Evidence map›Paper›PMID 34623551›Full record

ArticleJournal, genetic engineering & biotechnology2021

IL28B rs12979860 polymorphism and zinc supplementation affect treatment outcome and liver fibrosis after direct-acting antiviral hepatitis C therapy.

Abdelfattah M Attallah, Dalia Omran, Mohamed A Abdelrazek, Mohamed Hassany, Sameh Saif, Aza Farid, Riham El Essawey, Muhammad Abdel Ghaffar, Marwa Aabdelghany, Ayman Yosry

Open access · diamondAbstract read
In one paragraph

Article in Journal, genetic engineering & biotechnology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Tropical medicine and infectious disease · 2022
    Article
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

10 authors at 4 institutions in 1 country.

Abdelfattah M AttallahBiotechnology Research Center, P.O. Box (14), 23 July St., Industrial Zone, New Damietta City, 34517, Egypt.
Dalia OmranFaculty of Medicine, Cairo University, Cairo, Egypt.
Mohamed A AbdelrazekBiotechnology Research Center, P.O. Box (14), 23 July St., Industrial Zone, New Damietta City, 34517, Egypt. maabdelrazek@yahoo.com.ORCID http://orcid.org/0000-0002-4111-0682
Mohamed HassanyNational Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.
Sameh SaifNational Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.
Aza FaridNational Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.
Riham El EssaweyFaculty of Medicine, Cairo University, Cairo, Egypt.
Muhammad Abdel GhaffarHepato-Gastroenterology and Infectious Diseases Department, Ahmed Maher Teaching Hospital, Cairo, Egypt.
Marwa AabdelghanyHepato-Gastroenterology and Infectious Diseases Department, Ahmed Maher Teaching Hospital, Cairo, Egypt.
Ayman YosryFaculty of Medicine, Cairo University, Cairo, Egypt.
Cairo University · EGNational Water Research Center · EGResearch Institute of Ophthalmology · EGDamietta University · EG

Funding

Science and Technology Development Fund 5380
6 · The paper itself

Abstract

backgroundImpact of interleukin 28B (IL28B) rs12979860 polymorphism on response to direct-acting antivirals agents in HCV genotype 4-infected patients is under investigation. Zinc may have an advantage in improvement of liver damage and treatment outcome. We aimed to evaluate IL28B polymorphism and zinc administration impact on patient response to treatment and amelioration of liver fibrosis.

resultsThree hundred patients on anti-HCV treatments were equally categorized into patients treated with dual therapy (sofosbuvir/ribavirin) for 24 weeks, triple therapy (sofosbuvir/ribavirin+pegylated interferon-alpha) for 12 weeks, dual therapy plus oral zinc and with triple therapy plus oral zinc. All patients were genotyped for IL28B. Sustained virologic response (SVR) was achieved in 100% of patients with CC genotypes while 15.5% of CT/TT carriers did not attain SVR. After treatment, patients with CC genotype showed improvement in liver-related parameters compared with CT/TT genotypes. Zinc supplementation was associated with improved SVR in CT/TT genotypes and liver parameters in both CC and CT/TT genotypes. Hepatic fibrosis was improved in higher percent of CC genotype (16.7%) compared with CT/TT genotypes (5.8%). Interestingly with zinc administration, improved fibrosis increased to 60.9% in CC genotype vs. 15.4% in CT/TT genotypes.

conclusionAbsolute SVR rates in patients with IL28B CC genotype support their selection for shorter treatment duration and therefore associated with high economic value. IL28B polymorphism is associated with improvement of hepatic functions and fibrosis after antiviral treatments. Zinc is powerful supplement not only to increase SVR in non-responders but also to improve hepatic functions and fibrosis.

Indexed as

Direct-acting antiviral agentsHepatitis C virusInterleukin 28BLiver fibrosisSustained virologic response

Identifiers

PMID34623551
PMCPMC8501168
OpenAlexW3204426980

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.