Evidence map›Paper›PMID 30715261›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019

Genome-wide Association Study Identifies Genetic Variants Associated With Early and Sustained Response to (Pegylated) Interferon in Chronic Hepatitis B Patients: The GIANT-B Study.

Willem P Brouwer, Henry L Y Chan, Pietro Lampertico, Jinlin Hou, Pisit Tangkijvanich, Hendrik W Reesink, Wenhong Zhang, Alessandra Mangia, Tawesak Tanwandee, Giuseppe Montalto and 33 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01401400 (Genetic Study of Peginterferon Treatment in Hepatitis B Patients), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01401400 completednot on this map

Genetic Study of Peginterferon Treatment in Hepatitis B Patients: The GIANT-B Study

TypeobservationalSponsorFoundation for Liver ResearchRan2010 to 2015Enrolled1,350ConditionsChronic Hepatitis B
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

43 authors at 20 institutions in 10 countries.

Willem P BrouwerGastroenterology and Hepatology, Erasmus Medical Center Rotterdam, The Netherlands.
Henry L Y ChanDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Italy.
Pietro LamperticoCentro di riferimento per la diagnosi e lo studio delle malattie del fegato e delle vie biliari "Angela Maria ed Antonio Migliavacca" Center for Liver Disease, Division of Gastroenterology and Hepatology, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico di natura pubblica Cà Granda Ospedale Maggiore Policlinico, University of Milan, Italy.
Jinlin HouState Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Hepatology Unit and Dept of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Pisit TangkijvanichFaculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Hendrik W ReesinkAcademic Medical Centre, Amsterdam, The Netherlands.
Wenhong ZhangClinical Center Hepatitis, Institute of Biomedical Science, Huashan hospital "Fu Dan University," Shanghai, China.
Alessandra MangiaIstituto di Ricovero e Cura a Carattere Scientifico di natura pubblica Casa Sollievo della Sofferenza, Foggia, Italy.
Tawesak TanwandeeDivision of Gastroenterology, Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Giuseppe MontaltoBiomedical Department of Internal Medicine and Specialties, University of Palermo, Italy.
Kris SimonWroclaw University of Medicine Department of Infectious Diseases and Hepatology, Poland.
Necati OrmeciUniversity of Ankara, Medical School, Turkey.
Liang ChenShanghai Public Health Center "Fu Dan University," China.
Fehmi TabakCerrahpasa Medical Faculty, Department of Infectious Diseases, Istanbul.
Fulya GunsarEge University Medical School, Izmir, Turkey.
Robert FlisiakDepartment of Infectious Diseases and Hepatology, Medical University of Bialystok, Poland.
Peter FerenciMedical University of Vienna, Austria.
Meral AkdoganYuksek Ihsitas Hospital, Ankara.
Filiz AkyuzIstanbul Üniversitesi Istanbul Tip Fakültesi Hastanesi, Istanbul, Turkey.
Nattiya HirankarnFaculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Louis JansenAcademic Medical Centre, Amsterdam, The Netherlands.
Vincent Wai-Sun WongDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Italy.
Roberta SoffrediniCentro di riferimento per la diagnosi e lo studio delle malattie del fegato e delle vie biliari "Angela Maria ed Antonio Migliavacca" Center for Liver Disease, Division of Gastroenterology and Hepatology, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico di natura pubblica Cà Granda Ospedale Maggiore Policlinico, University of Milan, Italy.
Xieer LiangState Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Hepatology Unit and Dept of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Shalom ChenClinical Center Hepatitis, Institute of Biomedical Science, Huashan hospital "Fu Dan University," Shanghai, China.
Zwier M A GroothuisminkGastroenterology and Hepatology, Erasmus Medical Center Rotterdam, The Netherlands.
Rosanna SantoroIstituto di Ricovero e Cura a Carattere Scientifico di natura pubblica Casa Sollievo della Sofferenza, Foggia, Italy.
Jerzy JaroszewiczDepartment of Infectious Diseases and Hepatology, Medical University of Bialystok, Poland.
Resat OzarasCerrahpasa Medical Faculty, Department of Infectious Diseases, Istanbul.
Karin KozbialMedical University of Vienna, Austria.
Mayur BrahmaniaLiver Clinic, Toronto General Hospital, University Health Network, Toronto, Canada.
Qing XieShanghai Ruijin Hospital, Jiao Tong University School of Medicine, Shanghai, China.
Watcharasak ChotiyaputtaDivision of Gastroenterology, Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Qi XunShanghai Public Health Center "Fu Dan University," China.
Monika Pazgan-SimonWroclaw University of Medicine Department of Infectious Diseases and Hepatology, Poland.
Erkin OztasYuksek Ihsitas Hospital, Ankara.
Elke VerheyGastroenterology and Hepatology, Erasmus Medical Center Rotterdam, The Netherlands.
Noé R MontanariGastroenterology and Hepatology, Erasmus Medical Center Rotterdam, The Netherlands.
Jian SunState Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Hepatology Unit and Dept of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Bettina E HansenGastroenterology and Hepatology, Erasmus Medical Center Rotterdam, The Netherlands.
Andre BoonstraGastroenterology and Hepatology, Erasmus Medical Center Rotterdam, The Netherlands.
Harry L A JanssenGastroenterology and Hepatology, Erasmus Medical Center Rotterdam, The Netherlands.
GIANT-B Global Consortium
Erasmus MC · NLNanfang Hospital · CNChinese University of Hong Kong · HKUniversity Health Network · CAUniversity of Milan · ITAmsterdam UMC Location University of Amsterdam · NLCasa Sollievo della Sofferenza · ITChulalongkorn University · THHuashan Hospital · CNMedical University of Białystok · PLMedical University of Vienna · ATSiriraj Hospital · THTürkiye Yüksek İhtisas Hastanesi · TRWroclaw Medical University · PLCook Medical (Australia) · AURuijin Hospital · CNShanghai Public Health Clinical Center · CNAnkara University · TREge University · TRFatih University Medical Faculty Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background(Pegylated) Interferon ([Peg]IFN) therapy leads to response in a minority of chronic hepatitis B (CHB) patients. Host genetic determinants of response are therefore in demand.

