rs8099917

This is a regulatory region variant variant in the IFNL3 gene.

GWAS Catalog Trait Associations (1)

Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.

chronic hepatitis C virus infection

Allele G
OR 27.10
p 3.0e-32
N 142
Small GWAS
East Asian
Allele G
OR 3.00
p 1.0e-20
N 2,383
Large GWAS
East Asian
Allele G
OR 2.31
p 6.0e-9
N 1,362
Large GWAS
European
Allele G
OR 1.98
p 9.0e-9
N 293
Small GWAS
European

ClinVar annotation

Drug Response★★★★
2 submitters52 publications

interferons, peginterferon alfa-2a, peginterferon alfa-2b, and ribavirin response - Efficacy; peginterferon alfa-2a, peginterferon alfa-2b, ribavirin, and telaprevir response - Efficacy

View on ClinVar →

Research that mentions this SNP (33)

Associations between responses to interferon therapy and genetic variation in interleukin‐28B and the core region of hepatitis C virus genotype 3a
AssociationN=19Keiichi Yamada et al.(2015)· Journal of Medical Virology

This study examined associations between IL-28B SNP rs8099917 and interferon therapy response in 19 patients with hepatitis C virus genotype 3a. While IL-28B genotype showed no significant association with sustained virological response (P=0.5232), a glutamic acid at position 72 in the HCV core region (E-type) was strongly associated with treatment response (80% response rate vs 0% for non-E-type, P=0.009). This is the first evaluation of IL-28B variation and HCV core region mutations in genotype 3a infections.

Traits studied:Hepatitis C virus genotype 3a infection response to interferon therapySustained virological response
IL28Brs12980275 polymorphism shows association with response to treatment in Pakistani patients with Chronic Hepatitis C
AssociationN=220Naila Shaikh et al.(2015)· Journal of Medical Virology

This association study examined IL28B polymorphisms in 220 Pakistani HCV patients (100 responders, 120 nonresponders) to pegylated interferon-alpha and ribavirin treatment. The rs12980275 AA genotype showed the strongest association with treatment response (62% responders vs 37.5% nonresponders, OR: 4.1, P < 0.0001), followed by rs12979860 CT (OR: 3.0, P < 0.001) and rs8099917 TT (P < 0.032). This was the first report describing rs12980275 association with HCV treatment response in Pakistani patients.

Traits studied:Hepatitis C virus treatment responseLiver fibrosisSustained virological response
Human blood dendritic cell antigen 3 (BDCA3)+ dendritic cells are a potent producer of interferon-λ in response to hepatitis C virus
FunctionalN=90Sachiyo Yoshio et al.(2013)· Hepatology

This functional study investigated the role of BDCA3+ dendritic cells in hepatitis C virus (HCV) innate immunity and found that these cells are potent producers of interferon-lambda 3 (IL-28B) in response to HCV. Crucially, subjects with the IL-28B major genotype rs8099917 TT produced significantly higher IL-28B levels upon HCV stimulation compared to minor genotype TG carriers (p < 0.05), establishing a mechanistic link between the IL-28B rs8099917 polymorphism and HCV-induced interferon response.

Traits studied:HCV clearanceHCV treatment responseHepatitis C virus infection
Patatin-like phospholipase domain-containing 3 I148M affects liver steatosis in patients with chronic hepatitis B
ReviewMauro Viganò et al.(2013)· Hepatology

This comprehensive review examines the genetic background of nonalcoholic fatty liver disease (NAFLD), focusing on variants identified by genome-wide association studies (GWAS) and candidate gene studies. The most significant GWAS-identified variants are PNPLA3 rs738409 (I148M), which strongly associates with increased liver steatosis, fibrosis severity, and HCC risk (12-fold increased risk for homozygous carriers), and TM6SF2 rs58542926 (E167K), which increases NASH progression but reduces cardiovascular risk. The review also discusses numerous candidate genes involved in lipid and glucose metabolism and liver injury mechanisms.

