PMID- 31851635 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200108 IS - 1972-2680 (Electronic) IS - 1972-2680 (Linking) VI - 12 IP - 4 DP - 2018 Apr 30 TI - Interleukin-18 and its gene single nucleotide polymorphisms (SNPs) influence chronic hepatitis C progression. PG - 257-264 LID - 10.3855/jidc.9813 [doi] AB - INTRODUCTION: Interleukin-18 (IL-18) is a pro-inflammatory cytokine that is induced by hepatitis C virus (HCV) infection. Inter-individual variations of IL-18 gene expression may alter HCV-associated liver injury. Variable single nucleotide polymorphisms (SNPs) have been detected within IL-18 gene sequence. Quantitative assessment of IL-18 plasma level and detection of genotype frequencies of 2 functional polymorphisms of its gene (-607 C/A and -137 G/C) were done to assess their impact on the severity of chronic hepatitis C (CHC). METHODOLOGY: Cases group (I) comprised 110 treatment naive CHC Egyptian patients (78 Males and 32 Females, mean age = 40.7 +/- 11.8 years) who underwent routine laboratory investigations. Assessment of plasma level of IL-18 was done by enzyme-linked immunosorbent assay (ELISA), detection of IL-18 gene polymorphisms at positions -607 C/A and -137 G/C by polymerase chain reaction sequence specific polymorphism (PCR-SSP) analysis and Liver biopsy with METAVIR scoring were done. The control group (II) comprised 90 healthy participants. RESULTS: Plasma levels of IL-18 were significantly higher in cases than the control group. We found a statistically highly significant (p < 0.001) positive correlation between IL-18 plasma level and both METAVIR necro-inflammatory grade and fibrosis stage. The A/A allele at -607 position was significantly more frequent (p < 0.05) in patients with F