Abstract
Background/Aims: HCV-infection leads to development of liver fibrosis, causing morbidity and mortality. Multiple factors influence the progression of fibrosis, including genetic factors. Since HCV is an RNA virus, a role for TLR7 in the immune response against HCV is likely. No systematic analysis of TLR7 single nucleotide polymorphisms (SNPs) has been published. Methods: We sequenced TLR7 in 52 women and investigated SNPs with an allele frequency >5% in 807 patients with chronic HCV-infection by melting curve analysis. We analyzed the effect of TLR7 SNPs on grade of inflammation and stage of fibrosis as determined by liver biopsy. Results: We detected five TLR7 SNPs, three of which showed a frequency >5%. One variant, c.1-120T > G, was more common in patients with no or little inflammation than in patients with grades 2-4 (10.7% vs. 6.1%; P = 0.034). The variant was also enriched in patients with no or little fibrosis compared to those with higher stages (12.6% vs. 6.6%; P = 0.005). The difference was fully attributable to male patients. Conclusions: This is the first analysis of TLR7 SNPs in patients with chronic HCV-infection. Our data suggest that the c.1-120G TLR7 allele offers protection from the development of inflammation and fibrosis in male patients with chronic HCV-infection.
| Original language | English |
|---|---|
| Journal | Journal of Hepatology |
| Volume | 47 |
| Issue number | 2 |
| Pages (from-to) | 203-211 |
| Number of pages | 9 |
| ISSN | 0168-8278 |
| DOIs | |
| Publication status | Published - 01.08.2007 |
Funding
The authors thank Sascha Gille (TIB MOLBIOL, Berlin, Germany) for design of the FRET probes. This work was partially supported by an investigational grant from Anadys Pharmaceuticals, San Diego, CA, by the German Competence Network for Viral Hepatitis (Hep-Net) funded by the German Ministry of Education and Research (BMBF, 01 KI 0437, 01 KI 0402), by the EU-Vigilance network of excellence combating viral resistance (VIRGIL, LSHM-CT-2004-503359), by a Rahel-Hirsch award to DYO, and by the Sonnenfeld-Stiftung, Berlin, Germany (to HW).
Research Areas and Centers
- Academic Focus: Center for Infection and Inflammation Research (ZIEL)