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Tryptophan-Kynurenine Metabolism and Insulin Resistance in Hepatitis C Patients
Joint Authors
Weinstock, J. V.
Zgrajka, W.
Summergrad, Paul
Oxenkrug, Gregory F.
Turski, W. A.
Source
Hepatitis Research and Treatment
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-09-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Chronic hepatitis C virus (HCV) infection is associated with 50% incidence of insulin resistance (IR) that is fourfold higher than that in non-HCV population.
IR impairs the outcome of antiviral treatment.
The molecular mechanisms of IR in HCV are not entirely clear.
Experimental and clinical data suggested that hepatitis C virus per se is diabetogenic.
However, presence of HCV alone does not affect IR.
It was proposed that IR is mediated by proinflammatory cytokines, mainly by TNF-alpha.
TNF-alpha potentiates interferon-gamma-induced transcriptional activation of indoleamine 2,3-dioxygenase, the rate-limiting enzyme of tryptophan- (TRP-) kynurenine (KYN) metabolism.
Upregulation of TRP-KYN metabolism was reported in HCV patients.
KYN and some of its derivatives affect insulin signaling pathways.
We hypothesized that upregulation of TRP-KYN metabolism might contribute to the development of IR in HCV.
To check this suggestion, we evaluated serum concentrations of TRP and KYN and HOMA-IR and HOMA-beta in 60 chronic HCV patients considered for the treatment with IFN-alpha.
KYN and TRP concentrations correlated with HOMA-IR and HOMA-beta scores.
Our data suggest the involvement of KYN and its metabolites in the development of IR in HCV patients.
TRP-KYN metabolism might be a new target for prevention and treatment of IR in HCV patients.
American Psychological Association (APA)
Oxenkrug, Gregory F.& Turski, W. A.& Zgrajka, W.& Weinstock, J. V.& Summergrad, Paul. 2013. Tryptophan-Kynurenine Metabolism and Insulin Resistance in Hepatitis C Patients. Hepatitis Research and Treatment،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-449684
Modern Language Association (MLA)
Oxenkrug, Gregory F.…[et al.]. Tryptophan-Kynurenine Metabolism and Insulin Resistance in Hepatitis C Patients. Hepatitis Research and Treatment No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-449684
American Medical Association (AMA)
Oxenkrug, Gregory F.& Turski, W. A.& Zgrajka, W.& Weinstock, J. V.& Summergrad, Paul. Tryptophan-Kynurenine Metabolism and Insulin Resistance in Hepatitis C Patients. Hepatitis Research and Treatment. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-449684
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-449684