Cognitive Dysfunction and Single Nucleotide Polymorphisms in Hepatitis C Virus-Infected Persons: A Systematic Review

Viral Immunol. 2017 Dec;30(10):703-707. doi: 10.1089/vim.2017.0084. Epub 2017 Oct 10.

Abstract

The aim of this study was to realize a systematic review to identify data reported in the literature involving people infected by hepatitis C virus (HCV) with cognitive dysfunctions and single nucleotide polymorphisms (SNPs). The research was realized in six databases and the selection of studies was performed in two stages. Initially, we searched indexed articles from the following electronic databases: SciELO, MEDLINE, PubMed, HighWire, LILACS, and ScienceDirect. Then the articles were completely read and those that did not meet the eligibility criteria were excluded. Therefore, 5,669 articles were obtained and, of these, 25 were selected. Finally, one article involving people with HCV and cognitive impairment was included in the review. The frequency of the APOE-ɛ4 allele in people with HCV and mild liver disease was significantly lower in those with work memory impairment (p = 0.003) and attention (p = 0.008). This situation differs from other studies that showed an association between ɛ4 allele high frequency and cognitive decline. Thus, studies with larger samples involving people with HCV, cognitive alterations, and SNPs are necessary, in view of the lack of this theme in the literature and the divergences in the findings.

Keywords: chronic hepatitis C; cognition disorders; hepatitis C; neurobehavioral manifestations; single nucleotide polymorphism.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Apolipoprotein E4 / genetics*
  • Cognitive Dysfunction / complications*
  • Cognitive Dysfunction / genetics*
  • Databases, Factual
  • Gene Frequency / genetics
  • Genotype
  • Hepacivirus / physiology
  • Hepatitis C, Chronic / complications*
  • Hepatitis C, Chronic / genetics*
  • Humans
  • Liver Diseases / complications
  • Polymorphism, Single Nucleotide*

Substances

  • Apolipoprotein E4