01). Taken together, comparison of the healthy population and HCV genotype 3–infected population does not indicate
BGB324 any evidence of a role for these two SNPs in natural clearance of HCV genotype 3 infection. The SNPs near the IL28B gene on chromosome 19 coding for IFN-λ3 recently reported to be associated with treatment response in HCV have excited clinicians and scientists alike, they have a potential to better identify patients with HCV genotype 1 infection who are likely to benefit from PEG-IFN/ribavirin therapy, and they may reveal mechanisms associated with viral clearance and immunity. In Europe, HCV genotype 2 and 3 can be as prevalent as HCV genotype 1 and although the treatment response for HCV genotype 2 and 3–infected patients
are much better, many patients do not achieve a sustained response after a full course of PEG-IFN/ribavirin therapy. Recent studies of predominantly HCV genotype 2–infected European patients show that the CC genotype at rs12979860 can predict SVR, but this is largely driven by patients LY2606368 molecular weight who do not achieve RVR.15 In studies of HCV genotype 2–infected Asian patients, the rs8099917 TT genotype was not associated with SVR.23 Rauch al.12 have also shown no effect of rs8099917 in HCV genotype 2/3–infected patients in a smaller cohort. Similarly, Montes-Cano et al.16 show an absence of association of rs12979860 with SVR in HCV genotype 2/3–infected patients. In HCV genotype 1–infected patients, the rs12979860 CC genotype shows association with very a high baseline viral load, natural clearance of the virus, and RVR to PEG-IFN/ribavirin therapy in addition to SVR.9, 13, 24 Paradoxically, high baseline viral load has been repeatedly shown to be associated with a poorer SVR. A model that explains the paradoxical effect or association of this genotype with high viral load and better therapeutic response is yet to be suggested. Although our data is taken from two populations of HCV genotype 2–infected and genotype 3–infected patients, we were interested in HCV genotype 3–infected patients for two reasons. First, we had sufficient number of samples and data
from HCV genotype 3–infected patients for statistical analysis, unlike other studies of HCV genotype 2 and 3 studies, in which genotype 2 was predominant.15, 25 Second, the SVR rate among HCV genotype 2–infected patients was high (93%, n = 70), significantly higher than HCV genotype 3–infected patients (80%, P = 0.0055) and the number of patients without SVR was too low for meaningful analysis. We found that in HCV genotype 3–infected patients, the CC genotype at rs12979860 compared to CT/TT, and the TT genotype at rs8099917 compared to TG/GG, are associated with high baseline viral load and RVR, but not SVR. This suggests that HCV genotype 3 patients with the so-called host-responder genotypes are more likely to relapse after an early response.