PREDICTION OF EFFICIENCY OF PYROGENAL THERAPY IN PATIENTS WITH CHRONIC HEPATITIS C

Background. Patients with chronic hepatitis C (CHC) are at risk of developing liver cirrhosis and require adequate antifibrotic therapy. The objective of the study was to develop a method for predicting the response to antifibrotic therapy with pyrogenal in patients with recurrent CHC. Materia...

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Main Authors: Chernyak S. A., Tsyrkunov V. M., Doroshenko Ye. M., Kapytski A. V.
Format: Article
Language:Belarusian
Published: Grodno State Medical University 2018-08-01
Series:Žurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta
Subjects:
Online Access:http://journal-grsmu.by/index.php/ojs/article/view/2276/2079
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author Chernyak S. A.
Tsyrkunov V. M.
Doroshenko Ye. M.
Kapytski A. V.
author_facet Chernyak S. A.
Tsyrkunov V. M.
Doroshenko Ye. M.
Kapytski A. V.
author_sort Chernyak S. A.
collection DOAJ
description Background. Patients with chronic hepatitis C (CHC) are at risk of developing liver cirrhosis and require adequate antifibrotic therapy. The objective of the study was to develop a method for predicting the response to antifibrotic therapy with pyrogenal in patients with recurrent CHC. Material and methods. Before the start of pyrogenal therapy pyrogenal test was performed in 36 patients with CHC, followed by evaluation of serum levels of taurine, gamma-aminobutyric acid, leucine, 3-methoxy-4-hydroxyphenylglycol and tryptophan by high-performance liquid chromatography. The patients underwent a course of antifibrotic therapy with pyrogenal, the dynamics of fibrosis was assessed by the serum TIMP-1 values. Results. The equation of logistic regression for predicting the effectiveness of antifibrotic therapy of CHC with a binary response from the communication probit functions was constructed. The model predicts a positive or negative dynamics of the serum level of TIMP-1 after pyrogenal therapy. Conclusion. To predict the response to antifibrotic therapy with pyrogenal in patients with CHC, it is recommended that this model be used in conjunction with the model predicting the dynamics of the APRI index.
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spelling doaj.art-bf598f2f107e48518a93686c51d1c52e2022-12-21T19:10:07ZbelGrodno State Medical UniversityŽurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta2221-87852413-01092018-08-0116331131610.25298/2221-8785-2018-16-3-311-316PREDICTION OF EFFICIENCY OF PYROGENAL THERAPY IN PATIENTS WITH CHRONIC HEPATITIS CChernyak S. A.0Tsyrkunov V. M.1Doroshenko Ye. M.2Kapytski A. V.3Educational Institution “Grodno State Medical University”Educational Institution “Grodno State Medical University”Educational Institution «Grodno State Medical University»Educational Institution «Grodno State Medical University»Background. Patients with chronic hepatitis C (CHC) are at risk of developing liver cirrhosis and require adequate antifibrotic therapy. The objective of the study was to develop a method for predicting the response to antifibrotic therapy with pyrogenal in patients with recurrent CHC. Material and methods. Before the start of pyrogenal therapy pyrogenal test was performed in 36 patients with CHC, followed by evaluation of serum levels of taurine, gamma-aminobutyric acid, leucine, 3-methoxy-4-hydroxyphenylglycol and tryptophan by high-performance liquid chromatography. The patients underwent a course of antifibrotic therapy with pyrogenal, the dynamics of fibrosis was assessed by the serum TIMP-1 values. Results. The equation of logistic regression for predicting the effectiveness of antifibrotic therapy of CHC with a binary response from the communication probit functions was constructed. The model predicts a positive or negative dynamics of the serum level of TIMP-1 after pyrogenal therapy. Conclusion. To predict the response to antifibrotic therapy with pyrogenal in patients with CHC, it is recommended that this model be used in conjunction with the model predicting the dynamics of the APRI index.http://journal-grsmu.by/index.php/ojs/article/view/2276/2079Chronic hepatitis Cpyrogenal testantifibrotic therapyefficiency
spellingShingle Chernyak S. A.
Tsyrkunov V. M.
Doroshenko Ye. M.
Kapytski A. V.
PREDICTION OF EFFICIENCY OF PYROGENAL THERAPY IN PATIENTS WITH CHRONIC HEPATITIS C
Žurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta
Chronic hepatitis C
pyrogenal test
antifibrotic therapy
efficiency
title PREDICTION OF EFFICIENCY OF PYROGENAL THERAPY IN PATIENTS WITH CHRONIC HEPATITIS C
title_full PREDICTION OF EFFICIENCY OF PYROGENAL THERAPY IN PATIENTS WITH CHRONIC HEPATITIS C
title_fullStr PREDICTION OF EFFICIENCY OF PYROGENAL THERAPY IN PATIENTS WITH CHRONIC HEPATITIS C
title_full_unstemmed PREDICTION OF EFFICIENCY OF PYROGENAL THERAPY IN PATIENTS WITH CHRONIC HEPATITIS C
title_short PREDICTION OF EFFICIENCY OF PYROGENAL THERAPY IN PATIENTS WITH CHRONIC HEPATITIS C
title_sort prediction of efficiency of pyrogenal therapy in patients with chronic hepatitis c
topic Chronic hepatitis C
pyrogenal test
antifibrotic therapy
efficiency
url http://journal-grsmu.by/index.php/ojs/article/view/2276/2079
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