Evidence map›Paper›PMID 28636655›Full record

ArticlePloS one2017

Changes in inflammatory biomarkers in HCV-infected patients undergoing direct acting antiviral-containing regimens with or without interferon.

Claudia Mascia, Serena Vita, Paola Zuccalà, Raffaella Marocco, Tiziana Tieghi, Stefano Savinelli, Raffaella Rossi, Marco Iannetta, Irene Pozzetto, Caterina Furlan and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 49 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Claudia MasciaDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Serena VitaDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Paola ZuccalàDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Raffaella MaroccoDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Tiziana TieghiDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Stefano SavinelliDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Raffaella RossiDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Marco IannettaDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Irene PozzettoDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Caterina FurlanDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Fabio MengoniDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Claudio Maria MastroianniDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Vincenzo VulloDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Miriam LichtnerDepartment of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Ospedale Santa Maria Goretti · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsIncreased levels of chemokine interferon-gamma (IFN-γ)-inducible protein-10 (CXCL10), soluble CD163 (sCD163) and soluble CD14 (sCD14) have been reported in HCV infection. The aim of this study was to compare, sCD163 and sCD14 levels in HCV-infected patients undergoing direct acting antiviral (DAA)-containing regimens with or without interferon (IFN).

methodssCD163, sCD14 and CXCL10 were longitudinally measured by ELISA in 159 plasma samples from 25 HCV-infected patients undergoing IFN-based treatment plus telaprevir or boceprevir and 28 HCV infected subjects treated with DAA IFN-free regimens. Twenty-five healthy donors (HD) were included as controls.

resultsAt baseline CXCL10, sCD163 and sCD14 levels were higher in HCV-infected patients than in HD. CXCL10 and sCD163 levels were significantly decreased in responder (R) patients who achieved sustained virological response (SVR), with both IFN-based and IFN-free regimens, while they were persistently elevated in non-responders (NR) patients who stopped IFN-based treatments because of failure or adverse events. Conversely, sCD14 levels were apparently unchanged during therapy, but at the end of treatment the levels reached normal ranges. Comparing the two regimens, the extent of CXCL10 reduction was more pronounced in patients undergoing DAA IFN-free therapies, whereas sCD163 and sCD14 reduction was similar in the two groups. Interestingly, only in IFN-based regimens baseline sCD163 levels were significantly higher in NR than in R patients, while in the IFN-free treatment group also patients with high sCD163 plasma levels obtained SVR. At the end of therapy, even if the biomarkers were largely decreased, their levels remained significantly higher compared to HD. Only in the early fibrosis stages, sCD163 values tended to normalize.

conclusionsThese results indicate that IFN-free regimens including newer DAA induce an early and marked decrease in circulating inflammatory biomarkers. However, the full normalization of biomarkers was not obtained, especially in patients with advanced fibrosis, thus underlying the need for a treatment in the early stages of HCV infection.

Indexed as

AdultAntiviral AgentsBiomarkersCase-Control StudiesFemaleHepacivirusHepatitis CHumansInflammation MediatorsInterferon-alphaMaleMiddle AgedAntiviral AgentsBiomarkersInflammation MediatorsInterferon-alpha

Identifiers

PMID28636655
PMCPMC5499435
OpenAlexW2668148880

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.