Domagalski K, Pawłowska M, Zaleśna A, Pilarczyk M, Rajewski P, Halota W, Tretyn A. Impact of IL28B and OAS gene family polymorphisms on interferon treatment response in Caucasian children chronically infected with hepatitis B virus. World J Gastroenterol 2016; 22(41): 9186-9195 [PMID: 27895405 DOI: 10.3748/wjg.v22.i41.9186]
Corresponding Author of This Article
Małgorzata Pawłowska, MD, PhD, Department of Paediatric Infectious Diseases and Hepatology, Faculty of Medicine, Collegium Medicum Bydgoszcz, Nicolaus Copernicus University Torun, Floriana 12, 85-030 Bydgoszcz, Poland. mpawlowska@cm.umk.pl
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Nov 7, 2016; 22(41): 9186-9195 Published online Nov 7, 2016. doi: 10.3748/wjg.v22.i41.9186
Table 1 Characteristics of hepatitis B e antigen-negative chronic hepatitis B children
Characteristic
n
52
Age (yr)
Median (range)
16 (4-18)
Gender
Female/male
16 (30.8)/36 (69.2)
Staging (F)
F0/F1/F2/F3
2 (3.9)/31 (59.6)/16 (30.7)/3 (5.8)
Grading (A)
A0/A1/A2
2 (3.9)/ 22 (42.3)/28 (53.8)
IL28B SNPs
rs12979860 CC/CT/TT
20 (38.5)/26 (50.0)/6 (11.5)
rs12980275 AA/AG/GG
24 (46.2)/24 (46.2)/4 (7.6)
rs8099917 TT/TG/GG
30 (57.7)/19 (36.5)/3 (5.8)
OAS SNPs
rs10849829 AA/AG/GG
19 (36.5)/27 (52.0)/6 (11.5)
rs1131476 AA/AG/GG
26 (50.0)/17 (32.7)/9 (17.3)
rs1293747 GG/GA/AA
32 (61.5)/17 (32.7)/3 (5.8)
rs2072136 GG/GA/AA
30 (57.7)/20 (38.5)/2 (3.8)
Baseline HBV DNA (IU/mL)
median (range), log
4.6 (3.4-8.0)
< 20000
31 (59.6)
Baseline ALT (U/L)
median (range)
42 (12-210)
< 40
14 (26.9)
At week 24 of treatment
HBV DNA < 100 (IU/mL)
32 (61.5)
ALT < 40 (U/L)
13 (25.0)
At the end of treatment
HBV DNA < 2000 (IU/mL)
39 (75.0)
ALT < 40 (U/L)
28 (53.9)
24 wk post-treatment
HBV DNA < 2000 (IU/mL)
27 (51.92)
ALT < 40 (U/L)
37 (71.15)
Partial response
< 2000 IU/mL HBV DNA or < 40 IU/L ALT
42 (80.8)
Complete response
< 2000 IU/mL HBV DNA with < 40 IU/L ALT
22 (42.3)
Table 2 Impact of clinical and genetic factors on partial response in HBeAg-negative chronic hepatitis B children
Characteristic
PR,
No-PR,
P value
OR (95%CI)
n = 42
n = 10
Age (yr)
Median (range)
16 (4-18)
16 (5-18)
0.803
Gender
Female
14 (33.3)
2 (20.0)
0.412
Staging (F)
F0-F1
26 (61.9)
7 (70.0)
0.729
Grading (A)
A0-A1
20 (47.6)
5 (50.0)
0.892
Baseline HBV DNA (IU/mL)
Median (range), log
4.1 (3.4-8.0)
5.9 (3.6-8.0)
0.017
< 20000
28 (66.7)
3 (30.0)
0.069
Baseline ALT (U/L)
Median (range)
44 (10-120)
63 (22-118)
0.003
< 40
13 (31.0)
1 (10.0)
0.207
IL28B rs12979860
CC
19 (45.2)
1 (10.0)
0.068
CT
20 (47.6)
6 (60.0)
TT
3 (7.2)
3 (30.0)
0.077
IL28B rs12980275
AA
23 (54.8)
1 (10.0)
