Liver p53 expression in patients with HCV‐related chronic hepatitis

C Loguercio, A Cuomo, C Tuccillo… - Journal of Viral …, 2003 - Wiley Online Library
C Loguercio, A Cuomo, C Tuccillo, P Gazzerro, M Cioffi, AM Molinari, C Del Vecchio Blanco
Journal of Viral Hepatitis, 2003Wiley Online Library
Mutated p53 acts as a dominant oncogene and alterations in the p53 gene are described in
a large number of patients with hepatocellular carcinoma (HCC). It has been demonstrated
that hepatitis C virus (HCV)‐core protein regulates transcriptionally cellular genes, as well
as cell growth and apoptosis. This study was undertaken to evaluate whether p53 may be
expressed also in a precocious stage of HCV‐related liver damage. We studied p53
expression by immunoluminometric assay on liver samples from 40 patients (M/F 18/22 …
Summary
Mutated p53 acts as a dominant oncogene and alterations in the p53 gene are described in a large number of patients with hepatocellular carcinoma (HCC). It has been demonstrated that hepatitis C virus (HCV)‐core protein regulates transcriptionally cellular genes, as well as cell growth and apoptosis. This study was undertaken to evaluate whether p53 may be expressed also in a precocious stage of HCV‐related liver damage.
We studied p53 expression by immunoluminometric assay on liver samples from 40 patients (M/F 18/ 22, median age 44 years, range 13–64 years) with biopsy‐proven HCV‐related chronic hepatitis. We considered the following factors: degree of liver damage, liver iron content and HCV‐RNA titre. We also evaluated as possible co‐factors alcohol and food intake in the last 3 years.
p53 was over‐expressed in seven of 40 (17.5%) patients. Liver histology documented the presence of unexpected cirrhosis in two patients among the p53 positive subjects. The p53 positive group had a daily ethanol intake significantly higher in respect to that of the p53 negative group (P < 0.05). Alimentary history documented that patients with a p53 over‐expression had a lower intake of total calories, monounsaturated fatty acids, vitamin C and riboflavin.
Data indicate that p53 over‐expression can occur even in initial stages of HCV‐related liver disease.
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