Factors associated with pre-treatment hyperferritinemia in patients with chronic hepatitis C virus infection.
Hepatitis B virus
Hepatitis C virus
Hyperferritinemia
Metabolic dysfunction-associated steatotic liver disease
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
19 08 2024
19 08 2024
Historique:
received:
19
05
2024
accepted:
14
08
2024
medline:
20
8
2024
pubmed:
20
8
2024
entrez:
19
8
2024
Statut:
epublish
Résumé
Pre-treatment host and viral factors may affect serum ferritin levels in patients with hepatitis C virus (HCV) infection. We delineated pre-treatment factors associated with hyperferritinemia in these patients. 1682 eligible patients underwent pre-treatment assessment for serum ferritin and various host/viral factors. Univariate and multivariate logistic regression analyses were conducted to evaluate factors associated with hyperferritinemia. Multivariate logistic regression analyses revealed that age > 50 years (adjusted odds ratio [OR]: 1.38 (95% confidence interval [CI] 1.09-1.74), p = 0.008), fibrosis stage ≥ F3 (adjusted OR: 1.36 (95% CI 1.04-1.77), p = 0.02), fibrosis index based on four parameters (FIB-4) > 3.25 (adjusted OR: 1.46 (95% CI 1.11-1.92), p = 0.01), presence of metabolic dysfunction-associated steatotic liver disease (MASLD) (adjusted OR: 1.43 (95% CI 1.21-1.76), p = 0.001), and alanine transaminase (ALT) > 2 folds upper limit of normal (ULN) (adjusted OR: 2.87 (95% CI 2.20-3.75), p < 0.001) were associated hyperferritinemia. The log
Identifiants
pubmed: 39160295
doi: 10.1038/s41598-024-70233-9
pii: 10.1038/s41598-024-70233-9
doi:
Substances chimiques
Ferritins
9007-73-2
Alanine Transaminase
EC 2.6.1.2
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
19219Subventions
Organisme : National Taiwan University Hospital
ID : 112-IF0004
Informations de copyright
© 2024. The Author(s).
Références
Cui, F. et al. Global reporting of progress towards elimination of hepatitis B and hepatitis C. Lancet Gastroenterol. Hepatol. 8, 332–342 (2023).
doi: 10.1016/S2468-1253(22)00386-7
pubmed: 36764320
Sandnes, M., Ulvik, R. J., Vorland, M. & Reikvam, H. Hyperferritinemia—A clinical overview. J. Clin. Med. https://doi.org/10.3390/jcm10092008 (2021).
doi: 10.3390/jcm10092008
pubmed: 34067164
pmcid: 8125175
Koperdanova, M. & Cullis, J. O. Interpreting raised serum ferritin levels. BMJ. 351, h3692. https://doi.org/10.1136/bmj.h3692 (2015).
Wang, W., Knovich, M. A., Coffman, L. G., Torti, F. M. & Torti, S. V. Serum ferritin: Past, present and future. Biochim. Biophys. Acta 760–769, 2010. https://doi.org/10.1016/j.bbagen.2010.03.011 (1800).
doi: 10.1016/j.bbagen.2010.03.011
Adams, P. C. et al. Hemochromatosis and iron-overload screening in a racially diverse population. N. Engl. J. Med. 352, 1769–1778. https://doi.org/10.1056/NEJMoa041534 (2005).
doi: 10.1056/NEJMoa041534
pubmed: 15858186
Gensluckner, S. et al. Prevalence and characteristics of metabolic hyperferritinemia in a population-based Central-European Cohort. Biomedicines. https://doi.org/10.3390/biomedicines12010207 (2024).
doi: 10.3390/biomedicines12010207
pubmed: 38255312
pmcid: 10813305
Ogilvie, C., Fitzsimons, K. & Fitzsimons, E. J. Serum ferritin values in primary care: are high values overlooked?. J. Clin. Pathol. 63, 1124–1126. https://doi.org/10.1136/jcp.2010.083188 (2010).
doi: 10.1136/jcp.2010.083188
pubmed: 20947869
Moreira, A. C., Mesquita, G. & Gomes, M. S. Ferritin: An inflammatory player keeping iron at the core of pathogen-host interactions. Microorganisms 8, 589 (2020).
doi: 10.3390/microorganisms8040589
pubmed: 32325688
pmcid: 7232436
Di Bisceglie, A. M., Axiotis, C. A., Hoofnagle, J. H. & Bacon, B. R. Measurements of iron status in patients with chronic hepatitis. Gastroenterology 102, 2108–2113. https://doi.org/10.1016/0016-5085(92)90339-z (1992).
doi: 10.1016/0016-5085(92)90339-z
pubmed: 1587431
Georgopoulou, U., Dimitriadis, A., Foka, P., Karamichali, E. & Mamalaki, A. Hepcidin and the iron enigma in HCV infection. Virulence 5, 465–476 (2014).
