1. Influence of HFE gene polymorphism on the progression and treatment of chronic hepatitis C
- Author
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Hervé Zylberberg, Bertrand Nalpas, Yves Chretien, B. Poulet, Pascal Lebray, Stanislas Pol, Sandrine Martin, S. Caillat-Zuckman, Françoise Carnot, C. Brechot, and S. Hue
- Subjects
Adult ,Male ,congenital, hereditary, and neonatal diseases and abnormalities ,Heterozygote ,Iron Overload ,Adolescent ,Hepacivirus ,Iron ,Alpha interferon ,Antiviral Agents ,Cohort Studies ,Liver disease ,Predictive Value of Tests ,Virology ,Genotype ,medicine ,Humans ,Hemochromatosis Protein ,Univariate analysis ,Polymorphism, Genetic ,Hepatology ,biology ,medicine.diagnostic_test ,business.industry ,Histocompatibility Antigens Class I ,nutritional and metabolic diseases ,Interferon-alpha ,Membrane Proteins ,Heterozygote advantage ,Hepatitis C, Chronic ,Middle Aged ,biology.organism_classification ,medicine.disease ,Infectious Diseases ,Treatment Outcome ,Amino Acid Substitution ,Liver ,Predictive value of tests ,Immunology ,Ferritins ,Mutation ,Serum iron ,RNA, Viral ,Female ,business - Abstract
We analysed liver histology findings in a large cohort of patients with chronic hepatitis C and in roughly half of them their response to interferon-alpha-based on iron parameters and HFE status. Histological activity and virological response to antiviral therapy (n = 146) were analysed in 273 immunocompetent and nonalcoholic patients with chronic hepatitis C, in terms of serum iron load, intrahepatic iron load (n = 110) and HFE mutations. Patients who were heterozygous for the C282Y and H63D mutations exhibited higher iron serum parameters than subjects without these mutations. The intrahepatic iron load was higher in H63D patients only. No association was observed between HFE mutations and histological activity. Increased iron parameters were associated with liver disease severity by univariate analysis only. Genotype 1 and ferritinaemia were associated with a poor response to antiviral therapy, whereas the H63D mutation emerged as a positive predictive factor for end of treatment and sustained antiviral response. Therefore, in chronic hepatitis C patients serum and intrahepatic iron levels were weakly correlated with histological activity, while HFE mutations were not. As for the response to interferon-alpha, elevated ferritinaemia constituted a negative predictive factor whereas the H63D mutation was a positive one. The H63D mutation might form part of an immunogenetic profile influencing the response to interferon therapy.
- Published
- 2004