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Impact of IL28B, APOH and ITPA Polymorphisms on Efficacy and Safety of TVR- or BOC-Based Triple Therapy in Treatment-Experienced HCV-1 Patients with Compensated Cirrhosis from the ANRS CO20-CUPIC Study

Author

Listed:
  • Frédégonde About
  • Tiphaine Oudot-Mellakh
  • Jonathan Niay
  • Pascaline Rabiéga
  • Vincent Pedergnana
  • Darragh Duffy
  • Philippe Sultanik
  • Carole Cagnot
  • Fabrice Carrat
  • Patrick Marcellin
  • Fabien Zoulim
  • Dominique Larrey
  • Christophe Hézode
  • Hélène Fontaine
  • Jean-Pierre Bronowicki
  • Stanislas Pol
  • Matthew L Albert
  • Ioannis Theodorou
  • Aurélie Cobat
  • Laurent Abel
  • ANRS CO20-CUPIC study group

Abstract

Background: Human genetic factors influence the outcome of pegylated interferon and ribavirin hepatitis C therapy. We explored the role of IL28B, APOH and ITPA SNPs on the outcomes of triple therapy including telaprevir or boceprevir in patients with compensated cirrhosis chronically infected with HCV-1. Patients and Methods: A total of 256 HCV-1 Caucasian treatment-experienced patients with compensated cirrhosis from the ANRS CO20-CUPIC cohort were genotyped for a total of 10 candidate SNPs in IL28B (rs12979860 and rs368234815), APOH (rs8178822, rs12944940, rs10048158, rs52797880, rs1801689 and rs1801690) and ITPA (rs1127354 and rs7270101). We tested the association of IL28B and APOH SNPs with sustained virological response and of ITPA SNPs with anemia related phenotypes by means of logistic regression assuming an additive genetic model. Results: None of the six APOH SNPs were associated with sustained virological response. The favorable alleles of the IL28B SNPs rs12979860 and rs368234815 were associated with sustained virological response (rs12979860: OR = 2.35[1.50–3.70], P = 2x10-4). Refined analysis showed that the effect of IL28B SNPs on sustained virological response was restricted to prior PegIFN/RBV relapse (OR = 3.80[1.82–8.92], P = 8x10-4). We also confirmed the association between ITPA low activity alleles and protection against early hemoglobin decline in triple therapy (P = 2x10-5). Conclusion: Our results suggest that the screening of rs12979860 may remain interesting for decision making in prior relapse HCV-1 Caucasian patients with compensated cirrhosis eligible for a telaprevir- or boceprevir-based therapy.

Suggested Citation

  • Frédégonde About & Tiphaine Oudot-Mellakh & Jonathan Niay & Pascaline Rabiéga & Vincent Pedergnana & Darragh Duffy & Philippe Sultanik & Carole Cagnot & Fabrice Carrat & Patrick Marcellin & Fabien Zou, 2015. "Impact of IL28B, APOH and ITPA Polymorphisms on Efficacy and Safety of TVR- or BOC-Based Triple Therapy in Treatment-Experienced HCV-1 Patients with Compensated Cirrhosis from the ANRS CO20-CUPIC Stud," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-13, December.
  • Handle: RePEc:plo:pone00:0145105
    DOI: 10.1371/journal.pone.0145105
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    References listed on IDEAS

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    1. Jacques Fellay & Alexander J. Thompson & Dongliang Ge & Curtis E. Gumbs & Thomas J. Urban & Kevin V. Shianna & Latasha D. Little & Ping Qiu & Arthur H. Bertelsen & Mark Watson & Amelia Warner & Andrew, 2010. "ITPA gene variants protect against anaemia in patients treated for chronic hepatitis C," Nature, Nature, vol. 464(7287), pages 405-408, March.
    2. Dongliang Ge & Jacques Fellay & Alexander J. Thompson & Jason S. Simon & Kevin V. Shianna & Thomas J. Urban & Erin L. Heinzen & Ping Qiu & Arthur H. Bertelsen & Andrew J. Muir & Mark Sulkowski & John , 2009. "Genetic variation in IL28B predicts hepatitis C treatment-induced viral clearance," Nature, Nature, vol. 461(7262), pages 399-401, September.
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