Document Detail


Quantitation of tissue polypeptide antigen (TPA) in hepatic and systemic circulation in patients with chronic liver diseases.
MedLine Citation:
PMID:  19686414     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND AIM: Abnormal serum tissue polypeptide antigen (TPA) values are commonly found in patients with chronic liver damage and liver cirrhosis even in the absence of malignancies. The aim of this study was to compare serum TPA levels in patients with cirrhosis, to examine correlations between TPA levels and the degree of portal hypertension, and to evaluate TPA concentrations in paired hepatic and peripheral blood samples. METHODS: A total of 128 patients with chronic liver disease of various severity were studied prospectively. TPA concentrations in hepatic vein and peripheral blood were determined, and Hepatic Vein Pressure Gradient (HVPG) was measured. RESULTS: TPA levels were significantly higher in patients with cirrhosis than in those with chronic hepatitis, and in systemic circulation than in hepatic vein blood. Peripheral but not hepatic TPA levels did correlate with the HVPG. Subjects with clinically significant portal hypertension (HVPG > 10 mmHg) showed significantly higher peripheral TPA levels than those with HVPG < 10 mmHg. CONCLUSIONS: Our data suggest that the increased TPA levels observed in cirrhotic patients and the high systemic-to-hepatic blood TPA gradient are probably due to the presence of portal-systemic shunts rather than to hepatic necro-inflammatory activity. In clinical practice, TPA determination could help us to identify and to follow up cirrhotic patients with more severe portal hypertension.
Authors:
Claudio Puoti; Lia Bellis; Riccardo Guarisco; Olga Mitidieri Costanza; Renata Felici; Lucia Spilabotti; Federica Paglia; Alessandra Galossi; Orlando Dell' Unto
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of gastroenterology and hepatology     Volume:  24     ISSN:  1440-1746     ISO Abbreviation:  J. Gastroenterol. Hepatol.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-16     Completed Date:  2010-03-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607909     Medline TA:  J Gastroenterol Hepatol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  1847-51     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine and Liver Unit, Marino General Hospital, Rome, Italy. puoti@epatologia.org
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MeSH Terms
Descriptor/Qualifier:
Aged
Biological Markers / blood
Carcinoma, Hepatocellular / immunology
Female
Hepatic Veins / physiopathology
Hepatitis B, Chronic / immunology
Hepatitis C, Chronic / immunology
Humans
Hypertension, Portal / immunology*,  physiopathology
Liver Circulation*
Liver Cirrhosis / immunology
Liver Diseases / complications,  immunology*,  physiopathology
Liver Neoplasms / immunology
Male
Middle Aged
Predictive Value of Tests
Prospective Studies
Severity of Illness Index
Tissue Polypeptide Antigen / blood*
Venous Pressure
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Tissue Polypeptide Antigen

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