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Erschienen in: Journal of Gastroenterology 9/2010

01.09.2010 | Review

IL28B in hepatitis C virus infection: translating pharmacogenomics into clinical practice

verfasst von: Golo Ahlenstiel, David R. Booth, Jacob George

Erschienen in: Journal of Gastroenterology | Ausgabe 9/2010

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Abstract

Three landmark genome-wide association studies (GWAS) published in 2009 identified the interleukin (IL) 28B gene locus as pivotal to the pathogenesis of hepatitis C virus (HCV) infection. Polymorphisms near the IL28B gene not only predicted treatment-induced and spontaneous recovery from HCV infection, but they also explained, to some extent, the difference in response rates between Caucasians and African Americans to standard therapy with pegylated interferon and ribavirin. The revelation that IL28B, an innate cytokine, plays an essential role in the pathogenesis, outcomes, and treatment responses to HCV infection has triggered a gold rush and an ever increasing number of reports on the subject are being presented at international conferences and in scientific journals. This review will summarize currently available data on the clinical impact of IL28B polymorphisms on HCV infection and the potential mechanisms for its effects. It will conclude with a discussion on how the research observations may translate into clinical practice and drug development.
Literatur
1.
Zurück zum Zitat Ge D, Fellay J, Thompson AJ, Simon JS, Shianna KV, Urban TJ, et al. Genetic variation in IL28B predicts hepatitis C treatment-induced viral clearance. Nature. 2009;461:399–401.CrossRefPubMed Ge D, Fellay J, Thompson AJ, Simon JS, Shianna KV, Urban TJ, et al. Genetic variation in IL28B predicts hepatitis C treatment-induced viral clearance. Nature. 2009;461:399–401.CrossRefPubMed
2.
Zurück zum Zitat Suppiah V, Moldovan M, Ahlenstiel G, Berg T, Weltman M, Abate ML, et al. IL28B is associated with response to chronic hepatitis C interferon-alpha and ribavirin therapy. Nat Genet. 2009;41:1100–4.CrossRefPubMed Suppiah V, Moldovan M, Ahlenstiel G, Berg T, Weltman M, Abate ML, et al. IL28B is associated with response to chronic hepatitis C interferon-alpha and ribavirin therapy. Nat Genet. 2009;41:1100–4.CrossRefPubMed
3.
Zurück zum Zitat Tanaka Y, Nishida N, Sugiyama M, Kurosaki M, Matsuura K, Sakamoto N, et al. Genome-wide association of IL28B with response to pegylated interferon-alpha and ribavirin therapy for chronic hepatitis C. Nat Genet. 2009;41:1105–9.CrossRefPubMed Tanaka Y, Nishida N, Sugiyama M, Kurosaki M, Matsuura K, Sakamoto N, et al. Genome-wide association of IL28B with response to pegylated interferon-alpha and ribavirin therapy for chronic hepatitis C. Nat Genet. 2009;41:1105–9.CrossRefPubMed
5.
Zurück zum Zitat Micallef JM, Kaldor JM, Dore GJ. Spontaneous viral clearance following acute hepatitis C infection: a systematic review of longitudinal studies. J Viral Hepat. 2006;13:34–41.CrossRefPubMed Micallef JM, Kaldor JM, Dore GJ. Spontaneous viral clearance following acute hepatitis C infection: a systematic review of longitudinal studies. J Viral Hepat. 2006;13:34–41.CrossRefPubMed
8.
Zurück zum Zitat Australia and New Zealand Liver Transplant Registry ebSVL, G.A. Balderson. ANZLT Registry Report 2008, Brisbane, Queensland, Australia, 2008. Australia and New Zealand Liver Transplant Registry ebSVL, G.A. Balderson. ANZLT Registry Report 2008, Brisbane, Queensland, Australia, 2008.
9.
Zurück zum Zitat NIH Consensus Statement on Management of Hepatitis C: 2002. NIH Consens State Sci Statements 2002;19:1–46. NIH Consensus Statement on Management of Hepatitis C: 2002. NIH Consens State Sci Statements 2002;19:1–46.
