Vitamin D pathway gene polymorphisms as predictors of hepatitis C virus-related mixed cryoglobulinemia

Mixed cryoglobulinemia (MC) is the most frequent extrahepatic hepatitis C virus (HCV) complication. Vitamin D is a modulator of several biological processes, including immune and skeletal systems and MC presence and systemic vasculitis were associated independently with low levels of vitamin D. Cons...

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Veröffentlicht in:Pharmacogenetics and genomics 2016-06, Vol.26 (6), p.307-310
Hauptverfasser: Cusato, Jessica, Boglione, Lucio, De Nicolò, Amedeo, Cardellino, Chiara Simona, Carcieri, Chiara, Cariti, Giuseppe, Di Perri, Giovanni, D'Avolio, Antonio
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container_end_page 310
container_issue 6
container_start_page 307
container_title Pharmacogenetics and genomics
container_volume 26
creator Cusato, Jessica
Boglione, Lucio
De Nicolò, Amedeo
Cardellino, Chiara Simona
Carcieri, Chiara
Cariti, Giuseppe
Di Perri, Giovanni
D'Avolio, Antonio
description Mixed cryoglobulinemia (MC) is the most frequent extrahepatic hepatitis C virus (HCV) complication. Vitamin D is a modulator of several biological processes, including immune and skeletal systems and MC presence and systemic vasculitis were associated independently with low levels of vitamin D. Considering the impact of vitamin D, we aimed to evaluate the role of some single nucleotide polymorphisms (SNPs) of vitamin D pathway genes in the prediction of MC in HCV patients treated with pegylated interferon and ribavirin. We investigated SNPs in IL-28B, CYP27B1, CYP27A1, CYP24A1, VDBP, and VDR genes through real-time PCR. VDR gene SNPs were related to baseline viral load: VDR BsmI AA (P=0.018), TaqI CC (P=0.009), and ApaI AA (P=0.004) showed a lower baseline HCV count. Among vitamin D pathway gene polymorphisms, VDR FokI T>C was a factor associated with the presence of MC in the study population (P=0.011): related to C allele carriers (TT vs. TC/CC), we obtained a P-value of 0.003. In the logistic regression analysis to assess which demographic, clinical, or genetic factors could predict the presence of cryoglobulin, the TT/CC IL-28B rs8099917/rs12979860 haplotype [P
doi_str_mv 10.1097/FPC.0000000000000223
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Vitamin D is a modulator of several biological processes, including immune and skeletal systems and MC presence and systemic vasculitis were associated independently with low levels of vitamin D. Considering the impact of vitamin D, we aimed to evaluate the role of some single nucleotide polymorphisms (SNPs) of vitamin D pathway genes in the prediction of MC in HCV patients treated with pegylated interferon and ribavirin. We investigated SNPs in IL-28B, CYP27B1, CYP27A1, CYP24A1, VDBP, and VDR genes through real-time PCR. VDR gene SNPs were related to baseline viral load: VDR BsmI AA (P=0.018), TaqI CC (P=0.009), and ApaI AA (P=0.004) showed a lower baseline HCV count. Among vitamin D pathway gene polymorphisms, VDR FokI T&gt;C was a factor associated with the presence of MC in the study population (P=0.011): related to C allele carriers (TT vs. TC/CC), we obtained a P-value of 0.003. In the logistic regression analysis to assess which demographic, clinical, or genetic factors could predict the presence of cryoglobulin, the TT/CC IL-28B rs8099917/rs12979860 haplotype [P&lt;0.001; odds ratio (OR) 3.516 (1.951-6.336)], baseline viral load [P&lt;0.001; OR 1.000 (0.999-1.001)], and VDR FokI TC/CC genotypes [0.044; OR 0.463 (0.218-0.981)] remained in the final regression model. 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subjects Adult
Antiviral Agents - therapeutic use
Cryoglobulinemia - diagnosis
Cryoglobulinemia - etiology
Female
Genotype
Haplotypes - genetics
Hepacivirus - genetics
Hepacivirus - isolation & purification
Hepatitis C, Chronic - complications
Hepatitis C, Chronic - drug therapy
Hepatitis C, Chronic - genetics
Humans
Male
Middle Aged
Polymorphism, Single Nucleotide - genetics
Receptors, Calcitriol - genetics
Retrospective Studies
Signal Transduction
Viral Load
Vitamin D - metabolism
title Vitamin D pathway gene polymorphisms as predictors of hepatitis C virus-related mixed cryoglobulinemia
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