Mulching as a Sustainable Water and Soil Saving Practice in Agriculture: A Review

This research was carried out in order to demonstrate that mulching the ground helps to conserve water, because agricultural sustainability in dryland contexts is threatened by drought, heat stress, and the injudicious use of scarce water during the cropping season by minimizing surface evaporation. Improving soil moisture conservation is an ongoing priority in crop outputs where water resources are restricted and controlled. One of the reasons for the desire to use less water in agriculture is the rising demand brought on by the world’s growing population. In this study, the use of organic or biodegradable mulches was dominated by organic materials, while inorganic mulches are mostly comprised of plastic-based components. Plastic film, crop straw, gravel, volcanic ash, rock pieces, sand, concrete, paper pellets, and livestock manures are among the materials put on the soil surface. Mulching has several essential applications, including reducing soil water loss and soil erosion, enriching soil fauna, and improving soil properties and nutrient cycling in the soil. It also reduces the pH of the soil, which improves nutrient availability. Mulching reduces soil deterioration by limiting runoff and soil loss, and it increases soil water availability by reducing evaporation, managing soil temperature, or reducing crop irrigation requirements. This review paper extensively discusses the benefits of organic or synthetic mulches for crop production, as well as the uses of mulching in soil and water conservation. As a result, it is very important for farmers to choose mulching rather than synthetic applications.

Appraisal of kinetin spraying strategy to alleviate the harmful effects of UVC stress on tomato plants

Increasing ultraviolet (UV) radiation is causing oxidative stress that accounts for growth and yield losses in the present era of climate change. Plant hormones are useful tools for minimizing UV-induced oxidative stress in plants, but their putative roles in protecting tomato development under UVC remain unknown. Therefore, we investigated the underlying mechanism of pre-and post-kinetin (Kn) treatments on tomato plants under UVC stress. The best dose of Kn was screened in the preliminary experiments, and this dose was tested in further experiments. UVC significantly decreases growth traits, photosynthetic pigments, protein content, and primary metabolites (proteins, carbohydrates, amino acids) but increases oxidative stress biomarkers (lipid peroxidation, lipoxygenase activity, superoxide anion, hydroxyl radical, and hydrogen peroxide) and proline content. Treatment of pre-and post-kinetin spraying to tomato plants decreases UVC-induced oxidative stress by restoring the primary and secondary metabolites' (phenolic compounds, flavonoids, and anthocyanins) status and upregulating the antioxidant defense systems (non-enzymatic antioxidants as ascorbate, reduced glutathione, α-tocopherol as well as enzymatic antioxidants as superoxide dismutase, catalase, ascorbate peroxidase, glutathione peroxidase, glutathione-S-transferase, and phenylalanine ammonia-lyase). Thus, the application of Kn in optimum doses and through different modes can be used to alleviate UVC-induced negative impacts in tomato plants.

Physical Characteristics, Mineral Content, and Antioxidant and Antibacterial Activities of Punica granatum or Citrus sinensis Peel Extracts and Their Applications to Improve Cake Quality

One-third of all food produced for human use is discarded as waste, resulting in environmental pollution and impaired food security. Fruit peels have bioactive compounds that may be used as antimicrobials and antioxidants, and the use of fruit peels is considered an alternative way to reduce environmental problems and agro-industrial waste. The aim of this study was to evaluate the phytochemical, mineral, extraction yield, total phenolic, total flavonoids, antioxidant, and antibacterial activity of several peel fruits, including Citrus sinensis (orange) and Punica granatum (pomegranate). The results revealed that pomegranate peel powder contains the highest amounts of ash, fiber, total carbohydrates, Ca, Fe, Mg, and Cu, while orange peel contains the highest amounts of moisture, protein, crude fat, P, and K. Furthermore, the aqueous and methanolic pomegranate peel extracts yielded higher total phenolic and total flavonoids than the orange peel extract. The identification and quantification of polyphenol compounds belonging to different classes, such as tannins, phenolic acids, and flavonoids in pomegranate peel and flavonoid compounds in orange peel were performed using UPLC-MS/MS. In addition, GC-MS analysis of orange peel essential oil discovered that the predominant compound is D-Limonene (95.7%). The aqueous and methanolic extracts of pomegranate peel were proven to be efficient against both gram-positive and gram-negative bacteria linked to human infections. Sponge cake substituting wheat flour with 3% pomegranate peel and 10% orange peel powder had the highest total phenolic, flavonoid compounds, and antioxidant activity as compared to the control cake. Our results concluded that pomegranate and orange peel flour can be used in cake preparation and natural food preservers.

