RANTES, TNF-α, oxidative stress, and hematological abnormalities in hepatitis C virus infection

Gamil Amin Tawadrous1, Amal A Aziz, Dalia G Amin

  • 1Department of Medical Biochemistry, Kasr Al-Aini Faculty of Medicine, Cairo University, Cairo, Egypt. gatawadrous@yahoo.com

Insights

Hepatitis C virus (HCV) infection elevates inflammatory markers like RANTES and oxidative stress indicators (MDA, NO). These elevated levels correlate with viral load and may indicate liver injury, suggesting their use in monitoring HCV infection.

Area of Science:

  • Hepatology
  • Immunology
  • Virology

Background:

  • Chronic hepatitis C virus (HCV) infection impairs T-cell clearance and promotes B-cell abnormalities.
  • HCV infection induces systemic oxidative stress due to inflammation, iron overload, and liver damage.
  • Chemokines and their receptors are implicated in immune cell trafficking within the inflamed liver during viral infections.

Purpose of the Study:

  • To investigate the role of chemokines and oxidative stress markers in chronic HCV infection.
  • To assess the correlation between these markers and HCV viral load.
  • To evaluate potential monitoring markers for liver injury and oxidative stress in HCV patients.

Main Methods:

  • Study included 75 male subjects (30 controls, 45 HCV patients).
  • Assessed liver function tests, HCV RNA, RANTES, tumor necrosis factor alpha, malondialdehyde (MDA), and nitric oxide (NO).
  • HCV RNA viral load determined by real-time PCR; complete blood count analyzed.

Main Results:

  • HCV patients showed significantly higher levels of RANTES, tumor necrosis factor alpha, MDA, and NO compared to controls (P <0.05).
  • These markers positively correlated with HCV RNA viral load.
  • Patients exhibited mild leukopenia, thrombocytopenia, neutropenia, and lymphocytosis, increasing the lymphocytes/neutrophils ratio.

Conclusions:

  • Chemokines like RANTES are implicated as mediators of liver cell injury in HCV infection.
  • MDA and NO levels show potential as monitoring markers for oxidative stress in hepatitis C.
  • Findings support the use of these markers for assessing disease activity and liver damage in HCV.
Abstract

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