Correlation of biological serum markers with the degree of hepatic fibrosis and necroinflammatory activity in hepatitis C and schistosomiasis patients

Detalhes bibliográficos
Autor(a) principal: Morais, Clarice Neuenschwander Lins de
Data de Publicação: 2010
Outros Autores: Carvalho, Bruno de Melo, Melo, Wlademir Gomes de, Melo, Fábio Lopes de, Lopes, Edmundo Pessoa de Almeida, Domingues, Ana Lúcia Coutinho, Jucá, Norma, Martins, João Roberto Maciel, Diniz, George Tadeu Nunes, Montenegro, Silvia Maria Lucena
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/26119
Resumo: PAPES V/FIOCRUZ, CNPq (to SMLM)
id CRUZ_51f30d66e11a297b56b82178b93817a1
oai_identifier_str oai:www.arca.fiocruz.br:icict/26119
network_acronym_str CRUZ
network_name_str Repositório Institucional da FIOCRUZ (ARCA)
repository_id_str 2135
spelling Morais, Clarice Neuenschwander Lins deCarvalho, Bruno de MeloMelo, Wlademir Gomes deMelo, Fábio Lopes deLopes, Edmundo Pessoa de AlmeidaDomingues, Ana Lúcia CoutinhoJucá, NormaMartins, João Roberto MacielDiniz, George Tadeu NunesMontenegro, Silvia Maria Lucena2018-04-26T12:03:44Z2018-04-26T12:03:44Z2010MORAIS, C. N. L. DE et al. Correlation of biological serum markers with the degree of hepatic fibrosis and necroinflammatory activity in hepatitis C and schistosomiasis patients. Memorias Do Instituto Oswaldo Cruz, v. 105, n. 4, p. 460–466, jul. 2010.1678-8060https://www.arca.fiocruz.br/handle/icict/2611910.1590/S0074-02762010000400018PAPES V/FIOCRUZ, CNPq (to SMLM)Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Imunologia. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Imunologia. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Imunologia. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Imunologia. Recife, PE, Brasil.Universidade Federal de Pernambuco. Recife, PE, Brasil.Universidade Federal de Pernambuco. Recife, PE, Brasil.Universidade Federal de Pernambuco. Recife, PE, Brasil.Universidade Federal de São Paulo. Escola Paulista de Medicina. São Paulo, SP, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Imunologia. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Imunologia. Recife, PE, Brasil.Liver biopsy is the gold-standard method to stage fibrosis; however, it is an invasive procedure and is potentially dangerous. The main objective of this study was to evaluate biological markers, such as cytokines IL-13, IFN-gamma, TNF-alpha and TGF-beta, platelets, bilirubins (Bil), alanine aminotransferase (ALT) and aspartate aminotransferase (AST), total proteins, gamma-glutamil transferase (gamma-GT) and alkaline phosphatase (AP), that could be used to predict the severity of hepatic fibrosis in schistosomiasis and hepatitis C (HC) as isolated diseases or co-infections. The following patient groups were selected: HC (n = 39), HC/hepatosplenic schistosomiasis (HSS) (n = 19), HSS (n = 22) and a control group (n = 13). ANOVA and ROC curves were used for statistical analysis. P < 0.05 was considered significant. With HC patients we showed that TNF-alpha (p = 0.020) and AP (p = 0.005) could differentiate mild and severe fibrosis. With regard to necroinflammatory activity, AST (p = 0.002), gamma-GT (p = 0.034) and AP (p = 0.001) were the best markers to differentiate mild and severe activity. In HC + HSS patients, total Bil (p = 0.008) was capable of differentiating between mild and severe fibrosis. In conclusion, our study was able to suggest biological markers that are non-invasive candidates to evaluate fibrosis and necroinflammatory activity in HC and HC + HSS.engMarcadores biológicosFibrose hepáticaHCEsquistossomoseBiological markersHepatic fibrosisHCSchistosomiasisAdolescenteAdultoAnálise de variaçãoIdosoBiomarcadores / sangueEstudos de caso-controleHepatite C / sangueHepatite C / complicaçõesHepatite C / patologiaHumanosCirrose