SNP rs688 within the low-density lipoprotein receptor (LDL-R) gene associates with HCV susceptibility

  • GS Steba
  • , Sylvie M. Koekkoek
  • , Michael W.T. Tanck
  • , Joost W. Vanhommerig
  • , Jan T.M. van der Meer
  • , David Kwa
  • , Kees Brinkman
  • , Maria Prins
  • , Ben Berkhout
  • , Georgios Pollakis
  • , Richard Molenkamp
  • , Janke Schinkel
  • , William A. Paxton*
  • ,
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background & Aims: Despite high-risk behaviour, 10%-20% of HCV multiple exposed individuals remain uninfected (MEU), whilst the remainder become infected (MEI). We hypothesize that host factors play a role in HCV susceptibility. We aimed to identify polymorphisms in host genes that encode for proteins involved in viral entry: CD81, Scavenger receptor 1 (SR-1), Low-density lipoprotein receptor (LDL-R), Claudin-1 (CLDN1), Occludin (OCLN) and Niemann-Pick C1–like 1 (NPC1L1). Methods: Multiple exposed infected and MEU from two observational cohorts were selected. From the MSM study of acute infection with HCV (MOSAIC), HIV-1 infected MEU cases (n = 30) and HIV-1 infected MEI controls (n = 32) were selected based on reported high-risk behaviour. From the Amsterdam Cohorts Studies (ACS) injecting drug users (IDU) cohort, MEU cases (n = 40) and MEI controls (n = 22) were selected who injected drugs for ≥2 years, in the nineties, when HCV incidence was high. Selected single nucleotide polymorphisms (SNPs) were determined by sequencing or SNP assays. Results: No associations were found for SNPs within genes coding for CD81, SR-1, Claudin-1 or Occludin between the MEU and MEI individuals from either cohort. We did observe a significant association for rs688 within the LDL-R gene with HCV infection (OR: 0.41 P = 0.001), however, LDL cholesterol levels did not vary between individuals carrying the differential SNPs. Additionally, a marginal significant effect was found for rs217434 and rs2072183 (OR: 2.07 P = 0.032 and OR: 1.76 P = 0.039, respectively) within NPC1L1. Conclusions: Our results demonstrate that the rs688 SNP within the LDL-R gene associates with HCV susceptibility through mucosal as well as intravenous exposure.

Original languageEnglish
Pages (from-to)463-469
Number of pages7
JournalLiver International
Volume39
Issue number3
Early online date27 Sept 2018
DOIs
Publication statusPublished - Mar 2019
Externally publishedYes

Keywords

  • HCV
  • HIV-1
  • LDL-R
  • polymorphism
  • rs688
  • single nucleotide

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