Genetic Variation in the IL-6 and HLA-DQB1 Genes Is Associated with Spontaneous Clearance of Hepatitis C Virus Infection

Background. Millions of people are infected with hepatitis C virus (HCV) worldwide and 30% spontaneously clear the infection. Reasons for HCV clearance without antiviral treatment are not well understood. Methods. Blood was collected for DNA analysis from patients with chronic HCV infection or evide...

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Main Authors: Paul Ravi Waldron, Ilana Belitskaya-Lévy, Aarthi Chary, Johann Won, Mark Winters, Alexander Monto, James Ryan, Laura C. Lazzeroni, Mark Holodniy
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2016/6530436
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author Paul Ravi Waldron
Ilana Belitskaya-Lévy
Aarthi Chary
Johann Won
Mark Winters
Alexander Monto
James Ryan
Laura C. Lazzeroni
Mark Holodniy
author_facet Paul Ravi Waldron
Ilana Belitskaya-Lévy
Aarthi Chary
Johann Won
Mark Winters
Alexander Monto
James Ryan
Laura C. Lazzeroni
Mark Holodniy
author_sort Paul Ravi Waldron
collection DOAJ
description Background. Millions of people are infected with hepatitis C virus (HCV) worldwide and 30% spontaneously clear the infection. Reasons for HCV clearance without antiviral treatment are not well understood. Methods. Blood was collected for DNA analysis from patients with chronic HCV infection or evidence of spontaneous clearance. To overcome anticipated limitations of small sample size, primary analyses consisted of a candidate gene analysis of 12 preselected genes based on known association with host immunologic response to HCV infection. To further reduce the impact of multiple testing on power, a single likelihood ratio test was conducted for each gene using all associated SNPs assayed on the Illumina Quad 610/660W chip. Step-down permutation methods were used to adjust for multiple testing in all analyses. Results. Ninety-five and 62 patients with HCV chronic infection or spontaneous clearance, respectively, were included for analysis. HLA-DQB1 (p=1.76⁎10-5) and IL-6 (p=0.0007) genes were significantly associated with spontaneous HCV clearance. IL-28B was not significantly associated with spontaneous clearance (p=0.17). Conclusion. Our whole-gene analytic strategy identified a previously unreported association of IL-6 with spontaneous clearance of HCV infection. We also confirmed the finding that HLA-DQB1 is associated with spontaneous resolution of HCV infection.
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spelling doaj-art-6cb58682058a4b3e954d35e4a09c33182025-02-03T01:09:44ZengWileyJournal of Immunology Research2314-88612314-71562016-01-01201610.1155/2016/65304366530436Genetic Variation in the IL-6 and HLA-DQB1 Genes Is Associated with Spontaneous Clearance of Hepatitis C Virus InfectionPaul Ravi Waldron0Ilana Belitskaya-Lévy1Aarthi Chary2Johann Won3Mark Winters4Alexander Monto5James Ryan6Laura C. Lazzeroni7Mark Holodniy8VA Palo Alto Health Care System, Palo Alto, CA 94304, USACooperative Studies Program Coordinating Center, VA Palo Alto Health Care System, Palo Alto, CA 94304, USAVA Palo Alto Health Care System, Palo Alto, CA 94304, USACooperative Studies Program Coordinating Center, VA Palo Alto Health Care System, Palo Alto, CA 94304, USAVA Palo Alto Health Care System, Palo Alto, CA 94304, USASan Francisco VA Medical Center, San Francisco, CA 94121, USASan Francisco VA Medical Center, San Francisco, CA 94121, USACooperative Studies Program Coordinating Center, VA Palo Alto Health Care System, Palo Alto, CA 94304, USAVA Palo Alto Health Care System, Palo Alto, CA 94304, USABackground. Millions of people are infected with hepatitis C virus (HCV) worldwide and 30% spontaneously clear the infection. Reasons for HCV clearance without antiviral treatment are not well understood. Methods. Blood was collected for DNA analysis from patients with chronic HCV infection or evidence of spontaneous clearance. To overcome anticipated limitations of small sample size, primary analyses consisted of a candidate gene analysis of 12 preselected genes based on known association with host immunologic response to HCV infection. To further reduce the impact of multiple testing on power, a single likelihood ratio test was conducted for each gene using all associated SNPs assayed on the Illumina Quad 610/660W chip. Step-down permutation methods were used to adjust for multiple testing in all analyses. Results. Ninety-five and 62 patients with HCV chronic infection or spontaneous clearance, respectively, were included for analysis. HLA-DQB1 (p=1.76⁎10-5) and IL-6 (p=0.0007) genes were significantly associated with spontaneous HCV clearance. IL-28B was not significantly associated with spontaneous clearance (p=0.17). Conclusion. Our whole-gene analytic strategy identified a previously unreported association of IL-6 with spontaneous clearance of HCV infection. We also confirmed the finding that HLA-DQB1 is associated with spontaneous resolution of HCV infection.http://dx.doi.org/10.1155/2016/6530436
spellingShingle Paul Ravi Waldron
Ilana Belitskaya-Lévy
Aarthi Chary
Johann Won
Mark Winters
Alexander Monto
James Ryan
Laura C. Lazzeroni
Mark Holodniy
Genetic Variation in the IL-6 and HLA-DQB1 Genes Is Associated with Spontaneous Clearance of Hepatitis C Virus Infection
Journal of Immunology Research
title Genetic Variation in the IL-6 and HLA-DQB1 Genes Is Associated with Spontaneous Clearance of Hepatitis C Virus Infection
title_full Genetic Variation in the IL-6 and HLA-DQB1 Genes Is Associated with Spontaneous Clearance of Hepatitis C Virus Infection
title_fullStr Genetic Variation in the IL-6 and HLA-DQB1 Genes Is Associated with Spontaneous Clearance of Hepatitis C Virus Infection
title_full_unstemmed Genetic Variation in the IL-6 and HLA-DQB1 Genes Is Associated with Spontaneous Clearance of Hepatitis C Virus Infection
title_short Genetic Variation in the IL-6 and HLA-DQB1 Genes Is Associated with Spontaneous Clearance of Hepatitis C Virus Infection
title_sort genetic variation in the il 6 and hla dqb1 genes is associated with spontaneous clearance of hepatitis c virus infection
url http://dx.doi.org/10.1155/2016/6530436
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