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High level of serum cholesteryl ester transfer protein in active hepatitis C virus infection
Kenichi Satoh1, Tomohisa Nagano1, Nobuyoshi Seki1
1Kenichi Satoh, Tomohisa Nagano, Nobuyoshi Seki, Yoichi Tomita, Yuta Aida, Tomonori Sugita, Munenori Itagaki, Satoshi Sutoh, Hiroshi Abe, Yoshio Aizawa, Department of Gastroenterology and Hepatology, Internal Medicine of Jikei University Katsushika Medical Center, Katsushikaku, Tokyo 125-8506, Japan.
Insights
Cholesteryl ester transfer protein (CETP) is elevated in active hepatitis C virus (HCV) infection, contributing to abnormal lipoprotein metabolism. CETP levels correlate with triglyceride abnormalities in HDL during active HCV infection.
Area of Science:
- Biochemistry
- Hepatology
- Lipid Metabolism
Background:
- Chronic hepatitis C virus (HCV) infection is associated with dyslipidemia.
- Cholesteryl ester transfer protein (CETP) plays a key role in lipoprotein metabolism.
Purpose of the Study:
- To investigate the role of CETP in lipoprotein abnormalities in patients with chronic HCV infection.
- To compare CETP levels and lipoprotein profiles between patients with active HCV infection and those with eradicated HCV.
Main Methods:
- Serum CETP concentrations were measured in 110 Japanese patients (55 active HCV, 55 HCV-eradicated).
- Lipoprotein triglyceride (TG) concentrations were analyzed.
- Pearson correlations and multiple regression analysis were used to assess the relationship between CETP, HCV status, and TG levels.
Main Results:
- Serum CETP levels were significantly higher in patients with active HCV infection compared to those with eradicated HCV.
- Active HCV infection was an independent factor associated with higher CETP levels.
- Patients with active HCV infection exhibited significantly higher TG concentrations in LDL and HDL.
- CETP levels strongly correlated with HDL-TG in active HCV infection but not after eradication.
Conclusions:
- CETP is implicated in the lipoprotein abnormalities observed in chronic HCV infection.
- Elevated CETP contributes to dyslipidemia in active HCV infection.
Aim:
To determine the significance of cholesteryl ester transfer protein (CETP) in lipoprotein abnormalities in chronic hepatitis C virus (HCV) infection.
Methods:
We evaluated the significance of the serum concentration of CETP in 110 Japanese patients with chronic HCV infection. Fifty-five patients had active HCV infection, and HCV eradication had been achieved in 55. The role of CETP in serum lipoprotein abnormalities, specifically, in triglyceride (TG) concentrations in the four major classes of lipoproteins, was investigated using Pearson correlations in conjunction with multiple regression analysis and compared them between those with active HCV infection and those in whom eradication had been achieved.
Results:
The serum CETP levels of patients with active HCV infection were significantly higher than those of patients in whom HCV eradication was achieved (mean ± SD, 2.84 ± 0.69 μg/mL vs 2.40 ± 1.00 μg/mL, P = 0.008). In multiple regression analysis, HCV infection status (active or eradicated) was an independent factor significantly associated with the serum CETP level. TG concentrations in low-density lipoprotein (mean ± SD, 36.25 ± 15.28 μg/mL vs 28.14 ± 9.94 μg/mL, P = 0.001) and high-density lipoprotein (HDL) (mean ± SD, 25.9 ± 7.34 μg/mL vs 17.17 ± 4.82 μg/mL, P < 0.001) were significantly higher in patients with active HCV infection than in those in whom HCV eradication was achieved. The CETP level was strongly correlated with HDL-TG in patients with active HCV infection (R = 0.557, P < 0.001), whereas CETP was not correlated with HDL-TG in patients in whom HCV eradication was achieved (R = -0.079, P = 0.56).
Conclusion:
Our results indicate that CETP plays a role in abnormalities of lipoprotein metabolism in patients with chronic HCV infection.
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