PMID- 29739040 OWN - NLM STAT- MEDLINE DCOM- 20190916 LR - 20190916 IS - 1433-6510 (Print) IS - 1433-6510 (Linking) VI - 64 IP - 5 DP - 2018 May 1 TI - Serum Monocyte Chemoattractant Protein-1 Predicts Liver Inflammation of Patients with Chronic Hepatitis B. PG - 841-846 LID - 10.7754/Clin.Lab.2017.171218 [doi] AB - BACKGROUND: The usefulness of serum markers for predicting liver necroinflammation is limited in chronic hepatitis B (CHB) patients with normal or slightly elevated alanine aminotransferase (ALT). Monocyte chemoattractant protein-1 (MCP-1) is an important inflammatory mediator in liver disease. Our study was to investigate the expression of MCP-1 and its diagnostic value in patients with HBV-related liver necroinflammation. METHODS: One hundred and six patients with hepatitis B virus (HBV) infection were recruited. All were positive for hepatitis B e antigen (HBeAg) and underwent liver biopsy. Significant inflammation was defined as inflammatory grade >/= 2 according to Scheuer's classification scoring system. Enzyme-linked immunosorbent assay (ELISA) was used to detect expression of MCP-1 in the peripheral blood of all patients, and receiver operating characteristics (ROC) analysis was used to evaluate diagnostic accuracy of MCP-1 and liver inflammation. RESULTS: MCP-1 level in patients with HBV infection was higher than in healthy controls (p < 0.05). Moreover, MCP-1 level in the ALT >/= two times of upper limits of normal (2 ULN) group was higher than that of the ALT < 2 ULN group (p < 0.05). In the ALT < 2 ULN group, the MCP-1 level in patients whose inflammatory activity was grade >/= 2 was higher than in patients with grade < 2 (p < 0.05). ROC curve analysis showed that the area under the curve of MCP-1 in diagnosis of liver inflammation was 0.842. CONCLUSIONS: MCP-1 could be used as a serological marker for non-invasive evaluation of liver inflammation in CHB patients with normal or slightly elevated ALT. FAU - Fan, Yaoxin AU - Fan Y FAU - Wang, Lin AU - Wang L FAU - Dou, Xiaoguang AU - Dou X LA - eng PT - Journal Article PL - Germany TA - Clin Lab JT - Clinical laboratory JID - 9705611 RN - 0 (Biomarkers) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) SB - IM MH - Adolescent MH - Adult MH - Biomarkers/*blood MH - Chemokine CCL2/*blood MH - Female MH - Hepatitis/*blood/complications/diagnosis MH - Hepatitis B virus/physiology MH - Hepatitis B, Chronic/*blood/complications/virology MH - Humans MH - Male MH - Prognosis MH - ROC Curve MH - Young Adult EDAT- 2018/05/09 06:00 MHDA- 2019/09/17 06:00 CRDT- 2018/05/09 06:00 PHST- 2018/05/09 06:00 [entrez] PHST- 2018/05/09 06:00 [pubmed] PHST- 2019/09/17 06:00 [medline] AID - 10.7754/Clin.Lab.2017.171218 [doi] PST - ppublish SO - Clin Lab. 2018 May 1;64(5):841-846. doi: 10.7754/Clin.Lab.2017.171218.