Coal fly ash and nitrogen application as eco-friendly approaches for modulating the growth, yield, and biochemical constituents of radish plants

Plants are confronting a variety of environmental hazards as a result of fast climate change, which has a detrimental influence on soil, plant growth, and nutrient status. As a result, the present study aims to evaluate the influence of various fly ash concentrations (5, 10, 15, 20, 25, 30, and 35% FA) mixed with the optimum concentrations of nitrogen in the form of urea (0.5 g pot⁻¹) on the growth, productivity and biochemical constituents of radish plants. Energy-dispersive X-ray spectroscopy (EDX) and scanning electron microscopy (SEM) were used to assess soil physical–chemical properties and FA nutrient status. Results suggested that FA added many essential plant nutrients to the growth substrate and improved some important soil characteristics such as pH, electric conductivity, porosity, and water holding capacity. Also, the results revealed that the low concentrations of FA up to 20% were found to boost radish growth, yield, chlorophyll, carotenoids, and mineral content. While the highest concentrations of FA (25–35%) decreased radish growth and yield, increased oxidative stress through increased lipid peroxidation (MDA) and caused a significant boost in ascorbic acid, proline, protein, and antioxidant enzyme activities. Furthermore, SEM of radish leaf revealed an enhancement in the stomatal pore of radish leaf under different levels of FA. In conclusion, combining 15% fly ash with 0.5 g nitrogen in the form of urea significantly enhanced radish yield by enhancing antioxidant activity such as catalase, peroxidase, ascorbate peroxidase, Guaiacol peroxidase, superoxide dismutase, nitrate reductase and reducing oxidative stress, potentially reducing fly ash accumulation and environmental pollution.

Phytochemical and Potential Properties of Seaweeds and Their Recent Applications: A Review

Since ancient times, seaweeds have been employed as source of highly bioactive secondary metabolites that could act as key medicinal components. Furthermore, research into the biological activity of certain seaweed compounds has progressed significantly, with an emphasis on their composition and application for human and animal nutrition. Seaweeds have many uses: they are consumed as fodder, and have been used in medicines, cosmetics, energy, fertilizers, and industrial agar and alginate biosynthesis. The beneficial effects of seaweed are mostly due to the presence of minerals, vitamins, phenols, polysaccharides, and sterols, as well as several other bioactive compounds. These compounds seem to have antioxidant, anti-inflammatory, anti-cancer, antimicrobial, and anti-diabetic activities. Recent advances and limitations for seaweed bioactive as a nutraceutical in terms of bioavailability are explored in order to better comprehend their therapeutic development. To further understand the mechanism of action of seaweed chemicals, more research is needed as is an investigation into their potential usage in pharmaceutical companies and other applications, with the ultimate objective of developing sustainable and healthier products. The objective of this review is to collect information about the role of seaweeds on nutritional, pharmacological, industrial, and biochemical applications, as well as their impact on human health.

Pathogenicity of Bacillus Strains to Cotton Seedlings and Their Effects on Some Biochemical Components of the Infected Seedlings

Pathogenicity of eight Bacillus strains to seedlings of four cotton cultivars was evaluated under greenhouse conditions. Each of the tested cultivars was individually treated with powdered inoculum of each bacterial strain. Untreated seeds were planted as control treatments in autoclaved soil. Effects of the tested strains on levels and activities of some biochemical components of the infected seedlings were also assayed. The biochemical components included total soluble sugars, total soluble proteins, total free amino acids, peroxidase, polyphenol oxidase, phenols, and lipid peroxidation. ANOVA showed that Bacillus strain (B) was a very highly significant source of variation in damping-off and dry weight. Cotton cultivar (V) was a nonsignificant source of variation in damping-off while it was a significant source of variation in dry weight. B × V interaction was a significant source of variation in damping-off and a nonsignificant source of variation in dry weight. Bacillus strain was the most important source of variation as it accounted for 59.36 and 64.99% of the explained (model) variation in damping-off and dry weight, respectively. The lack of significant correlation between levels and activities of the assayed biochemical components and incidence of damping-off clearly demonstrated that these biochemical components were not involved in the pathogenicity of the tested strains. Therefore, it was hypothesized that the pathogenicity of the tested strains could be due to the effect of cell wall degrading enzymes of pathogenic toxins. Based on the results of the present study, Bacillus strains should be considered in studying the etiology of cotton seedling damping-off.