doi: 10.4161/viru.28508
pubmed: 24626108
pmcid: 4063809
Chapoutot, C. et al. Liver iron excess in patients with hepatocellular carcinoma developed on viral C cirrhosis. Gut 46, 711–714. https://doi.org/10.1136/gut.46.5.711 (2000).
doi: 10.1136/gut.46.5.711
pubmed: 10764717
pmcid: 1727940
Lambrecht, R. W. et al. Iron levels in hepatocytes and portal tract cells predict progression and outcomes of patients with advanced chronic hepatitis C. Gastroenterology 140, 1490-1500.e1493. https://doi.org/10.1053/j.gastro.2011.01.053 (2011).
doi: 10.1053/j.gastro.2011.01.053
pubmed: 21335007
Ikura, Y., Morimoto, H., Johmura, H., Fukui, M. & Sakurai, M. Relationship between hepatic iron deposits and response to interferon in chronic hepatitis C. Am. J. Gastroenterol. 91, 1367–1373 (1996).
pubmed: 8677997
Ackerman, Z., Pappo, O. & Ben-Dov, I. Z. The prognostic value of changes in serum ferritin levels during therapy for hepatitis C virus infection. J. Med. Virol. 83, 1262–1268. https://doi.org/10.1002/jmv.22093 (2011).
doi: 10.1002/jmv.22093
pubmed: 21567428
Bonkovsky, H. L., Banner, B. F. & Rothman, A. L. Iron and chronic viral hepatitis. Hepatology 25, 759–768. https://doi.org/10.1002/hep.510250345 (1997).
doi: 10.1002/hep.510250345
pubmed: 9049232
Prati, D. et al. Updated definitions of healthy ranges for serum alanine aminotransferase levels. Ann. Intern. Med. 137, 1–10. https://doi.org/10.7326/0003-4819-137-1-200207020-00006 (2002).
doi: 10.7326/0003-4819-137-1-200207020-00006
pubmed: 12093239
Levey, A. S. et al. A new equation to estimate glomerular filtration rate. Ann. Intern. Med. 150, 604–612. https://doi.org/10.7326/0003-4819-150-9-200905050-00006 (2009).
doi: 10.7326/0003-4819-150-9-200905050-00006
pubmed: 19414839
pmcid: 2763564
Liu, C. H. et al. Comparison of Abbott RealTime HCV genotype II with Versant line probe assay 20 for hepatitis C virus genotyping. J. Clin. Microbiol. 53, 1754–1757. https://doi.org/10.1128/jcm.03548-14 (2015).
doi: 10.1128/jcm.03548-14
pubmed: 25740780
pmcid: 4400777
Castera, L., Forns, X. & Alberti, A. Non-invasive evaluation of liver fibrosis using transient elastography. J. Hepatol. 48, 835–847. https://doi.org/10.1016/j.jhep.2008.02.008 (2008).
doi: 10.1016/j.jhep.2008.02.008
pubmed: 18334275
Rinella, M. E. et al. A multisociety Delphi consensus statement on new fatty liver disease nomenclature. J. Hepatol. 79, 1542–1556. https://doi.org/10.1016/j.jhep.2023.06.003 (2023).
doi: 10.1016/j.jhep.2023.06.003
pubmed: 37364790
Karlas, T. et al. Individual patient data meta-analysis of controlled attenuation parameter (CAP) technology for assessing steatosis. J. Hepatol. 66, 1022–1030. https://doi.org/10.1016/j.jhep.2016.12.022 (2017).
doi: 10.1016/j.jhep.2016.12.022
pubmed: 28039099
Sterling, R. K. et al. Development of a simple noninvasive index to predict significant fibrosis in patients with HIV/HCV coinfection. Hepatology 43, 1317–1325. https://doi.org/10.1002/hep.21178 (2006).
doi: 10.1002/hep.21178
pubmed: 16729309
McKinnon, E. J., Rossi, E., Beilby, J. P., Trinder, D. & Olynyk, J. K. Factors that affect serum levels of ferritin in Australian adults and implications for follow-up. Clin. Gastroenterol. Hepatol. 12, 101-108.e104 (2014).
doi: 10.1016/j.cgh.2013.07.019
pubmed: 23906872
Choi, K. M. et al. Association among serum ferritin, alanine aminotransferase levels, and metabolic syndrome in Korean postmenopausal women. Metabolism 54, 1510–1514. https://doi.org/10.1016/j.metabol.2005.05.018 (2005).
doi: 10.1016/j.metabol.2005.05.018
pubmed: 16253641
Branten, A. J., Swinkels, D. W., Klasen, I. S. & Wetzels, J. F. Serum ferritin levels are increased in patients with glomerular diseases and proteinuria. Nephrol. Dialysis Transpl. 19, 2754–2760 (2004).
doi: 10.1093/ndt/gfh454
Moucari, R. et al. Insulin resistance in chronic hepatitis C: association with genotypes 1 and 4, serum HCV RNA level, and liver fibrosis. Gastroenterology 134, 416–423. https://doi.org/10.1053/j.gastro.2007.11.010 (2008).
