RT Generic T1 TLL1 rs17047200 Increases the Risk of Fibrosis Progression in Caucasian Patients With Chronic Hepatitis C. A1 John, Miya A1 Metwally, Mayada A1 Mangia, Alessandra A1 Romero-Gomez, Manuel A1 Berg, Thomas A1 Sheridan, David A1 George, Jacob A1 Eslam, Mohammed K1 Genome‑Wide Association Study K1 Hepatocellular Carcinoma K1 Genetic Susceptibility K1 Liver Fibrosis K1 Alternative Splicing K1 Single Nucleotide Polymorphism AB We read with interest the Matsuura et al1 genome-wide association study (GWAS) of 456 Japanese patients identifying tolloid like 1 (TLL1) as a novel susceptibility locus for hepatocellular carcinoma (HCC) after clearance of hepatitis C virus (HCV) with interferon-based treatment. Although detailed functional mechanisms were not defined, the authors suggested that the TLL1 rs17047200 single nucleotide polymorphism or other intronic variants in strong LD may influence splicing, resulting in production of a catalytically more active short isoform (TLL1 isoform 2). The paper went on to suggest that the effect of the single nucleotide polymorphism was likely indirect, mediated via an impact on liver fibrosis. As evidence, there was a strong association between hepatic TLL1 messenger RNA expression and fibrosis in human and murine models. However, rs17047200 genotype distribution did not differ according to fibrosis stage. PB Elsevier Inc YR 2017 FD 2017-11 LK http://hdl.handle.net/10668/11660 UL http://hdl.handle.net/10668/11660 LA en NO John M, Metwally M, Mangia A, Romero-Gomez M, Berg T, Sheridan D, et al. TLL1 rs17047200 Increases the Risk of Fibrosis Progression in Caucasian Patients With Chronic Hepatitis C. Gastroenterology. 2017 Nov;153(5):1448-1449. DS RISalud RD Jul 30, 2025