PMID- 25611567 OWN - NLM STAT- MEDLINE DCOM- 20160115 LR - 20231213 IS - 1440-1746 (Electronic) IS - 0815-9319 (Linking) VI - 30 IP - 6 DP - 2015 Jun TI - Prevalence of abnormal glycometabolism in treatment-naive patients with hepatitis C virus infection in a Chinese Han population. PG - 1049-56 LID - 10.1111/jgh.12901 [doi] AB - BACKGROUND AND AIM: The hepatitis C virus (HCV) may promote pancreatic beta-cell apoptosis-like cell death through a caspase 3-dependent pathway, initiating the onset of type 2 diabetes mellitus (T2DM); however, the risk factors for development of T2DM and other abnormal glycometabolic factors in HCV patients of the Chinese Han ethnicity have been poorly explored. METHODS: A total of 947 patients Chinese Han patients with confirmed HCV infection were enrolled in a multicenter study in order to examine the genetic and physiological parameters associated with the onset of abnormal glycometabolic conditions, including T2DM and prediabetes. RESULTS: HCV genotype 1b and host interleukin-28B CC genotype were most commonly observed. A total of 145 (15.3%) patients were diagnosed with T2DM and prediabetes. Elevated age, waist circumference, smoking duration, and systolic and diastolic blood pressure were shown to increase risks for abnormal glycometabolism. Liver dysfunction was shown to have positive correlations with abnormal glycometabolism in HCV patients. Genome-wide association studies indicated that certain genetic encoding inosine triphosphatase polymorphs (rs6051702) were associated with elevated risks for abnormal glycometabolism. Coupled with previous research data, it is likely that abnormal glycometabolism may be a useful predictor of risk for poor response to antiviral therapies and treatment-induced complications, such as anemia, in treatment naive patients. CONCLUSIONS: Abnormal glycometabolism and other such complications of HCV and HCV treatment may share critical metabolic and genetic pathways, providing potentially novel targets for future antiviral therapies for treatment resistant HCV genotypes. CI - (c) 2015 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd. FAU - Rao, Huiying AU - Rao H AD - Peking University People's Hospital, Beijing Key Laboratory for Hepatitis C and Immunotherapy for Liver Disease, Peking University Hepatology Institute, Beijing, China. FAU - Wei, Lai AU - Wei L FAU - Li, Hong AU - Li H FAU - Yang, Ruifeng AU - Yang R FAU - Zhang, Haiying AU - Zhang H FAU - Shang, Jia AU - Shang J FAU - Chen, Hong AU - Chen H FAU - Li, Jun AU - Li J FAU - Xie, Qing AU - Xie Q FAU - Gao, Zhiliang AU - Gao Z FAU - Wang, Lei AU - Wang L FAU - Wei, Jia AU - Wei J FAU - Jiang, Jianning AU - Jiang J FAU - Sun, Yongtao AU - Sun Y CN - CCgenos Study Group LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - Australia TA - J Gastroenterol Hepatol JT - Journal of gastroenterology and hepatology JID - 8607909 RN - 0 (interferon-lambda, human) RN - 0 (Interleukins) RN - 9008-11-1 (Interferons) SB - IM MH - Adult MH - Asian People MH - China/epidemiology MH - Diabetes Mellitus, Type 2/*epidemiology/*etiology/genetics MH - Female MH - Genotype MH - Hepacivirus/genetics MH - Hepatitis C/*complications/*epidemiology/genetics/virology MH - Humans MH - Interferons MH - Interleukins/genetics MH - Male MH - Middle Aged MH - Prediabetic State/*epidemiology/*etiology/genetics MH - Prevalence OTO - NOTNLM OT - glycometabolism OT - hepatitis C virus (HCV) OT - inosine triphosphatase (ITPA) EDAT- 2015/01/23 06:00 MHDA- 2016/01/16 06:00 CRDT- 2015/01/23 06:00 PHST- 2015/01/12 00:00 [accepted] PHST- 2015/01/23 06:00 [entrez] PHST- 2015/01/23 06:00 [pubmed] PHST- 2016/01/16 06:00 [medline] AID - 10.1111/jgh.12901 [doi] PST - ppublish SO - J Gastroenterol Hepatol. 2015 Jun;30(6):1049-56. doi: 10.1111/jgh.12901.