Al cells may be another source of serum GP73. The present interpretation to serum GP73 levels is that HBV replication might increase GP73 secretion, and inflammation might result in GP73 releasing from hepatocytes. The molecular mechanism of GP73 mediating hepatic stellate cells proliferation needed to further elucidated. The main defects of our study is that patients received liver biopsy did not perform liver stiffness measurement, or vice versa, since most patients was willing to undertake FinroScan test, rather than liver biopsy. In fact, only thirteen patients received liver biopsy and liver stiffness measurements. We did not perform analysis to those patients separately. In summary, GP73 may be a useful marker for liver fibrosis grading, especially for diagnosing significant fibrosis and cirrhosis in patients with chronic HBV infections.0.0 1.0 10.0 20.0 50.0 100.16 16 16 16 161.1760.58 1.2260.61 1.2760.44 1.5960.27 1.8960.46 1.7760.AcknowledgmentsWe thank Dr. Gang Wan f or some 64849-39-4 supplier statistical help.Author ContributionsConceived and LED 209 cost designed the experiments: HW BL. Performed the experiments: RZ XH YH YQ. Analyzed the data: HW JH Xin Li. Contributed reagents/materials/analysis tools: HW Xingwang Li BL. Wrote the paper: HW.doi:10.1371/journal.pone.0053862.tGP73, a Marker for Evaluating HBV Progression
Apoptosis plays an important role in the early development of heart failure and left ventricular remodeling in patients following myocardial infarction [1]. The extent of lost myocardium following acute myocardial infarction varies from patient to patient and depends on the degree of activity of apoptotic processes. Apoptosis-stimulating fragment (Fas, CD95/APO-1) and TNFrelated apoptosis-inducing ligand (TRAIL, Apo2L), both of which are members of the TNF super-family, have significantly involved in the process of apoptosis [2]. In vitro, TRAIL binds to its receptor TRAIL-R1 and TRAIL-R2, and activates caspase-8 through the Fas-associated death domain. The activated caspase-8 mediates caspase-3 activation and promotes cell death [3]. Thus, both molecules are involved in the transition of healthy into failing myocardium. So far, several markers have been found which can predict a poor prognosis in patients with acute coronary syndrome (ACS). Among the most important and well established in patients withACS are cardiac troponins and brain natriuretic peptide (BNP) [4?5]. Soluble Fas and TRAIL are also been tested in the assessment of prognostic stratification in a population of patients with chronic heart failure and in the population of 1516647 elderly patients with cardiovascular disease [6?]. Low concentrations of soluble TRAIL were found to be associated with poor prognoses in these particular patient groups. The aim of the present study was to assess the prognostic significance of the concentration of both molecules in patients with ACS.Methods Study population and follow-upStudy participants were prospectively enrolled in the Cardiocenter University Hospital Kralovske Vinohrady, Prague. Inclusion criterion was ACS treated using percutaneous coronary intervention (PCI). All participants were admitted due to ACS: ST-elevation myocardial infarction (STEMI), non ST-elevation myocardial infarction or unstable angina pectoris (NSTEMI/UA) with 23115181 typical symptoms. Diagnoses were made based on typicalPrognosis in ACS Patients by Apoptotic Moleculessymptoms, changes in electrocardiogram (ECG) and testing positive for cardiac troponins according to guideli.Al cells may be another source of serum GP73. The present interpretation to serum GP73 levels is that HBV replication might increase GP73 secretion, and inflammation might result in GP73 releasing from hepatocytes. The molecular mechanism of GP73 mediating hepatic stellate cells proliferation needed to further elucidated. The main defects of our study is that patients received liver biopsy did not perform liver stiffness measurement, or vice versa, since most patients was willing to undertake FinroScan test, rather than liver biopsy. In fact, only thirteen patients received liver biopsy and liver stiffness measurements. We did not perform analysis to those patients separately. In summary, GP73 may be a useful marker for liver fibrosis grading, especially for diagnosing significant fibrosis and cirrhosis in patients with chronic HBV infections.0.0 1.0 10.0 20.0 50.0 100.16 16 16 16 161.1760.58 1.2260.61 1.2760.44 1.5960.27 1.8960.46 1.7760.AcknowledgmentsWe thank Dr. Gang Wan f or some statistical help.Author ContributionsConceived and designed the experiments: HW BL. Performed the experiments: RZ XH YH YQ. Analyzed the data: HW JH Xin Li. Contributed reagents/materials/analysis tools: HW Xingwang Li BL. Wrote the paper: HW.doi:10.1371/journal.pone.0053862.tGP73, a Marker for Evaluating HBV Progression
Apoptosis plays an important role in the early development of heart failure and left ventricular remodeling in patients following myocardial infarction [1]. The extent of lost myocardium following acute myocardial infarction varies from patient to patient and depends on the degree of activity of apoptotic processes. Apoptosis-stimulating fragment (Fas, CD95/APO-1) and TNFrelated apoptosis-inducing ligand (TRAIL, Apo2L), both of which are members of the TNF super-family, have significantly involved in the process of apoptosis [2]. In vitro, TRAIL binds to its receptor TRAIL-R1 and TRAIL-R2, and activates caspase-8 through the Fas-associated death domain. The activated caspase-8 mediates caspase-3 activation and promotes cell death [3]. Thus, both molecules are involved in the transition of healthy into failing myocardium. So far, several markers have been found which can predict a poor prognosis in patients with acute coronary syndrome (ACS). Among the most important and well established in patients withACS are cardiac troponins and brain natriuretic peptide (BNP) [4?5]. Soluble Fas and TRAIL are also been tested in the assessment of prognostic stratification in a population of patients with chronic heart failure and in the population of 1516647 elderly patients with cardiovascular disease [6?]. Low concentrations of soluble TRAIL were found to be associated with poor prognoses in these particular patient groups. The aim of the present study was to assess the prognostic significance of the concentration of both molecules in patients with ACS.Methods Study population and follow-upStudy participants were prospectively enrolled in the Cardiocenter University Hospital Kralovske Vinohrady, Prague. Inclusion criterion was ACS treated using percutaneous coronary intervention (PCI). All participants were admitted due to ACS: ST-elevation myocardial infarction (STEMI), non ST-elevation myocardial infarction or unstable angina pectoris (NSTEMI/UA) with 23115181 typical symptoms. Diagnoses were made based on typicalPrognosis in ACS Patients by Apoptotic Moleculessymptoms, changes in electrocardiogram (ECG) and testing positive for cardiac troponins according to guideli.