10.
Zurück zum Zitat Feld JJ, Hoofnagle JH. Mechanism of action of interferon and ribavirin in treatment of hepatitis C. Nature. 2005;436:967–72.CrossRefPubMed Feld JJ, Hoofnagle JH. Mechanism of action of interferon and ribavirin in treatment of hepatitis C. Nature. 2005;436:967–72.CrossRefPubMed
11.
Zurück zum Zitat Rauch A, Kutalik Z, Descombes P, Cai T, Di Iulio J, Mueller T, et al. Genetic variation in IL28B is associated with chronic hepatitis C and treatment failure: a genome-wide association study. Gastroenterology. 2010;138:1338–45, 1345.e1–7. Rauch A, Kutalik Z, Descombes P, Cai T, Di Iulio J, Mueller T, et al. Genetic variation in IL28B is associated with chronic hepatitis C and treatment failure: a genome-wide association study. Gastroenterology. 2010;138:1338–45, 1345.e1–7.
12.
Zurück zum Zitat Thompson AJ, Muir AJ, Sulkowski MS, Ge D, Fellay J, Shianna KV, et al. IL28B polymorphism improves viral kinetics and is the strongest pre-treatment predictor of SVR in HCV-1 patients. Gastroenterology. 2010;in press. Thompson AJ, Muir AJ, Sulkowski MS, Ge D, Fellay J, Shianna KV, et al. IL28B polymorphism improves viral kinetics and is the strongest pre-treatment predictor of SVR in HCV-1 patients. Gastroenterology. 2010;in press.
13.
Zurück zum Zitat McCarthy JJ, Li JH, Thompson A, Suchindran S, Lao XQ, Patel K, et al. Replicated association between an interleukin-28B gene variant and a sustained response to pegylated interferon and ribavirin. Gastroenterology. 2010;138:2307–14.CrossRefPubMed McCarthy JJ, Li JH, Thompson A, Suchindran S, Lao XQ, Patel K, et al. Replicated association between an interleukin-28B gene variant and a sustained response to pegylated interferon and ribavirin. Gastroenterology. 2010;138:2307–14.CrossRefPubMed
14.
Zurück zum Zitat Montes-Cano MA, García-Lozano JR, Abad-Molina C, Romero-Gómez M, Barroso N, Aguilar-Reina J, et al. IL28B genetic variants and hepatitis virus infection by different viral genotypes. Hepatology. 2010;52:33–7. Montes-Cano MA, García-Lozano JR, Abad-Molina C, Romero-Gómez M, Barroso N, Aguilar-Reina J, et al. IL28B genetic variants and hepatitis virus infection by different viral genotypes. Hepatology. 2010;52:33–7.
15.
Zurück zum Zitat Akuta N, Suzuki F, Hirakawa M, Kawamura Y, Yatsuji H, Sezaki H, et al. Amino acid substitution in HCV core region and genetic variation near IL28B gene predict viral response to telaprevir with peginterferon and ribavirin. Hepatology. 2010;in press. Akuta N, Suzuki F, Hirakawa M, Kawamura Y, Yatsuji H, Sezaki H, et al. Amino acid substitution in HCV core region and genetic variation near IL28B gene predict viral response to telaprevir with peginterferon and ribavirin. Hepatology. 2010;in press.
16.
Zurück zum Zitat Rallon NI, Naggie S, Benito JM, Medrano J, Restrepo C, Goldstein D, et al. Association of a single nucleotide polymorphism near the interleukin-28B gene with response to hepatitis C therapy in HIV/hepatitis C virus-coinfected patients. AIDS. 2010;24:F23–9.CrossRefPubMed Rallon NI, Naggie S, Benito JM, Medrano J, Restrepo C, Goldstein D, et al. Association of a single nucleotide polymorphism near the interleukin-28B gene with response to hepatitis C therapy in HIV/hepatitis C virus-coinfected patients. AIDS. 2010;24:F23–9.CrossRefPubMed
17.
