Tumor necrosis factor-α promoter polymorphism at position-308 predicts response to combination therapy in hepatitis C virus infection

被引:59
作者
Dai, CY
Chuang, WL
Chang, WY
Chen, SC
Lee, LP
Hsieh, MY
Hou, NJ
Lin, ZY
Huang, JF
Hsieh, MY
Wang, LY
Yu, ML
机构
[1] Kaohsiung Med Univ, Chung Ho Mem Hosp, Dept Internal Med, Hepatobiliary Div, Kaohsiung 807, Taiwan
[2] Kaohsiung Med Univ, Kaohsiung Municipal Hsiao Kang Hosp, Dept Internal Med, Kaohsiung 807, Taiwan
[3] Fooyin Univ Hosp, Dept Internal Med, Pingtung, Taiwan
关键词
D O I
10.1086/498244
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The G -> A transition in the tumor necrosis factor (TNF) a promoter region at position -308 (TNF308.2) and -238 (TNF238.2) were determined in 141 patients with chronic hepatitis C virus (HCV) infection. Patients received combination therapy with high-dose interferon (IFN)-alpha and ribavirin for 24 weeks. A total of 100 patients (70.9%) had a sustained virologic response (SVR) after treatment. The TNF308.2 allele was independently associated with an SVR, particularly in patients with HCV genotype 1b infection and > 200,000 IU of HCV RNA/mL in serum. In conclusion, the response to combination therapy with high-dose IFN-alpha and ribavirin may be associated, at least in part, with host genetic factors.
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页码:98 / 101
页数:4
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