1. Association of IFNL3 and IFNL4 polymorphisms with liver‐related mortality in a multiracial cohort of HIV/HCV‐coinfected women
- Author
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Sarkar, M, Aouzierat, B, Bacchetti, P, Prokunina‐Olsson, L, French, A, Seaberg, E, O'Brien, TR, Kuniholm, MH, Minkoff, H, Plankey, M, Strickler, HD, Peters, MG, and HIV, the Women's Interagency
- Subjects
Medical Microbiology ,Biomedical and Clinical Sciences ,Clinical Sciences ,HIV/AIDS ,Liver Disease ,Genetics ,Digestive Diseases ,Clinical Research ,Emerging Infectious Diseases ,Hepatitis ,Chronic Liver Disease and Cirrhosis ,Hepatitis - C ,Infectious Diseases ,Infection ,Good Health and Well Being ,Black or African American ,Cohort Studies ,Coinfection ,Female ,Genetic Predisposition to Disease ,Genotype ,HIV Infections ,Hepatitis C ,Chronic ,Humans ,Interferons ,Interleukins ,Liver ,Polymorphism ,Single Nucleotide ,Prospective Studies ,death ,ethnicity ,genetic ,interferon-lambda ,polymorphisms ,Women's Interagency HIV ,genetic ,interferon-λ ,Microbiology ,Gastroenterology & Hepatology ,Clinical sciences ,Medical microbiology - Abstract
African Americans coinfected with HIV and hepatitis C virus (HCV) have lower liver-related mortality than Caucasians and Hispanics. While genetic polymorphisms near the IFNL3 and IFNL4 genes explain a significant fraction of racial differences in several HCV-related outcomes, the impact of these variants on liver-related mortality has not been investigated. We conducted a cohort study of HIV/HCV-coinfected women followed in the multicentre, NIH-funded Women's Interagency HIV Study (WIHS) to investigate whether 10 polymorphisms spanning the IFN-λ region were associated with liver-related mortality by dominant, recessive or additive genetic models. We also considered whether these polymorphisms contributed to previously reported differences in liver-related death by race/ethnicity (ascertained by self-report and ancestry informative markers). Among 794 coinfected women, there were 471 deaths including 55 liver-related deaths during up to 18 years of follow-up. On adjusted analysis, rs12980275 GG genotype compared to AG+AA hazards ratios [(HR) 0.36, 95% CI 0.14-0.90, P = 0.029] and rs8109886 AA genotype compared to CC+AC (HR 0.67, 95% CI 0.45-0.99, P = 0.047) were most strongly associated with liver-related death although these associations were no longer significant after adjusting for race/ethnicity (HR 0.41, 95% CI 0.16-1.04, P = 0.060 and HR 0.78, 95% CI 0.51-1.19, P = 0.25, respectively). African American women had persistently lower liver-related death independent of IFN-λ variants (HRs ≤ 0.44, P values ≤ 0.04). The lower risk of death among African American HIV/HCV-coinfected women is not explained by genetic variation in the IFN-λ region suggesting, that other genetic, behavioural and/or environmental factors may contribute to racial/ethnic differences in liver-related mortality.
- Published
- 2015