Assessment of Interleukin-17 levels in patients with hepatitis C Viral Infection

المؤلفون

DOI:

https://doi.org/10.32007/jfacmedbagdad.2157

الملخص

Background: The roll of IL-17 during chronic hepatitis C virus (HCV) infection is not well understood. Elevated levels of IL-17 may increase the risk of liver fibrosis development in chronic HCV infection. However, the exact mechanism of how IL-17 contributes to the progression of HCV infection remains.

Objectives: This study aimed to examine the association between HCV infection and IL-17. This was done by measuring the serum levels of interleukins and the viral load of HCV in patients with HCV infections.

Methodology: The study included fifty HCV patients who were receiving treatment at the Gastroenterology and Hepatology Teaching Hospital / Medical City Complex in Baghdad. The study was conducted between November 2022 and April 2023, and the study groups were matched with 50 controls based on age and sex. Seven milliliters of venous blood samples were taken from all participants to test for anti-HCV antibodies using an ELISA kit, quantitative measurement of HCV RNA by PCR, and estimation of serum levels of IL-17.

Results: The range of HCV viral RNA titers among the patients was 165-55595000 copies/ml, and all of them tested positive for anti-HCV antibodies. On the other hand, the control group tested negative for the virus. The mean concentration of IL-17 in the patients’ group was 1458.03 (±165.7) pg/ml, while the control group had a mean of 628.04 (±163.0) pg/ml (P < 0.0001). The R-value for HCV viral load and IL-17 was 0.1388. It is worth noting that the mean serum IL-17 concentration was highest among the patients aged  ≥ 50 years old.  As for the HCV patients on treatment, their mean viral load was 406,3051.90 copies/ml, and their mean IL-17 concentration was 1444.56 pg/ml. The patients who did not receive treatment had a mean higher mean viral load of 765,525.94 copies/ml, and their mean IL-17 concentration was 1484.19 pg/ml.

Conclusion: The concentration of IL-17 was found to be significantly higher in patients with Hepatitis C virus (HCV), and it showed a weak positive correlation with HCV viral load. Moreover, older patients with HCV had higher levels of IL-17 in their blood. However, the measurement of HCV viral load and IL-17 did not show any significant differences in their readings.

 

الملخص الصوري

التنزيلات

تنزيل البيانات ليس متاحًا بعد.

السير الشخصية للمؤلفين

  • Rafal M. Mohammed، Medical City/ Gastroenterology and Hepatology, Teaching Hospital Baghdad, Iraq.

    Medical City/ Gastroenterology and Hepatology, Teaching Hospital Baghdad, Iraq.

  • Zainab A. Hamid، Dept. of Microbiology, College Medicine, University of Baghdad, Baghdad. Iraq.

    Dept. of Microbiology, College Medicine, University of Baghdad, Baghdad, Iraq.

المراجع

Maasoumy B, Wedemeyer H. Natural history of acute and chronic hepatitis C. Best Pract Res Clin Gastroenterol. 2012 Aug;26(4):401-12. https://doi.org/10.1016/j.bpg.2012.09.009

Nguyen DB, Bixler D, Patel PR. Transmission of hepatitis C virus in the dialysis setting and strategies for its prevention. Semin Dial. 2019 Mar;32(2):127-134. https://doi.org/10.1111/sdi.12761

Gupta E, Bajpai M, Choudhary A. Hepatitis C virus: Screening, diagnosis, and interpretation of laboratory assays. Asian J Transfus Sci. 2014 Jan;8(1):19-25. https://doi.org/10.4103/0973-6247.126683

Al-Bayaa Y, Hamid Z, Bayati A, Zeiny S. The Incidence of Hepatitis C Virus Infections among People Screened in Governmental Health Care Facilities in 2018 in Iraq. Indian Journal of Forensic Medicine & Toxicology, July-September 2020, Vol. 14, No.3. https://medicopublication.com/index.php/ijfmt/article/view/10565/9902

