Genetic Discovery May Improve Hepatitis C Treatment

Finding will help predict patient response to therapy, researchers say

Posted: August 17, 2009

MONDAY, Aug. 17 (HealthDay News) -- The first biomarker that predicts a patient's response to hepatitis C treatments has been identified by U.S. researchers.

The new marker is a single letter change -- a C instead of a T -- in a segment of DNA near the IL28B gene, according to the Duke University Medical Center team. They found it by studying the DNA of 1,671 people taking part in a study of hepatitis C treatments.

Not only does this biomarker predict who is most likely to respond to treatment and who isn't, it may solve the long-standing question of why responses to hepatitis C treatments vary so widely among racial and ethnic groups.

"For geneticists, understanding response to treatment for hepatitis C infection has been almost like a Holy Grail," study senior author David Goldstein, director of the Center for Human Genome Variation at Duke's Institute for Genome Sciences & Policy, said in a university news release.

"The side effects of hepatitis treatment can be brutal, and about half the time, the treatment fails to eradicate the virus. This discovery enables us to give patients valuable information that will help them and their doctors decide what is best for them. This is what personalized medicine is all about," Goldstein said.

The study appeared online Aug. 16 in the journal Nature.

Hepatitis C, one of the most common infections in the world, affects about 170 million people. Treatment typically involves 48 weeks of interferon plus the antiviral drug ribavirin. Black patients are less likely to respond to treatment than white patients, while East Asian patients seem to have the best response.

More information

The U.S. Centers for Disease Control and Prevention has more about hepatitis C.

no news yet

This study only shows if you may or may not respond to the traditional treatment. It doesn't offer any new ways. My husband is just starting his interferon; so far so good, but still a ways to go. The pills haven't been too bad so far either. It would be nice to see the cost of treatment come down, though! Ridiculous.

VT of MD @ Aug 17, 2009 13:59:55 PM

hep-c

YES I WAS ON THE PEG/RIBAVIRON TREATMENT FOR ABOUT 2 MONTHS AND I SURELY THOUGHT I WOULD DIE!SO NEW TREATMENT WOULD BE IDEA FOR ME IF I WOULD RESPOND TO TREAMENT TO THE NEW ONES !I HAVE HAD A VERY HEAVY VIRAL LOAD , AND I STARTED A TREATMENT THAT REALLY REDUCED MY VIRAL LOAD! MY DR. WAS VERY SURPRISED AND WAS GIVEN A WAKE UP CALL TO OTHER TREATMENTS OTHER THAN THE STANDARD PROTOCOL,THIS REALLY HELPED ME REDUCE MY VIRAL LOAD THE NAME IS{EXTREME LIVER SUPPORT ,}| I TOOK THIS EVRYDAY FOR 2 MONTHS AND MY VIRAL LOAD WENT DOWN AND WENT DOWN DRASTICLY, THAT S WHY MY DR. WAS REALLY PERPLEXED, THE STANDARD INTERFERON AND RIBAVIRON COULD NOT HELP ME BECAUSE OF THE SIDE EFFECTS, THIS DID IN AS LITTLE AS 2 MONTHS.YOUR CALL!

WALKER

WALKER WEBBER of MI @ Aug 17, 2009 10:57:50 AM

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