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Virological and biochemical features in elderly HCV patients with hepatocellular carcinoma: amino acid substitutions in HCV core region as predictor of mortality after first treatment.
- Source :
-
Intervirology [Intervirology] 2009; Vol. 52 (4), pp. 179-88. Date of Electronic Publication: 2009 Jun 17. - Publication Year :
- 2009
-
Abstract
- Aims: We showed previously that amino acid (aa) substitutions in HCV genotype 1b (HCV-1b) core region are negative predictors of virological response to peginterferon + ribavirin therapy, and also risk factors of hepatocarcinogenesis. The aim of this study was to evaluate the impact of core aa substitutions on mortality in elderly patients.<br />Methods: We compared the characteristics and survival of 92 elderly (> or =75 years) patients with HCV-related hepatocellular carcinoma (HCC) (including 62 patients with HCV-1b) with those of 44 younger patients (<50 years, 34 patients with HCV-1b).<br />Results: For all patients, univariate analysis identified female sex, history of blood transfusion, preserved liver function and glucose metabolism as significant variables in the elderly patients. In patients with HCV-1b-related HCC, univariate analysis identified preserved lipid metabolism as significant variable in addition to significant variables in overall patients. In elderly patients with HCV-1b-related HCC, multivariate analysis identified male sex, methionine of core aa91, and non-radical therapy as factors that influenced mortality after first treatment for HCC.<br />Conclusions: Our results characterized elderly patients who develop HCC after HCV-1b infection, and suggested that aa substitutions of HCV-1b core region correlate with mortality of patients after first treatment for HCC.<br /> (Copyright 2009 S. Karger AG, Basel.)
- Subjects :
- Adult
Aged
Aged, 80 and over
Antiviral Agents therapeutic use
Female
Hepacivirus isolation & purification
Hepatitis C, Chronic drug therapy
Hepatitis C, Chronic pathology
Humans
Liver Neoplasms mortality
Liver Neoplasms virology
Male
Middle Aged
Statistics as Topic
Survival Analysis
Amino Acid Substitution genetics
Carcinoma, Hepatocellular mortality
Carcinoma, Hepatocellular virology
Hepacivirus genetics
Hepatitis C, Chronic complications
Hepatitis C, Chronic virology
Viral Core Proteins genetics
Subjects
Details
- Language :
- English
- ISSN :
- 1423-0100
- Volume :
- 52
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Intervirology
- Publication Type :
- Academic Journal
- Accession number :
- 19546575
- Full Text :
- https://doi.org/10.1159/000225193