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  1. Article ; Online: HSD17B13 and other liver fat-modulating genes predict development of hepatocellular carcinoma among HCV-positive cirrhotics with and without viral clearance after DAA treatment.

    Burlone, Michela E / Bellan, Mattia / Barbaglia, Matteo N / Mocchetti, Ginevra / Mallela, Venkata R / Minisini, Rosalba / Rigamonti, Cristina / Pirisi, Mario

    Clinical journal of gastroenterology

    2022  Volume 15, Issue 2, Page(s) 301–309

    Abstract: Background: Genetic predisposition to accumulate liver fat (expressed by a polygenic risk score, GRS, based on the number of at-risk alleles of PNPLA3, TM6SF2, MBOAT7 and GCKR) may influence the probability of developing hepatocellular carcinoma (HCC) ... ...

    Abstract Background: Genetic predisposition to accumulate liver fat (expressed by a polygenic risk score, GRS, based on the number of at-risk alleles of PNPLA3, TM6SF2, MBOAT7 and GCKR) may influence the probability of developing hepatocellular carcinoma (HCC) after hepatitis C treatment. Whether this holds true taking into account carriage of the HSD17B13:TA splice variant, also affecting lipogenesis, and achievement of viral clearance (SVR), is unknown.
    Methods: PNPLA3, TM6SF2, MBOAT7, GCKR and HSD17B13 variants were determined in a cohort of 328 cirrhotic patients free of HCC before starting treatment with direct acting antivirals (DAA).
    Results: SVR in the study cohort was 96%. At the end of follow-up, N = 21 patients had been diagnosed an HCC; none of the genes included in the GRS was individually associated with HCC development. However, in a Cox proportional hazards model, a GRS > 0.457 predicted HCC independently of sex, diabetes, albumin, INR and FIB4. The fit of the model improved adding treatment outcome and carriage of the HSD17B13:TA splice variant, with sex, GRS > 0.457, HSD17B13:TA splice variant and failure to achieve an SVR (hazard ratio = 6.75, 4.24, 0.24 and 7.7, respectively) being independent predictors of HCC.
    Conclusion: Our findings confirm that genes modulating liver fat and lipogenesis are important risk factors for HCC development among cirrhotics C treated with DAA.
    MeSH term(s) 17-Hydroxysteroid Dehydrogenases/genetics ; Antiviral Agents/therapeutic use ; Carcinoma, Hepatocellular/genetics ; Carcinoma, Hepatocellular/pathology ; Hepatitis C, Chronic/complications ; Hepatitis C, Chronic/drug therapy ; Humans ; Liver Cirrhosis/complications ; Liver Cirrhosis/drug therapy ; Liver Neoplasms/complications ; Liver Neoplasms/genetics
    Chemical Substances Antiviral Agents ; 17-Hydroxysteroid Dehydrogenases (EC 1.1.-) ; HSD17B13 protein, human (EC 1.1.-.-)
    Language English
    Publishing date 2022-01-31
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2429411-1
    ISSN 1865-7265 ; 1865-7257
    ISSN (online) 1865-7265
    ISSN 1865-7257
    DOI 10.1007/s12328-021-01578-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Direct antivirals and cognitive impairment in hepatitis C: a clinical-neurophysiologic study.

    Vaghi, Gloria / Gori, Benedetta / Strigaro, Gionata / Burlone, Michela / Minisini, Rosalba / Barbaglia, Matteo N / Brigatti, Elena / Varrasi, Claudia / Pirisi, Mario / Cantello, Roberto

    Journal of neurovirology

    2020  Volume 26, Issue 6, Page(s) 870–879

    Abstract: Cognition was assessed in hepatitis C virus (HCV) patients, who did not meet the criteria for a minimal hepatic encephalopathy. Their liver function was compensated. We then disentangled potential cognitive changes associated with a sustained virologic ... ...

