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Insulin Growth Factor-1 as a Predictor for the Progression of Hepatic Disease in Chronic Hepatitis B Virus Infection

• 2020
العودة
معلومات البحث
المؤلفون Amal Ahmed Mohamed1, Sherief Abd-Elsalam2,*, Mai M. El-Daly3, 4, Noha Kamal5, Salma Mohamed Saed6, Seham Mohamoud7, Hala Ali Abed8, Reda S. Abdelghany9 and Shereen Helmy Ahmed10
الكلمات المفتاحية HBV, Cirrhosis, Liver, Cancer, Marker, HCC.
المجلة العلمية Not Available
الناشر Not Available
المجلد Not Available
العدد Not Available
الصفحات Not Available
publication.type Local
رابط البحث Not Available
المواد المرفقة Not Available
الملخص
Background & Aims:
The aim of this study was to assess IGF-1 in chronic liver diseases associated with HBV infection and describe the impact of liver status on IGF-1
variables.
Methods:
This cohort study included 348 subjects and conducted between December 2018 and December 2019 at El-Sahel Teaching Hospital, Cairo, Egypt.
Subjects were divided into 4 groups: group I included HBV positive hepatocellular carcinoma patients “HCC” (n= 87), group II included HBV
positive patients with liver cirrhosis “LC” (n = 87), group III included chronic hepatitis B (CHB) patients with neither HCC nor cirrhosis “CHB” (n
= 87) and group IV of healthy volunteers as controls (n = 87). Serum IGF-1 was measured quantitatively using a commercially available enzyme
immunoassay.
Results:
Serum levels of IGF-1 were measured in each of the 4 groups. The comparison showed marked differences in IGF1-related measures. It was found
to be significantly reduced in HCC patients (32.08 ± 9.2 ng/ml), LC patients (50.6±14.1ng/ml) and CHB patients (61.4±14.3 ng/ml) in comparison
to healthy subjects (140.4±49.9 ng/ml). The reduction of IGF-1 levels was also statistically significant between both HCC and LC patients and
CHB patients also between HCC and LC patients.
Conclusion:
Serum IGF-1 levels are significantly reduced with the progression of hepatic disease in HBV patients and it may be a promising serological marker
alone or in association with others for prediction of development of liver cirrhosis and HCC in chronic HBV patients.