Hospital Carlos III, Madrid, Spain.
AIDS. 2011 May 15;25(8):1131-3. doi: 10.1097/QAD.0b013e3283471d83.
IL28B polymorphisms predict treatment response in chronic hepatitis C. However, no information exists in prior treatment failures. A total of 62 HIV/hepatitis C virus (HCV) patients who completed retreatment with peginterferon-α/ribavirin were examined, of whom 25 (40%) had been cured. Predictors of response [odds ratio, OR (95% confidence interval, CI)] were HCV genotypes 2/3 [16.1 (2.7-90.9)], prior relapse [9.6 (1.5-62.4)] and ribavirin plasma trough concentrations at week 4 [4.9 (1.3-18.4)]. IL28B-CC only predicted response in prior nonresponders carrying HCV genotypes 1/4 [25.1 (1.9-337)].
IL28B 多态性可预测慢性丙型肝炎的治疗反应。然而,在先前的治疗失败中没有相关信息。共检查了 62 例完成聚乙二醇干扰素-α/利巴韦林重新治疗的 HIV/丙型肝炎病毒 (HCV) 患者,其中 25 例(40%)治愈。反应的预测因子[比值比,OR(95%置信区间,CI)]包括 HCV 基因型 2/3 [16.1(2.7-90.9)]、先前复发[9.6(1.5-62.4)]和第 4 周利巴韦林血药浓度谷值[4.9(1.3-18.4)]。IL28B-CC 仅在携带 HCV 基因型 1/4 的先前无应答者中预测反应[25.1(1.9-337)]。