Biosorption effect of Aspergillus niger and Penicillium chrysosporium for Cd- and Pb-contaminated soil and their physiological effects on Vicia faba L

Phytoremediation is an important solution to soil pollution management. The goal of this study is to determine the biosorption ability of the two selected fungi (Aspergillus niger and Penicillium chrysosporium) under heavy metal stress on faba bean plants. The fungal strains produced phytohormones, siderophore, ACC deaminase, and secondary metabolites. The biosorption capacity of A. niger and P. chrysosporium was 0.09 and 0.06 mg g^-1 and 0.5 and 0.4 mg g^-1 in media containing Cd and Pb, respectively. Fourier transform infrared spectroscopy of the fungal cell wall show primary functional groups like hydroxyl, amide, carboxyl, phosphoryl, sulfhydryl, and nitro. Therefore, A. niger and P. chrysosporium were inoculated to soils, and then the faba bean seeds were sown. After 21 days of sowing, the plants were irrigated with water to severe as control, with 100 mg L^-1 of Cd and 200 mg L^-1 of Pb. The results show that Cd and Pb caused a significant reduction in morphological characteristics, auxin, gibberellins, photosynthetic pigments, minerals content, and antioxidant enzymes as compared to control plants but caused a substantial boost in abscisic acid, ethylene, electrolyte leakage, lipid peroxidation, glutathione, proline, superoxide dismutase, secondary metabolites, and antioxidant capacity. In inoculated plants, metal-induced oxidative stress was modulated by inhibiting the transport of metal and decreased electrolyte leakage and lipid peroxidation. Finally, the inoculation of endophytic fungi contributed actively to the absorption of heavy metals and decreased their content in soil and plants. This could be utilized as an excellent technique in the fields of heavy metal-contaminated sustainable agriculture.

Agro-morphological and genetic diversity studies in Rice (Oryza sativa L.) germplasm using microsatellite markers

BACKGROUND

Knowledge of the genetic diversity and population structure of germplasm collections is an important foundation for crop improvement. Rice production across a broad range of rice-growing environments results in a diverse array of local rice varieties. Many rice varieties have been lost as a result of biodiversity loss and are now grown in Pakistan.

METHODS AND RESULTS

To protect the biodiversity of rice varieties, an experiment was carried out to check the genetic and morphological variations between 8 exotic and 7 local rice genotypes, using 5 different SSR markers, i.e., RM3, RM259, RM341, RM520, and RM11943. The analysis of morphological and quality traits of rice observed significant variation across genotypes. The results revealed that genotype Irri-Pak attained the highest plant height and primary branch plant-1, while genotype Mushkan produced a higher number of productive tillers and obtained a higher fertility factor (%). Similarly, the highest value for panicle length was observed for genotype Faker-e-Malakand, 1000-grains weight in genotype Calmochi, and maximum days to maturity was noticed in genotype Swati-2014. Moreover, the genotype Brio attained the highest value of stem diameter, while maximum seed length was noted in the genotype Sug Dasi. The highest number of primary branches plant^-1 in genotype Ibge-I and secondary branches plant^-1 in genotype Calmochi were noticed. A higher concentration of sodium and potassium was observed for the genotype Marte, while the genotype Muskan attained the maximum content of copper. Moreover, the highest concentration of iron in genotype Originario, zinc in genotype JP-5, and cadmium content were noticed in genotype Ibge. Similarly, the dendrogram analysis for quantitative parameters showed three clusters at 74.13% similarities. Whereas all the genotypes of European origin formed a separate cluster. A set of 5 simple sequence repeat primers, covering four chromosomes, amplified a total of 14 alleles and showed 100% polymorphism with an average PIC value ranging from 0.39 to 0.91. The UPGMA cluster analysis separated the 15 rice genotypes into 3 main groups based on 32.5% similarities and the highest genetic distance (45.1%) was observed between two genotypes (Fakher-e-malakand and Musa), having different geographical origins. There was no genetic distance between the genotypes Marte and Brio, irrespective of having the same origin.

CONCLUSIONS

The maximum genetic distances were noted for genotype, Fakhre-e-Malakand and Musa having a different origin, while the minimum genetic distance was shown by genotypes, Marte and Onice, from the same origin.

