RT Journal Article T1 IFN-λ3, not IFN-λ4, likely mediates IFNL3-IFNL4 haplotype-dependent hepatic inflammation and fibrosis. A1 Eslam, Mohammed A1 McLeod, Duncan A1 Kelaeng, Kebitsaone Simon A1 Mangia, Alessandra A1 Berg, Thomas A1 Thabet, Khaled A1 Irving, William L A1 Dore, Gregory J A1 Sheridan, David A1 Grønbæk, Henning A1 Abate, Maria Lorena A1 Hartmann, Rune A1 Bugianesi, Elisabetta A1 Spengler, Ulrich A1 Rojas, Angela A1 Booth, David R A1 Weltman, Martin A1 Mollison, Lindsay A1 Cheng, Wendy A1 Riordan, Stephen A1 Mahajan, Hema A1 Fischer, Janett A1 Nattermann, Jacob A1 Douglas, Mark W A1 Liddle, Christopher A1 Powell, Elizabeth A1 Romero-Gomez, Manuel A1 George, Jacob A1 International Liver Disease Genetics Consortium (ILDGC), AB Genetic variation in the IFNL3-IFNL4 (interferon-λ3-interferon-λ4) region is associated with hepatic inflammation and fibrosis. Whether IFN-λ3 or IFN-λ4 protein drives this association is not known. We demonstrate that hepatic inflammation, fibrosis stage, fibrosis progression rate, hepatic infiltration of immune cells, IFN-λ3 expression, and serum sCD163 levels (a marker of activated macrophages) are greater in individuals with the IFNL3-IFNL4 risk haplotype that does not produce IFN-λ4, but produces IFN-λ3. No difference in these features was observed according to genotype at rs117648444, which encodes a substitution at position 70 of the IFN-λ4 protein and reduces IFN-λ4 activity, or between patients encoding functionally defective IFN-λ4 (IFN-λ4-Ser70) and those encoding fully active IFN-λ4-Pro70. The two proposed functional variants (rs368234815 and rs4803217) were not superior to the discovery SNP rs12979860 with respect to liver inflammation or fibrosis phenotype. IFN-λ3 rather than IFN-λ4 likely mediates IFNL3-IFNL4 haplotype-dependent hepatic inflammation and fibrosis. YR 2017 FD 2017-04-10 LK http://hdl.handle.net/10668/11076 UL http://hdl.handle.net/10668/11076 LA en DS RISalud RD Apr 7, 2025