    Abstract Cognition was assessed in hepatitis C virus (HCV) patients, who did not meet the criteria for a minimal hepatic encephalopathy. Their liver function was compensated. We then disentangled potential cognitive changes associated with a sustained virologic response at 12 weeks (SVR-12), following treatment with direct antiviral agents (DAAs). We studied 23 selected HCV patients with a battery of standard neuropsychological tests, and with recordings of the P300 wave, a cerebral potential of "cognitive" significance. There was a baseline evaluation (T0) and a second one 6 months later (T1). We had 2 control groups of comparable age and sex, i.e., 15 patients suffering from non-alcoholic fatty liver disease (NAFLD) and 15 healthy subjects. At T0, we detected a significant (p < 0.05) cognitive impairment in the HCV group, which involved episodic and working memory, attention, visuospatial and verbal abilities, executive functions, and logic reasoning. The P300 latency was significantly (p < 0.05) delayed in the group. At T1, we observed some significant (p < 0.05) HCV recovery in given test domains, e.g., memory, executive functions, and reasoning. Accordingly, the P300 latency shortened significantly (p < 0.05). HCV patients exhibited subtle cognitive defects, somehow independent of their liver condition, possibly linked to direct or indirect brain involvement by the virus. These defects partly recovered following the SVR-12, as achieved through DAAs. The P300 wave was a valid neurophysiologic counterpart of these changes. DAAs can have a role in the early preservation of cognition in HCVs.
    MeSH term(s) Aged ; Antiviral Agents/therapeutic use ; Attention/drug effects ; Attention/physiology ; Brain/drug effects ; Brain/virology ; Case-Control Studies ; Cognition/drug effects ; Cognition/physiology ; Cognitive Dysfunction/diagnosis ; Cognitive Dysfunction/drug therapy ; Cognitive Dysfunction/psychology ; Cognitive Dysfunction/virology ; Event-Related Potentials, P300/drug effects ; Event-Related Potentials, P300/physiology ; Executive Function/drug effects ; Executive Function/physiology ; Female ; Hepacivirus/drug effects ; Hepacivirus/pathogenicity ; Hepatitis C, Chronic/diagnosis ; Hepatitis C, Chronic/drug therapy ; Hepatitis C, Chronic/psychology ; Hepatitis C, Chronic/virology ; Humans ; Liver/drug effects ; Liver/virology ; Male ; Memory, Short-Term/drug effects ; Memory, Short-Term/physiology ; Middle Aged ; Neuropsychological Tests ; Non-alcoholic Fatty Liver Disease/diagnosis ; Non-alcoholic Fatty Liver Disease/psychology ; Non-alcoholic Fatty Liver Disease/virology ; Sustained Virologic Response
    Chemical Substances Antiviral Agents
    Language English
    Publishing date 2020-09-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1283265-0
    ISSN 1538-2443 ; 1355-0284
    ISSN (online) 1538-2443
    ISSN 1355-0284
    DOI 10.1007/s13365-020-00904-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: 17,β-estradiol inhibits hepatitis C virus mainly by interference with the release phase of its life cycle.

    Magri, Andrea / Barbaglia, Matteo N / Foglia, Chiara Z / Boccato, Elisa / Burlone, Michela E / Cole, Sarah / Giarda, Paola / Grossini, Elena / Patel, Arvind H / Minisini, Rosalba / Pirisi, Mario

    Liver international : official journal of the International Association for the Study of the Liver

    2017  Volume 37, Issue 5, Page(s) 669–677

    Abstract: Background & aims: Oestrogen and oestrogen-mediated signalling protect from hepatitis C virus through incompletely understood mechanisms. We aimed to ascertain which phase(s) of hepatitis C virus life cycle is/are affected by oestrogens.: Methods: ... ...

    Abstract Background & aims: Oestrogen and oestrogen-mediated signalling protect from hepatitis C virus through incompletely understood mechanisms. We aimed to ascertain which phase(s) of hepatitis C virus life cycle is/are affected by oestrogens.
    Methods: Huh7 cells infected with the JFH1 virus (genotype 2a) were exposed to dehydroepiandrosterone, testosterone, progesterone and 17β-estradiol (tested with/without its receptor antagonist fulvestrant). Dose-response curves were established to calculate half maximal inhibitory concentration values. To dissect how 17β-estradiol interferes with phases of hepatitis C virus life cycle, its effects were measured on the hepatitis C virus pseudo-particle system (viral entry), the subgenomic replicon N17/JFH1 and the replicon cell line Huh7-J17 (viral replication). Finally, in a dual-step infection model, infectious supernatants, collected from infected cells exposed to hormones, were used to infect naïve cells.
    Results: Progesterone and testosterone showed no inhibitory effect on hepatitis C virus; dehydroepiandrosterone was only mildly inhibitory. In contrast, 17β-estradiol inhibited infection by 64%-67% (IC
    Conclusions: 17β-estradiol inhibits hepatitis C virus acting through its intracellular receptors, mainly interfering with late phases (assembly/release) of the hepatitis C virus life cycle.
    Language English
    Publishing date 2017-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2102783-3
    ISSN 1478-3231 ; 1478-3223
    ISSN (online) 1478-3231
    ISSN 1478-3223
    DOI 10.1111/liv.13303
    Database MEDical Literature Analysis and Retrieval System OnLINE

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