Microbe-assisted phytoremediation of environmental pollutants and energy recycling in sustainable agriculture

The perception of phytoremediation is efficiently utilized as an eco-friendly practice of green plants combating and cleaning up the stressed environment without harming it. The industrial revolution was followed by the green revolution which fulfilled the food demands of the growing population caused an increase in yield per unit area in crop production, but it also increased the use of synthetic fertilizers in agriculture. Globally, the intensive use of inorganic fertilizers in agriculture has led to serious health problems and irreversible environmental damage. Biofertilizers improve the growth of the plant and can be applied as an alternative to chemical/synthetic fertilizers. Cyanobacteria, bacteria, and fungi are known as some of the principal microbe groups used to produce biofertilizers that form symbiotic associations with plants. Microorganisms perform a key role in phosphate solubilization and mobilization, nitrogen fixation, nutrient management, biotic elicitors and probiotics, and pollution management (biodegradation agents), specifically bacteria which also help in atmospheric nitrogen fixation and are thus available for the growth of the plant. Management or biodegradation of hazardous chemical residues and heavy metals produced by a huge number of large-scale industries should be given primary importance to be transformed by various bacterial strains, fungi, algae. Currently, modern omics technologies such as metagenomic, transcriptomic, and proteomic are being used to develop strategies for studying the ecology of microorganisms, as well as their use in environmental monitoring and bioremediation. This review briefly discusses some of the major groups of microorganisms that can perform different functions responsible for plant health, crop production, phytoremediation and also focus on the omics techniques reportedly used in environmental monitoring to tackle the pollution load.

Comparative studies of eco-friendly compounds like humic acid, salicylic, and glycyrrhizic acids and their nanocomposites on French basil (Ocimum basilicum L. cv. Grand verde)

As the green tactics for enhancing plant growth and production using naturally occurring materials are highly needed, it is important to use the nanoformulation of these materials as an attractive novel technique. Therefore, this research has been performed to evaluate the plants' morphological traits, the qualitative parameters, and molecular genetic characteristics using random amplified polymorphic DNA (RAPD) of French basil independence on growth biostimulators and their nanocomposite. The treatments included normal formulations and nanocomposite formulation of humic acid (5 mM HA), salicylic acid (1.4 mM SA), and glycyrrhizic acid ammonium salt (0.4 mM GA) and control treatment (water application). The results show that foliar spray with HA, SA, GA, and their nanocomposites significantly increased (p ≤ 0.05) on all vegetative growth characters, photosynthetic pigments, oil yield/plant, mineral content, and antibacterial activity as compared with control plants. Also, 1,1-diphenyl-2-picrylhydrazyl (DPPH) values of different samples used varied from 70.63 to 74.93%, with a significant increase compared to untreated plants. The most marked increases have been observed in treated plants with biostimulants in the nanocomposites form than in the natural form. On the other hand, GA and its nanocomposite showed variable effects on basil plants and gave the lowest increase values in all parameters than the other biostimulant but have high antimicrobial activity. For the molecular study, ten selected primers displayed a total of 288 amplified fragments scored per primer ranging from 7 to 46 fragments; 157 bands were polymorphic with 69% polymorphism. It could be concluded that humic acid and its nanocomposite are the most effective biostimulants that increased plant productivity and oil content.

Coupling effects of phosphorus fertilization source and rate on growth and ion accumulation of common bean under salinity stress

Many agricultural regions in arid and semiarid climate zone need to deal with increased soil salinity. Legumes are classified as salt-sensitive crops. A field experiment was performed to examine the application of phosphorus (P) fertilizer source and rate on growth, chlorophylls and carotenoid content, DNA and RNA content and ion accumulation in common bean (Phaseolus vulgaris L.) cultivated under salinity stress. An experimental design was split-plot with three replicates. The main plots included two P sources, namely single superphosphate (SP) and urea phosphate (UP). The sub-plots covered four P rates, i.e., 0.0, 17.5, 35.0, and 52.5 kg P ha^-1. All applied P fertilization rates, in both forms, increased plant height, leaf area, dry weight of shoots and roots per plant, and total dry weight (TDW) in t ha^-1. The highest accumulation of N, P, K⁺, Mg²⁺, Mn²⁺, Zn²⁺, and Cu²⁺ was determined in the shoot and root of common bean, while 35 kg of P per ha^-1 was used compared to the other levels of P fertilizer. The highest P rate (52.5 kg ha^-1) resulted in a significant reduction in Na⁺ in shoot and root of common bean. The response curve of TDW (t ha^-1) to different rates of P (kg ha^-1) proved that the quadratic model fit better than the linear model for both P sources. Under SP, the expected TDW was 1.675 t ha^-1 if P was applied at 51.5 kg ha^-1, while under UP, the maximum expected TDW was 1.875 t ha^-1 if P was supplied at 42.5 kg ha^-1. In conclusion, the 35.0 kg P ha^-1 could be considered the best effective P level imposed. The application of P fertilizer as urea phosphate is generally more effective than single superphosphate in enhancing plant growth and alleviating common bean plants against salinity stress.

