The Role of miRNA-122 in the Early Detection of the Degree of Liver Affection in Patients with Acute Paracetamol Toxicity Admitted to The Poison Control Center Ain Shams University Hospitals | ||||
Ain Shams Journal of Forensic Medicine and Clinical Toxicology | ||||
Volume 41, Issue 2, July 2023, Page 33-39 PDF (1.13 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ajfm.2023.308128 | ||||
View on SCiNiTO | ||||
Authors | ||||
Soha Ashry1; Salma Abdelkader1; Maha Wahdan 2; Rania Hussien1 | ||||
1Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Ain Shams University, Egypt. | ||||
2Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Egypt. | ||||
Abstract | ||||
Background: Paracetamol toxicity is a common toxicity that can result in severe hepatic damage, which can progress to liver failure. Traditional liver markers, have limitations in early detection. Aim: The present work aims to evaluate the efficacy of miRNA-122 serum level in detecting the degree of liver affection in the early phases of acute paracetamol toxicity. Methods: This prospective study was conducted by collecting demographic, clinical data and blood samples from 35 acute single paracetamol toxicity patients admitted to the Poison Control Centre of Ain Shams University. Liver function tests, serum miRNA-122 expression and paracetamol level were measured on admission, at 24 and 48 hours. 35 controls matched to age and gender, were used as a reference to the lab results. Results: The studied patients with acute paracetamol toxicity were 10 males (28.6%) and 25 females (71.4%). Mean age was 25.3 years ± 6.7. The levels of miRNA-122 on admission were statistically significantly higher in patients than in controls. The levels of ALT and INR increased statistically significantly over time, whereas paracetamol and miRNA-122 decreased statistically significantly over time. MiRNA122 expression showed a strong positive correlation with the amount of paracetamol consumed, ALT levels (p < 0.000), and length of hospital stay, and a moderate correlation with INR (p = 0.010). Conclusions: This study provides evidence supporting the potential role of miRNA-122 as a biomarker for early detection of the degree of liver injury in acute paracetamol toxicity patients. MiRNA-122 demonstrated superior sensitivity and specificity compared to traditional liver markers. | ||||
Statistics Article View: 225 PDF Download: 175 |
||||