Daytime variation in hepatitis C virus replication kinetics following liver transplant

<strong>Background:</strong> There is a growing interest in the role of circadian regulated pathways in disease pathogenesis. <strong>Methods:</strong> In a cohort of hepatitis C virus (HCV) infected patients undergoing liver transplantation, we observed differences in early...

Full description

Bibliographic Details
Main Authors: Zhuang, X, Lai, A, McKeating, J, Rowe, I, Balfe, P
Format: Journal article
Language:English
Published: F1000Research 2018
Description
Summary:<strong>Background:</strong> There is a growing interest in the role of circadian regulated pathways in disease pathogenesis. <strong>Methods:</strong> In a cohort of hepatitis C virus (HCV) infected patients undergoing liver transplantation, we observed differences in early viral infection kinetics of the allograft that associated with the time of liver transplant. <strong>Results:</strong> A higher frequency of subjects transplanted in the morning showed a rebound in viral RNA levels (n=4/6) during the first week post-surgery. In contrast, no viral rebound was observed in seven subjects transplanted in the afternoon. None of the other parameters previously reported to influence viral replication in the post-transplant setting, such as donor age, cold-ischemia time and length of surgery associated with viral rebound. <strong>Conclusions:</strong> These observation highlights a role for circadian processes to regulate HCV infection of the liver and warrants further investigation.