Association of IL-10, IL-4, and IL-28B gene polymorphisms with spontaneous clearance of hepatitis C virus in a population from Rio de Janeiro

被引:23
作者
Juliene Antonio Ramos
Rosane Silva
Luísa Hoffmann
Ana Lucia Araújo Ramos
Pedro Hernan Cabello
Turán Péter Ürményi
Cristiane Alves Villella-Nogueira
Lia Lewis-Ximenez
Edson Rondinelli
机构
[1] Instituto de Biofísica Carlos Chagas Filho, Universidade Federal Do Rio de Janeiro, Rio de Janeiro
[2] Instituto Federal de Educação Ciência e Tecnologia Do Rio de Janeiro, Rio de Janeiro
[3] Serviço de Hepatologia, Hospital Universitário Clementino Fraga Filho, Universidade Federal Do Rio de Janeiro, Rio de Janeiro
[4] Departamento de Clínica Médica, Faculdade de Medicina, Universidade Federal Do Rio de Janeiro, Rio de Janeiro
[5] Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro
[6] Instituto Nacional Para Pesquisa Translacional em Saude e Ambiente Na Regiao Amazonica, Conselho Nacional de Desenvolvimento Científico e Tecnológico/MCT, Rio de Janeiro
基金
美国国家卫生研究院;
关键词
Acute hepatitis C; Chronic hepatitis C; Cytokines; Gene polymorphism; HCV; Spontaneous viral clearance;
D O I
10.1186/1756-0500-5-508
中图分类号
学科分类号
摘要
Background: Cytokines play an important role in the regulation of the immune response. In hepatitis C virus (HCV) infection, cytokine levels may influence the outcome of acute HCV infection. Polymorphisms in cytokine genes have been associated to different expression levels in response to infection. This study was carried out to investigate the association of several cytokine gene polymorphisms with disease outcome in HCV-infected patients. Findings. Patients with chronic or spontaneously resolved HCV infection were included in a cross-sectional study. A comparative analysis was performed between the groups regarding frequency distribution of the following cytokines gene polymorphisms: IL-10 (1082 A/G; -819T/C; -592 A/C), IL-4 (+33C/T), IFN-γ (+874T/A), TNF-α (238G/A and 308G/A) and IL-28B (rs12979860 C/T and rs8099917 T/G). Results:Eighteen patients with spontaneous viral clearance and 161 with chronic HCV infection were included. In the comparative analysis, the GG genotype of the IL-10 polymorphism -1082A/G was more frequent in patients with spontaneous viral clearance when compared to patients with chronic HCV (41.2% vs 6.2%; p = 0.001). This association was also found for the CC genotype of the IL-4 polymorphism +33C/T (72.2% vs 36.7%; p = 0.017) and the CC and TT genotypes of the IL-28B polymorphisms rs 12979860 and rs 8099917 (88.9% vs 30.3%; p<0.001 and 88.9% vs 49.6%; p = 0.002). The IL10 (A-1082G) and IL-28B (Crs12979860T) gene polymorphisms showed odds ratios of 12.848 and 11.077, respectively, and thus may have a greater influence on HCV spontaneous viral clearance. The IFN-γ (+874T/A), TNF-α (238G/A and 308G/A) polymorphisms did not show significant association with spontaneous viral clearance or chronicity. Conclusion: The G allele for IL-10 (1082 A/G), the C allele for IL-4 (+3 C/T) and the C and T alleles for IL-28B (rs12979860 and rs8099917, respectively) are associated with spontaneous viral clearance in hepatitis C infection. © 2012 Ramos et al.; licensee BioMed Central Ltd.
引用
收藏
相关论文
共 32 条
[1]  
Seeff L.B., Natural history of chronic hepatitis C, Hepatology, 36, SUPPL. 1, (2002)
[2]  
Barrett S., Ryan E., Crowe J., Association of the HLA-DRB1*01 allele with spontaneous viral clearance in an Irish cohort infected with hepatitis C virus via contaminated anti-D immunoglobulin, J Hepatol, 30, pp. 979-983, (1999)
[3]  
Hohler T., Kruger A., Gerken G., Schneider P.M., Meyer Zum Buschenfelde K.H., Rittner C., Tumor necrosis factor alpha promoter polymorphism at position 238 is associated with chronic active hepatitis C infection, J Med Virol, 54, pp. 173-177, (1998)
[4]  
Powell E.E., Edwards-Smith C.J., Hay J.L., Clouston A.D., Crawford D.H., Shorthouse C., Purdie D.M., Jonsson J.R., Host genetic factors influence disease progression in chronic hepatitis C, Hepatology, 31, pp. 828-833, (2000)
[5]  
Tsutsumi T., Suzuki T., Shimoike T., Suzuki R., Moriya K., Shintani Y., Fujie H., Matsuura Y., Koike K., Miyamura T., Interaction of hepatitis C virus core protein with retinoid X receptor alpha modulates its transcriptional activity, Hepatology, 35, pp. 937-946, (2002)
[6]  
Cacciarelli T.V., Martinez O.M., Gish R.G., Villanueva J.C., Krams S.M., Immunoregulatory cytokines in chronic hepatitis C virus infection: Pre- and posttreatment with interferon alfa, Hepatology, 24, pp. 6-9, (1996)
[7]  
Quiroga J.A., Martin J., Pardo M., Carreno V., Serum levels of soluble immune factors and pathogenesis of chronic hepatitis C, and their relation to therapeutic response to interferon-alpha, Dig Dis Sci, 39, pp. 2485-2496, (1994)
[8]  
Luomala M., Lehtimaki T., Huhtala H., Ukkonen M., Koivula T., Hurme M., Elovaara I., Promoter polymorphism of IL-10 and severity of multiple sclerosis, Acta Neurol Scand, 108, pp. 396-400, (2003)
[9]  
Shin H.D., Winkler C., Stephens J.C., Bream J., Young H., Goedert J.J., Obrien T.R., Vlahov D., Buchbinder S., Giorgi J., Genetic restriction of HIV-1 pathogenesis to AIDS by promoter alleles of IL10, Proc Natl Acad Sci USA, 97, pp. 14467-14472, (2000)
[10]  
Pestka S., Krause C.D., Sarkar D., Walter M.R., Shi Y., Fisher P.B., Interleukin-10 and related cytokines and receptors, Annu Rev Immunol, 22, pp. 929-979, (2004)