BACKGROUND: Interferon Lambda-3 (IFN-λ3) gene polymorphism is associated with spontaneous clearance of hepatitis C virus (HCV) and response to IFN-based therapy (IFN). However, very few data are available about its value in predicting sustained virologic response (SVR) in patients with cirrhosis, and whether IFN-λ3 genotype influences liver disease progression remains unclear. METHODS: We determined IFN-λ3 genotype by PCR in a cohort of patients with compensated HCV-related cirrhosis, enrolled between 1989 and 1992. Person-years follow-up was calculated for each individual from the date of enrolment to the development of first episode of decompensation, HCC, liver transplant, death or end of follow-up. The follow-up of patients who achieved SVR was censored at the time of IFN initiation. Kaplan-Meier curves and Cox regression analyses were used to assess the association between IFN-λ3 genotype and clinical outcome. RESULTS: IFN-λ3 was determined in 264 patients (52% males, mean age 57±8 years, 67% HCV genotype (G)1, while CC, CT and TT genotypes were 36%, 50% and 14%, respectively. During a median follow-up of 14.8 years, 149 (56%) patients received IFN. Overall, SVR was achieved in 31 (21%) patients, 40% among those with CC genotype (22% in G1 and 61% in G2, respectively) compared to 10% and 13% among patients with CT and TT genotypes (p<0.0001). Univariate and multivariate analyses found no association between IFN-λ3 (CC vs. non-CC genotype) and disease progression. CONCLUSION: IFN-λ3 determination is fundamental for allocating cirrhotic patients to be treated with IFN, while it has no value in predicting the outcome of the disease.
Interferon lambda-3 is not associated with clinical outcome in patients with HCV-induced compensated cirrhosis : a long-term cohort study / S. Bruno, A.J. Thompson, R. Critelli, A. Crosignani, S. Rossi, S. De Lisi, E. Cariani, P. Zermiani, V. Vaira, V. Boccaccio, P. Maisonneuve, E. Villa. - In: ANTIVIRAL RESEARCH. - ISSN 0166-3542. - 113(2015 Jan), pp. 27-32.
|Titolo:||Interferon lambda-3 is not associated with clinical outcome in patients with HCV-induced compensated cirrhosis : a long-term cohort study|
|Settore Scientifico Disciplinare:||Settore MED/08 - Anatomia Patologica|
|Data di pubblicazione:||gen-2015|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.antiviral.2014.11.002|
|Appare nelle tipologie:||01 - Articolo su periodico|