ITPA gene variants protect against anaemia in patients treated for chronic hepatitis C

被引:376
作者
Fellay, Jacques [1 ]
Thompson, Alexander J. [2 ,3 ]
Ge, Dongliang [1 ]
Gumbs, Curtis E. [1 ]
Urban, Thomas J. [1 ]
Shianna, Kevin V. [1 ]
Little, Latasha D. [1 ]
Qiu, Ping [4 ]
Bertelsen, Arthur H. [4 ]
Watson, Mark [4 ]
Warner, Amelia [4 ]
Muir, Andrew J. [2 ,3 ]
Brass, Clifford [4 ]
Albrecht, Janice [4 ]
Sulkowski, Mark [5 ]
McHutchison, John G. [2 ,3 ]
Goldstein, David B. [1 ]
机构
[1] Duke Univ, Ctr Human Genome Variat, Inst Genome Sci & Policy, Durham, NC 27708 USA
[2] Duke Univ, Div Gastroenterol, Sch Med, Div Gastroenterol, Durham, NC 27705 USA
[3] Duke Univ, Duke Clin Res Inst, Durham, NC 27705 USA
[4] Schering Plough Res Inst, Kenilworth, NJ 07033 USA
[5] Johns Hopkins Univ, Sch Med, Baltimore, MD 21205 USA
基金
英国医学研究理事会;
关键词
TRIPHOSPHATE PYROPHOSPHOHYDROLASE DEFICIENCY; NONSPHEROCYTIC HEMOLYTIC-ANEMIA; WHOLE-GENOME ASSOCIATION; INOSINE TRIPHOSPHATASE; HEXOKINASE DEFICIENCY; MISSENSE MUTATION; POPULATION; PHENOTYPE; RIBAVIRIN;
D O I
10.1038/nature08825
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Chronic infection with the hepatitis C virus (HCV) affects 170 million people worldwide and is an important cause of liver-related morbidity and mortality(1). The standard of care therapy combines pegylated interferon (pegIFN) alpha and ribavirin (RBV), and is associated with a range of treatment-limiting adverse effects(2). One of the most important of these is RBV-induced haemolytic anaemia, which affects most patients and is severe enough to require dose modification in up to 15% of patients. Here we show that genetic variants leading to inosine triphosphatase deficiency, a condition not thought to be clinically important, protect against haemolytic anaemia in hepatitis-C-infected patients receiving RBV.
引用
收藏
页码:405 / 408
页数:4
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