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Pentraxin 3 Detects Clinically Significant Fibrosis in Patients with Chronic Viral Hepatitis C
Joint Authors
Pazgan-Simon, Monika
Gorka-Dynysiewicz, Joanna
Zuwala-Jagiello, Jolanta
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-02
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Pentraxin 3 (PTX3) plays a pathogenic role in experimental models of chronic liver injury and contributes to the progression of fibrosis.
The detection of advanced fibrosis (METAVIR F≥3) is important to identify patients who are in urgent need of antiviral treatments versus those whose treatment could be deferred (F≥2).
The aim was to assess the diagnostic value of PTX3 as a potential biomarker for clinically significant and advanced fibrosis.
PTX3 associations with biochemical and histological parameters of inflammatory activity and fibrosis were investigated in 138 patients with chronic viral hepatitis C (HCV) before antiviral treatment.
METAVIR histological scores of activity and fibrosis were obtained.
PTX3 was measured by enzyme-linked immunosorbent assay.
The diagnostic accuracy of serum PTX3 levels was compared to that of other fibrosis markers, including transforming growth factor‐β1 (TGF-β1), hyaluronic acid (HA), aspartate transaminase to platelet ratio index (APRI), fibrosis score based on four factors (FIB4), gamma-glutamyltranspeptidase to platelet ratio (GPR), and the liver stiffness measurement (LSM) by transient elastography (FibroScan®).
In HCV patients the PTX3 level increased in parallel with the METAVIR histological score of activity, being independently associated with the METAVIR fibrosis score (P < 0.001).
Using the receiver operating characteristics analysis, the best marker for detecting F≥2 and F≥3 was PTX3 with AUC = 0.802 and AUC = 0.867, respectively.
The area under the curve of PTX3 for predicting significant fibrosis (F≥2) was significantly greater than those for the GPR ratio (AUC = 0.648) and FIB-4 score (AUC = 0.770) and similar to that for APRI index (AUC = 0.831).
PTX3 provided clinically relevant diagnostic accuracy as a single marker of significant fibrosis.
American Psychological Association (APA)
Gorka-Dynysiewicz, Joanna& Pazgan-Simon, Monika& Zuwala-Jagiello, Jolanta. 2019. Pentraxin 3 Detects Clinically Significant Fibrosis in Patients with Chronic Viral Hepatitis C. BioMed Research International،Vol. 2019, no. 2019, pp.1-11.
https://search.emarefa.net/detail/BIM-1123992
Modern Language Association (MLA)
Gorka-Dynysiewicz, Joanna…[et al.]. Pentraxin 3 Detects Clinically Significant Fibrosis in Patients with Chronic Viral Hepatitis C. BioMed Research International No. 2019 (2019), pp.1-11.
https://search.emarefa.net/detail/BIM-1123992
American Medical Association (AMA)
Gorka-Dynysiewicz, Joanna& Pazgan-Simon, Monika& Zuwala-Jagiello, Jolanta. Pentraxin 3 Detects Clinically Significant Fibrosis in Patients with Chronic Viral Hepatitis C. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-11.
https://search.emarefa.net/detail/BIM-1123992
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1123992