0.014
10.9 (1.3-93.9)
AG
17 (40.6)
7 (70.0)
GG
2 (4.8)
2 (20.0)
0.163
IL28B rs8099917
TT
27 (64.2)
3 (30.0)
0.075
TG
13 (31.0)
6 (60.0)
GG
2 (4.8)
1 (10.0)
0.481
OASL rs10849829
AA
16 (38.1)
5 (50.0)
0.500
AG
20 (47.6)
5 (50.0)
GG
6 (14.3)
0 (0.0)
0.582
OAS1 rs1131476
AA
19 (45.2)
7 (70.0)
0.291
AG
15 (35.7)
2 (20.0)
GG
8 (19.1)
1 (10.0)
0.670
OAS2 rs1293747
GG
25 (59.5)
7 (70.0)
0.481
GA
15 (35.7)
2 (20.0)
AA
2 (4.8)
1 (10.0)
0.722
OAS3 rs2072136
GG
23 (54.8)
7 (70.0)
1.000
GA
17 (40.6)
3 (30.0)
AA
2 (4.8)
0 (0.0)
0.488
Table 3 Impact of clinical and genetic factors on partial response in HBeAg-negative chronic hepatitis B children
Characteristic
CR,
No-CR,
P value
OR (95%CI)
n = 22
n = 30
Age (yr)
Median (range)
16 (12-18)
17 (4-18)
0.141
Gender
Female
8 (36.4)
8 (26.7)
0.454
Staging (F)
F0-F1
14 (63.6)
19 (63.3)
0.942
Grading (A)
A0-A1
10 (45.5)
15 (50.0)
0.746
Baseline HBV DNA (IU/mL)
Median (range), log
4.6 (3.4-8.0)
4.7 (3.5-8.0)
0.671
< 20000
14 (63.6)
17 (56.7)
0.613
Baseline ALT (U/L)
Median (range)
43 (10-110)
48 (17-126)
0.116
< 40
8 (36.3)
6 (20.0)
0.189
IL28B rs12979860
CC
8 (36.4)
12 (40.0)
0.790
CT
14 (63.6)
12 (40.0)
TT
0 (0.0)
6 (20.0)
0.033
NA
IL28B rs12980275
AA
11 (50.0)
13 (43.3)
0.634
AG
11 (50.0)
13 (43.3)
GG
0 (0.0)
4 (13.4)
0.128
IL28B rs8099917
TT
15 (68.2)
15 (50.0)
0.190
TG
7 (31.8)
12 (40.0)
GG
0 (0.0)
3 (10.0)
0.253
OASL rs10849829
AA
5 (22.7)
16 (53.3)
0.026
0.26 (0.07-0.88)
AG
14 (63.6)
11 (36.7)
GG
3 (13.6)
3 (10.0)
0.685
OAS1 rs1131476
AA
10 (45.5)
16 (53.3)
0.575
AG
8 (36.4)
9 (30.0)
GG
4 (18.1)
5 (16.7)
0.887
OAS2 rs1293747
GG
14 (63.6)
18 (60.0)
0.253
GA
8 (36.4)
9 (30.0)
AA
0 (0.0)
3 (10.0)
0.790
OAS3 rs2072136
GG
15 (68.2)
15 (50.0)
1.000
GA
6 (27.3)
14 (46.7)
AA
1 (4.5)
1 (3.3)
0.190
Table 4 Association of OAS haplotypes with treatment response
Haplotype
CR
No-CR
P value
OR (95%CI)
PR
No-PR
P value
OR (95%CI)
A A A A
0.11
0.16
0.402
0.60 (0.18-1.98)
0.16
0.00
0.041
NA
A A G A
0.03
0.05
0.473
0.47 (0.06-3.78)
0.05
0.00
0.283
NA
A A G G
0.17
0.35
0.031
0.35 (0.13-0.92)
0.21
0.57
0.002
0.21 (0.07-0.61)
A G G G
0.24
0.12
0.156
2.11 (0.74-6.00)
0.17
0.13
0.543
1.55 (0.37-6.48)
G A G G
0.28
0.03
0.0003
11.96 (2.38-59.97)
0.16
0.05
0.173
3.91 (0.48-31.8)
G G G G
0.05
0.17
0.046
0.24 (0.05-1.06)
0.15
0.05
0.194
3.70 (0.45-30.25)
Citation: Domagalski K, Pawłowska M, Zaleśna A, Pilarczyk M, Rajewski P, Halota W, Tretyn A. Impact of IL28B and OAS gene family polymorphisms on interferon treatment response in Caucasian children chronically infected with hepatitis B virus. World J Gastroenterol 2016; 22(41): 9186-9195