doi: 10.1053/j.gastro.2007.11.010
pubmed: 18164296
Maeno, T. et al. Mechanisms of increased insulin resistance in non-cirrhotic patients with chronic hepatitis C virus infection. J. Gastroenterol. Hepatol. 18, 1358–1363. https://doi.org/10.1046/j.1440-1746.2003.03179.x (2003).
doi: 10.1046/j.1440-1746.2003.03179.x
pubmed: 14675263
Negro, F. HCV infection and metabolic syndrome: Which is the chicken and which is the egg?. Gastroenterology 142, 1288–1292. https://doi.org/10.1053/j.gastro.2011.12.063 (2012).
doi: 10.1053/j.gastro.2011.12.063
pubmed: 22537435
Adinolfi, L. E. et al. NAFLD and NASH in HCV infection: Prevalence and significance in hepatic and extrahepatic manifestations. Int. J. Mol. Sci. 17, 803. https://doi.org/10.3390/ijms17060803 (2016).
doi: 10.3390/ijms17060803
pubmed: 27231906
pmcid: 4926337
Kowdley, K. V. et al. Serum ferritin is an independent predictor of histologic severity and advanced fibrosis in patients with nonalcoholic fatty liver disease. Hepatology 55, 77–85. https://doi.org/10.1002/hep.24706 (2012).
doi: 10.1002/hep.24706
pubmed: 21953442
Manousou, P. et al. Serum ferritin is a discriminant marker for both fibrosis and inflammation in histologically proven non-alcoholic fatty liver disease patients. Liver Int. 31, 730–739. https://doi.org/10.1111/j.1478-3231.2011.02488.x (2011).
doi: 10.1111/j.1478-3231.2011.02488.x
pubmed: 21457446
Moris, W., Verhaegh, P., Jonkers, D., Deursen, C. V. & Koek, G. Hyperferritinemia in nonalcoholic fatty liver disease: Iron accumulation or inflammation?. Semin. Liver Dis. 39, 476–482. https://doi.org/10.1055/s-0039-1693114 (2019).
doi: 10.1055/s-0039-1693114
pubmed: 31330553
Pinzani, M., Rombouts, K. & Colagrande, S. Fibrosis in chronic liver diseases: Diagnosis and management. J. Hepatol. 42(Suppl), S22-36. https://doi.org/10.1016/j.jhep.2004.12.008 (2005).
doi: 10.1016/j.jhep.2004.12.008
pubmed: 15777570
Ginès, P. et al. Screening for liver fibrosis in the general population: A call for action. Lancet Gastroenterol. Hepatol. 1, 256–260. https://doi.org/10.1016/s2468-1253(16)30081-4 (2016).
doi: 10.1016/s2468-1253(16)30081-4
pubmed: 28404098
Younes, R. et al. Caucasian lean subjects with non-alcoholic fatty liver disease share long-term prognosis of non-lean: Time for reappraisal of BMI-driven approach?. Gut 71, 382–390. https://doi.org/10.1136/gutjnl-2020-322564 (2022).
doi: 10.1136/gutjnl-2020-322564
pubmed: 33541866
Armandi, A. et al. Serum ferritin levels can predict long-term outcomes in patients with metabolic dysfunction-associated steatotic liver disease. Gut 73, 825–834. https://doi.org/10.1136/gutjnl-2023-330815 (2024).
doi: 10.1136/gutjnl-2023-330815
pubmed: 38199805
Gervais, A. et al. Quantitation of hepatic hepatitis C virus RNA in patients with chronic hepatitis C. Relationship with severity of disease, viral genotype and response to treatment. J. Hepatol. 35, 399–405. https://doi.org/10.1016/s0168-8278(01)00138-6 (2001).
doi: 10.1016/s0168-8278(01)00138-6
pubmed: 11592602
Luo, J. et al. Serum ferritin diagnosis and prediction of hepatitis B virus-related acute-on-chronic liver failure. J. Med. Virol. 95, e28183. https://doi.org/10.1002/jmv.28183 (2023).
doi: 10.1002/jmv.28183
pubmed: 36175010
Mavilia, M. G. & Wu, G. Y. HBV-HCV coinfection: Viral interactions, management, and viral reactivation. J. Clin. Transl. Hepatol. 6, 296–305. https://doi.org/10.14218/jcth.2018.00016 (2018).
doi: 10.14218/jcth.2018.00016
pubmed: 30271742
pmcid: 6160312
Dai, C. Y. et al. Influence of hepatitis C virus on the profiles of patients with chronic hepatitis B virus infection. J. Gastroenterol. Hepatol. 16, 636–640. https://doi.org/10.1046/j.1440-1746.2001.02494.x (2001).
doi: 10.1046/j.1440-1746.2001.02494.x
pubmed: 11422616