Zurück zum Zitat Nischalke HD, Vogel M, Michalk M, Mauss S, Baumgarten A, Naumann U, et al. Genetic variation in IL28B rs 12979860 and response to HCV-specific treatment in HIV/HIV co-infected patients. J Hepatol. 2010;52:S453.CrossRef Nischalke HD, Vogel M, Michalk M, Mauss S, Baumgarten A, Naumann U, et al. Genetic variation in IL28B rs 12979860 and response to HCV-specific treatment in HIV/HIV co-infected patients. J Hepatol. 2010;52:S453.CrossRef
18.
Zurück zum Zitat Abe H, Hayes CN, Ochi H, Maekawa T, Tsuge M, Miki D, et al. Common variation of IL28 affects gamma-GTP levels and inflammation of the liver in chronically hepatitis C virus infected patients. J Hepatol. 2010;52:S449. Abe H, Hayes CN, Ochi H, Maekawa T, Tsuge M, Miki D, et al. Common variation of IL28 affects gamma-GTP levels and inflammation of the liver in chronically hepatitis C virus infected patients. J Hepatol. 2010;52:S449.
19.
Zurück zum Zitat Li JH, Qian Lao X, Tillmann HL, Rowell J, Patel K, Thompson A, et al. Interferon-lambda genotype and low serum low-density lipoprotein cholesterol levels in patients with chronic hepatitis C infection. Hepatology. 2010;51:1904–11.PubMed Li JH, Qian Lao X, Tillmann HL, Rowell J, Patel K, Thompson A, et al. Interferon-lambda genotype and low serum low-density lipoprotein cholesterol levels in patients with chronic hepatitis C infection. Hepatology. 2010;51:1904–11.PubMed
20.
Zurück zum Zitat Eurich D, Boas-Knoop S, Ruehl M, Schulz M, Carrillo ED, Bahra M, et al. IL-28B gene polymorphism influences histological and biochemical severity of graft hepatitis after liver transplantation for HCV-induced liver disease. J Hepatol. 2010;52:S450.CrossRef Eurich D, Boas-Knoop S, Ruehl M, Schulz M, Carrillo ED, Bahra M, et al. IL-28B gene polymorphism influences histological and biochemical severity of graft hepatitis after liver transplantation for HCV-induced liver disease. J Hepatol. 2010;52:S450.CrossRef
21.
Zurück zum Zitat Thomas DL, Thio CL, Martin MP, Qi Y, Ge D, O’Huigin C, et al. Genetic variation in IL28B and spontaneous clearance of hepatitis C virus. Nature. 2009;461:798–801.CrossRefPubMed Thomas DL, Thio CL, Martin MP, Qi Y, Ge D, O’Huigin C, et al. Genetic variation in IL28B and spontaneous clearance of hepatitis C virus. Nature. 2009;461:798–801.CrossRefPubMed
22.
Zurück zum Zitat Mangia A, Santoro R, Mottola L, Piazzolla V, Bacca D, Sarli R, et al. IL28B C/C polymorphism is predictive of spontaneous HCV RNA clearance in patients with thalassemia major. J Hepatol. 2010;52:S452.CrossRef Mangia A, Santoro R, Mottola L, Piazzolla V, Bacca D, Sarli R, et al. IL28B C/C polymorphism is predictive of spontaneous HCV RNA clearance in patients with thalassemia major. J Hepatol. 2010;52:S452.CrossRef
23.
Zurück zum Zitat Matsuura K, Tanaka Y, Nishida N, Sugiyama M, Kurosaki M, Izumi N, et al. Identification of genetic variants of the IL28B associated with spontaneous clearance of hepatitis C virus in Japanese population. J Hepatol. 2010;52:S452.CrossRef Matsuura K, Tanaka Y, Nishida N, Sugiyama M, Kurosaki M, Izumi N, et al. Identification of genetic variants of the IL28B associated with spontaneous clearance of hepatitis C virus in Japanese population. J Hepatol. 2010;52:S452.CrossRef
24.
