The expression of sICAM-1 influenced by Clonorchis sinensis co-infection in CHB patients

J Helminthol. 2024 Oct 28:98:e54. doi: 10.1017/S0022149X24000427.

Abstract

Soluble Intercellular Adhesion Molecule-1 (sICAM-1) has emerged as an inflammatory biomarker of many essential functions. We investigated the level of sICAM-1 influenced by Clonorchis sinensis (C. sinensis) co-infection in chronic hepatitis B (CHB) patients to explore the degree of liver tissue inflammation and liver function damage after co-infection. The study included data from patients with C. sinensis mono-infection (n=27), hepatitis B virus (HBV) mono-infection (n=32), C. sinensis and HBV co-infection (n=24), post-hepatitis B liver cirrhosis (n=18), post-hepatitis B liver cirrhosis co-infected with C. sinensis (n=16), and healthy controls (n=39). The level of sICAM-1 was measured with specific enzyme-linked immunosorbent assay method. Compared to the healthy control group, all the experimental groups had significantly higher serum sICAM-1 levels. The levels of sICAM-1 in co-infected groups were significantly higher compared to the mono-infection groups and were positively correlated with the levels of glutamate aminotransferase (ALT) and aspartate aminotransferase (AST). Our research findings confirmed that co-infection could exacerbate liver tissue inflammation and liver function damage in patients, could raise the sICAM-1 level, and may lead to the chronicity of HBV infection. These results provide clues for pathological mechanism study and formulating treatment plans.

Keywords: Clonorchis sinensis; co-infection; hepatitis B virus; sICAM-1.

MeSH terms

  • Adult
  • Animals
  • Aspartate Aminotransferases / blood
  • Biomarkers / blood
  • Clonorchiasis* / blood
  • Clonorchis sinensis*
  • Coinfection* / parasitology
  • Female
  • Hepatitis B, Chronic* / complications
  • Humans
  • Intercellular Adhesion Molecule-1* / blood
  • Liver / parasitology
  • Male
  • Middle Aged
  • Young Adult

Substances

  • Intercellular Adhesion Molecule-1
  • ICAM1 protein, human
  • Biomarkers
  • Aspartate Aminotransferases