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Address correspondence to Jacopo Vecchiet, M.D., Dept. of Medicine and Science of Aging, School of Medicine, G. dAnnunzio University, Via dei Vestini, 66013 Chieti, Italy; tel 39 0871 355 5293; fax 39 0871 561 635; e-mail jvecchiet{at}unich.it.
There is significant upregulation of interleukin-18 (IL-18) expression in viral infectious diseases and in some chronic hepatic diseases, especially (i) hepatitis C virus (HCV) infection, (ii) HCV infection with persistently normal ALT levels (PNAL), and (iii) non-alcoholic fatty liver disease (NAFLD). The aim of this study was a better understanding of the implications of plasma IL-18 levels in the above-mentioned liver diseases. Thirty-four patients with HCV infection, 13 with NAFLD, and 10 controls were enrolled. The HCV-RNA and HCV-genotypes and the serum or plasma levels of IL-18, aspartate aminotransferase (AST), alanine aminotransferase (ALT),
-glutamyltranspeptidase (
-GT), alkaline phosphatase, total cholesterol, triglycerides,
1-fetoprotein, and ferritin were evaluated. Patients with HCV showed higher levels of IL-18 than the NAFLD patients (p <0.01) and the controls (p <0.005). Patients with NAFLD showed higher values of body mass index and liver disease parameters, compared to HCV-infected subjects or controls. These data confirm previous reports of enhanced expression of IL-18 in patients with HCV and NAFLD, compared to healthy subjects, and suggest that IL-18 is important as a marker of liver diseases.
Keywords: interleukin-18, HCV-infection, viral hepatitis, non-alcoholic fatty liver disease
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K. Falasca, C. Ucciferri, M. Dalessandro, P. Zingariello, P. Mancino, C. Petrarca, E. Pizzigallo, P. Conti, and J. Vecchiet Cytokine Patterns Correlate with Liver Damage in Patients with Chronic Hepatitis B and C. Ann. Clin. Lab. Sci., March 1, 2006; 36(2): 144 - 150. [Abstract] [Full Text] [PDF] |
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