Traits studied:Cardiovascular diseaseChronic kidney diseaseCirrhosisHepatic injuryHepatic steatosisHepatocellular carcinomaInsulin resistanceLipid metabolismLiver fibrosisMetabolic syndromeNecroinflammationNonalcoholic fatty liver disease (NAFLD)Nonalcoholic steatohepatitis (NASH)ObesityType 2 diabetes
Sipa1 promoter polymorphism predicts risk and metastasis of lung cancer in Chinese
ReviewChenli Xie et al.(2013)· Molecular Carcinogenesis

This is a comprehensive journal compilation containing multiple oncology and pharmacogenomics studies published in 2013 across various journals. The collection includes 60+ papers covering cancer treatment outcomes, genetic polymorphisms predicting chemotherapy response and survival, pharmacogenetic variants in drug metabolism and DNA repair genes, and prognostic biomarkers in various cancer types including breast, lung, colorectal, hematologic malignancies, and others. Key findings include associations of XRCC1 variants (rs915927, rs76507, rs2854501, rs2854509, rs3213255) with bladder cancer chemotherapy survival, ABCG2 rs2725264 with lung cancer overall survival (HR 3.22), SLCO1B1 rs4149056 with methotrexate pharmacokinetics, MTHFR rs1801131 with acute lymphoblastic leukemia outcome, and ABCC3/GSTM variants with acute myeloid leukemia survival.

Traits studied:Acute lymphoblastic leukemiaAcute myeloid leukemiaBladder cancerBreast cancerChronic lymphocytic leukemiaChronic myeloid leukemiaChronic myelomonocytic leukemiaColorectal cancerFollicular lymphomaGastric cancerGastrointestinal stromal tumorsGlioblastomaHepatocellular carcinomaHodgkin lymphomaLung cancerMultiple myelomaMyelodysplastic syndromesMyxofibrosarcomasNon-small cell lung cancerPrimary mediastinal B-cell lymphomaProstate cancer
Baseline factors and early viral response (week 4) to antiviral therapy with peginterferon and ribavirin for predicting sustained virologic response in patients infected with hepatitis C virus genotype 1: A multicenter study
AssociationN=293Hidenori Toyoda et al.(2013)· Journal of Medical Virology

Multicenter study of 293 Japanese patients with HCV genotype 1b found that week 4 HCV RNA reduction is a strong predictor of sustained virologic response (SVR) to peginterferon-ribavirin therapy, with AUROC 0.927 (88% sensitivity, 87% specificity). The IL28B rs8099917 polymorphism and HCV viral factors (core region position 70 and ISDR) significantly influence the optimal cut-off thresholds for SVR prediction; patients with unfavorable TG/GG genotype require markedly lower viral reduction thresholds.

Traits studied:HCV treatment response to peginterferon-ribavirinHepatitis C virus sustained virologic response
A common and functional gene variant in the vascular endothelial growth factor a predicts clinical outcome in early‐stage breast cancer
ReviewGudrun Absenger et al.(2013)· Molecular Carcinogenesis

This document is a comprehensive collection of ~1,200 cancer-related research abstracts and summaries published in various journals (2013), covering clinical trials, pharmacogenomic studies, and mutation analyses across multiple cancer types including colorectal, breast, lung, lymphoma, and other malignancies. The collection documents associations between genetic variants (SNPs and somatic mutations), gene expression patterns, and cancer treatment outcomes, including studies on KRAS, EGFR, TP53, BRAF, and pharmacogenomic variants like CYP3A4 and UGT1A1.

Traits studied:Acute myeloid leukemiaBladder cancerBreast cancerChemotherapy responseChronic lymphocytic leukemiaColorectal cancerDisease-free survivalEsophageal cancerFollicular lymphomaGallbladder cancerGlioblastomaHead and neck cancerLymphomaMyelodysplastic syndromesNon-small cell lung cancer (NSCLC)Overall survivalPrimary mediastinal B-cell lymphomaProgression-free survivalProstate cancerRenal cell carcinoma
Model incorporating the ITPA genotype identifies patients at high risk of anemia and treatment failure with pegylated‐interferon plus ribavirin therapy for chronic hepatitis C
AssociationN=446Masayuki Kurosaki et al.(2013)· Journal of Medical Virology

Model incorporating the ITPA genotype (rs1127354) identifies patients at high risk of anemia and treatment failure with pegylated-interferon plus ribavirin therapy for chronic hepatitis C. In 446 genotype 1b HCV patients, ITPA CC genotype combined with baseline hemoglobin <14.0 g/dl predicted 57% anemia incidence, while patients with ITPA AA/CA and hemoglobin ≥14.0 g/dl had only 17% incidence. High-risk anemia was a significant negative predictor of sustained virological response.

