ASSESSMENT OF THE PREDICTIVE VALUE OF T-REGULATORY CELLS FOR THE RESPONSE OF CHRONIC HEPATITIS C TO SOFOSBUVIR BASED THERAPY | ||||
| Zagazig University Medical Journal | ||||
| Article 10, Volume 25, Issue 3, May 2019, Page 350-358 PDF (1.04 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2019.30934 | ||||
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| Authors | ||||
| Monkez MoteihYousif; Mohammad Mohammad Sakr; Seham Mahrous Zaki; Ayman Magd-eldin Sadek; Osama Ibrahim Husseiny Mostafa | ||||
| Abstract | ||||
| Background: In Chronic Hepatitis C (CHC) disease, the role of Treg is still controversial and most studies yielded conflicting reports. Our study aimed to assess the influence of baseline T-regulatory cells on Chronic Hepatitis C (CHC) disease progression and response to treatment with direct-acting antiviral drugs (DAA).Method: This prospective cohort study included 120 CHC patients who are eligible to receive DAA treatment in National Committee for Combating Viral Hepatitis (NCCVH) at Al-AHRAR hospital, were subjected to routine laboratory investigation, pre and post-treatment polymerase chain reaction (PCR) analysis and flow cytometry analysis to reveal ratio percentages of T-regulatory cells subsets. According to response to DAA into the sustained virological response (SVR) group and Non-response (NR) group included 112 and 8 patient respectively also divided into Non-Cirrhotic and Cirrhotic groups included 103 and 17 patients respectively. Result: Comparison SVR and NR groups resulted in a significant difference between both groups with higher FOX-p3 expression among NR populations (p= 0.002). Multivariate regression analysis resulted in FOX-p3 expression as an independent factor for non-response to DAA treatment, there is a positive correlation between T-regulatory cells and the severity of liver disease. ROC curve analysis had shown a cut-off for FOX-p3 expression percentage (≥6.92) that can differentiate between SVR and NR groups. CD25+CD4 (P =0.002) and Fox+ve Treg (P =0.018) were higher in Cirrhotic than Non Cirrhotic group. Conclusion: T-Regulatory cell level may predict the response to DAA treatment in CHC patients. | ||||
| Keywords | ||||
| Direct-acting antiviral drugs; Chronic hepatitis C; T-regulatory | ||||
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