Zurück zum Zitat Li M, Liu X, Zhou Y, Su SB. Interferon-lambdas: the modulators of antivirus, antitumor, and immune responses. J Leukoc Biol. 2009;86:23–32.CrossRefPubMed Li M, Liu X, Zhou Y, Su SB. Interferon-lambdas: the modulators of antivirus, antitumor, and immune responses. J Leukoc Biol. 2009;86:23–32.CrossRefPubMed
25.
Zurück zum Zitat Kotenko SV, Gallagher G, Baurin VV, Lewis-Antes A, Shen M, Shah NK, et al. IFN-lambdas mediate antiviral protection through a distinct class II cytokine receptor complex. Nat Immunol. 2003;4:69–77.CrossRefPubMed Kotenko SV, Gallagher G, Baurin VV, Lewis-Antes A, Shen M, Shah NK, et al. IFN-lambdas mediate antiviral protection through a distinct class II cytokine receptor complex. Nat Immunol. 2003;4:69–77.CrossRefPubMed
26.
Zurück zum Zitat Sheppard P, Kindsvogel W, Xu W, Henderson K, Schlutsmeyer S, Whitmore TE, et al. IL-28, IL-29 and their class II cytokine receptor IL-28R. Nat Immunol. 2003;4:63–8.CrossRefPubMed Sheppard P, Kindsvogel W, Xu W, Henderson K, Schlutsmeyer S, Whitmore TE, et al. IL-28, IL-29 and their class II cytokine receptor IL-28R. Nat Immunol. 2003;4:63–8.CrossRefPubMed
27.
Zurück zum Zitat Siren J, Pirhonen J, Julkunen I, Matikainen S. IFN-alpha regulates TLR-dependent gene expression of IFN-alpha, IFN-beta, IL-28, and IL-29. J Immunol. 2005;174:1932–7.PubMed Siren J, Pirhonen J, Julkunen I, Matikainen S. IFN-alpha regulates TLR-dependent gene expression of IFN-alpha, IFN-beta, IL-28, and IL-29. J Immunol. 2005;174:1932–7.PubMed
28.
Zurück zum Zitat Witte K, Gruetz G, Volk HD, Looman AC, Asadullah K, Sterry W, et al. Despite IFN-lambda receptor expression, blood immune cells, but not keratinocytes or melanocytes, have an impaired response to type III interferons: implications for therapeutic applications of these cytokines. Genes Immun. 2009;10:702–14.CrossRefPubMed Witte K, Gruetz G, Volk HD, Looman AC, Asadullah K, Sterry W, et al. Despite IFN-lambda receptor expression, blood immune cells, but not keratinocytes or melanocytes, have an impaired response to type III interferons: implications for therapeutic applications of these cytokines. Genes Immun. 2009;10:702–14.CrossRefPubMed
29.
Zurück zum Zitat Goodbourn S, Didcock L, Randall RE. Interferons: cell signalling, immune modulation, antiviral response and virus countermeasures. J Gen Virol. 2000;81:2341–64.PubMed Goodbourn S, Didcock L, Randall RE. Interferons: cell signalling, immune modulation, antiviral response and virus countermeasures. J Gen Virol. 2000;81:2341–64.PubMed
30.
Zurück zum Zitat Dumoutier L, Tounsi A, Michiels T, Sommereyns C, Kotenko SV, Renauld JC. Role of the interleukin (IL)-28 receptor tyrosine residues for antiviral and antiproliferative activity of IL-29/interferon-lambda 1: similarities with type I interferon signaling. J Biol Chem. 2004;279:32269–74.CrossRefPubMed Dumoutier L, Tounsi A, Michiels T, Sommereyns C, Kotenko SV, Renauld JC. Role of the interleukin (IL)-28 receptor tyrosine residues for antiviral and antiproliferative activity of IL-29/interferon-lambda 1: similarities with type I interferon signaling. J Biol Chem. 2004;279:32269–74.CrossRefPubMed
31.
