JCLA:IFNL4 rs12979860和rs8099917多态性对先天性出血性疾病和慢性丙型肝炎患者的影响

2017-07-24 MedSci MedSci原创

近日,国际杂志 《Journal of Clinical Laboratory Analysis》在线发表一项关于IFNL4 rs12979860和rs8099917多态性对先天性出血性疾病和慢性丙型肝炎患者对Peg-Interferon-α和Ribavirin的反应的影响的研究。项研究的目的是确定人类干扰素λ4(IFNL4)基因(rs12979860和rs8099917)的两个多态性是否可以预测

近日,国际杂志 《Journal of Clinical Laboratory Analysis》在线发表一项关于IFNL4 rs12979860rs8099917多态性对先天性出血性疾病和慢性丙型肝炎患者对Peg-Interferon-α和Ribavirin的反应的影响的研究。本项研究的目的是确定人类干扰素λ4IFNL4)基因(rs12979860rs8099917)的两个多态性是否可以预测继发性出血性疾病和慢性丙型肝炎(CHC)患者抗病毒治疗后的持续病毒应答(SVR)。

研究对294例先天性出血性疾病患者和用Peg-IFN-α(PegIFN)和利巴韦林(RBV)治疗的CHC患者进行了回顾性研究。对基线患者和病毒参数进行统计学分析,并评估它们对SVR预测的组合及单独贡献。

研究发现,患者中rs12979860rs8099917最常见的变异体分别为CT45.9%)和TT57.6%)两种。总体来看,在69%的研究患者中能够获得SVRHCV基因型1患者SVR低于HCV基因型3患者(62vs 88; P <0.001; OR = 0.23)。HCV基因型1感染患者的SVR预测因子的多变量分析包括年龄(<24岁),BMI<25),不发生肝硬化,HCV RNA水平(<400 000 IU / mL),rs8099917 TTrs12979860 CC,且所有这些均与较高SVR相关。在HCV基因型3感染中,只有rs12979860 CCSVR显著相关。

这些结果表明IFNL4基因的多态性与经PegIFNRBV联合治疗先天性出血性疾病和CHC患者的SVR高度相关。rs12979860rs8099917基因型的评估可以指导医生选择最佳治疗方案,包括在许多地理区域可以使用较便宜的治疗方法。

原始出处:

Maryam Keshvari, et al.Impact of IFNL4 rs12979860 and rs8099917 polymorphisms on response to Peg-Interferon-[alpha] and Ribavirin in patients with congenital bleeding disorder and chronic hepatitis C.

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    2017-07-26 huirong
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    2017-07-26 bugit
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    2017-07-26 xzw120
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    2017-07-24 天涯183

    非常好的文章,学习了,很受益

    0