Impact of M2BPGi on the Hepatocarcinogenesis after the Combination Therapy with Daclatasvir and Asunaprevir for Hepatitis C

The clinical significance of mac-2 binding protein glycosylation isomer (M2BPGi) levels based on virological responses due to antiviral therapy has not been fully evaluated. We compared the change before and 24 weeks after the therapy with daclatasvir and asunaprevir (DCV+ASV) of M2BPGi levels with...

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Main Authors: Satoshi Takakusagi, Ken Sato, Kyoko Marubashi, Kazuko Kizawa, Takashi Kosone, Satoru Kakizaki, Hitoshi Takagi, Toshio Uraoka
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/9/6/660
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author Satoshi Takakusagi
Ken Sato
Kyoko Marubashi
Kazuko Kizawa
Takashi Kosone
Satoru Kakizaki
Hitoshi Takagi
Toshio Uraoka
author_facet Satoshi Takakusagi
Ken Sato
Kyoko Marubashi
Kazuko Kizawa
Takashi Kosone
Satoru Kakizaki
Hitoshi Takagi
Toshio Uraoka
author_sort Satoshi Takakusagi
collection DOAJ
description The clinical significance of mac-2 binding protein glycosylation isomer (M2BPGi) levels based on virological responses due to antiviral therapy has not been fully evaluated. We compared the change before and 24 weeks after the therapy with daclatasvir and asunaprevir (DCV+ASV) of M2BPGi levels with those of other fibrosis markers in 73 chronic hepatitis C cases. Moreover, we examined the association between M2BPGi levels and hepatocarcinogenesis in sustained virological response (SVR) and non-SVR cases. M2BPGi levels were significantly improved at post-treatment week 24 (PTW24) in SVR but not non-SVR cases, whereas the changes of other fibrosis markers showed the same tendency in both SVR and non-SVR cases. M2BPGi levels were well correlated with other fibrosis markers at baseline but not PTW24. The incidence of hepatocellular carcinoma (HCC) was significantly associated with M2BPGi levels at PTW24. The achievement of SVR significantly affected the improvement of M2BPGi levels that best reflected the effect of direct-acting antivirals among the fibrosis markers. Furthermore, M2BPGi levels at PTW24 were also associated with the incidence of HCC in only SVR cases. However, the rapid decrease of M2BPGi levels might reflect the amelioration of liver inflammation rather than the improvement of liver fibrosis, which should be further elucidated.
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spelling doaj.art-d381adfef16a4c98a6390339ed733bbd2023-11-21T23:17:45ZengMDPI AGBiomedicines2227-90592021-06-019666010.3390/biomedicines9060660Impact of M2BPGi on the Hepatocarcinogenesis after the Combination Therapy with Daclatasvir and Asunaprevir for Hepatitis CSatoshi Takakusagi0Ken Sato1Kyoko Marubashi2Kazuko Kizawa3Takashi Kosone4Satoru Kakizaki5Hitoshi Takagi6Toshio Uraoka7Department of Gastroenterology and Hepatology, Kusunoki Hospital, Fujioka, Gunma 375-0024, JapanDepartment of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine, Maebashi, Gunma 371-8511, JapanDepartment of Gastroenterology and Hepatology, Kusunoki Hospital, Fujioka, Gunma 375-0024, JapanDepartment of Gastroenterology and Hepatology, Kusunoki Hospital, Fujioka, Gunma 375-0024, JapanDepartment of Gastroenterology and Hepatology, Kusunoki Hospital, Fujioka, Gunma 375-0024, JapanDepartment of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine, Maebashi, Gunma 371-8511, JapanDepartment of Gastroenterology and Hepatology, Kusunoki Hospital, Fujioka, Gunma 375-0024, JapanDepartment of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine, Maebashi, Gunma 371-8511, JapanThe clinical significance of mac-2 binding protein glycosylation isomer (M2BPGi) levels based on virological responses due to antiviral therapy has not been fully evaluated. We compared the change before and 24 weeks after the therapy with daclatasvir and asunaprevir (DCV+ASV) of M2BPGi levels with those of other fibrosis markers in 73 chronic hepatitis C cases. Moreover, we examined the association between M2BPGi levels and hepatocarcinogenesis in sustained virological response (SVR) and non-SVR cases. M2BPGi levels were significantly improved at post-treatment week 24 (PTW24) in SVR but not non-SVR cases, whereas the changes of other fibrosis markers showed the same tendency in both SVR and non-SVR cases. M2BPGi levels were well correlated with other fibrosis markers at baseline but not PTW24. The incidence of hepatocellular carcinoma (HCC) was significantly associated with M2BPGi levels at PTW24. The achievement of SVR significantly affected the improvement of M2BPGi levels that best reflected the effect of direct-acting antivirals among the fibrosis markers. Furthermore, M2BPGi levels at PTW24 were also associated with the incidence of HCC in only SVR cases. However, the rapid decrease of M2BPGi levels might reflect the amelioration of liver inflammation rather than the improvement of liver fibrosis, which should be further elucidated.https://www.mdpi.com/2227-9059/9/6/660mac-2 binding protein glycosylation isomerdirect acting antiviralsliver fibrosishepatocarcinogenesissustained virological response
spellingShingle Satoshi Takakusagi
Ken Sato
Kyoko Marubashi
Kazuko Kizawa
Takashi Kosone
Satoru Kakizaki
Hitoshi Takagi
Toshio Uraoka
Impact of M2BPGi on the Hepatocarcinogenesis after the Combination Therapy with Daclatasvir and Asunaprevir for Hepatitis C
Biomedicines
mac-2 binding protein glycosylation isomer
direct acting antivirals
liver fibrosis
hepatocarcinogenesis
sustained virological response
title Impact of M2BPGi on the Hepatocarcinogenesis after the Combination Therapy with Daclatasvir and Asunaprevir for Hepatitis C
title_full Impact of M2BPGi on the Hepatocarcinogenesis after the Combination Therapy with Daclatasvir and Asunaprevir for Hepatitis C
title_fullStr Impact of M2BPGi on the Hepatocarcinogenesis after the Combination Therapy with Daclatasvir and Asunaprevir for Hepatitis C
title_full_unstemmed Impact of M2BPGi on the Hepatocarcinogenesis after the Combination Therapy with Daclatasvir and Asunaprevir for Hepatitis C
title_short Impact of M2BPGi on the Hepatocarcinogenesis after the Combination Therapy with Daclatasvir and Asunaprevir for Hepatitis C
title_sort impact of m2bpgi on the hepatocarcinogenesis after the combination therapy with daclatasvir and asunaprevir for hepatitis c
topic mac-2 binding protein glycosylation isomer
direct acting antivirals
liver fibrosis
hepatocarcinogenesis
sustained virological response
url https://www.mdpi.com/2227-9059/9/6/660
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