Impact of the low and high concentrations of fly ash amended soil on growth, physiological response, and yield of pumpkin (Cucurbita moschata Duch. Ex Poiret L.)

Fly ash, a result of coal burning in thermal power plants, is sustainably used in agriculture and has been regarded as a problematic solid waste worldwide. The presence of some desired nutrients (macro and micro) and its porosity makes it a marvelous soil amendment for plant growth and development. The present study was done to evaluate the effect of different fly ash levels on pumpkin crop (Cucurbita moschata). Pot experiment in randomized block design was conducted with different fly ash supplement treatments to analyze the impact of fly ash on growth, chlorophyll, carotenoid, biochemical parameters, and pumpkin crop yield. The results show variation in soil's physical and chemical properties after the application of fly ash (30 and 50%). Also, the lower levels (10-30%) of fly ash amended soil significantly (P ≤ 0.05) enhanced the growth (plant height, plant fresh and dry biomass, no. of leaves, and average area of the leaf), chlorophyll content, and biochemical contents (protein, carbohydrate, mineral, and leaf water content) in pumpkin crop. The proline content was also observed to enhance by the increasing levels of fly ash to soil. The yield parameters in terms of a number of flowers and fruits, fruits' length and diameter, and fresh and dry weight of fruits were also significantly increased in amended soil with 10-30% fly ash. On the other hand, the higher doses, i.e., 40% and 50% of fly ash showed a negative effect and reduced the growth, chlorophyll, carotenoid, biochemical content, proline, and yield in pumpkin crop. We concluded that the lower level of fly ash (up to 30%) could be used as fertilizer in agricultural fields for the improvement of vegetable as well as other food crops in a sustainable manner but the higher level of fly ash (40 and 50%) is toxic to the plant.

Molecular Characterization of the Alfalfa mosaic virus Infecting Solanum melongena in Egypt and the Control of Its Deleterious Effects with Melatonin and Salicylic Acid

During the spring of 2019, distinct virus-like symptoms were observed in the Kafr El-Sheikh Governorate in Egypt in naturally infected eggplants. Leaves of affected plants showed interveinal leaf chlorosis, net yellow, chlorotic sectors, mottling, blisters, vein enation, necrotic intervention, and narrowing symptoms. The Alfalfa mosaic virus (AMV) was suspected of to be involved in this disease. Forty plant samples from symptomatic eggplants and 10 leaf samples with no symptoms were collected. The samples were tested by double antibody sandwich ELISA (DAS-ELISA) using AMV-IgG. Six of the 40 symptomatic leaf samples tested positive for AMV, while, DAS-ELISA found no AMV in the 10 leaf samples without symptoms. The AMV Egyptian isolate (AMV-Eggplant-EG) was biologically isolated from the six positive samples tested by DAS-ELISA and from the similar local lesions induced on Chenopodium amaranticolor and then re-inoculated in healthy Solanum melongena as a source of AMV-Eggplant-EG and confirmed by DAS-ELISA. Reverse transcription polymerase chain reaction (RT-PCR) assay with a pair of primers specific for coat protein (CP) encoding RNA 3 of AMV yielded an amplicon of 666 bp from infected plants of Solanum melongena with AMV-Eggplant-EG. The amplified PCR product was cloned and sequenced. Analysis of the AMV-Eggplant-EG sequence revealed 666 nucleotides (nt) of the complete CP gene (translating 221 amino acid (aa) residues). Analysis of phylogeny for nt and deduced aa sequences of the CP gene using the maximum parsimony method clustered AMV-Eggplant-EG in the lineage of Egyptian isolates (shark-EG, mans-EG, CP2-EG, and FRE-EG) with a high bootstrap value of 88% and 92%, respectively. In addition to molecular studies, melatonin (MTL) and salicylic acid (SA) (100 μM) were used to increase the resistance of eggplant to AMV- infection. Foliar spray with MLT and SA caused a significant increase in the morphological criteria (shoot, root length, number of leaves, leaf area, and leaf biomass), chlorophyll and carotenoid content, antioxidant enzymes, and gene expression of some enzymes compared to the infected plants. On the other hand, treatment with MLT and SA reduced the oxidative damage caused by AMV through the reduction of hydrogen peroxide, superoxide anions, hydroxyl radicals, and malondialdehyde. In conclusion, MLT and SA are eco-friendly compounds and can be used as antiviral compounds.

