2026-05-04T00:30:43Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/271722026-01-23T01:15:57Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19609

00925njm 22002777a 4500 dc Guzman-Fulgencio, Maria author Jiménez, Jose Luis author Berenguer, Juan author Fernandez-Rodriguez, Amanda author López, Juan Carlos author Cosín, Jaime author Miralles, Pilar author Micheloud, Dariela author Muñoz-Fernández, Ma Ángeles author Resino, Salvador author 2012-05 Background: The cytokine profile plays an important role in treatment outcome of hepatitis C virus (HCV) infection, and probably modulates the immune response against HCV. The aim of this study was to evaluate which cytokines affect the response to interferon-α (IFN-α) and ribavirin therapy and how these cytokines change 72 weeks after starting anti-HCV therapy in HIV/HCV-coinfected patients. Methods: We carried out a retrospective follow-up study of 65 patients on anti-HCV therapy. A sustained virological response (SVR) was defined as an undetectable HCV viral load up to 24 weeks after the end of treatment. Cytokines were measured using a multiplex immunoassay kit. Results: On starting anti-HCV therapy, non-responder (NR) patients had higher levels of interleukin (IL)-6, IL-9, IL-10 and tumour necrosis factor (TNF)-α (P < 0.05), while IL-17A levels were increased in SVR patients (P = 0.058). However, only patients with high levels of IL-6 and IL-9 had decreased odds to achieve SVR (P < 0.05). Plasma levels of IL-6 and IL-9 had a high predictive value for SVR failure [area under the ROC curve (AUC) 0.839 (95% CI 0.733-0.945) and AUC 0.769 (95% CI 0.653-0.884)]. In addition, during anti-HCV therapy, IL-1β showed an increase in NR patients (P = 0.015) and IL-10 decreased in SVR patients (P = 0.049). After clearing HCV infection, low levels of TNF-α, IL-6, IL-9, IL-10, IL-13 and IL-22 were found in SVR patients (P < 0.05), as well as IL-1β, but only near statistical significance (P = 0.073). Conclusions: High plasma levels of IL-6 and IL-9 had a high predictive value for SVR failure. Furthermore, clearing of HCV infection was associated with low inflammatory and T helper (Th)2/Th9/Th22 cytokine levels. María Guzmán-Fulgencio, Jose Luis Jiménez, Juan Berenguer, Amanda Fernández-Rodríguez, Juan Carlos López, Jaime Cosín, Pilar Miralles, Dariela Micheloud, Mª Ángeles Muñoz-Fernández, Salvador Resino, Plasma IL-6 and IL-9 predict the failure of interferon-α plus ribavirin therapy in HIV/HCV-coinfected patients, Journal of Antimicrobial Chemotherapy, Volume 67, Issue 5, May 2012, Pages 1238–1245, https://doi.org/10.1093/jac/dkr595. 10.1093/jac/dkr595 Journal of Antimicrobial Chemotherapy 22294644 https://hdl.handle.net/20.500.12105/27172 Plasma IL-6 and IL-9 predict the failure of interferon-α plus ribavirin therapy in HIV/HCV-coinfected patients.