Traits studied:Anemia risk during hepatitis C treatmentSustained virological responseTreatment failure
IL28B SNP screening and distribution in the French Canadian population using a rapid PCR-based test
MethodsN=183Jean-François Gélinas et al.(2013)· Immunogenetics

This methods paper describes a rapid PCR-based test for screening IL28B SNPs (rs12979860 and rs8099917) and characterizes their distribution in a French Canadian injection drug user cohort (N=183). The study found that French Canadians have unusual genetic characteristics: high prevalence of responder genotypes (rs12979860 C/C: 51.4%, rs8099917 T/T: 63.4%) and reduced linkage disequilibrium between the two SNPs (|d'|=0.68, r=0.59), attributed to a founder effect from early French colonization.

Traits studied:HCV treatment response (sustained virological response)Hepatitis C virus infectionSpontaneous HCV clearance
Add‐on therapy of pitavastatin and eicosapentaenoic acid improves outcome of peginterferon plus ribavirin treatment for chronic hepatitis C
AssociationN=277Motoyuki Kohjima et al.(2013)· Journal of Medical Virology

This study evaluated add-on therapy with pitavastatin and eicosapentaenoic acid (EPA) combined with peginterferon and ribavirin for chronic hepatitis C 1b treatment. In patients with HCV-1b, the add-on group achieved significantly higher sustained virological response rates (54.7%) compared to standard therapy (30.1%, P<0.0001). Patients with IL-28B rs8099917 TT genotype had better responses overall, while those with TG+GG genotype benefited markedly from add-on therapy (37.9% vs 5.6%, P=0.007). IL-28B genotype remained the strongest independent predictor in multivariate analysis (OR 6.69, P=0.0019).

Traits studied:Hepatitis C treatment responseHepatitis C virus infection (HCV-1b)Sustained virological response
Genetic variation in IL28B is associated with the development of hepatitis B-related hepatocellular carcinoma
AssociationN=330Shan Ren et al.(2012)· Cancer Immunology, Immunotherapy

This case-control study of 330 subjects (154 HBV-related HCC patients, 86 chronic hepatitis B patients, 43 HBV self-limited infections, and 47 controls) examined three IL28B SNPs for association with hepatitis B-related hepatocellular carcinoma. The CC genotype at rs12979860 was protective (91.5% in controls vs 72.9% in CHB, P=0.01; vs 74.7% in HCC, P=0.01), while T allele carriers had increased HCC risk (χ²=4.44, P=0.04). Gene-gene interactions between rs12979860 and rs12980275 showed an OR of 11.79 (P=0.04), indicating IL28B polymorphisms influence HBV infection progression and HCC susceptibility.

Traits studied:Chronic hepatitis B infectionHBV self-limited infectionHepatitis B-related hepatocellular carcinoma
Interleukin 28B Polymorphism Predicts Pegylated Interferon Plus Ribavirin Treatment Outcome in Chronic Hepatitis C Genotype 4
AssociationN=100Stella De Nicola et al.(2012)· Hepatology

This study evaluated IL28B SNP polymorphisms (rs12979860 and rs8099917) as predictors of treatment response in 100 Egyptian chronic hepatitis C (genotype 4) patients treated with pegylated interferon and ribavirin. The CC genotype of rs12979860 was associated with 87.2% sustained virological response (SVR) compared to 10% for TT (p<0.001), and rs8099917 TT was associated with 80.4% SVR versus 16.7% for GG, supporting IL28B polymorphisms as important biomarkers for predicting HCV treatment outcomes in genotype 4 patients.

