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慢性乙型肝炎感染患者血浆维生素D和miR-378水平与病毒载量的负相关关系。

Negative Association of Plasma Levels of Vitamin D and miR-378 With Viral Load in Patients With Chronic Hepatitis B Infection.

作者信息

Mohamadkhani Ashraf, Bastani Faegh, Khorrami Samaneh, Ghanbari Reza, Eghtesad Sareh, Sharafkhah Maryam, Montazeri Ghodratollah, Poustchi Hossein

机构信息

Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, IR Iran.

出版信息

Hepat Mon. 2015 Jun 23;15(6):e28315. doi: 10.5812/hepatmon.28315v2. eCollection 2015 Jun.

Abstract

BACKGROUND

Chronic Hepatitis B (CHB) is accompanied by inflammation of liver because of infection with Hepatitis B Virus (HBV). Previous studies revealed an inverse association between vitamin D and HBV DNA levels.

OBJECTIVES

The current study aimed to investigate the levels of 25 (OH) D3 (the steady form of vitamin D), miR-378 and HBV DNA in the patients with CHB.

PATIENTS AND METHODS

One hundred and seventy three patients with HBeAg negative CHB were recruited for the study. Plasma levels of HBVDNA and 25 (OH) D3 were quantified. The expression level of miR-378 in plasma was measured by a relative quantitative Real Time Polymerase Chain Reaction (qRT-PCR) assay.

RESULTS

In the pathway regression analysis, the plasma level of 25 (OH) D3 showed a significant inverse correlation with plasma levels of HBV DNA (-0.198, P = 0.008) and direct correlation with miR-378 (0.188, P = 0.013). Similarly plasma level of miR-378 had inverse association with HBV DNA level (-0.177, P = 0.020).

CONCLUSIONS

These results suggest that vitamin D could involve in a miRNA- mediated regulatory pathway in control of HBV replication. Further studies are recommended to understand the effects of miR-378 and anti-infective action of vitamin D on Hepatitis B Virus.

摘要

背景

慢性乙型肝炎(CHB)是由感染乙型肝炎病毒(HBV)引起的肝脏炎症。先前的研究表明维生素D与HBV DNA水平呈负相关。

目的

本研究旨在调查慢性乙型肝炎患者中25(OH)D3(维生素D的稳定形式)、miR-378和HBV DNA的水平。

患者和方法

招募了173例HBeAg阴性的慢性乙型肝炎患者进行研究。对血浆中HBV DNA和25(OH)D3水平进行定量。通过相对定量实时聚合酶链反应(qRT-PCR)测定法测量血浆中miR-378的表达水平。

结果

在路径回归分析中,25(OH)D3的血浆水平与HBV DNA的血浆水平呈显著负相关(-0.198,P = 0.008),与miR-378呈正相关(0.188,P = 0.013)。同样,miR-378的血浆水平与HBV DNA水平呈负相关(-0.177,P = 0.020)。

结论

这些结果表明维生素D可能参与了miRNA介导的调控途径以控制HBV复制。建议进一步研究以了解miR-378的作用以及维生素D对乙型肝炎病毒的抗感染作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89a/4533027/04c94ec42c79/hepatmon-15-06-28315-i001.jpg

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