PMID- 22451839 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121002 LR - 20211021 IS - 1735-3408 (Electronic) IS - 1735-143X (Print) IS - 1735-143X (Linking) VI - 12 IP - 1 DP - 2012 Jan TI - Association of hepatitis C virus with insulin resistance: evidences from animal studies and clinical studies. PG - 11-5 AB - CONTEXT: HCV infection is strongly associated with development of insulin resistance and type-2 diabetes, however molecular mechanism of these associations is not known. The aim of this review was to conduct a comprehensive literature search to understand the nature of the association between hepatitis C virus (HCV) infection and insulin resistance (IR). We also explored the role of HCV core protein and NS5a in modulating the course of the insulin-signaling pathway. EVIDENCE ACQUISITIONS: We searched Directory of Open Access Journals (DOAJ) Google Scholar, Pubmed (NLM), LISTA (EBSCO), Web of Science (TS and PakMediNet). RESULTS: Emerging evidence suggests an association between HCV infection and carotid/coronary vascular disease. IR appears to be a dominant underlying cause of accelerated atherosclerosis in patients with chronic hepatitis C (CHC). HCV can induce IR directly through the stimulation of SOCS3 and PPA2, and both of these molecules have been shown to inhibit interferon-alpha signaling. Improvement of insulin sensitivity may increase the response rate to antiviral treatment and prevent IR complications, including vascular diseases. The results of several clinical trials that have used insulin sensitizers (metformin and PPAR-gamma agonists) have been inconclusive. CONCLUSIONS: Beside the association between HCV and IR, the published data also have showed the possible association of HCV core and NS5A protein with IR. FAU - Badar, Sadaf AU - Badar S AD - National Centre of Excellence in Molecular Biology, University of the Punjab, Lahore, Pakistan. FAU - Khubaib, Bushra AU - Khubaib B FAU - Idrees, Muhammad AU - Idrees M FAU - Hussain, Abrar AU - Hussain A FAU - Awan, Zunaira AU - Awan Z FAU - Butt, Sadia AU - Butt S FAU - Afzal, Samia AU - Afzal S FAU - Akram, Madeeha AU - Akram M FAU - Fatima, Zareen AU - Fatima Z FAU - Aftab, Mahwish AU - Aftab M FAU - Saleem, Sana AU - Saleem S FAU - Munir, Sara AU - Munir S FAU - Rauff, Bisma AU - Rauff B FAU - Naudhani, Mahrukh AU - Naudhani M FAU - Ali, Liaquat AU - Ali L FAU - Ali, Muhammaad AU - Ali M FAU - Rehman, Irshadul AU - Rehman I LA - eng PT - Journal Article DEP - 20120120 PL - Netherlands TA - Hepat Mon JT - Hepatitis monthly JID - 101277874 PMC - PMC3298871 OTO - NOTNLM OT - Hepatitis C OT - Insulin Resistance OT - NS5a Protein EDAT- 2012/03/28 06:00 MHDA- 2012/03/28 06:01 PMCR- 2012/01/01 CRDT- 2012/03/28 06:00 PHST- 2011/01/12 00:00 [received] PHST- 2011/12/13 00:00 [revised] PHST- 2011/12/28 00:00 [accepted] PHST- 2012/03/28 06:00 [entrez] PHST- 2012/03/28 06:00 [pubmed] PHST- 2012/03/28 06:01 [medline] PHST- 2012/01/01 00:00 [pmc-release] PST - ppublish SO - Hepat Mon. 2012 Jan;12(1):11-5. Epub 2012 Jan 20.