Traits studied:Hepatitis C virus (HCV) genotype 4 infectionSustained virological response (SVR) to pegylated interferon/ribavirin therapy
Predictive value of early viral dynamics during peginterferon and ribavirin combination therapy based on genetic polymorphisms near the IL28B gene in patients infected with HCV genotype 1b
AssociationN=272Hidenori Toyoda et al.(2012)· Journal of Medical Virology

This study of 272 Japanese patients with HCV genotype 1b investigated whether early viral dynamics (HCV RNA reduction at 4 and 12 weeks) retain predictive value for sustained virologic response (SVR) when stratified by IL28B polymorphisms (rs8099917, rs12979860). Among patients with favorable TT genotype for rs8099917, ≥3 log10 reduction in HCV RNA at 4 weeks predicted SVR (P<0.0001); conversely, TG/GG genotype patients showed no such prediction. Lack of early virologic response at 12 weeks retained strong predictive value for treatment failure regardless of IL28B genotype.

Traits studied:Chronic hepatitis CHCV genotype 1b infectionHepatitis C virus infection response to peginterferon and ribavirin therapySustained virologic response
Association of IL28B genotype and viral response of hepatitis C virus genotype 2 to interferon plus ribavirin combination therapy
AssociationN=381Norio Akuta et al.(2012)· Journal of Medical Virology

In 381 Japanese patients with HCV genotype 2 treated with 24-week interferon plus ribavirin combination therapy, IL28B rs8099917 genotype TG+GG was identified as an independent predictor of non-sustained virological response (P=0.017, OR=3.95). Sustained virological response was achieved in 81.6% overall, with multivariate analysis identifying younger age, higher albumin, absence of prior IFN therapy, and lower viral load as additional significant predictors of treatment success.

Traits studied:Hepatitis C virus genotype 2 sustained virological response to interferon-ribavirin therapyRapid virological response to interferon-ribavirin therapy
A single nucleotide polymorphism in IL28B affects viral evolution of hepatitis C quasispecies after pegylated interferon and ribavirin therapy
AssociationN=33Hejun Yuan et al.(2012)· Journal of Medical Virology

This study examined how the IL28B rs12979860 SNP polymorphism affects hepatitis C viral evolution during pegylated interferon and ribavirin treatment. Among 33 HCV genotype 1-infected patients, those with the favorable CC genotype showed significantly higher non-synonymous substitution rates (dN values) by day 7 of treatment and more amino acid substitutions in the NS5A region at baseline compared to non-CC patients, despite similar baseline viral loads and genetic diversity.

Traits studied:HCV quasispecies evolutionHepatitis C viral response to pegylated interferon and ribavirin therapyNS5A amino acid substitutions
Genetic variants in human leukocyte antigen/DP-DQ influence both hepatitis B virus clearance and hepatocellular carcinoma development
AssociationN=953Lingmin Hu et al.(2012)· Hepatology

This case-control study investigated the association between IL28B gene polymorphisms and hepatitis B infection in a Chinese population from Yunnan. The authors screened three SNPs (rs12979860, rs8099917, and rs12980275) in 493 HBV-infected individuals and 460 controls. While no significant association was found between IL28B genetic polymorphisms and HBV infection susceptibility, the study identified associations between IL28B variants and leukomonocyte (LYM) levels in HBV-infected individuals, with rs12979860 showing significant differences in mean LYM levels (1.78 vs 2.00, p=0.032).

Traits studied:Hepatitis B virus (HBV) infectionLeukomonocyte level
Combined effects of different interleukin-28B gene variants on the outcome of dual combination therapy in chronic hepatitis C virus type 1 infection
ReviewJanett Fischer et al.(2012)· Hepatology

A comprehensive review of IL28B gene polymorphisms and their impact on drug responses across multiple conditions. The review discusses how three major IL28B SNPs (rs12979860, rs8099917, rs12980275) and seven additional polymorphisms predict treatment response to interferon-based therapies for chronic hepatitis C, hepatitis B, and myeloproliferative neoplasms. IL28B genotypes, particularly the favorable CC genotype at rs12979860 and TT genotype at rs8099917, are associated with higher sustained virologic response (SVR) rates in HCV treatment, with effect sizes showing 3-4.5 fold differences in relapse risk between genotypes.

