Do oxidized low-density lipoproteins link to extra hepatic manifestations in chronic, non-cirrhotic HCV patients?

Background: Tissue damage by viral hepatitis is a major cause of morbidity and mortality worldwide. Oxidation reactions and reactive oxygen species (ROS) transform proteins and lipids in plasma low-density lipoproteins (LDL) into the abnormal oxidized LDL (ox-LDL). Hepatitis C virus (HCV) infection...

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Main Authors: Dina Johar, Ahmed Hamed Bedair El-Assal, Mahmoud Mohamed Abou-El-Makarem, Essam Foad A. Hammouda, Mohamed Soliman Hegazy, Samy Zaky
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Metabolism Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2589936824000719
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author Dina Johar
Ahmed Hamed Bedair El-Assal
Mahmoud Mohamed Abou-El-Makarem
Essam Foad A. Hammouda
Mohamed Soliman Hegazy
Samy Zaky
author_facet Dina Johar
Ahmed Hamed Bedair El-Assal
Mahmoud Mohamed Abou-El-Makarem
Essam Foad A. Hammouda
Mohamed Soliman Hegazy
Samy Zaky
author_sort Dina Johar
collection DOAJ
description Background: Tissue damage by viral hepatitis is a major cause of morbidity and mortality worldwide. Oxidation reactions and reactive oxygen species (ROS) transform proteins and lipids in plasma low-density lipoproteins (LDL) into the abnormal oxidized LDL (ox-LDL). Hepatitis C virus (HCV) infection induces oxidative/nitrosative stress from multiple sources, including the inducible nitric oxide synthase (iNOS), the mitochondrial electron transport chain, hepatocyte NAD(P)H oxidases (NOX enzymes), and inflammation. Further, HCV decreases reduced glutathione (GSH) synthesis and regeneration. Design: Cross-section. Objective: to quantify ox-LDL in serum of chronic non-cirrhotic HCV patients, and to assess ox-LDL association with HCV-induced extra hepatic manifestations. Patients and methods: Twenty chronic, non-cirrhotic HCV female patients with extra hepatic manifestations, twenty chronic, non-cirrhotic female HCV patients without extra hepatic manifestations and twenty healthy age, sex matched controls. Methods: Serum was used for determination of liver function tests, ox-LDL and the extracellular antioxidant enzyme Superoxide Dismutase EC CuZn-SOD. Results: Patients with extra hepatic manifestations had statistically higher ox-LDL (76.63 ± 6.86 μg/L) than patients without extra hepatic manifestations (63.05 ± 6.6 μg/L) p < 0.001, and both patient groups had higher ox-LDL levels than the control group (44.1 ± 4.1 μg/L) p < 0.001. EC CuZn-SOD correlated negatively with ox-LDL in HCV patients with extra hepatic manifestation only. Conclusion: Extra hepatic manifestations were not risk for anthropometric changes seen with HCV infection. Extra hepatic manifestations were associated with high serum ox-LDL. High serum levels of ox-LDL associated with- or were due to deregulated expression of serum EC CuZn-SOD in chronic HCV patients.
