Wang Hongpeng, Liu Yixiu, Zhao Yanguang
Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment, Chongqing University Cancer Hospital, Chongqing, China.
Key Laboratory for Biorheological Science and Technology of Ministry of Education, Chongqing University Cancer Hospital, Chongqing, China.
Int J Biol Markers. 2021 Dec;36(4):3-9. doi: 10.1177/17246008211056959. Epub 2021 Nov 26.
Previous studies have reported that hepatitis C virus (HCV) infection may increase the risk of thyroid disease (TD) even thyroid cancer (TC), but quantitative assessments of risk were rare and the results were not consistent. The purpose of this study was to evaluate the impact of HCV infection on TD and TC, and provide clues to explore the relationship between HCV infection and TD and TC. The literature retrieval was performed up to August 20th, 2021 in the database of PubMed, Cochrane library, Web of Science, China National Knowledge Infrastructure and Wang Fang. The risk of HCV for TD or TC was expressed with odds ratio (OR) and 95% confidence intervals (CI). Subgroup analysis was used to explore the source of heterogeneity. Six articles (three studies published as article and three studies published as abstract) were included in this meta-analysis, with a total of 5398 controls and 1925 cases of hepatitis C. The results of meta-analysis found that HCV infection were significantly associated with an increased risk of TD (sum OR = 1.80, 95% CI = 1.54-2.10, < 0.001, = 74.3%) and TC (sum OR = 16.36, 95% CI = 4.65-57.62, < 0.001, = 0%). HCV infection may increase the risk of TD and TC. More work is needed in the future to establish a causal role, however an awareness of the possibility of increased risk of TD and TC may lead to earlier diagnosis and better outcomes in patients with hepatitis C.
既往研究报道,丙型肝炎病毒(HCV)感染可能增加甲状腺疾病(TD)甚至甲状腺癌(TC)的发病风险,但风险的定量评估较少且结果不一致。本研究旨在评估HCV感染对TD和TC的影响,并为探索HCV感染与TD和TC之间的关系提供线索。检索了截至2021年8月20日的PubMed、Cochrane图书馆、Web of Science、中国知网和万方数据库。HCV导致TD或TC的风险用比值比(OR)和95%置信区间(CI)表示。采用亚组分析探索异质性来源。本荟萃分析纳入6篇文章(3篇发表为论文,3篇发表为摘要),共5398例对照和1925例丙型肝炎病例。荟萃分析结果发现,HCV感染与TD风险增加显著相关(汇总OR = 1.80,95%CI = 1.54 - 2.10,P < 0.001,I² = 74.3%)和TC(汇总OR = 16.36,95%CI = 4.65 - 57.62,P < 0.001,I² = 0%)。HCV感染可能增加TD和TC的风险。未来需要更多研究来确定因果关系,然而,认识到TD和TC风险增加的可能性可能会使丙型肝炎患者得到更早诊断并获得更好的治疗结果。