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THE ROLE OF CYTOKINE NETWORK IN HEPATOCELLULAR DAMAGE CAUSED BY СHRONIC HEPATITIS C

https://doi.org/10.15789/1563-0625-2006-1-81-86

Abstract

Abstract. Hepatitis C virus (HCV) is the leading cause of chronic hepatitis, liver cirrhosis and hepatocellular carcinoma. Liver damage in chronic viral hepatitis C is caused by both direct cytopathic viral effects, and indirect immune-mediated mechanisms. The cytokines locally produced in the liver, as well as those circulating in the blood circulation, play an important role in the control of viral replication and sufficiently contribute to hepatocellular damage. The goal of present study was to investigate the contents of some cytokines in blood serum and their local levels, being in interrelation with indices of necrotic inflammatory changes in the liver tissue. Correlations established between systemic and local contents of studied cytokines, and morphological indices indicate that, among immunological tests checked, the contents of IL-4, IL-10, IL-12p70, and TNFα in blood serum and supernatants of liver biopsies were of the greatest significance for determining the stage of fibrosis. Quantitative assays of abovementioned cytokines in blood serum represent, therefore, an alternative approach in order to perform noninvasive screening of liver fibrosis.

About the Author

L. Ph. Skljar
ГОУ ВПО ВГМУ Росздрава, Владивосток
Russian Federation


References

1. Жданов К.В., Лобзин Ю.В., Гусев Д.А., Чирский В.С. Значение морфологических исследований в диагностике и лечении парентеральных вирусных гепатитов // Вирусные гепатиты (достижения и перспективы): Информ. бюл. – 2003. - № 2(17). – С. 11-6.

2. Майер К.П. Гепатит и последствия гепатита. Практическое руководство. - М.: ГЭОТАР Медицина, 1999. – 432с.

3. Никитин И.Г., Строжаков Г.И., Федоров И.Г. Хронический гепатит С у пациентов, перенесших трансплантацию печени: механизмы прогрессирования и подходы к лечению // Рос. журн. гастроэнтерол., гепатол., колопроктол. – 2003. - № 4. – С. 4-10.

4. Bedossa P., Poynard T. An algorithm for the grading of activity in chronic hepatitis C. The METAVIR Cooperative Study Group // Hepatology. – 1996. – Vol. 24. – №2. - P. 769-773.

5. Brunt E.M. Grading and stading the histopathological lesions of chronic hepatitis C: the Knodell Histology Activiti index and deyond // J. Hepatol. – 2000. – N. 31. – P. 241-246.

6. Foster G., Goldin R., Main J. The management of chronic hepatitis C: clinical audit of a biopsy based management algoritm // Br. Med. J. – 1997. – Vol.315. – P. 453-458.

7. Freeman A. J., Marinos G., Ffrench R. A., Lioyd A. R. Immunopathogenesis of hepatitis C virus infection // Immunol. Cell Biol. 2001, Vol.79. – P. 515-36.

8. Grant A., Neuberger J. Guidelines on the use liver biopsy in clinical practice // Gut. – 1999. - Vol. 45(4). – P. 1-11.

9. Marcellin P., Asselah N., Boyer N. Fibrosis and disease progression in hepatitis C // Hepatology. – 2002. – Suppl 1 (36). – P. 47-56.

10. Wedemeyer H., Cornberg, Manns M. P. Immunopathogenesis and therapy of hepatitis C. In: Liver Immunology, edt Gershwin M. - 2003. – Ch. 16. – P. 223-248.


Review

For citations:


Skljar L.P. THE ROLE OF CYTOKINE NETWORK IN HEPATOCELLULAR DAMAGE CAUSED BY СHRONIC HEPATITIS C. Medical Immunology (Russia). 2006;8(1):81-86. (In Russ.) https://doi.org/10.15789/1563-0625-2006-1-81-86

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ISSN 1563-0625 (Print)
ISSN 2313-741X (Online)