Immunological/virological peripheral blood biomarkers and distinct patterns of sleeping quality in chronic hepatitis C patients.

作者: C. M. O. de Almeida , T. A. de Lima , D. B. Castro , K. L. Torres , W. da Silva Braga

DOI: 10.1111/J.1365-3083.2011.02518.X

关键词: Peripheral bloodCD69Viral loadCytokineChronic hepatitisCD8ImmunologyEpworth Sleepiness ScalePittsburgh Sleep Quality IndexMedicine

摘要: The rational of this study we intended to investigate whether the peripheral blood immunological ⁄ virological biomarkers were associated with distinct patterns sleeping quality in patients chronic hepatitis C-(HCV). Distinct well-established indexes⁄scores used categorize HCV patients, including Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale and Fatigue Severity Scores. Our findings demonstrated that classified as ‘good sleeper’ displayed an enhanced frequency circulating CD8+ T cells, lower activated (CD69+ ) neutrophils eosinophils but lymphocytes besides seric levels IL-4 ⁄IL-8 ⁄IL-10 higher IL-12, virus load anti-HCV IgG levels. In contrast, ‘poor lymphocytes, IL-6 ⁄TNF-a IL-12 increased Positive correlation was further confirmed by relationship between leucocyte activation status, cytokine levels, viral reactivity PSQI indexes. Analysis signature curves IL-10 observed sleepers’, whereas found sleepers’. conclusion, our data suggest (leucocytes status cytokines levels) are likely be suggesting their putative use for clinical monitoring purposes.

参考文章(54)
David H. Lee, Hyder Jamal, Fredric G. Regenstein, Robert P. Perrillo, Morbidity of chronic hepatitis C as seen in a tertiary care medical center. Digestive Diseases and Sciences. ,vol. 42, pp. 186- 191 ,(1997) , 10.1023/A:1018818012378
Edward J. Goetzl, Sunil P. Sreedharan, Mediators of communication and adaptation in the neuroendocrine and immune systems. The FASEB Journal. ,vol. 6, pp. 2646- 2652 ,(1992) , 10.1096/FASEBJ.6.9.1612288
Franklin A. Lue, John B. Hay, Jodi B. Dickstein, Harvey Moldofsky, Intracerebroventricular injection of TNF-α promotes sleep and is recovered in cervical lymph American Journal of Physiology-regulatory Integrative and Comparative Physiology. ,vol. 276, ,(1999) , 10.1152/AJPREGU.1999.276.4.R1018
Russell C Dale, Andrew J Church, Robert AH Surtees, Andrew J Lees, Jane E Adcock, Brian Harding, Brian GR Neville, Gavin Giovannoni, None, Encephalitis lethargica syndrome: 20 new cases and evidence of basal ganglia autoimmunity Brain. ,vol. 127, pp. 21- 33 ,(2004) , 10.1093/BRAIN/AWH008
Sanjeev Sockalingam, Susan E. Abbey, Fahad Alosaimi, Marta Novak, A review of sleep disturbance in hepatitis C. Journal of Clinical Gastroenterology. ,vol. 44, pp. 38- 45 ,(2010) , 10.1097/MCG.0B013E3181B314EA
A. S. Gershon, M. Margulies, R. M. Gorczynski, E. J. Heathcote, Serum cytokine values and fatigue in chronic hepatitis C infection. Journal of Viral Hepatitis. ,vol. 7, pp. 397- 402 ,(2000) , 10.1046/J.1365-2893.2000.00249.X
James L. Alford, Paul van Donkelaar, Paul Dassonville, Richard T. Marrocco, Transcranial magnetic stimulation over MT/MST fails to impair judgments of implied motion. Cognitive, Affective, & Behavioral Neuroscience. ,vol. 7, pp. 225- 232 ,(2007) , 10.3758/CABN.7.3.225
Mark R. Opp, Sleep and psychoneuroimmunology. Neurologic Clinics. ,vol. 24, pp. 493- 506 ,(2006) , 10.1016/J.NCL.2006.03.002
J. Born, H. Fehm, Hypothalamus-pituitary-adrenal activity during human sleep: a coordinating role for the limbic hippocampal system Experimental and Clinical Endocrinology & Diabetes. ,vol. 106, pp. 153- 163 ,(2009) , 10.1055/S-0029-1211969