The role of hepatic progenitor cells in predicting response to therapy in Egyptian patients with chronic hepatitis C, genotype 4

dc.AffiliationOctober University for modern sciences and Arts (MSA)
dc.contributor.authorHelal T.E.A.
dc.contributor.authorRadwan N.A.
dc.contributor.authorMahmoud H.A.
dc.contributor.authorZaki A.M.E.
dc.contributor.authorAhmed N.S.
dc.contributor.authorWahib A.A.A.
dc.contributor.authorAref A.M.
dc.contributor.otherDepartment of Pathology
dc.contributor.otherFaculty of Medicine
dc.contributor.otherAin Shams University
dc.contributor.otherRamses Street- New Faculty Bldg. -5th floor
dc.contributor.otherP.O. # 11566
dc.contributor.otherCairo
dc.contributor.otherEgypt; Department of Internal Medicine
dc.contributor.otherFaculty of Medicine
dc.contributor.otherAl-Azhar University
dc.contributor.otherCairo
dc.contributor.otherEgypt; Faculty of Biotechnology
dc.contributor.otherOctober University for Modern Sciences and Arts (MSA)
dc.contributor.otherGiza
dc.contributor.otherEgypt
dc.date.accessioned2020-01-09T20:40:40Z
dc.date.available2020-01-09T20:40:40Z
dc.date.issued2019
dc.descriptionScopus
dc.description.abstractBackground: Interferon therapy is used as a line of treatment of chronic hepatitis C virus (HCV) in several areas of the world including Egypt. Objective: Our aim was to investigate the value of hepatic progenitor cells (HPCs) in predicting response of patients with chronic HCV, genotype 4 to pegylated interferon (PEGIFN) plus ribavirin (RBV) therapy. Methods: Pre-treatment liver biopsies obtained from 110 patients with chronic HCV, genotype 4 were examined immunohistochemically for HPCs using cytokeratin19. The mean number of HPCs as ductular reaction (DR) and as isolated progenitor cells (IPCs) was counted in each case. The patients were classified into: those with sustained virological response (SVR) and those who did not achieve SVR. The results were compared between the two groups. Also, the relationships between HPCs and other clinico-pathologic variables were estimated using multivariate analysis. Results: The mean number of HPCs was the only independent predictor of therapeutic response, being significantly higher in non-responders (P = 0 for DR and P = 0.03 for IPCs). On the other hand, fibrosis stage and steatosis were the only independent factors which showed a significant direct association with the mean number of HPCs in the form of DR and IPCs (P = 0 for each). Conclusion: The number of HPCs provides prognostic information in chronic HCV since it is significantly associated with stage of fibrosis. More importantly, it can be used as a marker to predict response of patients with chronic HCV to PEGIFN plus RBV therapy. � 2019 Helal et al. Licensee African Health Sciences.en_US
dc.identifier.doihttps://doi.org/10.4314/ahs.v19i1.14
dc.identifier.doiPubMedID31148968
dc.identifier.issn16806905
dc.identifier.otherhttps://doi.org/10.4314/ahs.v19i1.14
dc.identifier.otherPubMedID31148968
dc.identifier.urihttps://t.ly/BX9w7
dc.language.isoEnglishen_US
dc.publisherMakerere University, Medical Schoolen_US
dc.relation.ispartofseriesAfrican Health Sciences
dc.relation.ispartofseries19
dc.subjectChronic hepatitis cen_US
dc.subjectGenotype 4en_US
dc.subjectHepatic progenitor cellsen_US
dc.subjectResponse to therapyen_US
dc.subjectcytokeratin 19en_US
dc.subjectpeginterferon alpha2a plus ribavirinen_US
dc.subjectalpha interferonen_US
dc.subjectantivirus agenten_US
dc.subjectribavirinen_US
dc.subjectadulten_US
dc.subjectageden_US
dc.subjectArticleen_US
dc.subjectchronic hepatitis Cen_US
dc.subjectclinical protocolen_US
dc.subjectcontrolled studyen_US
dc.subjectcorrelation coefficienten_US
dc.subjectdemographyen_US
dc.subjectdisease activityen_US
dc.subjectdisease courseen_US
dc.subjectfatty liveren_US
dc.subjectfemaleen_US
dc.subjecthepatic progenitor cellen_US
dc.subjectHepatitis C virus genotype 4en_US
dc.subjecthumanen_US
dc.subjecthuman tissueen_US
dc.subjectimmunohistochemistryen_US
dc.subjectliver biopsyen_US
dc.subjectliver fibrosisen_US
dc.subjectmajor clinical studyen_US
dc.subjectmaleen_US
dc.subjectmiddle ageden_US
dc.subjectoutcome assessmenten_US
dc.subjectpredictionen_US
dc.subjectprognosisen_US
dc.subjectrandomized controlled trialen_US
dc.subjectrank sum testen_US
dc.subjectretrospective studyen_US
dc.subjectyoung adulten_US
dc.subjectbiopsyen_US
dc.subjectchronic hepatitis Cen_US
dc.subjectcombination drug therapyen_US
dc.subjectdrug effecten_US
dc.subjectEgypten_US
dc.subjectgenotypeen_US
dc.subjectHepacivirusen_US
dc.subjectisolation and purificationen_US
dc.subjectliveren_US
dc.subjectpathologyen_US
dc.subjectvirologyen_US
dc.subjectAdulten_US
dc.subjectAntiviral Agentsen_US
dc.subjectBiopsyen_US
dc.subjectDrug Therapy, Combinationen_US
dc.subjectEgypten_US
dc.subjectFemaleen_US
dc.subjectGenotypeen_US
dc.subjectHepacivirusen_US
dc.subjectHepatitis C, Chronicen_US
dc.subjectHumansen_US
dc.subjectInterferon-alphaen_US
dc.subjectLiveren_US
dc.subjectMaleen_US
dc.subjectMiddle Ageden_US
dc.subjectRetrospective Studiesen_US
dc.subjectRibavirinen_US
dc.subjectYoung Adulten_US
dc.titleThe role of hepatic progenitor cells in predicting response to therapy in Egyptian patients with chronic hepatitis C, genotype 4en_US
dc.typeArticleen_US
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