Abstract
Hepatitis C virus (HCV) re-infection after liver transplantation (LT) is characterized by an accelerated disease progression in recent years with unclear mechanisms. We evaluate the relationship between progression of liver fibrosis and histological necro-inflammation in HCV recipients, according to age of transplant. Fifty-five patients transplanted (1993-2002) for HCV liver disease, were included in the study. Recipients were retrospectively stratified in three different age of transplant, of 40 months each: group 1) from January 1993 to May 1996; group 2) from June 1996 to august 1999; group 3) from September 1999 to December 2002. Grading (necro-inflammation) and staging (fibrosis) scores were evaluated in liver biopsies at 1, 2 and 3 years from LT (Ishak classification). For all age of transplant the main factor associated with fibrosis progression, was grading score (p <0.05). However mean staging score for each point of grading increased from 0.3 ± 0.2 in older LT to 0.7 ± 0.5 in newer ones (p = 0.01). In conclusion in HCV-LT patients (1) liver fibrosis is strictly associated to histological necro-inflammation; (2) the proportion of this relationship has been changing in recent years since newer LT patients, show an increased amount of fibrosis in comparison with the older ones, for similar grading score.
| Original language | English |
|---|---|
| Pages (from-to) | 673-678 |
| Number of pages | 6 |
| Journal | American Journal of Transplantation |
| Volume | 8 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Mar 2008 |
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Keywords
- HCV
- Liver fibrosis
- Liver transplantation
ASJC Scopus subject areas
- Immunology
Cite this
Correlation between liver fibrosis and inflammation in patients transplanted for HCV liver disease. / Baiocchi, L.; Angelico, M.; Petrolati, A.; Perrone, L.; Palmieri, G.; Battista, S.; Carbone, M.; Tariciotti, L.; Longhi, C.; Orlando, G.; Tisone, G.
In: American Journal of Transplantation, Vol. 8, No. 3, 03.2008, p. 673-678.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Correlation between liver fibrosis and inflammation in patients transplanted for HCV liver disease
AU - Baiocchi, L.
AU - Angelico, M.
AU - Petrolati, A.
AU - Perrone, L.
AU - Palmieri, G.
AU - Battista, S.
AU - Carbone, M.
AU - Tariciotti, L.
AU - Longhi, C.
AU - Orlando, G.
AU - Tisone, G.
PY - 2008/3
Y1 - 2008/3
N2 - Hepatitis C virus (HCV) re-infection after liver transplantation (LT) is characterized by an accelerated disease progression in recent years with unclear mechanisms. We evaluate the relationship between progression of liver fibrosis and histological necro-inflammation in HCV recipients, according to age of transplant. Fifty-five patients transplanted (1993-2002) for HCV liver disease, were included in the study. Recipients were retrospectively stratified in three different age of transplant, of 40 months each: group 1) from January 1993 to May 1996; group 2) from June 1996 to august 1999; group 3) from September 1999 to December 2002. Grading (necro-inflammation) and staging (fibrosis) scores were evaluated in liver biopsies at 1, 2 and 3 years from LT (Ishak classification). For all age of transplant the main factor associated with fibrosis progression, was grading score (p <0.05). However mean staging score for each point of grading increased from 0.3 ± 0.2 in older LT to 0.7 ± 0.5 in newer ones (p = 0.01). In conclusion in HCV-LT patients (1) liver fibrosis is strictly associated to histological necro-inflammation; (2) the proportion of this relationship has been changing in recent years since newer LT patients, show an increased amount of fibrosis in comparison with the older ones, for similar grading score.
AB - Hepatitis C virus (HCV) re-infection after liver transplantation (LT) is characterized by an accelerated disease progression in recent years with unclear mechanisms. We evaluate the relationship between progression of liver fibrosis and histological necro-inflammation in HCV recipients, according to age of transplant. Fifty-five patients transplanted (1993-2002) for HCV liver disease, were included in the study. Recipients were retrospectively stratified in three different age of transplant, of 40 months each: group 1) from January 1993 to May 1996; group 2) from June 1996 to august 1999; group 3) from September 1999 to December 2002. Grading (necro-inflammation) and staging (fibrosis) scores were evaluated in liver biopsies at 1, 2 and 3 years from LT (Ishak classification). For all age of transplant the main factor associated with fibrosis progression, was grading score (p <0.05). However mean staging score for each point of grading increased from 0.3 ± 0.2 in older LT to 0.7 ± 0.5 in newer ones (p = 0.01). In conclusion in HCV-LT patients (1) liver fibrosis is strictly associated to histological necro-inflammation; (2) the proportion of this relationship has been changing in recent years since newer LT patients, show an increased amount of fibrosis in comparison with the older ones, for similar grading score.
KW - HCV
KW - Liver fibrosis
KW - Liver transplantation
UR - http://www.scopus.com/inward/record.url?scp=39649123232&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=39649123232&partnerID=8YFLogxK
U2 - 10.1111/j.1600-6143.2007.02107.x
DO - 10.1111/j.1600-6143.2007.02107.x
M3 - Article
C2 - 18294164
AN - SCOPUS:39649123232
VL - 8
SP - 673
EP - 678
JO - American Journal of Transplantation
JF - American Journal of Transplantation
SN - 1600-6135
IS - 3
ER -