The Latest Advances and Challenges in Viral Hepatitis

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Infectious Diseases".

Deadline for manuscript submissions: 31 December 2024 | Viewed by 1172

Special Issue Editors


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Guest Editor
Department for Viral Hepatitis, University Hospital for Infectious Diseases, Zagreb, Croati
Interests: viral hepatitis; non-alcoholic fatty liver disease; infectious diseases; human papilloma viruses; COVID-19

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Guest Editor
Department of Immunological and Molecular Diagnostics, University Hospital for Infectious Diseases, Zagreb, Croatia
Interests: viral hepatitis; hepatitis C; HIV; virology; immunology
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Special Issue Information

Dear Colleagues,

Viral hepatitis is a field of medicine where we have faced enormous advances in the last ten years. Antiviral therapy for hepatitis C and wide implementation of the HBV vaccine in infants are promising a new era without chronic hepatitis in the nearest future. Yet there are challenges remaining; insufficient screening and linkage to care in many countries that are still leaving untreated patients to develop cirrhosis and hepatocellular carcinoma, since patients treated during the advanced fibrosis stages can develop HCC as well. In some risk populations, HCV reinfection is occurring, and we still do not have a cure for hepatitis B. In this Special Issue, we would like to emphasize the importance of recent advances in the field but also address each of the remaining challenges, as well as state-of-the art research strategies.

Prof. Dr. Adriana Vince
Prof. Dr. Robert Flisiak
Dr. Snjezana Zidovec Lepej
Guest Editors

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Keywords

  • hepatitis B virus
  • hepatitis C virus
  • antiviral treatment
  • hepatocellular carcinoma
  • biomarkers
  • screening

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Published Papers (1 paper)

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Research

15 pages, 2235 KiB  
Article
The Impact of Liver Steatosis on Interleukin and Growth Factors Kinetics during Chronic Hepatitis C Treatment
by Leona Radmanic Matotek, Snjezana Zidovec-Lepej, Nikolina Salek, Adriana Vince and Neven Papic
J. Clin. Med. 2024, 13(16), 4849; https://doi.org/10.3390/jcm13164849 - 16 Aug 2024
Viewed by 799
Abstract
Background/Objectives: Various biological response modifiers play important roles in the immunopathogenesis of chronic hepatitis C (CHC). While serum levels of cytokines and growth factors change with the disease severity and treatment responses, the impact of concomitant liver steatosis on systemic inflammatory response is [...] Read more.
Background/Objectives: Various biological response modifiers play important roles in the immunopathogenesis of chronic hepatitis C (CHC). While serum levels of cytokines and growth factors change with the disease severity and treatment responses, the impact of concomitant liver steatosis on systemic inflammatory response is largely unknown. The aim of this study was to analyze the characteristics and kinetics of serum profiles of interleukins and growth factors in CHC patients with steatotic liver disease (SLD). Methods: Serum concentrations of 12 cytokines (IL-5, IL-13, IL-2, IL-6, IL-9, IL-10, IFN-γ, TNF-α, IL-17A, IL-17F, IL-4 and IL-22) and 6 growth factors (Angiopoietin-2, EGF, EPO, HGF, SCF, VEGF) were analyzed in 56 CHC patients at four time points (baseline, week 4, week 8 and SVR12) with bead-based flow cytometry assay. Results: At baseline, patients with SLD had significantly lower IL-9, IL-10, IL-13 and IL-22 and higher serum concentrations of EGF, VEGF and ANG. In a subgroup of patients with advanced liver fibrosis, SLD was linked with lower serum concentrations of IL-4, IL-5, IL-9, IL-10, IL-13 and IL-22 and higher concentrations of HGH and VEGF. Distinct cytokine kinetics during DAA treatment was observed, and SLD was identified as the main source of variation for IL-5, IL-9, IL-10, IL-13, IL-17A, IL-22, EGF, VEGF and ANG. Patients with SLD at SVR12 had significantly higher VEGF and HGF serum concentrations. Conclusions: SLD is associated with distinct cytokine and growth factor profiles and kinetics during CHC treatment, which might be associated with disease severity and the capacity for liver regeneration and contribute to fibrosis persistence. Full article
(This article belongs to the Special Issue The Latest Advances and Challenges in Viral Hepatitis)
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