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Laboratory Biochemical and Hematological Parameters: Early Predictive Biomarkers for Diagnosing Hepatitis C Virus Infection

Title: Laboratory Biochemical and Hematological Parameters: Early Predictive Biomarkers for Diagnosing Hepatitis C Virus Infection
Authors: Bagheri, Saeede; Fard, Ghazaleh Behrouzian; Talkhi, Nasrin; Rashidi Zadeh, Davoud; Mobarra, Naser; Mousavinezhad, Seyedmahdi; Khamse, Fatemeh Mirzaeian; Hosseini Bafghi, Mahdi
Source: Journal of Clinical Laboratory Analysis ; volume 38, issue 24 ; ISSN 0887-8013 1098-2825
Publisher Information: Wiley
Publication Year: 2024
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: Background Hepatitis C virus (HCV) infection is a worldwide concern, causing liver damage and necessitating early detection to prevent its spread. Studies indicate that evaluating changes in biochemical and hematological parameters, which serve as suitable predictors of inflammation, can be a reasonable method for diagnosing hepatitis C infection. Methods This study analyzed 100 samples from high‐risk patients positively identified via quantitative real‐time PCR (qPCR). Anti‐HCV titers, biochemical and inflammatory tests, and complete blood cell counts (CBCs) were performed for these individuals. Additionally, 100 HCV‐negative individuals with normal laboratory results were selected as the control group. Receiver operating characteristic (ROC) curves were plotted to determine the cutoff values of the laboratory parameters. Results According to the findings, the age, average white blood cell (WBC) count, platelet‐to‐lymphocyte ratio (PLR), erythrocyte sedimentation rate (ESR), C‐reactive protein (CRP), lactate dehydrogenase (LDH), total bilirubin (TBIL), direct bilirubin (DBIL), alkaline phosphatase (ALP), serum glutamic‐pyruvic transaminase (SGPT), and ferritin levels were significantly higher in HCV patients. On the other hand, red blood cell (RBC) counts, neutrophils, lymphocytes, hemoglobin‐to‐platelet ratio (HPR), and iron (Fe) levels were significantly lower in the case group compared to those in the control group ( p < 0.05). Furthermore, the ROC curve analysis revealed that lymphocyte count, neutrophil count, and PLR were very strong predictors for hepatitis C infection ( p < 0.0001, AUC = 1). Conclusion The study highlights significant biochemical and hematological differences between HCV patients and healthy subjects. These biomarkers are crucial for early diagnosis, potentially preventing liver damage and reducing HCV transmission.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1002/jcla.25127
Availability: https://doi.org/10.1002/jcla.25127; https://onlinelibrary.wiley.com/doi/pdf/10.1002/jcla.25127
Rights: http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.17CBFD18
Database: BASE