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缺铁对慢性丙型肝炎病毒感染的影响。

The effect of iron depletion on chronic hepatitis C virus infection.

机构信息

Servizio di Immunoematologia e Trasfusione, Centro Emofilia, Azienda Ospedaliera di Verona, Ospedale Policlinico, Piazzale Ludovico Scuro, Verona, 37134, Italy,

出版信息

Hepatol Int. 2008 Sep;2(3):335-40. doi: 10.1007/s12072-008-9076-z. Epub 2008 May 8.

DOI:10.1007/s12072-008-9076-z
PMID:19669262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2716881/
Abstract

Increasing evidence exists that iron overload, a common finding in chronic hepatitis C virus (HCV) infection, plays an important role in the pathophysiology of this disease. The mechanisms by which iron excess induces liver damage along with the benefit of iron depletion via phlebotomy on biochemical and histological outcomes in patients with chronic HCV infection have been discussed in this review. Finally, we focus on the effect of iron reduction on the rate of response to interferon antiviral therapy.

摘要

越来越多的证据表明,铁过载是慢性丙型肝炎病毒(HCV)感染的常见发现,在该病的病理生理学中起着重要作用。本文综述了铁过载诱导肝损伤的机制,以及通过放血去除铁对慢性 HCV 感染患者的生化和组织学结果的益处。最后,我们重点讨论了铁减少对干扰素抗病毒治疗反应率的影响。

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The effect of iron depletion on chronic hepatitis C virus infection.缺铁对慢性丙型肝炎病毒感染的影响。
Hepatol Int. 2008 Sep;2(3):335-40. doi: 10.1007/s12072-008-9076-z. Epub 2008 May 8.
2
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本文引用的文献

1
Long-term phlebotomy with low-iron diet therapy lowers risk of development of hepatocellular carcinoma from chronic hepatitis C.长期放血疗法联合低铁饮食疗法可降低慢性丙型肝炎发展为肝细胞癌的风险。
J Gastroenterol. 2007 Oct;42(10):830-6. doi: 10.1007/s00535-007-2095-z. Epub 2007 Oct 15.
2
Hepatic iron accumulation is associated with disease progression and resistance to interferon/ribavirin combination therapy in chronic hepatitis C.肝铁蓄积与慢性丙型肝炎的疾病进展及对干扰素/利巴韦林联合治疗的耐药性相关。
J Gastroenterol Hepatol. 2007 Nov;22(11):1886-93. doi: 10.1111/j.1440-1746.2006.04759.x.
3
Phlebotomy improves therapeutic response to interferon in patients with chronic hepatitis C: a meta-analysis of six prospective randomized controlled trials.放血疗法可改善慢性丙型肝炎患者对干扰素的治疗反应:六项前瞻性随机对照试验的荟萃分析。
Dig Dis Sci. 2008 Mar;53(3):815-22. doi: 10.1007/s10620-007-9945-7. Epub 2007 Sep 12.
4
Relative contribution of iron genes, dysmetabolism and hepatitis C virus (HCV) in the pathogenesis of altered iron regulation in HCV chronic hepatitis.铁基因、代谢紊乱及丙型肝炎病毒(HCV)在HCV慢性肝炎铁调节异常发病机制中的相对作用
Haematologica. 2007 Aug;92(8):1037-42. doi: 10.3324/haematol.11281. Epub 2007 Jul 20.
5
Molecular mechanism of iron metabolism and overload in chronic hepatitis C.丙型肝炎中铁代谢及铁过载的分子机制
J Gastroenterol. 2007 Jan;42(1):96-9. doi: 10.1007/s00535-006-1983-y.
6
Efficacy and safety of 6-month iron reduction therapy in patients with hepatitis C virus-related cirrhosis: a pilot study.丙型肝炎病毒相关性肝硬化患者6个月铁减少治疗的疗效和安全性:一项初步研究。
J Gastroenterol. 2007 Jan;42(1):49-55. doi: 10.1007/s00535-006-1967-y. Epub 2007 Feb 16.
7
Effect of iron depletion on serum markers of fibrogenesis, oxidative stress and serum liver enzymes in chronic hepatitis C: results of a pilot study.铁缺乏对慢性丙型肝炎患者肝纤维化、氧化应激血清标志物及血清肝酶的影响:一项初步研究结果
Liver Int. 2007 Mar;27(2):268-73. doi: 10.1111/j.1478-3231.2007.01449.x.
8
Roles of iron and HFE mutations on severity and response to therapy during retreatment of advanced chronic hepatitis C.铁和HFE突变在晚期慢性丙型肝炎再治疗期间对疾病严重程度及治疗反应的作用
Gastroenterology. 2006 Nov;131(5):1440-51. doi: 10.1053/j.gastro.2006.08.036. Epub 2006 Aug 18.
9
Iron reduction therapy by phlebotomy reduces lipid peroxidation and oxidative stress in patients with chronic hepatitis C.通过放血进行铁减少疗法可降低慢性丙型肝炎患者的脂质过氧化和氧化应激。
J Gastroenterol. 2006 Sep;41(9):921-2. doi: 10.1007/s00535-006-1871-5.
10
Iron accumulation in chronic hepatitis C: relation of hepatic iron distribution, HFE genotype, and disease course.慢性丙型肝炎中的铁蓄积:肝脏铁分布、HFE基因分型与疾病进程的关系
Am J Clin Pathol. 2005 Dec;124(6):846-53.