TLR3 polymorphisms are associated with virologic response to hepatitis C virus (HCV) treatment in HIV/HCV coinfected patients

Background: Toll-like receptor-3 (TLR3) is a cellular receptor that may recognize double-stranded RNA (dsRNA) from viruses, resulting in production of proinflammatory cytokines and interferons, which are important for the adaptive immune response. Objectives: To analyze the association between Toll-...

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Authors: Jimenez-Sousa, Maria Angeles; Rallón, Norma; Berenguer, Juan; Pineda-Tenor, Daniel; López, Juan Carlos; Soriano, Vicente; Guzman-Fulgencio, Maria; Cosín, Jaime; Retana, Diana; Garcia-Alvarez, Monica; Miralles, Pilar; Benito, Jose Miguel; Resino, Salvador
Format: Article
Publication date:2015
Country:España
Institution:Instituto de Salud Carlos III (ISCIII)
Repository:Repisalud
Language:English
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/19511
Online Access:http://hdl.handle.net/20.500.12105/19511
Access Level:Open access
Keyword:Adult
Alleles
Antiviral Agents
Coinfection
Female
Genotype
HIV Infections
Haplotypes
Hepacivirus
Hepatitis C, Chronic
Humans
Interferon-alpha
Male
Middle Aged
Multivariate Analysis
Polymorphism, Single Nucleotide
Retrospective Studies
Ribavirin
Toll-Like Receptor 3
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author Jimenez-Sousa, Maria Angeles
author2 Rallón, Norma
Berenguer, Juan
Pineda-Tenor, Daniel
López, Juan Carlos
Soriano, Vicente
Guzman-Fulgencio, Maria
Cosín, Jaime
Retana, Diana
Garcia-Alvarez, Monica
Miralles, Pilar
Benito, Jose Miguel
Resino, Salvador
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author_browse Benito, Jose Miguel
Berenguer, Juan
Cosín, Jaime
Garcia-Alvarez, Monica
Guzman-Fulgencio, Maria
Jimenez-Sousa, Maria Angeles
López, Juan Carlos
Miralles, Pilar
Pineda-Tenor, Daniel
Rallón, Norma
Resino, Salvador
Retana, Diana
Soriano, Vicente
author_facet Jimenez-Sousa, Maria Angeles
Rallón, Norma
Berenguer, Juan
Pineda-Tenor, Daniel
López, Juan Carlos
Soriano, Vicente
Guzman-Fulgencio, Maria
Cosín, Jaime
Retana, Diana
Garcia-Alvarez, Monica
Miralles, Pilar
Benito, Jose Miguel
Resino, Salvador
author_role author
collection Repisalud
description Background: Toll-like receptor-3 (TLR3) is a cellular receptor that may recognize double-stranded RNA (dsRNA) from viruses, resulting in production of proinflammatory cytokines and interferons, which are important for the adaptive immune response. Objectives: To analyze the association between Toll-like receptor-3 (TLR3) polymorphisms (rs3775291 and rs13126816) and virologic response to pegylated interferon-alpha plus ribavirin (pegIFNα/RBV) therapy in HIV/HCV coinfected patients. Study design: We performed a retrospective study in 321 naïve patients treated with pegIFNα/RBV. Genotyping was performed by using the GoldenGate(®) assay with VeraCode(®). The outcome variables were early virologic response (EVR) and sustained virologic response (SVR). Results: In a multivariate analysis, rs3775291 A allele decreased the likelihood of achieving EVR (aOR = 0.20; p = 0.018) and SVR (aOR = 0.38; p = 0.024). Regarding rs13126816, the percentage of EVR decreased with each minor A allele (p = 0.034) in HCV-GT2/3 patients, although no significant association was obtained in the multivariate analysis (p = 0.076). Regarding TLR3 haplotypes (comprised of rs3775291 and rs13126816), GT2/3 patients with AA haplotype had decreased odds of achieving EVR (p = 0.030), whereas GG haplotype increased the likelihood (p = 0.018). Regarding SVR, GG haplotype carriers had increased odds of achieving SVR (p = 0.019, p = 0.043 and p = 0.070 for all, GT2/3 and GT1/4 patients, respectively). Besides, GT1/4 patients with GA haplotype had lower odds of achieving SVR (p = 0.039). Conclusions: Our study shows the first evidence that two TLR3 polymorphisms (rs3775291 and rs13126816) seem to be related to the HCV therapy response in HCV/HIV coinfected patients.
