Molecular assessment of vitamin D receptor polymorphism as a valid predictor to the response of interferon/ribavirin-based therapy in Egyptian patients with chronic hepatitis C

J Dig Dis. 2016 Aug;17(8):547-553. doi: 10.1111/1751-2980.12353.

Abstract

Objective: The aim of this study was to find an association between serum concentration of vitamin D and vitamin D receptor (VDR) polymorphisms to achieve a sustained virological response (SVR).

Methods: We conducted a case-control study in which 250 participants were recruited and divided into three groups (100 chronic hepatitis C [CHC] patients who achieved SVR, 100 CHC patients who did not achieve SVR and 50 apparently healthy individuals as controls). Blood samples were collected to measure serum vitamin D concentration, and four VDR polymorphisms (FokI, ApaI, TaqI, and BsmI) were detected using polymerase chain reaction-restriction fragment length polymorphism.

Results: Non-responders were found to have significantly low vitamin D concentration compared with responders and control groups. Concerning VDR polymorphisms, both FokI and TaqI polymorphisms were associated with successful treatment.

Conclusion: Vitamin D concentration, FokI, and TaqI may be considered as the predictors for the response of CHC patients to a combination therapy of pegylated interferon and ribavirin.

Keywords: hepatitis C virus; interferons; ribavirin; single nucleotide polymorphism; vitamin D receptor.

MeSH terms

  • Adult
  • Antiviral Agents / therapeutic use*
  • Biomarkers / blood
  • Case-Control Studies
  • Drug Combinations
  • Female
  • Gene Frequency
  • Haplotypes
  • Hepatitis C, Chronic / blood
  • Hepatitis C, Chronic / drug therapy*
  • Hepatitis C, Chronic / genetics*
  • Hepatitis C, Chronic / virology
  • Humans
  • Interferons / therapeutic use
  • Male
  • Middle Aged
  • Polymorphism, Single Nucleotide*
  • Receptors, Calcitriol / genetics*
  • Ribavirin / therapeutic use
  • Sustained Virologic Response
  • Vitamin D / analogs & derivatives
  • Vitamin D / blood
  • Young Adult

Substances

  • Antiviral Agents
  • Biomarkers
  • Drug Combinations
  • Receptors, Calcitriol
  • Vitamin D
  • Ribavirin
  • Interferons
  • 25-hydroxyvitamin D