Abstract
Background: Hepatocellular carcinoma (HCC) is one of the major cause for cancer in the world. Aim of this case-control study was to investigate the distribution pattern of HCV genotypes among HCC patients and suggest whether infection with specific subtypes may be associated with an increased risk of progression to cancer. Methods: 152 HCC anti-HCV positive patients, fulfilling the criteria from the Barcelona 2000 EASL conference, and 568 patients HCV chronically infected but without HCC as control group were included in the study. Serum of each patient was evaluated for viral load estimation and genotyping. Results: Males with HCC significantly showed to have quite 2 times higher risk of exposure to HCV infection (OR = 1.72; 95% CI = 1.15-2.58). Moreover, HCC was significantly associated with older age. In fact, > 50 years older patients showed to have a higher risk of developing HCC (OR = 17.4; 95% CI = 4.24 to 71.36) compared to younger patients. HCV RNA rate was significantly higher (83.7%) among HCC patients than in the control group (61.4%, p < 0.001) and the most prevalent genotype was 1b (68.0% in HCC vs 54.4% in the control group, p < 0.005). HCC patients significantly have a risk of exposure to HCV 1b infection almost 2 times greater than the control group (OR = 1.8; 95% CI = 1.11-2.82). The multivariate-adjusted OR (95% CI) of developing HCC for HCV 1b comparing to non-1b was 1.65 (1.16-2.33). Conclusions: Our study detected a significantly higher rate of HCV RNA positivity and a higher rate of HCV 1b infection in HCC patients, suggesting the strict association between subtype 1b infection and HCC. A prospective study with larger number of samples would be needed to confirm our results.
| Original language | English |
|---|---|
| Article number | 52 |
| Journal | Infectious Agents and Cancer |
| Volume | 12 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Oct 6 2017 |
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Keywords
- HCV
- HCV genotypes
- Hepatocellular carcinoma
- Italy
- Liver cancer
- Risk factors
- Viral load
ASJC Scopus subject areas
- Epidemiology
- Oncology
- Infectious Diseases
- Cancer Research
Cite this
Hepatitis C Virus (HCV) genotypes distribution among hepatocellular carcinoma patients in Southern Italy : A three year retrospective study. / Petruzziello, Arnolfo; Marigliano, Samantha; Loquercio, Giovanna; Coppola, Nicola; Piccirillo, Mauro; Leongito, Maddalena; Azzaro, Rosa; Izzo, Francesco; Botti, Gerardo.
In: Infectious Agents and Cancer, Vol. 12, No. 1, 52, 06.10.2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Hepatitis C Virus (HCV) genotypes distribution among hepatocellular carcinoma patients in Southern Italy
T2 - A three year retrospective study
AU - Petruzziello, Arnolfo
AU - Marigliano, Samantha
AU - Loquercio, Giovanna
AU - Coppola, Nicola
AU - Piccirillo, Mauro
AU - Leongito, Maddalena
AU - Azzaro, Rosa
AU - Izzo, Francesco
AU - Botti, Gerardo
PY - 2017/10/6
Y1 - 2017/10/6
N2 - Background: Hepatocellular carcinoma (HCC) is one of the major cause for cancer in the world. Aim of this case-control study was to investigate the distribution pattern of HCV genotypes among HCC patients and suggest whether infection with specific subtypes may be associated with an increased risk of progression to cancer. Methods: 152 HCC anti-HCV positive patients, fulfilling the criteria from the Barcelona 2000 EASL conference, and 568 patients HCV chronically infected but without HCC as control group were included in the study. Serum of each patient was evaluated for viral load estimation and genotyping. Results: Males with HCC significantly showed to have quite 2 times higher risk of exposure to HCV infection (OR = 1.72; 95% CI = 1.15-2.58). Moreover, HCC was significantly associated with older age. In fact, > 50 years older patients showed to have a higher risk of developing HCC (OR = 17.4; 95% CI = 4.24 to 71.36) compared to younger patients. HCV RNA rate was significantly higher (83.7%) among HCC patients than in the control group (61.4%, p < 0.001) and the most prevalent genotype was 1b (68.0% in HCC vs 54.4% in the control group, p < 0.005). HCC patients significantly have a risk of exposure to HCV 1b infection almost 2 times greater than the control group (OR = 1.8; 95% CI = 1.11-2.82). The multivariate-adjusted OR (95% CI) of developing HCC for HCV 1b comparing to non-1b was 1.65 (1.16-2.33). Conclusions: Our study detected a significantly higher rate of HCV RNA positivity and a higher rate of HCV 1b infection in HCC patients, suggesting the strict association between subtype 1b infection and HCC. A prospective study with larger number of samples would be needed to confirm our results.
AB - Background: Hepatocellular carcinoma (HCC) is one of the major cause for cancer in the world. Aim of this case-control study was to investigate the distribution pattern of HCV genotypes among HCC patients and suggest whether infection with specific subtypes may be associated with an increased risk of progression to cancer. Methods: 152 HCC anti-HCV positive patients, fulfilling the criteria from the Barcelona 2000 EASL conference, and 568 patients HCV chronically infected but without HCC as control group were included in the study. Serum of each patient was evaluated for viral load estimation and genotyping. Results: Males with HCC significantly showed to have quite 2 times higher risk of exposure to HCV infection (OR = 1.72; 95% CI = 1.15-2.58). Moreover, HCC was significantly associated with older age. In fact, > 50 years older patients showed to have a higher risk of developing HCC (OR = 17.4; 95% CI = 4.24 to 71.36) compared to younger patients. HCV RNA rate was significantly higher (83.7%) among HCC patients than in the control group (61.4%, p < 0.001) and the most prevalent genotype was 1b (68.0% in HCC vs 54.4% in the control group, p < 0.005). HCC patients significantly have a risk of exposure to HCV 1b infection almost 2 times greater than the control group (OR = 1.8; 95% CI = 1.11-2.82). The multivariate-adjusted OR (95% CI) of developing HCC for HCV 1b comparing to non-1b was 1.65 (1.16-2.33). Conclusions: Our study detected a significantly higher rate of HCV RNA positivity and a higher rate of HCV 1b infection in HCC patients, suggesting the strict association between subtype 1b infection and HCC. A prospective study with larger number of samples would be needed to confirm our results.
KW - HCV
KW - HCV genotypes
KW - Hepatocellular carcinoma
KW - Italy
KW - Liver cancer
KW - Risk factors
KW - Viral load
UR - http://www.scopus.com/inward/record.url?scp=85030687219&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85030687219&partnerID=8YFLogxK
U2 - 10.1186/s13027-017-0162-5
DO - 10.1186/s13027-017-0162-5
M3 - Article
AN - SCOPUS:85030687219
VL - 12
JO - Infectious Agents and Cancer
JF - Infectious Agents and Cancer
SN - 1750-9378
IS - 1
M1 - 52
ER -