Journal article

ITPA genotype protects against anemia during peginterferon and ribavirin therapy but does not influence virological response

JA Holmes, SK Roberts, RJ Ali, GJ Dore, W Sievert, GW Mccaughan, DH Crawford, WS Cheng, MD Weltman, S Bonanzinga, K Visvanathan, V Sundararajan, PV Desmond, DS Bowden, GV Matthews, AJ Thompson

Hepatology | Published : 2014

Abstract

On-treatment anemia is associated with higher sustained virological response (SVR) rates during peginterferon plus ribavirin (RBV) therapy. Inosine triphosphatase (ITPA) variants causing ITPase deficiency have been shown to protect against RBV-induced anemia. However, ITPase activity has not been associated with SVR. To study this discrepancy, we examined the relationships between ITPase activity, on-treatment anemia, SVR, and RBV levels in hepatitis C virus genotype 1 (HCV-1) patients from the CHARIOT study. ITPA genotype (rs7270101, rs1127354) was used to define ITPase activity in 546 patients. Plasma RBV levels were measured using high-performance liquid chromatography (HPLC). Relationshi..

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