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Updated: Mar 14, 2026

Microfluidics in Assessing Platelet Function
Published on: November 8, 2024
The effect of standard therapy on mean platelet volume in patients with chronic hepatitis C
Ali Ugur Uslu1, Bahattin Aydin2, Sevket Balta3
1Department of Internal Medicine, Eskisehir Military Hospital, Eskisehir, Turkey.
Insights
Mean platelet volume (MPV) decreased significantly after antiviral therapy in chronic hepatitis C (CHC) patients. This suggests MPV can serve as a cost-effective marker for assessing inflammation in CHC.
Area of Science:
- Hepatology
- Inflammation markers
- Hematology
Background:
- Chronic hepatitis C (CHC) is a systemic disease linked to liver damage and cancer.
- Mean platelet volume (MPV) is an indicator of systemic inflammation and platelet activity.
Purpose of the Study:
- To evaluate pre- and post-treatment MPV levels in CHC patients undergoing antiviral therapy.
- To assess MPV as a marker of systemic inflammation during CHC treatment.
Main Methods:
- 28 CHC genotype 1b patients and 28 healthy controls were studied.
- MPV values were measured pre-treatment (group 1) and post-3-months therapy (group 2).
- Statistical analysis compared MPV between groups.
Main Results:
- Pre-treatment MPV (group 1) was significantly higher than post-treatment MPV (group 2) and control values.
- MPV values in group 1 were significantly different from group 2 (p < 0.0001) and controls (p = 0.045).
- No significant difference was found between group 2 and controls (p = 0.455).
Conclusions:
- MPV levels decrease following antiviral treatment in CHC patients.
- MPV may serve as an affordable biomarker for monitoring low-grade inflammation in CHC.
Introduction:
Chronic hepatitis C (CHC) infection is a systemic disorder that can lead to liver inflammation, fibrosis, cirrhosis, and hepatocellular cancer. The mean platelet volume (MPV) is widely used as an inflammatory marker to evaluate the platelet function and the status of systemic inflammation.
Aim:
To determine the pre- and post-treatment MPV values in CHC patients who were administered a 48-week antiviral therapy based on systemic inflammation.
Material And Methods:
We enrolled 28 patients, diagnosed with CHC genotype 1b, who received a 48-week antiviral therapy and attended regular follow-up, and 28 healthy individuals. In diagnosing CHC, a positive anti-HCV for a minimum duration of 6 months and a positive serum HCV RNA were accepted as the criteria. The patients were assigned to one of two groups based on their group 1 (pre-treatment values) and group 2 (post-treatment values) after 3 months therapy. We analysed and compared the blood samples of all of the groups.
Results:
The MPV value was 8.89 ±1.20 in group 1 and 8.00 ±1.07 in group 2, and 8.21 ±1.18 in the control group. The value in group 1 was detected to be statistically significantly different from that in group 2 and the control group (p < 0.0001, p = 0.045, respectively). No statistically significant difference was observed between group 2 and the control group (p = 0.455).
Conclusions:
The results of this study suggest that MPV could represent an inexpensive marker for use in assessing low-grade inflammation in patients with CHC.
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