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10.1093/rheumatology/keab157

http://scihub22266oqcxt.onion/10.1093/rheumatology/keab157
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33590837!7928620!33590837
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suck abstract from ncbi


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pmid33590837      Rheumatology+(Oxford) 2021 ; 60 (9): 4418-4427
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  • Solving the mystery of HBV-related mixed cryoglobulinemia: potential biomarkers of disease progression #MMPMID33590837
  • Pocino K; Napodano C; Gragnani L; Ciasca G; Colantuono S; Marri S; Vantaggio L; Gulli F; Lorini S; Barini A; Stefanile A; Miele L; Casato M; Zignego AL; Rapaccini GL; Marino M; Visentini M; Basile U
  • Rheumatology (Oxford) 2021[Sep]; 60 (9): 4418-4427 PMID33590837show ga
  • OBJECTIVES: The biomarkers of an immunological dysregulation due to a chronic HBV infection are indeed understudied. If untreated, this condition may evolve into liver impairment co-occurring with extrahepatic involvements. Here, we aim to identify a new panel of biomarkers [including immunoglobulin G (IgG) subclasses, RF, and Free Light Chains (FLCs)] that may be useful and reliable for clinical evaluation of HBV-related cryoglobulinemia. METHODS: We retrospectively analysed clinical data from 44 HBV-positive patients. The patients were stratified (according to the presence/absence of mixed cryoglobulinemia) into two groups: 22 with cryoglobulins (CGs) and 22 without CGs. Samples from 20 healthy blood donors (HDs) were used as negative controls. Serum samples were tested for IgG subclasses, RF (-IgM, -IgG, and -IgA type), and FLCs. RESULTS: We detected a strikingly different distribution of serum IgG subclasses between HDs and HBV-positive patients, together with different RF isotypes; in addition, FLCs were significantly increased in HBV-positive patients compared with HDs, while no significant difference was shown between HBV-positive patients with/without mixed cryoglobulinemia. CONCLUSION: The immune-inflammatory response triggered by HBV may be monitored by a peculiar profile of biomarkers. Our results open a new perspective in the precision medicine era; in these challenging times, they could also be employed to monitor the clinical course of those COVID-19 patients who are at high risk of HBV reactivation due to liver impairment and/or immunosuppressive therapies.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Biomarkers/*blood[MESH]
  • |COVID-19/*immunology[MESH]
  • |Cryoglobulinemia/*immunology/*virology[MESH]
  • |Disease Progression[MESH]
  • |Female[MESH]
  • |Hepatitis B virus/*immunology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Retrospective Studies[MESH]


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