Zurück zum Zitat Doyle SE, Schreckhise H, Khuu-Duong K, Henderson K, Rosler R, Storey H, et al. Interleukin-29 uses a type 1 interferon-like program to promote antiviral responses in human hepatocytes. Hepatology. 2006;44:896–906.CrossRefPubMed Doyle SE, Schreckhise H, Khuu-Duong K, Henderson K, Rosler R, Storey H, et al. Interleukin-29 uses a type 1 interferon-like program to promote antiviral responses in human hepatocytes. Hepatology. 2006;44:896–906.CrossRefPubMed
32.
Zurück zum Zitat Maher SG, Sheikh F, Scarzello AJ, Romero-Weaver AL, Baker DP, Donnelly RP, et al. IFNalpha and IFNlambda differ in their antiproliferative effects and duration of JAK/STAT signaling activity. Cancer Biol Ther. 2008;7:1109–15.PubMed Maher SG, Sheikh F, Scarzello AJ, Romero-Weaver AL, Baker DP, Donnelly RP, et al. IFNalpha and IFNlambda differ in their antiproliferative effects and duration of JAK/STAT signaling activity. Cancer Biol Ther. 2008;7:1109–15.PubMed
33.
Zurück zum Zitat Marcello T, Grakoui A, Barba-Spaeth G, Machlin ES, Kotenko SV, MacDonald MR, et al. Interferons alpha and lambda inhibit hepatitis C virus replication with distinct signal transduction and gene regulation kinetics. Gastroenterology. 2006;131:1887–98.CrossRefPubMed Marcello T, Grakoui A, Barba-Spaeth G, Machlin ES, Kotenko SV, MacDonald MR, et al. Interferons alpha and lambda inhibit hepatitis C virus replication with distinct signal transduction and gene regulation kinetics. Gastroenterology. 2006;131:1887–98.CrossRefPubMed
34.
Zurück zum Zitat Robek MD, Boyd BS, Chisari FV. Lambda interferon inhibits hepatitis B and C virus replication. J Virol. 2005;79:3851–4.CrossRefPubMed Robek MD, Boyd BS, Chisari FV. Lambda interferon inhibits hepatitis B and C virus replication. J Virol. 2005;79:3851–4.CrossRefPubMed
35.
Zurück zum Zitat Mihm S, Frese M, Meier V, Wietzke-Braun P, Scharf JG, Bartenschlager R, et al. Interferon type I gene expression in chronic hepatitis C. Lab Invest. 2004;84:1148–59.CrossRefPubMed Mihm S, Frese M, Meier V, Wietzke-Braun P, Scharf JG, Bartenschlager R, et al. Interferon type I gene expression in chronic hepatitis C. Lab Invest. 2004;84:1148–59.CrossRefPubMed
36.
Zurück zum Zitat Honda M, Sakai A, Yamashita T, Nakamoto E, Sakai Y, Yamashita T, et al. Hepatic ISG expression is associated with genetic variation in IL28B and the outcome of IFN therapy for chronic hepatitis C. Gastroenterology. 2010;in press. Honda M, Sakai A, Yamashita T, Nakamoto E, Sakai Y, Yamashita T, et al. Hepatic ISG expression is associated with genetic variation in IL28B and the outcome of IFN therapy for chronic hepatitis C. Gastroenterology. 2010;in press.
37.
Zurück zum Zitat Abe H, Hayes CN, Ochi H, Maekawa T, Tsuge M, Miki D, et al. Common variation of IL28 affects intrahepatic expression of interferon stimulated genesis and correlates with effect of peg-interferon and ribavirin combination therapy. J Hepatol. 2010;52:S449. Abe H, Hayes CN, Ochi H, Maekawa T, Tsuge M, Miki D, et al. Common variation of IL28 affects intrahepatic expression of interferon stimulated genesis and correlates with effect of peg-interferon and ribavirin combination therapy. J Hepatol. 2010;52:S449.
38.
