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Updated: Jul 17, 2026

Immunofluorescence to Monitor the Cellular Uptake of Human Lactoferrin and its Associated Antiviral Activity Against the Hepatitis C Virus
Published on: October 1, 2015
Modifications of plasma platelet-activating factor (PAF)-acetylhydrolase/PAF system activity in patients with chronic
P Caini1, C Tosti Guerra, C Giannini
1Department of Internal Medicine, Center for the Study of Systemic Manifestations of Hepatitis Viruses MASVE and Higher Education Research and Transfer Center DENOTHE, University of Florence, Florence, Italy.
Insights
Chronic Hepatitis C virus (HCV) infection alters the platelet-activating factor (PAF) system, increasing PAF levels and decreasing PAF-acetylhydrolase (pPAF-AH) activity. Viral clearance restores this crucial inflammatory balance.
Area of Science:
- Virology
- Immunology
- Biochemistry
Background:
- Hepatitis C virus (HCV) causes chronic liver and lymphatic diseases in millions globally.
- HCV circulates in serum, linked with apoB lipoproteins.
- Platelet-activating factor (PAF) is a pro-inflammatory mediator regulated by plasma PAF-acetylhydrolase (pPAF-AH), which is associated with LDL.
Purpose of the Study:
- To investigate the impact of chronic HCV infection on the PAF/pPAF-AH system.
- To determine if HCV affects PAF levels and pPAF-AH activity.
Main Methods:
- HCV-RNA detection in plasma, PBMCs, and liver samples.
- Quantification of plasma PAF levels and pPAF-AH activity.
- Measurement of ApoB100 serum titres and pPAF-AH mRNA in macrophages.
Main Results:
- HCV patients exhibited significantly higher plasma PAF levels and lower pPAF-AH activity compared to controls.
- No significant changes in pPAF-AH mRNA in macrophages or ApoB100 levels were found in HCV patients.
- Antiviral treatment leading to HCV clearance resulted in restored pPAF-AH activity and decreased PAF levels.
Conclusions:
- Chronic HCV infection significantly alters the PAF/pPAF-AH system.
- HCV clearance reverses these alterations, suggesting circulating viral particles influence the system.
- Dysregulation of the PAF/pPAF-AH system may contribute to HCV-related tissue damage.
Abstract:
Hepatitis C virus (HCV) chronically infects about 200 million individuals worldwide and leads to severe liver and lymphatic diseases. HCV circulates in the serum, associated with apoB-containing lipoproteins. Platelet-activating factor (PAF), a pro-inflammatory mediator, is mainly modulated by plasma PAF-acetylhydrolase (pPAF-AH), associated with ApoB100-containing low-density lipoproteins (LDL). The aim of the study was to evaluate the potential effects of chronic HCV infection on the PAF/pPAF-AH system. HCV-RNA was detected in plasma, peripheral blood mononuclear cells (PBMC) and liver samples. Plasma PAF levels, pPAF-AH activity, ApoB100 serum titres and pPAF-AH mRNA levels in cultured macrophages were determined. Plasma PAF levels were significantly higher and pPAF-AH activity was significantly lower in HCV patients than in controls. No significant modifications of pPAF-AH mRNA in macrophages or in ApoB100 values were observed in HCV patients compared with controls. Patients who cleared HCV after antiviral treatment showed a complete restoration of pPAF-AH activity and significant decrease of PAF levels during the follow-up. No data exist about the PAF/pPAF-AH system behaviour during HCV infection. This study shows that in HCV patients modifications of pPAF-AH activity/PAF levels take place and that HCV clearance restored pPAF-AH activity. This suggests that circulating viral particles play a role in PAF/pPAF-AH system modifications and such an alteration could be involved in HCV-related damage.
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