Montes-Cano M-A, Garcia-Lozano J-R, Aguilar-Reina J, Romero-Gomez M, Barroso N, Nunez-Roldan A, Gonzalez-Escribano M-F
Servicio de Inmunologia, Hospital Universitario Virgen del Rocio, Seville 41013, Spain.
World J Gastroenterol. 2007 Apr 21;13(15):2187-92. doi: 10.3748/wjg.v13.i15.2187.
To assess whether CCL2 or interactions between this chemokine and its receptor (CCR2) are associated with outcomes of chronic hepatitis C and with responses to antiviral therapy.
Two hundred and eighty-four patients with chronic hepatitis C and 193 non-infected matched controls were included in this study. Patients were categorized according to their Scheuer score of hepatic fibrosis as F0-F2 (n = 202) or F3-F4 (n = 82) and according to their response to anti-Hepatitis C virus (HCV) therapy as sustained response (SR, n = 101) or non-sustained response (NSR, n = 98). Genotyping of the -2518 (A/G) CCL2 was performed using PCR-RFLP, genotyping of the 190 (A/G) CCR2 using a PCR-ARMS system, and genotyping of the rs3138042 (G/A) CCR2 using Taqman probes.
Univariate analyses identified 4 parameters (infection duration time, viral genotype, gender and AST levels) that tended to influence fibrosis and 7 parameters (CCL2G, CCL2ACCR2A, viremia levels, fibrosis stage, viral genotype, infection duration time and AST levels) that significantly influenced or tended to influence response to treatment. Multivariate analysis identified gender and AST levels as parameters that independently influenced fibrosis stage and viral genotype and infection duration time were the two parameters that independently influenced response to treatment.
Our results indicate that the mutations studied in the gene pair CCL2/CCR2 do not play a major role in the outcome and response to treatment for HCV infection in the Spanish population.
评估CCL2或该趋化因子与其受体(CCR2)之间的相互作用是否与慢性丙型肝炎的预后以及抗病毒治疗反应相关。
本研究纳入了284例慢性丙型肝炎患者和193例未感染的匹配对照。根据肝纤维化的Scheuer评分将患者分为F0 - F2(n = 202)或F3 - F4(n = 82),并根据其对抗丙型肝炎病毒(HCV)治疗的反应分为持续反应(SR,n = 101)或非持续反应(NSR,n = 98)。使用PCR - RFLP对CCL2的 - 2518(A/G)进行基因分型,使用PCR - ARMS系统对CCR2的190(A/G)进行基因分型,使用Taqman探针对CCR2的rs3138042(G/A)进行基因分型。
单因素分析确定了4个倾向于影响纤维化的参数(感染持续时间、病毒基因型、性别和AST水平)以及7个显著影响或倾向于影响治疗反应的参数(CCL2G、CCL2ACCR2A、病毒血症水平、纤维化阶段、病毒基因型、感染持续时间和AST水平)。多因素分析确定性别和AST水平是独立影响纤维化阶段的参数,病毒基因型和感染持续时间是独立影响治疗反应的两个参数。
我们的结果表明,在西班牙人群中,CCL2/CCR2基因对中研究的突变在HCV感染的预后和治疗反应中不起主要作用。