IL-6 gene polymorphism predicts PEGylated IFN-α treatment response in hepatitis B surface antigen-positive chronic hepatitis B patients.

Xiaoqing Wang, Xiu Gu, Fengli Liu
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Abstract

Background: Genetic polymorphism can affect the response to antiviral therapy of chronic hepatitis B (CHB) patients. Objective: The study examined the genetic association of the IL-6 rs1800796 polymorphism with PEGylated IFN-α (PegIFN-α) treatment response in hepatitis B surface antigen (HBsAg)-positive CHB patients. Methods: Direct sequencing was done for the genotyping of the rs1800796 polymorphism in the serum of CHB patients. Results: More patients with combined response (n = 95) carried IL-6 rs1800796 GC genotypes, while CC genotype carriers possessed reduced HBeAg seroconversion rate and high values of hepatitis B virus DNA. Baseline HBsAg and HBeAg and IL-6 rs1800796 CC genotype were independently related to PegIFN-α treatment response. Conclusion: Detection of the IL-6 rs1800796 genotype in CHB patients may have potential guiding significance for PegIFN-α response.

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IL-6基因多态性预测乙型肝炎表面抗原阳性慢性乙型肝炎患者聚乙二醇化IFN-α治疗反应。
背景:遗传多态性可影响慢性乙型肝炎(CHB)患者对抗病毒治疗的反应。目的:探讨乙型肝炎表面抗原(HBsAg)阳性慢性乙型肝炎患者IL-6 rs1800796多态性与聚乙二醇化干扰素-α(PegIFN-α)治疗反应的遗传相关性。方法:对慢性乙型肝炎患者血清rs1800796多态性进行直接测序。结果:有联合反应的患者(n=95)携带IL-6 rs1800796 GC基因型,而CC基因型携带者的HBeAg血清转化率降低,乙型肝炎病毒DNA值较高。基线HBsAg、HBeAg和IL-6 rs1800796 CC基因型与PegIFN-α治疗反应独立相关。结论:检测慢性乙型肝炎患者IL-6 rs1800796基因型可能对PegIFN-α反应具有潜在的指导意义。
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