Plasma Concentration of Zinc and IL‐17 in Patients with Chronic Hepatitis C Liver Disease

Samah Ehab Ahmed;

Abstract


SUMMARY AND CONCLUSION
V
iral hepatic disease can progress into more serious pathological outcomes and eventually to hepatocellular carcinoma .The pathogenesis of liver cell injury in chronic hepatitis C infection is poorly understood. Previous studies have demonstrated that T-cell immunoregulatory cytokines contribute to liver damage.
Activation of the cellular immune response is implicated in the eradication of HCV infection, The Th1 profile appears to be associated with the benign and favorable clinical outcome in HCV infection. A prevalent Th2 response may contribute to the chronicity of HCV infection and the severity of liver disease.
Human interleukin-17 (IL-17)-producing CD4Tcells, Th17, comprise a proinflammatory T-cell subset. Several key cytokines, including IL-1, IL-6, tumor necrosis factor alpha, and IL-23 create a cytokinemilieu that regulates the differentiation and expansion of human Th17 cell IL-17A can mobilize, recruit, and activate neutrophils, leading to massive tissue inflammation, and promote the progression of autoimmune disease. Furthermore, serum IL-17 levels are increased and serve as a marker of the severity of acute hepatic injury.
Zinc one of the essential trace elements, is required by many enzymes and transcription factors for their activity or the maintenance of their structure. It has a variety of effects in the immune system. Zn deficiency causes an imbalance between Th1and Th2 function in periphery. Production of IFN-gamma and IL-2, Th1 products, are decreased, whereas productions of IL-4, IL-6 andIL-10, Th2 products, are not affected.
The main zinc metabolism occurs in the liver hepatocytes. It has been demonstrated that Zn may play an important role as a negative regulator of HCV replication in genome length RNA-replicating cells.
Zinc uses claimed to suppress Th17-mediated autoimmune diseases at least in part by inhibiting the development of Th17 cells via attenuating STAT3 activation.
The present study was undertaken aiming to evaluate the plasma concentration of Zinc and IL-17 in patients with chronic hepatitis C liver disease, and also to asses if there is a relation Zn and IL-17.
Two groups of individuals were included in the study patients group, including 16denevo chronic HCV patients, 17compensated chronic HCV patients and 17 decompensated chronic HCV patients, control group that included 30 age and sex matched normal healthy controls. Quantitative assays of serum IL-17 and Zn, using commercially supplied ELISA and spectrophotometer were performed for all individuals.


Other data

Title Plasma Concentration of Zinc and IL‐17 in Patients with Chronic Hepatitis C Liver Disease
Other Titles تركيز الزنك و17-IL في البلازما في مرضى الالتهاب الكبدي الفيروسي الوبائي C المزمن
Authors Samah Ehab Ahmed
Issue Date 2014

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