driven by uncontrolled inflammation.
  • The Duffy antigen receptor for chemokines (DARC) rs12075 polymorphism is known to regulate leukocyte trafficking and chemokine balance.

Purpose of the Study:

  • To investigate the association between the DARC rs12075 polymorphism and the progression of liver stiffness in patients with chronic hepatitis C (CHC).
  • To determine if specific DARC rs12075 genotypes influence the rate of liver fibrosis progression and cirrhosis development in HCV-infected individuals.

Main Methods:

  • A retrospective cohort study involving 208 noncirrhotic CHC patients with at least two liver stiffness measurements (LSM) over a minimum 12-month interval.
  • Generalized linear models were employed to analyze the relationship between DARC rs12075 genotypes and liver stiffness progression.
  • Patient data were followed for an average of 46.6 months to assess changes in fibrosis stages and LSM.

Main Results:

  • Over the follow-up period, a significant decrease in early fibrosis stages (F0/F1) and a significant increase in LSM values and cirrhosis prevalence were observed.
  • Patients with the DARC rs12075 AG/GG genotype exhibited lower variations in liver stiffness compared to the AA genotype.
  • The AG/GG genotype was associated with a significantly lower risk of increased LSM (mean ratio 0.83, OR 0.28) and cirrhosis progression (OR 0.24).

Conclusions:

  • The DARC rs12075 single nucleotide polymorphism is associated with the progression of chronic hepatitis C.
  • Individuals carrying the DARC rs12075 AG/GG genotype demonstrate a reduced risk of liver fibrosis progression and the development of cirrhosis.
  • These findings highlight the potential role of DARC rs12075 genotype in modulating inflammatory responses and disease outcomes in HCV infection.

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