Rana Akram Hadi, Zainab A. Hamid. The Frequency of Hepatitis C Viral Infections and its Correlation with IL-12 and IL-18 among Major Thalassemic Patients in Baghdad. Egypt. J. Chem. (2022); Vol. 65, No. 8, pp. 593 – 600. DOI:10.21608/EJCHEM.2021.112813.5126

Babiker A, Jeudy J, Kligerman S, Khambaty M, Shah A, Bagchi S. Risk of Cardiovascular Disease Due to Chronic Hepatitis C Infection: A Review. J Clin Transl Hepatol. 2017 Dec 28;5(4):343-362. https://doi.org/10.14218/JCTH.2017.00021

Dustin LB. Innate and Adaptive Immune Responses in Chronic HCV Infection. Current Drug Targets 2017. 18, 826–843. https://doi.org/10.2174/1389450116666150825110532

Jouda RS, Ibrahim B M, Al-Khafagi AF. Role of CTLA-4, PD-1 and PD-L1 immune biomarkers among HCV patients undergoing hemodialysis. Biomedicine. 2023 Mar. 28;43(01):428-32. https://doi.org/10.51248/.v43i01.2112 .

Salman HS, Ibrahim BM, and Al-Khafagi AF. Serum Levels of Intercellular Adhesion Molecule-1, N-Terminal pro-Brain Natriuretic Peptide and Cardic Troponin-I among Haemodialysis Patients with Hepatitis C Virus. Journal of Cardiovascular Disease Research; 2021,Vol. 12, issue (5): 696-700. https://www.researchgate.net/publication/357033117.

Ge Y, Huang M, Yao YM. Biology of Interleukin-17 and Its Pathophysiological Significance in Sepsis. Front Immunol. 2020 Jul 28;11:1558. https://doi.org/10.3389/fimmu.2020.01558.

Beringer A, Miossec P. IL-17 and IL-17-producing cells and liver diseases, with focus on autoimmune liver diseases. Autoimmun Rev. 2018 Dec;17(12):1176-1185. https://doi.org/10.1016/j.autrev.2018.06.008.

Lee MH, Chang JT, Liao C, Chen Y, Kuo M, and Shen C. Interleukin 17 and peripheral IL-17-expressing T cells are negatively correlated with the overall survival of head and neck cancer patients. Oncotarget.2018 Feb 9; 9(11): 9825–9837. https://doi.org/10.18632/oncotarget.23934 .

Ma WT, Yao XT, Peng Q, Chen DK. The protective and pathogenic roles of IL-17 in viral infections: friend or foe? Open Biol. 2019 Jul 26;9(7):190109. https://doi.org/10.1098/rsob.190109 .

Chang Q, Wang YK, Zhao Q, Wang CZ, Hu YZ, Wu BY. Th17 cells are increased with severity of liver inflammation in patients with chronic hepatitis C. J Gastroenterol Hepatol. 2012;27(2):273–278. https://doi.org/10.1111/j.1440-1746.2011.06782.x .

Caliendo AM, Schuurman R, Yen-Lieberman B, Spector SA, Andersen J, Manjiry R, et al. CMV Working Group of the Complications of HIV Disease RAC, AIDS Clinical Trials Group. Comparison of quantitative and qualitative PCR assays for cytomegalovirus DNA in plasma. J Clin Microbiol. 2001 Apr;39(4):1334-8. https://doi.org/10.1128/JCM.39.4.1334-1338.2001.

Hahn JA, Tully DC, Evans JL, Morris MD, Briceno A, Bean DJ, et al. Role of HCV Viremia in Corroborated HCV Transmission Events Within Young Adult Injecting Partnerships, Open Forum Infectious Diseases, Volume 6, Issue 4, April 2019, ofz125. https://doi.org/10.1093/ofid/ofz125 .

Carver AB, Zuckerman AD, DeClercq J, Choi L, Chastain CA. Incidence and Impact of Persistent Viremia on SVR Rates in Patients Receiving Direct-Acting Antiviral Therapy. Open Forum Infect Dis. 2020 Nov 26;7(12):569. https://doi.org/10.1093/ofid/ofaa569.

