1
|
Dong H, Zhao L, Sun H, Shang M, Lv G, Yu X, Hu B, Huang Y. Coinfection of Clonorchis sinensis and hepatitis B virus: clinical liver indices and interaction in hepatic cell models. Parasit Vectors 2022; 15:460. [PMID: 36510325 PMCID: PMC9746095 DOI: 10.1186/s13071-022-05548-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 10/19/2022] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND In China, people infected with hepatitis B virus (HBV) are commonly found in areas with a high prevalence of Clonorchis sinensis, a trematode worm. Published studies have reported that the progression of hepatitis B is affected by coinfection C. sinensis. METHODS Clinical data from a total of 72 patients with C. sinensis and HBV (as sole infection or with coinfections) and 29 healthy individuals were analysed. We also incubated the hepatic stellate cell line LX-2 with total proteins from C. sinensis adult worms (CsTPs) and HBV-positive sera. In addition, the human hepatoblastoma cell line HepG2.2.15 was treated with the antiviral drug entecavir (ETV), CsTPs and the anti-C. sinensis drug praziquantel (PZQ). RESULTS Our clinical data indicated that the levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (TB) and hyaluronic acid (HA) were significantly higher in patients with coinfection than in those infected with HBV only. In cell models, compared with the model in which LX-2 cells were incubated with HBV-positive sera (HBV group), transcripts of alpha-smooth muscle actin and types I and III collagen were significantly elevated in the models of LX-2 cells treated with CsTPs and HBV-positive sera (CsTP+HBV group), while the messenger RNA levels of tumour necrosis factor-α, interleukin (IL)-1β and IL-6 in the CsTP+HBV group were clearly lower. The HBV surface antigen and hepatitis B e-antigen levels were higher in the HepG2.2.15 cells treated with ETV and CsTPs than in those in the ETV group and in the cells administered a mixture of ETV, CsTPs and PZQ. CONCLUSIONS These results confirmed that C. sinensis and HBV coinfection could aggravate the progression of liver fibrosis. CsTPs might promote chronic inflammation of the liver in individuals with HBV infection, resulting in the development of hepatic fibrosis.
Collapse
Affiliation(s)
- Huimin Dong
- grid.412558.f0000 0004 1762 1794Department of Laboratory Medicine, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,grid.12981.330000 0001 2360 039XDepartment of Parasitology, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,grid.12981.330000 0001 2360 039XKey Laboratory for Tropical Diseases Control of Ministry of Education, Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,Provincial Engineering Technology Research Center for Biological Vector Control, Guangzhou, Guangdong People’s Republic of China
| | - Lu Zhao
- grid.12981.330000 0001 2360 039XDepartment of Parasitology, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,grid.12981.330000 0001 2360 039XKey Laboratory for Tropical Diseases Control of Ministry of Education, Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,Provincial Engineering Technology Research Center for Biological Vector Control, Guangzhou, Guangdong People’s Republic of China ,grid.488525.6Department of Clinical Laboratory, The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China
| | - Hengchang Sun
- grid.412558.f0000 0004 1762 1794Department of Laboratory Medicine, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,grid.12981.330000 0001 2360 039XDepartment of Parasitology, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,grid.12981.330000 0001 2360 039XKey Laboratory for Tropical Diseases Control of Ministry of Education, Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,Provincial Engineering Technology Research Center for Biological Vector Control, Guangzhou, Guangdong People’s Republic of China
| | - Mei Shang
- grid.412558.f0000 0004 1762 1794Department of Laboratory Medicine, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,grid.12981.330000 0001 2360 039XDepartment of Parasitology, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,grid.12981.330000 0001 2360 039XKey Laboratory for Tropical Diseases Control of Ministry of Education, Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,Provincial Engineering Technology Research Center for Biological Vector Control, Guangzhou, Guangdong People’s Republic of China
| | - Gang Lv
- grid.443397.e0000 0004 0368 7493Key Laboratory of Tropical Translational Medicine of Ministry of Education, Hainan Medical University, Haikou, Hainan People’s Republic of China
| | - Xinbing Yu
- grid.12981.330000 0001 2360 039XDepartment of Parasitology, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,grid.12981.330000 0001 2360 039XKey Laboratory for Tropical Diseases Control of Ministry of Education, Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,Provincial Engineering Technology Research Center for Biological Vector Control, Guangzhou, Guangdong People’s Republic of China
| | - Bo Hu
- grid.412558.f0000 0004 1762 1794Department of Laboratory Medicine, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China
| | - Yan Huang
- grid.12981.330000 0001 2360 039XDepartment of Parasitology, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,grid.12981.330000 0001 2360 039XKey Laboratory for Tropical Diseases Control of Ministry of Education, Sun Yat-Sen University, Guangzhou, Guangdong People’s Republic of China ,Provincial Engineering Technology Research Center for Biological Vector Control, Guangzhou, Guangdong People’s Republic of China
| |
Collapse
|