Traits studied:Chronic hepatitis BChronic hepatitis CDrug response to interferon therapyMyeloproliferative neoplasmsSustained virologic response (SVR)
Association of Gene Expression Involving Innate Immunity and Genetic Variation in Interleukin 28B With Antiviral Response
AssociationN=47Yasuhiro Asahina et al.(2012)· Hepatology

This study examined IL28B genetic polymorphisms (rs12979860 and rs8099917) and hepatic ISG expression in 68 chronic hepatitis C patients, of whom 47 received interferon-ribavirin treatment. The rs12979860 CC genotype was significantly associated with sustained virological response (SVR; OR=6.29, 95% CI=1.72-23.01, P=0.004) and lower hepatic expression of IFI27, ISG15, and MX1 compared to CT-TT genotypes. IP10 expression was independently associated with SVR and strongly linked to liver fibrosis progression, while silencing of IP10 provided additional predictive value for treatment response.

Traits studied:Chronic hepatitis C (CHC)Liver fibrosisSustained virological response (SVR) to interferon-ribavirin treatment
Association of IL28B variants with response to pegylated‐interferon alpha plus ribavirin combination therapy reveals intersubgenotypic differences between genotypes 2a and 2b
Meta-analysisN=23,717Naoya Sakamoto et al.(2011)· Journal of Medical Virology

Meta-analysis of 67 studies involving 20,163 patients for sustained virologic response (SVR) and 10 studies with 3,554 patients for spontaneous clearance (SC). IL28B polymorphisms showed strong associations with HCV clearance: rs12979860 (CC favorable) demonstrated similar associations across HCV genotypes and ethnicities (OR ~3.2-3.6), while rs8099917 (TT favorable) showed stronger effects in East Asians (OR ~6.3 vs 3.4 in Caucasians) and rs12980275 (AA favorable) had OR of 3.95 overall. All three SNPs showed genotype-dependent effects with HCV-1/4 having 3-fold higher ORs than HCV-2/3.

Traits studied:HCV treatment response to pegylated interferon-alpha and ribavirinHepatitis C virus (HCV) sustained virologic responseHepatitis C virus spontaneous clearance
Influence of ITPA polymorphisms on decreases of hemoglobin during treatment with pegylated interferon, ribavirin, and telaprevir
AssociationN=61Fumitaka Suzuki et al.(2011)· Hepatology

This study examined ITPA gene polymorphisms (rs1127354) and their influence on hemoglobin decreases during triple therapy with pegylated interferon, ribavirin, and telaprevir in 61 Japanese patients with hepatitis C virus genotype 1. Patients with the CC genotype at rs1127354 experienced significantly greater hemoglobin reductions (Δ-3.5 ± 1.1 g/dL at week 4, P=0.001) compared to CA/AA genotypes, required more RBV dose reductions during the first 12 weeks (52% vs 65% of target dose, P=0.039), and had higher risk for severe anemia (OR=36.8 for hemoglobin <11 g/dL). SVR rates were comparable between genotypes (71% vs 67%, P=0.736), demonstrating that with careful monitoring and dose adjustment, effective HCV treatment can be achieved despite genetic predisposition to RBV-induced anemia.

Traits studied:Hemoglobin decrease during antiviral therapyHepatitis C virus response to triple therapyRibavirin-induced anemia
Dissociation betweenAPOC3variants, hepatic triglyceride content and insulin resistance
ReviewJulia Kozlitina et al.(2011)· Hepatology

Comprehensive review of genetic background in nonalcoholic fatty liver disease (NAFLD). The PNPLA3 I148M variant (rs738409 C>G) is identified as a major genetic player strongly associated with increased liver fat content, NASH development, fibrosis severity, and HCC risk. The TM6SF2 E167K variant (rs58542926) emerges as another key contributor to NAFLD pathogenesis and disease progression. Multiple additional GWAS-identified variants and candidate genes are reviewed for their roles in NAFLD susceptibility and progression.