Role of Ascorbic acid, Glutathione and Proline Applied as Singly or in Sequence Combination in Improving Chickpea Plant through Physiological Change and Antioxidant Defense under Different Levels of Irrigation Intervals

In recent years, the harmful effects of drought stress have been be mitigated by using bioactive compounds such as antioxidants and osmolytes. In this research, pot experiments were carried out to investigate the effects of ascorbic acid, glutathione and proline on alleviating the harmful effect of drought stress in chickpea plants during season 2017. Chickpea plant seeds were soaked in ascorbic acid (0.75 mM), glutathione (0.75 mM), proline (0.75 mM) singly and/or in sequence combinations for 4 h and then planted in pots. The pots were irrigated with water after seven days (to serve as control), after 14 days (moderate drought stress) and after 28 days (severe drought stress). The sequence combination of antioxidants and proline under drought stress has not been studied yet. The results showed significantly decreased in plant growth, yielding characteristics, photosynthetic pigments and soluble protein content in response to moderate and severe drought stress. Moreover, treatment with antioxidants caused increment the antioxidant enzyme activity, non-enzymatic antioxidant (ascorbic acid and glutathione) contents and endogenous proline in stressed and unstressed plants. In conclusion, The sequence combination of antioxidants and proline caused improvement in plant growth under drought stress by up-regulating the antioxidant defense system and osmolyte synthesis.

Physiological and molecular genetic studies on two elicitors for improving the tolerance of six Egyptian soybean cultivars to cotton leaf worm

Cotton leaf worm (Spodoptera littoralis) is considered one of the most destructive agricultural pests in Egypt. Six soybean cultivars (Giza-21, Giza-22, Giza-35, Giza-82, Giza-83 and Giza-111) were grown under natural infection with cotton leaf worm. The effect of two elicitors, methyl jasmonate and sodium nitroprusside on enhancing the ability of susceptible cultivars to tolerate (Spodoptera littoralis) was studied. Giza-35 and Giza-111 showed tolerance performance under natural infection compared to Giza-22 and Giza-82 as sensitive ones, while Giza-83 and Giza-21 showed moderate tolerance. Both treatments positively affected seed yield and its components and fatty acid composition. Extracted fatty acids showed variable changes in treated plants compared with the untreated controls. Plants treated with the two elicitors showed an increase in Linoleic acid and Linolenic acid fatty acids and decrease in Palmitic acid and Palmitolic acid content. Treatment with methyl jasmonate was found to be more effective than sodium nitroprusside and enhanced resistance of the susceptible cultivars. Eight IRAP and iPBS retrotransposon-based markers were used to detect genetic differences among studied soybean cultivars and to develop molecular genetic markers for cotton leaf worm infestation. The technique successfully identified soybean genotypes in addition to nineteen molecular markers related to soybean tolerance.

Sofosbuvir plus daclatasvir with or without ribavirin in 551 patients with hepatitis C-related cirrhosis, genotype 4

BACKGROUND

The Daclatasvir and Sofosbuvir combination therapy (SOF/DCV) has shown efficacy in patients with chronic hepatitis C in clinical trials.

AIM

To investigate the efficacy and safety of SOF/DCV for treatment of patients with hepatitis C-related liver cirrhosis genotype 4.

METHODS

Multicentre study involving 551 patients with liver cirrhosis genotype 4; 432 naïve patients and 119 treatment-experienced patients. All patients received SOF (400 mg) and DCV (60 mg) daily in addition to weight-based ribavirin (RBV) for 12 weeks and when RBV is contraindicated the treatment duration was extended to 24 weeks.

RESULTS

Sustained virological response at 12 weeks after end of treatment (SVR12) rate was 92% in naïve cirrhotic patients and 87% in previous treated patients (by ITT analysis). Virological failure was infrequent, occurring in 42 patients (8%) overall. Thirty-two (6%) were non responders; and 10 (2%) cases were relapsers, 31 patients (7%) were CTP-A and 11 (13.3%) patients were CTP-B (by ITT analysis). The most common adverse events were anaemia, fatigue, headache, pruritus. Serious side effects were recorded mainly in CTP-B cirrhotic patients including HCC and hepatic encephalopathy.

CONCLUSIONS

The SOF/DCV combination therapy has proven efficacy and safety in treating patients with hepatitis C-related liver cirrhosis genotype 4 in a large cohort of patients in the real world.