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Elevated Autotaxin and LPA Levels During Chronic Viral Hepatitis and Hepatocellular Carcinoma Associate with Systemic Immune Activation

Overview
Journal Cancers (Basel)
Publisher MDPI
Specialty Oncology
Date 2019 Nov 27
PMID 31769428
Citations 10
Authors
Affiliations
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Abstract

Circulating autotaxin (ATX) is elevated in persons with liver disease, particularly in the setting of chronic hepatitis C virus (HCV) and HCV/HIV infection. It is thought that plasma ATX levels are, in part, attributable to impaired liver clearance that is secondary to fibrotic liver disease. In a discovery data set, we identified plasma ATX to be associated with parameters of systemic immune activation during chronic HCV and HCV/HIV infection. We and others have observed a partial normalization of ATX levels within months of starting interferon-free direct-acting antiviral (DAA) HCV therapy, consistent with a non-fibrotic liver disease contribution to elevated ATX levels, or HCV-mediated hepatocyte activation. Relationships between ATX, lysophosphatidic acid (LPA) and parameters of systemic immune activation will be discussed in the context of HCV infection, age, immune health, liver health, and hepatocellular carcinoma (HCC).

Citing Articles

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Iwadare T, Kimura T, Yamashita Y, Okumura T, Wakabayashi S, Kobayashi H Clin Transl Gastroenterol. 2024; 15(12):e00779.

PMID: 39466702 PMC: 11671064. DOI: 10.14309/ctg.0000000000000779.


Serum autotaxin is a prognostic indicator of liver-related events in patients with non-alcoholic fatty liver disease.

Iwadare T, Kimura T, Okumura T, Wakabayashi S, Nakajima T, Kondo S Commun Med (Lond). 2024; 4(1):73.

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gene and autotaxin-lysophosphatidic acid axis in gastrointestinal cancers.

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