Traits studied:Alcoholic liver diseaseCardiovascular diseaseChronic kidney diseaseHCCHepatic steatosisHepatic triglyceridesHepatitis B steatosisHepatitis C progressionHepatocellular carcinomaInsulin resistanceLipid metabolismLiver fat contentLiver fibrosisNAFLDNASHNecroinflammationNonalcoholic fatty liver diseaseNonalcoholic steatohepatitisType 2 diabetes
IL28B Genetic Variation and Treatment Response in Patients with Hepatitis C Virus Genotype 3 Infection σ
AssociationN=1,713Amir Moghaddam et al.(2011)· Hepatology

Retrospective study of 1,713 treatment-naive hepatitis C virus (HCV) genotype 3 patients developing and validating a clinical prediction score for sustained virologic response (SVR) to peginterferon alfa-2a/ribavirin therapy. The prediction score incorporating age, bodyweight, cirrhosis status, ALT level, platelet count, and HCV RNA achieved 87% SVR rate in patients with score ≥8. IL28B variants rs12979860 (CC) and rs8099917 (TT) were associated with virological response but not included in the final model due to data limitations.

Traits studied:CirrhosisHepatitis C virus genotype 3 infectionSustained virologic response to peginterferon alfa-2a/ribavirin therapy
Estimating the net contribution of interleukin-28B variation to spontaneous hepatitis C virus clearance
AssociationN=460Julia di Iulio et al.(2011)· Hepatology

This study examined IL-28B genetic variation and spontaneous hepatitis C virus clearance using multiple- and single-source cohorts. IL-28B protective haplotypes were strongly associated with HCV clearance (OR=2.1 [95% CI 1.6-3.0] in multiple-source cohort, OR=3.9 [95% CI 1.5-10.2] in single-source cohort; P=6×10⁻⁹). The protective haplotypes were in perfect linkage (r²=1.0) with the nonsynonymous coding variant rs8103142, and homozygosity for the rs12979860 C allele predicted the protective haplotype status.

Traits studied:Chronic hepatitis CHepatitis C virus clearanceSpontaneous HCV clearance
Limited use of interleukin 28B in the setting of response-guided treatment with detailed on-treatment virological monitoring
ReviewAlessandra Mangia et al.(2011)· Hepatology

This is a special issue of the Italian medical journal BeAdfiles (September 2012) dedicated to genetic conditioning in HIV and hepatitis virus infections. It reviews the major genetic polymorphisms that influence disease progression, treatment response, and drug toxicity in HIV and chronic hepatitis B and C infections, with particular emphasis on IL28B polymorphisms (rs809917 and others) predicting HCV treatment response to interferon-alpha and ribavirin therapy, and ITPA gene variants protecting against ribavirin-induced anemia. The issue also covers pharmacogenetic markers (CYP2B6, ABCB1, HLA-B*5701) and their clinical applications in antiretroviral therapy.

Traits studied:AIDS progressionAntiretroviral therapy toxicityChronic hepatitis C sustained virological responseCreutzfeldt-Jakob diseaseDyslipidemiaEfavirenz side effectsHIV infection and progressionHepatitis B virus infectionHepatitis C genotype 1 response to interferonHepatitis C virus infectionHyperbilirubinemiaLeprosyLipodystrophyNeisseria meningitidis infectionNorovirus diarrheaPlasmodium falciparum malariaPlasmodium vivax malariaRenal impairmentRibavirin-induced anemiaTreatment response to interferon and ribavirinTuberculosis
Prediction of response to peginterferon‐alfa‐2b plus ribavirin therapy in Japanese patients infected with hepatitis C virus genotype 1b
AssociationN=2,189Hashimoto Y. et al.(2011)· Journal of Medical Virology

Population genetics study investigating IFNL3/IFNL4 interferon gene polymorphisms in 669 HCV patients and 1,520 healthy controls across Caucasian and Mongoloid ethnic groups in Russia and Mongolia. Spontaneous HCV viral clearance was significantly more frequent in the Mongoloid population, with protective genotypes: CC genotype at rs12979860, TT genotype at rs8099917, and TT/TT genotype at rs368234815.

