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Published on: March 24, 2015
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.
Background:
Chronic infection with hepatitis C virus (HCV) is associated with failures of T-cell-mediated immune clearance and with abnormal B-cell growth and activation. Hepatitis C virus infection is characterized by a systemic oxidative stress that is most likely caused by a combination of chronic inflammation, iron overload, liver damage, and proteins encoded by HCV. After a viral infection, multiple proinflammatory mediators contribute to recruitment of immune cells to the liver and to the generation of an antiviral immune response. Recent publications mark chemokines and their receptors as key players in leukocyte recirculation through the inflamed liver.
Materials And Methods:
The present study involved 75 male subjects, divided into 2 groups: group 1 (n = 30), control group; group 2 (n = 45), patients with chronic HCV. For all subjects, the following investigations were performed: estimation of the levels of bilirubin, albumin, prothrombin concentration, glycosylated hemoglobin, creatinine, α-fetoprotein, HCV RNA, and activities of alanine and aspartate transaminases as well as alkaline phosphatase. In addition, regulated on activation normal T cell expressed and secreted (RANTES), tumor necrosis factor alpha, malondialdehyde (MDA) and nitric oxide (NO) were assessed. Plasma HCV-RNA concentration (viral load) was determined by real-time polymerase chain reaction (PCR) StepOne system using Applied Biosystem. Complete blood picture was assayed using Abbott Cell-Dyn 3700 hematology analyzer.
Results:
There were significant increases of the levels of RANTES, tumor necrosis factor alpha, MDA, and NO in HCV-infected patients compared with the control group (P <0.05); and in these patients, these levels showed significant positive correlation with the HCV RNA viral load. Also, mild leukopenia, thrombocytopenia, neutropenia, and lymphocytosis, with consequent significant increase in the lymphocytes/neutrophils ratio, were detected in these patients.
Conclusion:
The data support the concept of chemokines (RANTES) as mediators of liver cell injury in HCV infection. In addition, MDA and NO levels might be used as monitoring markers for oxidative stress in hepatitis C infection.
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