1999
DOI: 10.1002/hep.510300224
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Nonsteroidal anti-inflammatory drug metabolism potentiates interferon alfa signaling by increasing STAT1 phosphorylation

Abstract: Chronic hepatitis C virus (HCV) infection is very common and causes a progressive form of hepatic injury. Unfortunately, the clinician is currently inadequately equipped to deal with and to heal patients with chronic hepatitis C. 1,2 Although interferon alfa (IFN-␣) is the only established treatment for chronic HCV infection, 3,4 a 1-year course of IFN-␣ therapy induces long-term remission in no more than 25% of chronic hepatitis C patients. 3,4 Thus, most patients with HCV chronic hepatitis have transient or … Show more

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Cited by 37 publications
(26 citation statements)
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“…[34][35][36][37] Some reports have indicated the failure of NSAIDs and interferon combination therapy in improving interferon-resistant chronic hepatitis C, 34,38 whereas other authors, using ketoprofen plus interferon, have reported an improved virological response in chronic hepatitis C patients. 35 Giambartolomei et al 39,40 reported that indomethacin potentiates the interferon-␣ signaling pathway by increasing signal transducer and activator of transcription 1 phosphorylation in vitro, improving cellular response. It must be noted that the aforementioned studies used NSAIDs with different biochemical activities and did not include comparable groups of HCV patients.…”
Section: Discussionmentioning
confidence: 99%
“…[34][35][36][37] Some reports have indicated the failure of NSAIDs and interferon combination therapy in improving interferon-resistant chronic hepatitis C, 34,38 whereas other authors, using ketoprofen plus interferon, have reported an improved virological response in chronic hepatitis C patients. 35 Giambartolomei et al 39,40 reported that indomethacin potentiates the interferon-␣ signaling pathway by increasing signal transducer and activator of transcription 1 phosphorylation in vitro, improving cellular response. It must be noted that the aforementioned studies used NSAIDs with different biochemical activities and did not include comparable groups of HCV patients.…”
Section: Discussionmentioning
confidence: 99%
“…[62][63][64][65] Although suppression of Th1 responses by means of NF-B inhibition occurs at ASA doses well above the therapeutic range, [25][26][27] lower concentrations of ASA can enhance (by means of inhibition of monocyte PG generation) the in vitro and ex vivo expression of at least some Th1 cytokines and inherently counteract Th2 responses. 21,22,24 Therefore, NSAIDs have been evaluated as possible adjuvants of Th1-driven antiviral responses 17,66 and in the management of Th2-associated and IL-4-associated conditions such as atopic asthma or rhinitis. 67,68 It was shown that topical treatment with lysin-ASA or SA, but not IM, can prevent the early asthmatic response to inhaled allergen, 69 a finding consistent with the critical role of IL-4 in the development of such reactions.…”
Section: Discussionmentioning
confidence: 99%
“…8,10 On the other hand, salicylates were reported to activate mitogen-activated protein kinases and enhance interferon (IFN) signaling. 13,16,17 These overall effects of salicylates are compounded by their ability to induce the release of potent anti-inflammatory mediators, such as adenosine and 15-epi-lipoxin A 4 . 9,14 Taken together, these observations support the idea that the multiple therapeutic effects of ASA derive from its ability to regulate a network of biochemical and cellular events more complex than was initially thought.…”
Section: Introductionmentioning
confidence: 99%
“…Interestingly, NSAID and NS398 treatment of Chang liver and HepG2 cells results in increased response to IFN-α, suggesting that COX-2 expression may result in IFN therapy resistance (32). In this context, the induction of COX-2 by HBx would help the virus to evade the immune system, favoring chronic HBV infection and the progression to cirrhosis and HCC.…”
mentioning
confidence: 99%