What is the true origin of the bright red-orange autofluorescence in the hepatocytes?
β Scribed by Kenji Nakayama; Mamoru Tamura
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 108 KB
- Volume
- 51
- Category
- Article
- ISSN
- 0270-9139
No coin nor oath required. For personal study only.
β¦ Synopsis
insulin sensitivity was related to SVR. Lastly, >80% of females receiving metformin reached virus clearance at week 24, and this did not correlate with weight loss or with insulin sensitivity at this time point. A relationship between metformin use and viral decline was seen in females. Metformin does not have an antiviral effect and, thus, it seems to be due to an improvement in the antiviral activity of the combined peginterferon and ribavirin therapy. Females that reached HOMA <2 but had no weight loss showed significantly higher viral decline (Γ5.3 [SD ΒΌ 0.79] versus Γ4.2 [SD ΒΌ 1.8] log 10 HCV RNA; P ΒΌ 0.004).
In hepatitis C, insulin resistance depends on viral factors such as genotype and HCV replication as well as host factors such as body weight and/or steatosis. However, the weighting of these factors differs between patients. 3 Improving viral and/or host factors can help improve insulin sensitivity. The final mechanism by which metformin improved SVR in females remains unclear, and further studies are warranted to elucidate how insulin-sensitizer drugs could improve response in patients with chronic hepatitis C treated with pegylated interferon plus ribavirin.
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