Department of Gastroenterology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Institute of Liver Diseases, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Infect Immun. 2024 Jun 11;92(6):e0002624. doi: 10.1128/iai.00026-24. Epub 2024 May 20.
Schistosomiasis is a serious public health problem, and previous studies found that liver function and hepatic cells are damaged. To evaluate the serum parameters of liver function and fibrosis in schistosomiasis patients infected with (.) and analyze the correlations between liver function and serum fibrosis markers in patients infected with ., this retrospective study enrolled 133 patients. The study population was divided into four groups: healthy people control group ( = 20), chronic schistosomiasis without liver cirrhosis (CS) group ( = 21), schistosomiasis cirrhosis without hypoalbuminemia (SC-HA) group ( = 68), and schistosomiasis cirrhosis with hypoalbuminemia (SC +HA) group ( = 24). Clinical and laboratory data were collected for analysis. In the multiple comparison of abnormal rates of aspartate aminotransferase (AST) and total bilirubin (TBIL), the abnormal rate of the SC +HA group was significantly higher than that of the other three groups ( < 0.05), and the abnormal rate of γ-GT in the SC +HA group was significantly higher than that in the control group ( < 0.05). Multiple comparison results of serum levels of fibrosis markers showed that the SC group had a significantly higher level of indexes than other groups ( < 0.05). The levels of TGF-β1 in the CS group, SC-HA group and SC +HA group were significantly higher than those in the control group ( < 0.001). Our study demonstrated that the liver function and hepatic cells were damaged with the progression of liver disease in patients infected with , and they played an important role in the occurrence and development of liver fibrosis.
血吸虫病是一种严重的公共卫生问题,既往研究发现其可导致肝功能及肝细胞受损。为评估感染 的血吸虫病患者的肝功能和肝纤维化血清学参数,并分析感染 患者肝功能与血清纤维化标志物之间的相关性,本回顾性研究纳入 133 例患者。研究人群分为四组:健康对照组( = 20)、无肝硬化的慢性血吸虫病组(CS 组, = 21)、无低白蛋白血症的血吸虫性肝硬化组(SC-HA 组, = 68)和有低白蛋白血症的血吸虫性肝硬化组(SC +HA 组, = 24)。收集临床和实验室数据进行分析。在天门冬氨酸氨基转移酶(AST)和总胆红素(TBIL)异常率的多重比较中,SC +HA 组的异常率明显高于其他三组( < 0.05),且 SC +HA 组 γ-GT 的异常率明显高于对照组( < 0.05)。纤维化标志物血清水平的多重比较结果显示,SC 组的各指标水平均明显高于其他组( < 0.05)。CS 组、SC-HA 组和 SC +HA 组的 TGF-β1 水平均明显高于对照组( < 0.001)。本研究表明,随着疾病的进展,感染 的患者肝功能和肝细胞受损,且其在肝纤维化的发生发展中起重要作用。