Vol.2 , No. 6, Publication Date: Dec. 11, 2015, Page: 86-96
[1] | Shaden Muawia, Department of Molecular Biology, Genetic Engineering and Biotechnology Research Institute, Sadat City University, Sadat City, Egypt. |
[2] | Hala H. El-Said, Department of Clinical Biochemistry, National Liver Institute, Menofiya University, Shebin El Kom City, Egypt. |
[3] | Tarek M. Kamel, Department of Molecular Biology, Genetic Engineering and Biotechnology Research Institute, Sadat City University, Sadat City, Egypt. |
Circulating miR-122 is commonly deregulated in liver fibrosis and hepatocellular carcinoma (HCC). In this study we tried to explore the potential usefulness of serum miR-122 as noninvasive diagnostic marker for liver injury and HCC in chronic hepatitis C virus infected patients. In addition, tried to examine whether serum level of miR-122 can potentially serve as circulating marker for liver disease stage assessment. Out of 84 participants; 20 patients were HCV positive infected patients, 44 HCC patients infected with HCV, and 20 healthy volunteers were also included. We determined the expression of levels ofmiR-122 and Bcl-w in serum using (qRT-PCR); and compared them with the other clinicopathological parameters. Mean miR-122 expression levels were up-regulated in both patient groups (HCV and HCC) compared to control group. In addition, mean expression levels of miR-122 were significantly higher in HCV group compared to HCC group (p=0.025). Conversely, mean Bcl-w expression levels were down-regulated in both patient groups compared to control group but, mean expression levels of Bcl-w were significantly higher in HCC group compared to HCV group(p=<0.001). Furthermore, expression levels of miR-122 were positively correlated with ALT, AST, ALP and fibrosis stage, and negatively correlated with prothrombin concentration and Albumin in both patient groups.ROC curve analysis for miR-122 yielded 64% sensitivity and 75% specificity for the differentiation of HCC patients from non-HCC at a cutoff 3.85. Conclusion: miR-122 can be used as novel biomarker for liver injury and may be used to discriminate patients with HCC from HCV. Also, miR-122 may represent novel non invasive biomarker for assessment of liver disease severity in patients with chronic hepatitis C virus.
Keywords
Micro RNA-122, Bcl-w, Chronic Hepatitis, Hepatocellular Carcinoma (HCC), Hepatitis C virus (HCV)
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