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spelling doaj-art-d1bb5883d8af4e98bdc3843bf9b52ef72025-08-20T02:57:33ZengElsevierMetabolism Open2589-93682025-03-012510033910.1016/j.metop.2024.100339Do oxidized low-density lipoproteins link to extra hepatic manifestations in chronic, non-cirrhotic HCV patients?Dina Johar0Ahmed Hamed Bedair El-Assal1Mahmoud Mohamed Abou-El-Makarem2Essam Foad A. Hammouda3Mohamed Soliman Hegazy4Samy Zaky5Department of Biochemistry and Nutrition, Faculty of Women for Arts, Sciences and Education, Ain Shams University, Heliopolis, Cairo, Egypt; Corresponding author.Medical Biochemistry Department, Faculty of Medicine, Al-Azhar University, Damietta, EgyptMedical Biochemistry Department, Faculty of Medicine, Al-Azhar University, Cairo, EgyptMedical Biochemistry Department, Faculty of Medicine, Al-Azhar University, Cairo, EgyptHepatogastroenterology and Infectious Diseases Department, Faculty of Medicine, Al-Azhar University, Cairo, EgyptHepatogastroenterology and Infectious Diseases Department, Faculty of Medicine, Al-Azhar University, Cairo, EgyptBackground: Tissue damage by viral hepatitis is a major cause of morbidity and mortality worldwide. Oxidation reactions and reactive oxygen species (ROS) transform proteins and lipids in plasma low-density lipoproteins (LDL) into the abnormal oxidized LDL (ox-LDL). Hepatitis C virus (HCV) infection induces oxidative/nitrosative stress from multiple sources, including the inducible nitric oxide synthase (iNOS), the mitochondrial electron transport chain, hepatocyte NAD(P)H oxidases (NOX enzymes), and inflammation. Further, HCV decreases reduced glutathione (GSH) synthesis and regeneration. Design: Cross-section. Objective: to quantify ox-LDL in serum of chronic non-cirrhotic HCV patients, and to assess ox-LDL association with HCV-induced extra hepatic manifestations. Patients and methods: Twenty chronic, non-cirrhotic HCV female patients with extra hepatic manifestations, twenty chronic, non-cirrhotic female HCV patients without extra hepatic manifestations and twenty healthy age, sex matched controls. Methods: Serum was used for determination of liver function tests, ox-LDL and the extracellular antioxidant enzyme Superoxide Dismutase EC CuZn-SOD. Results: Patients with extra hepatic manifestations had statistically higher ox-LDL (76.63 ± 6.86 μg/L) than patients without extra hepatic manifestations (63.05 ± 6.6 μg/L) p < 0.001, and both patient groups had higher ox-LDL levels than the control group (44.1 ± 4.1 μg/L) p < 0.001. EC CuZn-SOD correlated negatively with ox-LDL in HCV patients with extra hepatic manifestation only. Conclusion: Extra hepatic manifestations were not risk for anthropometric changes seen with HCV infection. Extra hepatic manifestations were associated with high serum ox-LDL. High serum levels of ox-LDL associated with- or were due to deregulated expression of serum EC CuZn-SOD in chronic HCV patients.http://www.sciencedirect.com/science/article/pii/S2589936824000719Ox-LDLHCVExtra hepatic manifestationPatientsEC CuZn-SOD
spellingShingle Dina Johar
Ahmed Hamed Bedair El-Assal
Mahmoud Mohamed Abou-El-Makarem
Essam Foad A. Hammouda
Mohamed Soliman Hegazy
Samy Zaky
Do oxidized low-density lipoproteins link to extra hepatic manifestations in chronic, non-cirrhotic HCV patients?
Metabolism Open
Ox-LDL
HCV
Extra hepatic manifestation
Patients
EC CuZn-SOD
title Do oxidized low-density lipoproteins link to extra hepatic manifestations in chronic, non-cirrhotic HCV patients?
title_full Do oxidized low-density lipoproteins link to extra hepatic manifestations in chronic, non-cirrhotic HCV patients?
title_fullStr Do oxidized low-density lipoproteins link to extra hepatic manifestations in chronic, non-cirrhotic HCV patients?
title_full_unstemmed Do oxidized low-density lipoproteins link to extra hepatic manifestations in chronic, non-cirrhotic HCV patients?
title_short Do oxidized low-density lipoproteins link to extra hepatic manifestations in chronic, non-cirrhotic HCV patients?
title_sort do oxidized low density lipoproteins link to extra hepatic manifestations in chronic non cirrhotic hcv patients
topic Ox-LDL
HCV
Extra hepatic manifestation
Patients
EC CuZn-SOD
url http://www.sciencedirect.com/science/article/pii/S2589936824000719
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