Hepática / sangueCirrose Hepática / complicaçõesCirrose hepática / patologiaHepatopatias Parasitárias / sangueHepatopatias Parasitárias / complicaçõesHepatopatias Parasitárias / patologiaMeia idadeNecrose / patologiaCurva ROCEsquistossomose / sangueEsquistossomose / complicaçõesEsquistossomose / patologiaÍndice de Gravidade da DoençaDoenças esplênicas / sangueDoenças esplênicas / complicaçõesDoenças esplênicas / patologiaAdulto jovemCorrelation of biological serum markers with the degree of hepatic fibrosis and necroinflammatory activity in hepatitis C and schistosomiasis patientsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83092https://www.arca.fiocruz.br/bitstream/icict/26119/1/license.txt447f2497af1ef5cf99b5c07f6fa18dceMD51ORIGINALCorrelation of biological serum markers with the.pdfCorrelation of biological serum markers with the.pdfapplication/pdf625374https://www.arca.fiocruz.br/bitstream/icict/26119/2/Correlation%20of%20biological%20serum%20markers%20with%20the.pdf5de43c68bc5c0f77bc1a0e3697baab2cMD52TEXTCorrelation of biological serum markers with the.pdf.txtCorrelation of biological serum markers with the.pdf.txtExtracted texttext/plain38022https://www.arca.fiocruz.br/bitstream/icict/26119/3/Correlation%20of%20biological%20serum%20markers%20with%20the.pdf.txt20aa82edeb7ac488032f0973c93dfe48MD53icict/261192018-08-15 03:02:13.466oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352018-08-15T06:02:13Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Correlation of biological serum markers with the degree of hepatic fibrosis and necroinflammatory activity in hepatitis C and schistosomiasis patients
title Correlation of biological serum markers with the degree of hepatic fibrosis and necroinflammatory activity in hepatitis C and schistosomiasis patients
spellingShingle Correlation of biological serum markers with the degree of hepatic fibrosis and necroinflammatory activity in hepatitis C and schistosomiasis patients
Morais, Clarice Neuenschwander Lins de
Marcadores biológicos
Fibrose hepática
HC
Esquistossomose
Biological markers
Hepatic fibrosis
HC
Schistosomiasis
Adolescente
Adulto
Análise de variação
Idoso
Biomarcadores / sangue
Estudos de caso-controle
Hepatite C / sangue
Hepatite C / complicações
Hepatite C / patologia
Humanos
Cirrose Hepática / sangue
Cirrose Hepática / complicações
Cirrose hepática / patologia
Hepatopatias Parasitárias / sangue
Hepatopatias Parasitárias / complicações
Hepatopatias Parasitárias / patologia
Meia idade
Necrose / patologia
Curva ROC
Esquistossomose / sangue
Esquistossomose / complicações
Esquistossomose / patologia
Índice de Gravidade da Doença
Doenças esplênicas / sangue
Doenças esplênicas / complicações
Doenças esplênicas / patologia
Adulto jovem
title_short Correlation of biological serum markers with the degree of hepatic fibrosis and necroinflammatory activity in hepatitis C and schistosomiasis patients
title_full Correlation of biological serum markers with the degree of hepatic fibrosis and necroinflammatory activity in hepatitis C and schistosomiasis patients
title_fullStr Correlation of biological serum markers with the degree of hepatic fibrosis and necroinflammatory activity in hepatitis C and schistosomiasis patients
title_full_unstemmed Correlation of biological serum markers with the degree of hepatic fibrosis and necroinflammatory activity in hepatitis C and schistosomiasis patients
title_sort Correlation of biological serum markers with the degree of hepatic fibrosis and necroinflammatory activity in hepatitis C and schistosomiasis patients
author Morais, Clarice Neuenschwander Lins de
author_facet Morais, Clarice Neuenschwander Lins de
Carvalho, Bruno de Melo
Melo, Wlademir Gomes de
Melo, Fábio Lopes de
Lopes, Edmundo Pessoa de Almeida
Domingues, Ana Lúcia Coutinho
Jucá, Norma
