Association between histological findings, aminotransferase levels and viral genotype in chronic hepatitis C infection

Rev Soc Bras Med Trop. 2014 Jan-Feb;47(1):90-2. doi: 10.1590/0037-8682-0008-2012.

Abstract

Introduction: The genomic heterogeneity of hepatitis C virus (HCV) influences liver disorders. This study aimed to determine the prevalence of HCV genotypes and to investigate the influence of these genotypes on disease progression.

Methods: Blood samples and liver biopsies were collected from HCV-seropositive patients for serological analysis, biochemical marker measurements, HCV genotyping and histopathological evaluation.

Results: Hepatitis C virus-ribonucleic acid (HCV-RNA) was detected in 107 patients (90.6% with genotype 1 and 9.4% with genotype 3). Patients infected with genotype 1 exhibited higher mean necroinflammatory activity and fibrosis.

Conclusions: HCV genotype 1 was the most prevalent and was associated with greater liver dysfunction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alanine Transaminase / blood
  • Aspartate Aminotransferases / blood
  • Biopsy
  • Disease Progression
  • Female
  • Genotype
  • Hepacivirus / genetics*
  • Hepatitis C, Chronic / enzymology
  • Hepatitis C, Chronic / pathology
  • Hepatitis C, Chronic / virology*
  • Humans
  • Liver Cirrhosis / pathology
  • Liver Cirrhosis / virology*
  • Male
  • RNA, Viral / blood
  • gamma-Glutamyltransferase / blood

Substances

  • RNA, Viral
  • gamma-Glutamyltransferase
  • Aspartate Aminotransferases
  • Alanine Transaminase