Serum 90K/Mac-2 binding protein (Mac-2BP) as a response predictor to peginterferon and ribavirin combined treatment in HCV chronic patients

Immunopharmacol Immunotoxicol. 2008;30(4):687-700. doi: 10.1080/08923970802278177.

Abstract

90K/Mac-2BP glycoprotein is involved in the immune defense against a variety of neoplasms and viral infections, modulating the activity of several effectors such as natural killer cells. Quite interestingly, 90K/Mac-2BP is associated to a poor response to interferon (IFN) alpha in hepatitis C virus (HCV) infected patients. Here, in 70 consecutive HCV chronic patients, we have evaluated 90K basal levels as a response predictor to combined therapy with Peginterferon and Ribavirin. We have found higher 90K levels in genotype 1/4 than in genotype 2/3 (p = 0.006) and in 62.5% of non-responders than in 20% of responders (p < 0.001). Genotype 1/4, higher 90K and gamma glutamyl transferase (gammaGT) levels resulted independently associated to a status of refractoriness to therapy. Consequently, evaluation of 90K serum levels seems to be a promising useful marker of response to combined therapy in HCV disease.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Antigens, Neoplasm / biosynthesis
  • Antigens, Neoplasm / blood*
  • Biomarkers / blood
  • Drug Therapy, Combination
  • Female
  • Follow-Up Studies
  • Hepacivirus / drug effects
  • Hepacivirus / immunology*
  • Hepatitis C, Chronic / drug therapy*
  • Hepatitis C, Chronic / immunology*
  • Humans
  • Interferon alpha-2
  • Interferon-alpha / administration & dosage*
  • Interferon-alpha / therapeutic use
  • Male
  • Membrane Glycoproteins / biosynthesis
  • Membrane Glycoproteins / blood*
  • Middle Aged
  • Polyethylene Glycols / administration & dosage*
  • Polyethylene Glycols / therapeutic use
  • Predictive Value of Tests
  • Recombinant Proteins
  • Ribavirin / administration & dosage*
  • Ribavirin / therapeutic use

Substances

  • Antigens, Neoplasm
  • Biomarkers
  • Interferon alpha-2
  • Interferon-alpha
  • Membrane Glycoproteins
  • Recombinant Proteins
  • TAA90K protein, human
  • Polyethylene Glycols
  • Ribavirin
  • peginterferon alfa-2a