Impact of Hepatitis C Virus/Schistosoma mansoni Coinfection on the Circulating Levels of HCV-NS4 Protein and Extracellular-Matrix Deposition in Patients with Different Hepatic Fibrosis Stages

Abdelfattah M. Attallah Biotechnology Research Center, New Damietta, Egypt.

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Sanaa O. Abdallah Faculty of Science, Cairo University, Giza, Egypt.

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Mohamed S. Albannan Biotechnology Research Center, New Damietta, Egypt.

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Mohamed M. Omran Faculty of Science, Helwan University, Cairo, Egypt.

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Ahmed A. Attallah Biotechnology Research Center, New Damietta, Egypt.

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Khaled Farid Faculty of Medicine, Mansoura University, Mansoura, Egypt.

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Hepatitis C virus (HCV)/Schistosoma mansoni coinfection is common in Egypt and other developing countries. This study aimed to investigate the influence of HCV/S. mansoni coinfection on the concentration of HCV–nonstructural protein-4 (NS4) in addition to collagen III and matrix metalloproteinase-1 (MMP-1) in different hepatic fibrosis stages. We found that coinfected patients (N = 186) showed significantly (P < 0.05, Mann–Whitney U test) higher concentrations of HCV-NS4, collagen III, and collagen III/MMP-1 ratio (CMR) than those with HCV monoinfection (N = 104) in different fibrosis stages. Conversely, coinfected patients showed significantly lower concentrations of MMP-1 when compared with HCV monoinfection. The elevated levels of CMR in case of HCV monoinfection yielded an estimated odds ratio of 1.8 and 2.6 for developing significant fibrosis (F2-F4) and cirrhosis (F4), respectively. HCV/S. mansoni coinfection increased the risk for developing F2-F4 and F4 several fold yielding an estimated odds ratio of 11.1 and 5.2, respectively. This means that coinfected patients have a 6-fold and 2-fold increased risk of developing F2-F4 and F4, respectively, over HCV-monoinfected patients. Thus, elevated levels of HCV-NS4 and CMR in HCV/S. mansoni coinfection suggest increased susceptibility of coinfected patients, compared with those with HCV monoinfection, for accelerating hepatic fibrosis progression.

Author Notes

* Address correspondence to Abdelfattah M. Attallah, Biotechnology Research Center, P.O. Box 14, 23 July Street, Industrial Zone, New Damietta 34517, Egypt. E-mail: amattallah@hotmail.com

Authors' addresses: Abdelfattah M. Attallah, Mohamed S. Albannan, and Ahmed A. Attallah, Biotechnology Research Center, New Damietta, Egypt, E-mails: amattallah@hotmail.com, mohamedalbannan@yahoo.com, and ahmedattallah2009@hotmail.com. Sanaa O. Abdallah, Faculty of Science, Cairo University, Giza, Egypt, E-mail: sanaa.osman@gmail.com. Mohamed M. Omran, Faculty of Science, Helwan University, Cairo, Egypt, E-mail: drmmomran@yahoo.com. Khaled Farid, Faculty of Medicine, Mansoura University, Mansoura, Egypt, E-mail: khaled_som@mans.edu.eg.

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