Sentinel biomarkers in HCV positive patients with mixed cryoglobulinemia.


Journal

Journal of immunological methods
ISSN: 1872-7905
Titre abrégé: J Immunol Methods
Pays: Netherlands
ID NLM: 1305440

Informations de publication

Date de publication:
01 2020
Historique:
received: 17 07 2019
revised: 23 09 2019
accepted: 21 10 2019
pubmed: 2 11 2019
medline: 18 8 2020
entrez: 1 11 2019
Statut: ppublish

Résumé

Infections, autoimmunity and cancer play a role as determinants of etiology in Hepatitis C virus (HCV) related mixed cryoglobulinemia (MC). Several factors of risk have been suggested as markers of pathogenesis and progression of HCV-related MC into B cell Non-Hodgkin's Lymphoma (B-NHL). Here, we evaluated IgG subclass distribution, free light chains (FLCs) and vascular endothelial growth factor (VEGF) as a new combination of biomarkers. We measured IgG1-4 subclasses, FLCs and VEGF levels in sera 53 from HCV-related MC, in comparison with 40 sera from HCV negative patients with rheumatoid arthritis (RA) and 30 from healthy blood donors (HBD). IgG3 levels were significantly higher in HCV-MC patients with a decrement of IgG2 and IgG4; FLC levels significantly increased in both MC and RA patients' groups; serological VEGF was higher in HCV-MC patients than in HBD in correlation with k and λ levels. Our results suggest that a specific IgG subclasses pattern together with raised levels of FLCs and VEGF could represent the biomarker "signature" of an inflammation multistage of acquired immune system.

Sections du résumé

BACKGROUND
Infections, autoimmunity and cancer play a role as determinants of etiology in Hepatitis C virus (HCV) related mixed cryoglobulinemia (MC). Several factors of risk have been suggested as markers of pathogenesis and progression of HCV-related MC into B cell Non-Hodgkin's Lymphoma (B-NHL). Here, we evaluated IgG subclass distribution, free light chains (FLCs) and vascular endothelial growth factor (VEGF) as a new combination of biomarkers.
METHODS
We measured IgG1-4 subclasses, FLCs and VEGF levels in sera 53 from HCV-related MC, in comparison with 40 sera from HCV negative patients with rheumatoid arthritis (RA) and 30 from healthy blood donors (HBD).
RESULTS
IgG3 levels were significantly higher in HCV-MC patients with a decrement of IgG2 and IgG4; FLC levels significantly increased in both MC and RA patients' groups; serological VEGF was higher in HCV-MC patients than in HBD in correlation with k and λ levels.
CONCLUSION
Our results suggest that a specific IgG subclasses pattern together with raised levels of FLCs and VEGF could represent the biomarker "signature" of an inflammation multistage of acquired immune system.

Identifiants

pubmed: 31669506
pii: S0022-1759(19)30282-0
doi: 10.1016/j.jim.2019.112687
pii:
doi:

Substances chimiques

Biomarkers 0
Immunoglobulin G 0
Immunoglobulin Isotypes 0
Immunoglobulin Light Chains 0
Vascular Endothelial Growth Factors 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

112687

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

Auteurs

Umberto Basile (U)

Fondazione Policlinico Universitario "A. Gemelli" - I.R.C.C.S, Università Cattolica del Sacro Cuore, Rome, Italy. Electronic address: umberto.basile@policlinicogemelli.it.

Mariapaola Marino (M)

Istituto di Patologia generale, Fondazione Policlinico Universitario "A. Gemelli" - I.R.C.C.S, Università Cattolica del Sacro Cuore, Rome, Italy.

Laura Gragnani (L)

Interdepartmental Center for Systemic Manifestations of Hepatitis Viruses (MASVE), Department of Experimental and Clinical Medicine, and Department of Oncology, Azienda Ospedaliero-Universitaria Careggi (AOUC), Florence, Italy.

Cecilia Napodano (C)

Dipartimento di Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario "A. Gemelli" - I.R.C.C.S, Università Cattolica del Sacro Cuore, Rome, Italy. Electronic address: cecilia.napodano@gmail.com.

Francesca Gulli (F)

Dipartimento di Medicina di Laboratorio, Ospedale Madre Giuseppina Vannini, Rome, Italy.

Krizia Pocino (K)

Dipartimento di Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario "A. Gemelli" - I.R.C.C.S, Università Cattolica del Sacro Cuore, Rome, Italy.

Serena Lorini (S)

Interdepartmental Center for Systemic Manifestations of Hepatitis Viruses (MASVE), Department of Experimental and Clinical Medicine, and Department of Oncology, Azienda Ospedaliero-Universitaria Careggi (AOUC), Florence, Italy.

Stefano Angelo Santini (SA)

Fondazione Policlinico Universitario "A. Gemelli" - I.R.C.C.S, Università Cattolica del Sacro Cuore, Rome, Italy.

Valerio Basile (V)

Dipartimento di Medicina di Laboratorio, Università di Tor Vergata, Rome, Italy.

Luca Miele (L)

Dipartimento di Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario "A. Gemelli" - I.R.C.C.S, Università Cattolica del Sacro Cuore, Rome, Italy.

Anna Linda Zignego (AL)

Interdepartmental Center for Systemic Manifestations of Hepatitis Viruses (MASVE), Department of Experimental and Clinical Medicine, and Department of Oncology, Azienda Ospedaliero-Universitaria Careggi (AOUC), Florence, Italy.

Gian Ludovico Rapaccini (GL)

Dipartimento di Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario "A. Gemelli" - I.R.C.C.S, Università Cattolica del Sacro Cuore, Rome, Italy.

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Classifications MeSH