Genetic variation in IL28B is associated with the development of hepatitis B-related hepatocellular carcinoma

• DOI: 10.1007/s00262-012-1203-y
• Publication Date: 2012-02-03T15:05:12Z
• Authors: Shan Ren; Junfeng Lu; Xiaofei Du; Yanxiang Huang; Lina Ma; Honglei Huo; Xinyue Chen; Lai Wei
• Keywords: Male; 0303 health sciences; Carcinoma, Hepatocellular; Genotype; Interleukins; Liver Neoplasms; Genetic Variation; Middle Aged; Polymorphism, Single Nucleotide; 3. Good health; 03 medical and health sciences; Hepatitis B, Chronic; Gene Frequency; Risk Factors; Case-Control Studies; Humans; Female; Genetic Predisposition to Disease; Interferons

To evaluate the role of host IL28B (interleukin 28B; interferon lambda 3) single nucleotide polymorphisms (SNPs) in predicting hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC) susceptibility, three SNPs in the IL28B gene (rs12979860C/T, rs8099917G/T and rs12980275G/A) were examined in 330 subjects (including 154 HBV-related HCC patients, 86 non-HCC patients with chronic hepatitis B (CHB), 43 HBV self-limited infections and 47 healthy controls). Notably, the frequency of CC homozygosity was 91.5% in healthy controls and 72.9% in CHB, the difference being statistically significant (χ(2) = 6.40, P = 0.01). The statistically difference was seen between healthy controls (91.5%) and HCC (74.7%) (χ(2) = 6.05, P = 0.01). However, this significant finding was not seen between HBV self-limited and healthy controls. Carriers of the minor T allele in rs12979860 had a higher risk of HCC compared with non-carriers (χ(2) = 4.44, P = 0.04). Haplotype analyses revealed significant association between haplotype C-T-A and healthy controls, but not with the HCC group (96.6 vs. 82.0%, χ(2) = 6.08, P = 0.01). Analyses of genotype combination and gene-gene interaction showed that there was a positive interaction between rs12979860 and rs12980275, with an OR rate of 11.79 (likelihood test, P = 0.04). Our results suggest that the IL28B rs12979860 C/T polymorphism might affect susceptibility to the chronic HBV infection and progression of HCC. Of note, the T allele and non-CC genotypes have strong predictive effect of increasing susceptibility of chronic HBV infection and HCC.