Traits studied:HCV infectionHepatitis CSpontaneous viral clearance
Impact of genetic polymorphisms near the IL28B gene and amino acid substitutions in the hepatitis C virus core region on interferon sensitivity/resistance in patients with chronic hepatitis C
AssociationN=156Hidenori Toyoda et al.(2011)· Journal of Medical Virology

This study examined 156 patients with chronic hepatitis C to investigate genetic polymorphisms near the IL28B gene (rs8099917) and HCV core region amino acid substitutions (residue 70: arginine vs. glutamine) as factors influencing interferon sensitivity. The rs8099917 TT genotype showed significantly greater HCV RNA reduction after standard interferon administration compared to TG/GG genotypes (1.56 ± 0.46 vs 0.95 ± 0.66 log10 IU/ml at 24 hr, P<0.0001), and was independently associated with sustained virologic response to peginterferon-ribavirin combination therapy (48.6% in TT vs 8.3% in TG/GG, P=0.0010).

Traits studied:Hepatitis Cchronic hepatitis Cinterferon resistanceinterferon sensitivityvirologic response to peginterferon-ribavirin therapy
Antiviral combination therapy with peginterferon and ribavirin does not induce a therapeutically resistant mutation in the HCV core region regardless of genetic polymorphism near the IL28B gene
AssociationN=274Hidenori Toyoda et al.(2011)· Journal of Medical Virology

A clinical study of 274 Japanese patients with HCV genotype 1b examined whether peginterferon/ribavirin combination therapy induces mutations at HCV core region residue 70 and whether IL28B genetic polymorphism (rs8099917) affects this mutation. The study found that therapy does not induce de novo mutations at this residue regardless of IL28B genotype; observed mutations were due to selection of pre-existing strains. Patients with the TT genotype at rs8099917 had significantly higher rates of wild-type amino acid (82.2% vs 52.8%, p<0.0001) and superior sustained virologic response (53.0% vs 19.4%, p<0.0001) compared to TG/GG carriers.

Traits studied:Hepatitis C virus infectionSustained virologic response to peginterferon/ribavirin therapyTreatment response in chronic hepatitis C
Inverse association of IL28B genotype and liver mRNA expression of genes promoting or suppressing antiviral state
AssociationN=133Abe H. et al.(2011)· Journal of Medical Virology

In 133 chronic hepatitis C patients, the IL28B rs12979860 CC protective genotype was inversely associated with hepatic expression of interferon-stimulated genes (ISGs) that promote antiviral responses (ISG15: p=1.42E-12, MxA: p=6.40E-11) and positively associated with expression of genes that suppress antiviral signaling (A20: p=0.00107, Zc3h12a: p=0.00129). The rs12979860 genotype was significantly associated with HCV treatment response to peginterferon-ribavirin therapy, suggesting it affects treatment outcomes through altered intrahepatic ISG expression patterns.

Traits studied:Chronic hepatitis C virus infectionHCV treatment responseSustained virological response to interferon-ribavirin therapy
Relationship between the interleukin-28b gene polymorphism and the histological severity of hepatitis C virus-induced graft inflammation and the response to antiviral therapy after liver transplantation
AssociationN=183Dennis Eurich et al.(2011)· Liver Transplantation

This study examined the IL-28b gene polymorphism (rs8099917) in 183 liver transplant patients with recurrent hepatitis C virus infection, analyzing 605 protocol liver biopsies. The G allele was significantly associated with higher histological grades of inflammation (median grade 3.0 for GG, 2.5 for GT, 2.0 for TT; p<0.001), elevated aminotransferase levels (ALT p=0.001, AST p=0.003), and lack of response to interferon-based antiviral therapy (p<0.001). The G allele was significantly less frequent among successfully treated patients and was not present in the GG genotype among responders, suggesting IL-28b polymorphisms may serve as markers for graft inflammation severity and predictors of antiviral treatment failure.

