Serum markers of hepatic fibrogenesis in chronic hepatitis type C treated with alfa-2A interferon

Liver. 1994 Oct;14(5):257-64. doi: 10.1111/j.1600-0676.1994.tb00085.x.

Abstract

Hepatic fibrogenesis is a dynamic process which characterizes the course of chronic hepatitis. It has stimulated interest in the possible effect of interferon therapy on liver fibrosis. We have evaluated a panel of serum markers of fibrogenesis, namely N-terminal procollagen III peptide (PII-INP), C-terminal procollagen I peptide (PICP), laminin and hyaluronate in 35 patients with chronic hepatitis type C, before, during and after interferon treatment. Before treatment, PIIINP was elevated in 8.5%, 44% and 71% of patients with chronic persistent hepatitis, chronic active hepatitis and cirrhosis, respectively, while the corresponding figures for PICP were 0%, 50% and 46%, and for laminin 16.5%, 70% and 71%; hyaluronate was elevated in only five out of seven patients with cirrhosis. Patients with high PIIINP levels at presentation and a persistent response to treatment showed persistent normalization of this parameter, which was not observed in non-responders. In contrast, the other markers showed no significant correlation with interferon response. These results indicate that PIIINP correlates with interferon response in chronic hepatitis type C.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Biomarkers / blood
  • Drug Administration Schedule
  • Female
  • Hepatitis C / blood*
  • Hepatitis C / pathology
  • Hepatitis C / therapy*
  • Hepatitis, Chronic / blood*
  • Hepatitis, Chronic / pathology
  • Hepatitis, Chronic / therapy*
  • Hepatitis, Chronic / virology
  • Humans
  • Hyaluronic Acid / blood
  • Interferon alpha-2
  • Interferon-alpha / administration & dosage
  • Interferon-alpha / therapeutic use*
  • Laminin / blood
  • Liver / pathology*
  • Liver Cirrhosis / blood*
  • Liver Cirrhosis / pathology
  • Liver Cirrhosis / virology
  • Male
  • Peptide Fragments / blood
  • Procollagen / blood
  • Recombinant Proteins

Substances

  • Biomarkers
  • Interferon alpha-2
  • Interferon-alpha
  • Laminin
  • Peptide Fragments
  • Procollagen
  • Recombinant Proteins
  • procollagen Type III-N-terminal peptide
  • procollagen type I carboxy terminal peptide
  • Hyaluronic Acid