Martins, João Roberto Maciel
Diniz, George Tadeu Nunes
Montenegro, Silvia Maria Lucena
author_role author
author2 Carvalho, Bruno de Melo
Melo, Wlademir Gomes de
Melo, Fábio Lopes de
Lopes, Edmundo Pessoa de Almeida
Domingues, Ana Lúcia Coutinho
Jucá, Norma
Martins, João Roberto Maciel
Diniz, George Tadeu Nunes
Montenegro, Silvia Maria Lucena
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Morais, Clarice Neuenschwander Lins de
Carvalho, Bruno de Melo
Melo, Wlademir Gomes de
Melo, Fábio Lopes de
Lopes, Edmundo Pessoa de Almeida
Domingues, Ana Lúcia Coutinho
Jucá, Norma
Martins, João Roberto Maciel
Diniz, George Tadeu Nunes
Montenegro, Silvia Maria Lucena
dc.subject.other.pt_BR.fl_str_mv Marcadores biológicos
Fibrose hepática
HC
Esquistossomose
topic Marcadores biológicos
Fibrose hepática
HC
Esquistossomose
Biological markers
Hepatic fibrosis
HC
Schistosomiasis
Adolescente
Adulto
Análise de variação
Idoso
Biomarcadores / sangue
Estudos de caso-controle
Hepatite C / sangue
Hepatite C / complicações
Hepatite C / patologia
Humanos
Cirrose Hepática / sangue
Cirrose Hepática / complicações
Cirrose hepática / patologia
Hepatopatias Parasitárias / sangue
Hepatopatias Parasitárias / complicações
Hepatopatias Parasitárias / patologia
Meia idade
Necrose / patologia
Curva ROC
Esquistossomose / sangue
Esquistossomose / complicações
Esquistossomose / patologia
Índice de Gravidade da Doença
Doenças esplênicas / sangue
Doenças esplênicas / complicações
Doenças esplênicas / patologia
Adulto jovem
dc.subject.en.pt_BR.fl_str_mv Biological markers
Hepatic fibrosis
HC
Schistosomiasis
dc.subject.decs.pt_BR.fl_str_mv Adolescente
Adulto
Análise de variação
Idoso
Biomarcadores / sangue
Estudos de caso-controle
Hepatite C / sangue
Hepatite C / complicações
Hepatite C / patologia
Humanos
Cirrose Hepática / sangue
Cirrose Hepática / complicações
Cirrose hepática / patologia
Hepatopatias Parasitárias / sangue
Hepatopatias Parasitárias / complicações
Hepatopatias Parasitárias / patologia
Meia idade
Necrose / patologia
Curva ROC
Esquistossomose / sangue
Esquistossomose / complicações
Esquistossomose / patologia
Índice de Gravidade da Doença
Doenças esplênicas / sangue
Doenças esplênicas / complicações
Doenças esplênicas / patologia
Adulto jovem
description PAPES V/FIOCRUZ, CNPq (to SMLM)
publishDate 2010
dc.date.issued.fl_str_mv 2010
dc.date.accessioned.fl_str_mv 2018-04-26T12:03:44Z
dc.date.available.fl_str_mv 2018-04-26T12:03:44Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv MORAIS, C. N. L. DE et al. Correlation of biological serum markers with the degree of hepatic fibrosis and necroinflammatory activity in hepatitis C and schistosomiasis patients. Memorias Do Instituto Oswaldo Cruz, v. 105, n. 4, p. 460–466, jul. 2010.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/26119
dc.identifier.issn.pt_BR.fl_str_mv 1678-8060
dc.identifier.doi.none.fl_str_mv 10.1590/S0074-02762010000400018
identifier_str_mv MORAIS, C. N. L. DE et al. Correlation of biological serum markers with the degree of hepatic fibrosis and necroinflammatory activity in hepatitis C and schistosomiasis patients. Memorias Do Instituto Oswaldo Cruz, v. 105, n. 4, p. 460–466, jul. 2010.
1678-8060
10.1590/S0074-02762010000400018
url https://www.arca.fiocruz.br/handle/icict/26119
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/26119/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/26119/2/Correlation%20of%20biological%20serum%20markers%20with%20the.pdf
https://www.arca.fiocruz.br/bitstream/icict/26119/3/Correlation%20of%20biological%20serum%20markers%20with%20the.pdf.txt
bitstream.checksum.fl_str_mv 447f2497af1ef5cf99b5c07f6fa18dce
5de43c68bc5c0f77bc1a0e3697baab2c
20aa82edeb7ac488032f0973c93dfe48
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv repositorio.arca@fiocruz.br
_version_ 1798324941747126272