1. Differential Expression of the Host Lipid Regulators ANGPTL-3 and ANGPTL-4 in HCV Infection and Treatment
- Author
-
Eirini Karamichali, Vaia Valiakou, Urania Georgopoulou, Ourania E. Tsitsilonis, Petros Eliadis, John Koskinas, and Pelagia Foka
- Subjects
0301 basic medicine ,Liver Cirrhosis ,Male ,Cirrhosis ,fingerprint ,Hepacivirus ,medicine.disease_cause ,Liver disease ,0302 clinical medicine ,Fibrosis ,lipid metabolism ,Biology (General) ,Spectroscopy ,General Medicine ,Hepatitis C ,hepatocellular carcinoma ,Computer Science Applications ,HCV infection ,Chemistry ,Hepatocellular carcinoma ,030211 gastroenterology & hepatology ,Female ,TGF-β ,QH301-705.5 ,Hepatitis C virus ,liver ,Antiviral Agents ,Catalysis ,Virus ,Article ,Inorganic Chemistry ,03 medical and health sciences ,Cell Line, Tumor ,medicine ,Angiopoietin-Like Protein 4 ,Humans ,Physical and Theoretical Chemistry ,Molecular Biology ,QD1-999 ,Angiopoietin-Like Protein 3 ,DAA ,angiopoietin-like proteins ,business.industry ,cirrhosis ,Organic Chemistry ,fibrosis ,Lipid metabolism ,Hepatitis C, Chronic ,medicine.disease ,digestive system diseases ,030104 developmental biology ,Gene Expression Regulation ,Immunology ,business - Abstract
Host lipid metabolism reprogramming is essential for hepatitis C virus (HCV) infection and progression to severe liver disease. Direct-acting antivirals (DAAs) achieve a sustained virological response (SVR) in most patients, but virus eradication does not always protect against hepatocellular carcinoma (HCC). Angiopoietin-like protein-3 (ANGPTL-3) and angiopoietin-like protein-4 (ANGPTL-4) regulate the clearance of plasma lipids by inhibiting cellular lipase activity and possess emerging roles in tumourigenesis. We used ELISA and RT-qPCR to investigate ANGPTL-3 and ANGPTL-4 expression in HCV patients with characterised fibrosis throughout the natural history of hepatitis C and in long-term HCV infection in vitro, before and after DAA treatment. ANGPTL-3 was decreased in patients with advanced fibrosis compared to other disease stages, while ANGPTL-4 was progressively increased from acute infection to cirrhosis and HCC, peaking at the advanced fibrosis stage. Only ANGPTL-3 mRNA was down-regulated during early infection in vitro, although both ANGPTLs were increased later. DAA treatment did not alter ANGPTL-3 levels in advanced fibrosis/cirrhosis and in HCV infection in vitro, in contrast to ANGPTL-4. The association between ANGPTLs and fibrosis in HCV infection was underlined by an inverse correlation between the levels of ANGPTLs and serum transforming growth factor- β (TGF-β). Collectively, we demonstrate the pivotal role of advanced fibrosis in defining the expression fate of ANGPTLs in HCV infection and after treatment and propose a role for ANGPTL-3 as a contributor to post-treatment deregulation of lipid metabolism that could predispose certain individuals to HCC development.
- Published
- 2021
- Full Text
- View/download PDF