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Circulating microRNAs as non-invasive biomarkers for hepatitis B virus liver fibrosis
Authors:Diana Gabriela Iacob  Adelina Rosca  Simona Maria Ruta
Abstract:Viruses can alter the expression of host microRNAs(miRNA s) and modulate the immune response during a persistent infection. The dysregulation of host miRNA s by hepatitis B virus(HBV) contributes to the proinflammatory and profibrotic changes within the liver. Multiple studies have documented the differential regulation of intracellular and circulating miRNA s during different stages of HBV infection. Circulating miRNA s found in plasma and/or extracellular vesicles can integrate data on viral-host interactions and on the associated liver injury. Hence, the detection of circulating miRNA s in chronic HBV hepatitis could offer a promising alternative to liver biopsy, as their expression is associated with HBV replication, the progression of liver fibrosis,and the outcome of antiviral treatment. The current review explores the available data on miRNA involvement in HBV pathogenesis with an emphasis on their potential use as biomarkers for liver fibrosis.
Keywords:Hepatitis B virus  MicroRNA  Noncoding RNA  Liver fibrosis  Viral hepatitis  Non-invasive biomarkers  Extracellular vesicles  Hepatitis management
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