Traits studied:Antiviral therapy responseGraft inflammationHepatic fibrosisHepatitis C virus infection after liver transplantation
Toll‐like receptor 7 rs179008/Gln11Leu gene variants in chronic hepatitis C virus infection
AssociationN=180Eva Askar et al.(2010)· Journal of Medical Virology

This study examined 136 chronic hepatitis C patients for the TLR7 rs179008/Gln11Leu SNP and found the variant T allele associated with portal lymphoid aggregates (P=0.013 in males, P=0.032) and significantly lower hepatic IL-29/IFNλ1 expression (P=0.015) and IL-28 receptor expression. The T allele showed a trend toward reduced interferon-alpha treatment response (30% vs 63% response, P=0.069).

Traits studied:Chronic hepatitis C infectionInterferon-alpha responsePortal lymphoid aggregates
IL28B Genotype Is Associated With Differential Expression of Intrahepatic Interferon-Stimulated Genes in Patients With Chronic Hepatitis C
AssociationN=61Thomas J. Urban et al.(2010)· Hepatology

This functional association study investigated IL28B genotype as a determinant of intrahepatic interferon-stimulated gene (ISG) expression in 61 chronic hepatitis C patients. The protective IL28B CC genotype (rs12979860) was associated with significantly lower expression of ISGs (e.g., ISG15 3.9-fold lower, MX1 2.6-fold lower, p < 10⁻⁵) and higher expression of immunomodulatory genes like CXCL9 (3.3-fold). Treatment response was associated with IL28B genotype (p = 0.0054), though the non-synonymous variant Lys70Arg (rs8103142) showed no functional differences in vitro, suggesting non-coding regulatory variants drive the association.

Traits studied:Chronic Hepatitis CHepatitis C treatment responseInterferon-stimulated gene expression
Potential Role for Interleukin-28B Genotype in Treatment Decision-Making in Recent Hepatitis C Virus Infection
AssociationN=163Jason Grebely et al.(2010)· Hepatology

A prospective cohort study of 163 individuals with recent hepatitis C virus (HCV) infection found that IL28B rs8099917 TT genotype independently predicted spontaneous HCV clearance (AHR 3.78, 95% CI 1.04-13.76, p=0.044) with 32% clearance in TT homozygotes versus 5% in GG/GT carriers. However, IL28B genotype did not impact treatment response (SVR 62% TT vs 64% GG/GT, p=0.884), suggesting IL28B may be useful for determining treatment timing but not for predicting response to therapy.

Traits studied:HCV spontaneous clearanceHCV treatment responseHepatitis C virus infection
Fine mapping and association studies in a candidate region for autism on chromosome 2q31–q32
AssociationN=585Judith Conroy et al.(2009)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

A case-control study in a Russian population (285 type 1 diabetes patients, 300 controls) examining 58 SNPs across 47 genes involved in fibrogenesis, endothelial dysfunction, and inflammation. Seven SNPs showed significant association with T1D susceptibility: rs3765124 (ADAMDEC1 AA genotype, OR=1.79, p=0.004), rs1007856 (ITGB5 TT genotype, OR=1.67, p=0.015), rs20579 (LIG1 CC genotype, OR=1.86, p=0.004), rs12980602 (IFNL2 allele C, OR=1.49, p=0.029), rs4986819 (PARP4 allele C, OR=1.52, p=0.044), rs1143674 (ITGA4 GG genotype, OR=2.06, p=0.002), and rs679620 (MMP3 AA genotype, OR=2.03, p=0.008).

Traits studied:Type 1 diabetes

About IFNL3

This gene encodes a cytokine distantly related to type I interferons and the IL-10 family. This gene, interleukin 28A (IL28A), and interleukin 29 (IL29) are three closely related cytokine genes that form a cytokine gene cluster on a chromosomal region mapped to 19q13. Expression of the cytokines encoded by the three genes can be induced by viral infection. All three cytokines have been shown to interact with a heterodimeric class II cytokine receptor that consists of interleukin 10 receptor, beta (IL10RB) and interleukin 28 receptor, alpha (IL28RA). [provided by RefSeq, Jul 2008]

View all IFNL3 variants →

Gene information from NCBI Gene. Variant classifications from ClinVar.

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