Evidence map›Paper›PMID 39970137›Full record

Observational studyThe Journal of infectious diseases2025

Influence of Cellular Aging on Liver Stiffness in Patients With Hepatitis C Virus Achieving Sustained Viral Response.

Alejandro Gonzalez-Serna, Anaïs Corma-Gomez, Mercedes Cano, Ricardo Rubio-Sánchez, Carmen Martín-Sierra, Pilar Rincón, Jesica Martín-Carmona, Margarita Pérez, Juan Antonio Pineda, Luis Miguel Real and 1 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04460157 (Development of a Predictive Model of Liver Complications Emergence in Patients With Advanced Fibrosis Who Achieve Sustained Virological Response With Direct-acting Antivirals-based Therapy), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT04460157 unknown statusnot on this map

Development of a Predictive Model of Liver Complications Emergence in Patients With Advanced Fibrosis Who Achieve Sustained Virological Response With Direct-acting Antivirals-based Therapy

Typeobservational_patient_registrySponsorHospital Universitario de ValmeRan2011 to 2021Enrolled1,035ConditionsHepatitis C, Chronic, Sustained Virological Response, Direct-acting Antivirals, Hepatocellular Carcinoma
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Alejandro Gonzalez-SernaGrupo Virología e ITS, Hospital Universitario Virgen de Valme, Sevilla, Spain.ORCID 0000-0002-0239-8417
Anaïs Corma-GomezGrupo Virología e ITS, Hospital Universitario Virgen de Valme, Sevilla, Spain.ORCID 0000-0002-1078-0237
Mercedes CanoFacultad de Farmacia, Departamento de Fisiología, Universidad de Sevilla, Sevilla, Spain.ORCID 0000-0002-7710-0072
Ricardo Rubio-SánchezServicio de Análisis Clínicos, Hospital Universitario Virgen de Valme, Sevilla, Spain.ORCID 0000-0002-6313-4191
Carmen Martín-SierraGrupo Virología e ITS, Hospital Universitario Virgen de Valme, Sevilla, Spain.ORCID 0000-0001-5120-1054
Pilar RincónGrupo Virología e ITS, Hospital Universitario Virgen de Valme, Sevilla, Spain.
Jesica Martín-CarmonaGrupo Virología e ITS, Hospital Universitario Virgen de Valme, Sevilla, Spain.ORCID 0000-0001-6791-4745
Margarita PérezGrupo Virología e ITS, Hospital Universitario Virgen de Valme, Sevilla, Spain.
Juan Antonio PinedaGrupo Virología e ITS, Hospital Universitario Virgen de Valme, Sevilla, Spain.
Luis Miguel RealGrupo Virología e ITS, Hospital Universitario Virgen de Valme, Sevilla, Spain.ORCID 0000-0003-4932-7429
Juan MaciasGrupo Virología e ITS, Hospital Universitario Virgen de Valme, Sevilla, Spain.ORCID 0000-0002-4778-790X

Funding

ERDFISCIII PI20/01457
6 · The paper itself

Abstract

backgroundLiver stiffness (LS) is not reduced in 10%-30% of patients who achieve sustained viral response (SVR) after hepatitis C virus (HCV) elimination with direct-acting antivirals (DAA). Our aim was to analyze whether the parameters associated with cellular aging measured at the DAA initiation date are related to LS reduction upon achieving SVR.

methodsIn a prospective cohort study (GEHEP-011) we measured several parameters associated with cellular aging, such as telomere attrition, mitochondrial alterations, and soluble biomarkers associated with senescence-associated secretory phenotype at the DAA initiation date, and examined their associations with a significant (≥20%) LS decrease at the SVR time point.

resultsIn total, 175 individuals were included in this study. In 101 (57.7%) patients, the LS reduction was ≥20% at SVR. In the multivariate analysis adjusted for sex, age, CXCL10, hsPCR, and CCL11 levels, greater relative telomere length (RTL) emerged as the sole variable independently associated with a significant LS decrease in SVR (1.102; 95% confidence interval, 1.001-1.1214; P = .047). Furthermore, changes in LS, including significant decrease, decrease <20%, or increase, were congruently associated with RTL (P = .011).

conclusionsGreater RTL was independently associated with a significant LS reduction in SVR. Thus, increased cellular aging may be responsible for the absence of liver regeneration after HCV eradication. Further studies are required to assess the long-term effects of cellular aging after SVR. CLINICAL TRIALS REGISTRATION: NCT04460157.

Indexed as

Antiviral AgentsCellular SenescenceHepatitis CHepatitis C, ChronicLiverSustained Virologic ResponseAdultAgedBiomarkersFemaleHepacivirusHumansMaleMiddle AgedProspective StudiesAntiviral AgentsBiomarkerscellular agingDAAliver stiffnessSVRtelomere length

Identifiers

PMID39970137
PMCPMC12128080

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.