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Published on: February 7, 2018
Oxidative stress, endogenous antioxidants, alcohol, and hepatitis C: pathogenic interactions and therapeutic
1Department of Molecular Cell Biology, School of Natural Sciences, University of California at Merced, Merced, CA 95343, USA. jchoi@ucmerced.edu
Insights
Hepatitis C virus (HCV) infection causes significant oxidative stress, increasing risks for liver damage and cancer. Alcohol consumption worsens these effects, impacting viral resistance and treatment outcomes.
Area of Science:
- Hepatology
- Virology
- Biochemistry
Background:
- Hepatitis C virus (HCV) is a global health concern, causing chronic infections in a majority of cases.
- Chronic HCV infection is linked to severe liver conditions like steatosis, cirrhosis, and hepatocellular carcinoma.
- HCV pathogenesis involves significant oxidative and nitrosative stress, impacting both hepatic and extrahepatic tissues.
Purpose of the Study:
- To review the current understanding of redox interactions in Hepatitis C virus infection.
- To outline key experimental findings on oxidative stress in HCV pathogenesis.
- To identify future research directions and potential therapeutic applications.
Main Methods:
- Review of existing clinical, animal, and in vitro studies.
- Analysis of the sources and effects of oxidative/nitrosative stress induced by HCV.
- Examination of the role of alcohol in exacerbating HCV-related oxidative stress and pathogenesis.
Main Results:
- HCV induces oxidative/nitrosative stress through various pathways, including NOS, mitochondria, and NADPH oxidases, while depleting glutathione.
- This oxidative burden contributes to HCV-induced hepatic and extrahepatic conditions.
- Alcohol exacerbates HCV-induced oxidative stress and hepatopathogenesis, potentially influencing immune response, viral replication, and antiviral resistance.
Conclusions:
- Oxidative/nitrosative stress is a critical factor in Hepatitis C virus pathogenesis.
- Alcohol significantly worsens the oxidative burden and associated complications in HCV patients.
- Further research into redox interactions may lead to novel therapeutic strategies for HCV.
Abstract:
Hepatitis C virus (HCV) is a blood-borne pathogen that was identified as an etiologic agent of non-A, non-B hepatitis in 1989. HCV is estimated to have infected at least 170 million people worldwide. The majority of patients infected with HCV do not clear the virus and become chronically infected, and chronic HCV infection increases the risk for hepatic steatosis, cirrhosis, and hepatocellular carcinoma. HCV induces oxidative/nitrosative stress from multiple sources, including inducible nitric oxide synthase, the mitochondrial electron transport chain, hepatocyte NAD(P)H oxidases, and inflammation, while decreasing glutathione. The cumulative oxidative burden is likely to promote both hepatic and extrahepatic conditions precipitated by HCV through a combination of local and more distal effects of reactive species, and clinical, animal, and in vitro studies strongly point to a role of oxidative/nitrosative stress in HCV-induced pathogenesis. Oxidative stress and hepatopathogenesis induced by HCV are exacerbated by even low doses of alcohol. Alcohol and reactive species may have other effects on hepatitis C patients such as modulation of the host immune system, viral replication, and positive selection of HCV sequence variants that contribute to antiviral resistance. This review summarizes the current understanding of redox interactions of HCV, outlining key experimental findings, directions for future research, and potential applications to therapy.
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