Zurück zum Zitat Chen L, Borozan I, Feld J, Sun J, Tannis LL, Coltescu C, et al. Hepatic gene expression discriminates responders and nonresponders in treatment of chronic hepatitis C viral infection. Gastroenterology. 2005;128:1437–44.CrossRefPubMed Chen L, Borozan I, Feld J, Sun J, Tannis LL, Coltescu C, et al. Hepatic gene expression discriminates responders and nonresponders in treatment of chronic hepatitis C viral infection. Gastroenterology. 2005;128:1437–44.CrossRefPubMed
39.
Zurück zum Zitat Feld JJ, Nanda S, Huang Y, Chen W, Cam M, Pusek SN, et al. Hepatic gene expression during treatment with peginterferon and ribavirin: identifying molecular pathways for treatment response. Hepatology. 2007;46:1548–63.CrossRefPubMed Feld JJ, Nanda S, Huang Y, Chen W, Cam M, Pusek SN, et al. Hepatic gene expression during treatment with peginterferon and ribavirin: identifying molecular pathways for treatment response. Hepatology. 2007;46:1548–63.CrossRefPubMed
40.
Zurück zum Zitat Ank N, Iversen MB, Bartholdy C, Staeheli P, Hartmann R, Jensen UB, et al. An important role for type III interferon (IFN-lambda/IL-28) in TLR-induced antiviral activity. J Immunol. 2008;180:2474–85.PubMed Ank N, Iversen MB, Bartholdy C, Staeheli P, Hartmann R, Jensen UB, et al. An important role for type III interferon (IFN-lambda/IL-28) in TLR-induced antiviral activity. J Immunol. 2008;180:2474–85.PubMed
41.
Zurück zum Zitat Contoli M, Message SD, Laza-Stanca V, Edwards MR, Wark PA, Bartlett NW, et al. Role of deficient type III interferon-lambda production in asthma exacerbations. Nat Med. 2006;12:1023–6.CrossRefPubMed Contoli M, Message SD, Laza-Stanca V, Edwards MR, Wark PA, Bartlett NW, et al. Role of deficient type III interferon-lambda production in asthma exacerbations. Nat Med. 2006;12:1023–6.CrossRefPubMed
42.
Zurück zum Zitat Freeman JA, Zhang T, Holdren MS, Hausman DF. Peg-interferon lambda (PEG-IL-29): translation of in vitro preclinical data to clinical results. J Hepatol. 2008;48:S294.CrossRef Freeman JA, Zhang T, Holdren MS, Hausman DF. Peg-interferon lambda (PEG-IL-29): translation of in vitro preclinical data to clinical results. J Hepatol. 2008;48:S294.CrossRef
43.
Zurück zum Zitat Dodds MG, Hausman DF, Miller DM. Viral kinetic modeling during treatment with interferon lambda-1a in genotype 1 chronic hepatitis C patients. J Hepatol. 2009;50:S342.CrossRef Dodds MG, Hausman DF, Miller DM. Viral kinetic modeling during treatment with interferon lambda-1a in genotype 1 chronic hepatitis C patients. J Hepatol. 2009;50:S342.CrossRef
44.
Zurück zum Zitat Shiffman M, Lawitz E, Zaman A, Vierling J, Yoffe B, Freeman J, et al. PEG-IFN-l: antiviral activity and safety profile in a 4-week phase 1b study in relapsed genotype 1 hepatitis C infection. J Hepatol. 2009;50:S237.CrossRef Shiffman M, Lawitz E, Zaman A, Vierling J, Yoffe B, Freeman J, et al. PEG-IFN-l: antiviral activity and safety profile in a 4-week phase 1b study in relapsed genotype 1 hepatitis C infection. J Hepatol. 2009;50:S237.CrossRef
Metadaten
Titel
IL28B in hepatitis C virus infection: translating pharmacogenomics into clinical practice
verfasst von
Golo Ahlenstiel
David R. Booth
Jacob George
Publikationsdatum
01.09.2010
Verlag
Springer Japan
Erschienen in
Journal of Gastroenterology / Ausgabe 9/2010
Print ISSN: 0944-1174
Elektronische ISSN: 1435-5922
DOI
https://doi.org/10.1007/s00535-010-0287-4

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