Evidence map›Paper›PMID 42088156›Full record

ArticleInternational journal of general medicine2026

Platelet Antigen Polymorphisms in Cirrhosis: Association with Esophageal Varices Development.

Heba Mohamed Abdallah, Iman Shaban Osheba, Ahmed Abdallah Salman, Nahla K Gaballa, Merhan Osama Helmi, Amr Ragab Ibrahim, Asmaa Said Shahat Atta, Mohammed Gaber Saad, Sara Mohammed Aboagiza, Hanaa Saied Abdel Hafez and 5 more

Abstract read
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Article in International journal of general medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Heba Mohamed AbdallahDepartment of Clinical Pathology, National Liver Institute, Menoufia University, Shebin Elkom, Egypt.ORCID 0000-0001-6336-9786
Iman Shaban OshebaDepartment of Clinical Pathology, National Liver Institute, Menoufia University, Shebin Elkom, Egypt.
Ahmed Abdallah SalmanDepartment of Internal Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.ORCID 0000-0003-0026-0841
Nahla K GaballaDepartment of Anesthesiology and Intensive Care, National Liver Institute, Menoufia University, Shebin Elkom, Egypt.ORCID 0009-0006-0435-8829
Merhan Osama HelmiDepartment of Clinical Pathology, National Liver Institute, Menoufia University, Shebin Elkom, Egypt.
Amr Ragab IbrahimDepartment of Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Shebin Elkom, Egypt.
Asmaa Said Shahat AttaDepartment of Clinical Pathology, National Liver Institute, Menoufia University, Shebin Elkom, Egypt.
Mohammed Gaber SaadDepartment of Anesthesiology and Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID 0009-0006-4244-9377
Sara Mohammed AboagizaDepartment of Clinical Pathology, National Liver Institute, Menoufia University, Shebin Elkom, Egypt.
Hanaa Saied Abdel HafezDepartment of Anesthesiology and Intensive Care, National Liver Institute, Menoufia University, Shebin Elkom, Egypt.
Mostafa Gamal El Din El HelbawyDepartment of Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Shebin Elkom, Egypt.
Ghada M K GabAllahDepartment of Medical Biochemistry, Faculty of Medicine, Menoufia University, Shebin Elkom, Egypt.
Ahmed ElewaGeneral Surgery Department, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.
Mohamed Abdalla SalmanGeneral Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt.ORCID 0000-0001-5445-6415
Nashwa Abdelmotelb AbdelmegeedDepartment of Clinical Pathology, National Liver Institute, Menoufia University, Shebin Elkom, Egypt.ORCID 0000-0002-3208-9084

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Esophageal varices (EVs) are a serious consequence of portal hypertension in chronic liver disease, particularly in hepatitis C virus (HCV) infection. While endoscopy remains the gold standard for diagnosis, there is growing interest in human platelet antigen (HPA) polymorphisms as potential non-invasive markers associated with EV development. Aim: To assess the association between HPA-1, HPA-2, and HPA-3 gene polymorphisms and the presence and severity of EVs in cirrhotic patients. Methods: In this case-control study, 150 patients with HCV-related cirrhosis were enrolled and divided into two groups based on endoscopic findings: 75 with EVs and 75 without. HPA genotyping was performed using polymerase chain reaction with sequence-specific primers (PCR-SSP). Statistical analysis included univariate and multivariate logistic regression, with odds ratios (ORs) and 95% confidence intervals (CIs) calculated. Results: The HPA-3 (ab + aa) genotypes were significantly associated with the presence of EVs in univariate analysis (OR: 2.244, 95% CI: 1.039-4.847, p = 0.040), but this association was not maintained in multivariate analysis (OR: 0.679, 95% CI: 0.209-2.211, p = 0.521). Higher grades of varices were significantly associated with HPA-1 (a), HPA-2 (b), and HPA-3 (a) alleles (p < 0.05). Platelet count and platelet count-to-spleen diameter (PC/SD) ratio were also significantly associated with EVs in univariate analysis (p < 0.001). In multivariate analysis, serum creatinine (OR: 0.234, 95% CI: 0.116-0.473, p < 0.001) and portal vein diameter (OR: 1.542, 95% CI: 1.231-1.930, p < 0.001) were identified as independent predictors of EVs. Conclusion: HPA polymorphisms were associated with the presence and severity of esophageal varices but were not independent predictors. Further multicenter prospective studies are needed to clarify their clinical utility.

Indexed as

cirrhosisesophageal varicesplatelet antigen polymorphisms

Identifiers

PMID42088156
PMCPMC13135902

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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.