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institution Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
language eng
network_acronym_str ES
network_name_str España
oai_identifier_str oai:repisalud.isciii.es:20.500.12105/19511
publishDate 2015
publishDateSort 2015
publisher Elsevier
publisherStr Elsevier
reponame_str Repisalud
spelling TLR3 polymorphisms are associated with virologic response to hepatitis C virus (HCV) treatment in HIV/HCV coinfected patients Jimenez-Sousa, Maria Angeles Rallón, Norma Berenguer, Juan Pineda-Tenor, Daniel López, Juan Carlos Soriano, Vicente Guzman-Fulgencio, Maria Cosín, Jaime Retana, Diana Garcia-Alvarez, Monica Miralles, Pilar Benito, Jose Miguel Resino, Salvador Adult Alleles Antiviral Agents Coinfection Female Genotype HIV Infections Haplotypes Hepacivirus Hepatitis C, Chronic Humans Interferon-alpha Male Middle Aged Multivariate Analysis Polymorphism, Single Nucleotide Retrospective Studies Ribavirin Toll-Like Receptor 3 Background: Toll-like receptor-3 (TLR3) is a cellular receptor that may recognize double-stranded RNA (dsRNA) from viruses, resulting in production of proinflammatory cytokines and interferons, which are important for the adaptive immune response. Objectives: To analyze the association between Toll-like receptor-3 (TLR3) polymorphisms (rs3775291 and rs13126816) and virologic response to pegylated interferon-alpha plus ribavirin (pegIFNα/RBV) therapy in HIV/HCV coinfected patients. Study design: We performed a retrospective study in 321 naïve patients treated with pegIFNα/RBV. Genotyping was performed by using the GoldenGate(®) assay with VeraCode(®). The outcome variables were early virologic response (EVR) and sustained virologic response (SVR). Results: In a multivariate analysis, rs3775291 A allele decreased the likelihood of achieving EVR (aOR = 0.20; p = 0.018) and SVR (aOR = 0.38; p = 0.024). Regarding rs13126816, the percentage of EVR decreased with each minor A allele (p = 0.034) in HCV-GT2/3 patients, although no significant association was obtained in the multivariate analysis (p = 0.076). Regarding TLR3 haplotypes (comprised of rs3775291 and rs13126816), GT2/3 patients with AA haplotype had decreased odds of achieving EVR (p = 0.030), whereas GG haplotype increased the likelihood (p = 0.018). Regarding SVR, GG haplotype carriers had increased odds of achieving SVR (p = 0.019, p = 0.043 and p = 0.070 for all, GT2/3 and GT1/4 patients, respectively). Besides, GT1/4 patients with GA haplotype had lower odds of achieving SVR (p = 0.039). Conclusions: Our study shows the first evidence that two TLR3 polymorphisms (rs3775291 and rs13126816) seem to be related to the HCV therapy response in HCV/HIV coinfected patients. Elsevier http://hdl.handle.net/20.500.12105/19511
spellingShingle TLR3 polymorphisms are associated with virologic response to hepatitis C virus (HCV) treatment in HIV/HCV coinfected patients
Jimenez-Sousa, Maria Angeles
Adult
Alleles
Antiviral Agents
Coinfection
Female
Genotype
HIV Infections
Haplotypes
Hepacivirus
Hepatitis C, Chronic
Humans
Interferon-alpha
Male
Middle Aged
Multivariate Analysis
Polymorphism, Single Nucleotide
Retrospective Studies
Ribavirin
Toll-Like Receptor 3
title TLR3 polymorphisms are associated with virologic response to hepatitis C virus (HCV) treatment in HIV/HCV coinfected patients
title_full TLR3 polymorphisms are associated with virologic response to hepatitis C virus (HCV) treatment in HIV/HCV coinfected patients
title_fullStr TLR3 polymorphisms are associated with virologic response to hepatitis C virus (HCV) treatment in HIV/HCV coinfected patients
title_full_unstemmed TLR3 polymorphisms are associated with virologic response to hepatitis C virus (HCV) treatment in HIV/HCV coinfected patients
title_short TLR3 polymorphisms are associated with virologic response to hepatitis C virus (HCV) treatment in HIV/HCV coinfected patients
title_sort TLR3 polymorphisms are associated with virologic response to hepatitis C virus (HCV) treatment in HIV/HCV coinfected patients
topic Adult
Alleles
Antiviral Agents
Coinfection
Female
Genotype
HIV Infections
Haplotypes
Hepacivirus
Hepatitis C, Chronic
Humans
Interferon-alpha
Male
Middle Aged
Multivariate Analysis
Polymorphism, Single Nucleotide
Retrospective Studies
Ribavirin
Toll-Like Receptor 3
topic_facet Adult
Alleles
Antiviral Agents
Coinfection
Female
Genotype
HIV Infections
Haplotypes
Hepacivirus
Hepatitis C, Chronic
Humans
Interferon-alpha
Male
Middle Aged
Multivariate Analysis
Polymorphism, Single Nucleotide
Retrospective Studies
Ribavirin
Toll-Like Receptor 3
url http://hdl.handle.net/20.500.12105/19511