Kaur D, Prabhakar K, and Das S. Distribution of HCV genotypes and HCV RNA viral load in hepatitis infected patients of Kolar region, Karnataka, India. Bioinformation. 2022; 18(4): 387–391. https://doi.org/10.6026/97320630018387 .

Gupta E, Bajpai M, and Choudhary A. Hepatitis C virus: Screening, diagnosis, and interpretation of laboratory assays. Asian J Transfus Sci. 2014 Jan-Jun; 8(1): 19–25. https://doi.org/10.4103/0973-6247.126683.

Zenobia C, Hajishengallis G. Basic biology and role of interleukin-17 in immunity and inflammation. Periodontol 2000. 2015 Oct;69(1):142-59. https://doi.org/10.1111/prd.12083.

Rosen HR. Interleukin (IL)-17/IL-22-Producing T cells Enriched Within the Liver of Patients with Chronic Hepatitis C Viral (HCV) Infection. Dig Dis Sci 57, 381–389 (2012). https://doi.org/10.1007/s10620-011-1997-z.

Askoura M, Abbas HA, Al Sadoun H, Abdulaal WH, Abu Lila AS, Almansour K, et al. Elevated Levels of IL-33, IL-17 and IL-25 Indicate the Progression from Chronicity to Hepatocellular Carcinoma in Hepatitis C Virus Patients. Pathogens 2022, 11, 57. https://doi.org/10.3390/pathogens11010057.

Kany S, Vollrath JT, Relja B. Cytokines in Inflammatory Disease. Int J Mol Sci. 2019 Nov 28;20(23):6008. https://doi.org/10.3390/pathogens11010057.

Gomaa AF, Wahba MO, Hafez RA, Eldaly OM, Badran SG. Assessment of the role of interleukin 17A and interleukin 17F in chronic hepatitis C virus infection in Egyptian patients. Egypt J Intern Med 31, 199–202 (2019). https://doi.org/10.4103/ejim.ejim_119_18 .

Abdel-Gawad M, Nour M, El-Raey F, Nagdy H, Almansoury Y, El-Kassas M. Gender differences in prevalence of hepatitis C virus infection in Egypt: a systematic review and meta-analysis. Sci Rep. 2023 Feb 13;13(1):2499. https://doi.org/10.1038/s41598-023-29262-z .

Niu Z, Zhang P, Tong Y. Age and gender distribution of Hepatitis C virus prevalence and genotypes of individuals of physical examination in WuHan, Central China. Springerplus. 2016 Sep 13;5(1):1557. https://doi.org/10.1186/s40064-016-3224-z.

Cainelli F. Hepatitis C virus infection in the elderly: epidemiology, natural history and management. Drugs Aging. 2008;25(1):9-18. https://doi.org/10.2165/00002512-200825010-00002.

AASLD-IDSA HCV Guidance Panel Hepatitis C Guidance 2018 Update: AASLD-IDSA Recommendations for Testing, Managing, and Treating Hepatitis C Virus Infection. Clin. Infect. Dis. 2018;67:1477–1492. doi: 10.1002/hep.31060.

European Association for the Study of the Liver EASL recommendations on treatment of hepatitis C: Final update of the series. J. Hepatol. 2020;73:1170–1218. https://doi.org/10.1016/j.jhep.2020.08.018.

IL-17; Hepatitis C virus; HCV related interleukins; chronic hepatitis.

التنزيلات

الملفات الإضافية

منشور

2024-04-01

كيفية الاقتباس

1.
Mohammed RM, A. Hamid Z. Assessment of Interleukin-17 levels in patients with hepatitis C Viral Infection. J Fac Med Baghdad [انترنت]. 1 أبريل، 2024 [وثق 8 نوفمبر، 2024];66(1):39-44. موجود في: https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/2157

تواريخ المنشور