methodsIn this genome-wide association study (GWAS), CHB patients, treated with (Peg)IFN for at least 12 weeks ± nucleos(t)ide analogues within randomized trials or as standard of care, were recruited at 21 centers from Europe, Asia, and North America. Response at 24 weeks after (Peg)IFN treatment was defined as combined hepatitis B e antigen (HBeAg) loss with hepatitis B virus (HBV) DNA <2000 IU/mL, or an HBV DNA <2000 IU/mL for HBeAg-negative patients.

resultsOf 1144 patients, 1058 (92%) patients were included in the GWAS analysis. In total, 282 (31%) patients achieved the response and 4% hepatitis B surface antigen (HBsAg) loss. GWAS analysis stratified by HBeAg status, adjusted for age, sex, and the 4 ancestry components identified PRELID2 rs371991 (B= -0.74, standard error [SE] = 0.16, P = 3.44 ×10-6) for HBeAg-positive patients. Importantly, PRELID2 was cross-validated for long-term response in HBeAg-negative patients. G3BP2 rs3821977 (B = 1.13, SE = 0.24, P = 2.46 × 10-6) was associated with response in HBeAg-negative patients. G3BP2 has a role in the interferon pathway and was further examined in peripheral blood mononuclear cells of healthy controls stimulated with IFNα and TLR8. After stimulation, less production of IP-10 and interleukin (IL)-10 proteins and more production of IL-8 were observed with the G3BP2 G-allele.

conclusionsAlthough no genome-wide significant hits were found, the current GWAS identified genetic variants associated with (Peg)IFN response in CHB. The current findings could pave the way for gene polymorphism-guided clinical counseling, both in the setting of (Peg)IFN and the natural history, and possibly for new immune-modulating therapies. CLINICAL TRIALS REGISTATION: NCT01401400.

Indexed as

AdultAntiviral AgentsFemaleGenome-Wide Association StudyGenotyping TechniquesHepatitis B, ChronicHepatitis B virusHumansInterferon-alphaInterferonsMaleMiddle AgedMultivariate AnalysisProspective StudiesAntiviral AgentsInterferon-alphaInterferonschronic hepatitis BgeneticsGWASpeginterferonresponse

Identifiers

PMID30715261
PMCPMC6853659
OpenAlexW2913250121

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.