For this study, we selected miR-20a, miR-92a, miR-122, miR-21, miR-146a, miR-221 because of their implication in liver fibrosis. Their expression was assessed INCB024360 by RT-qPCR in serums and biopsies samples. Results In liver biopsies, a higher expression of hepatic miR-122 (p<0,0001), miR-92a (p=0,026) and miR-20a (p=0,024) was observed in patients with mild (F1) and moderate fibrosis (F2) compared to those with severe fibrosis (F3-F4). There were no significant differences in the expression of miR-21, miR-146a and miR-221 in liver biopsies. The
expression of mir-122, mir-92a and mir-20a was decreased in 5 patients whose fibrosis stage increased from mild to moderate fibrosis. Decreased hepatic miR-122 and miR-20a have been previously described in patients with hepatocellular carcinoma. There was no significant difference in the level of expression of mir-122, mir-92a and mir-20a in the serum of patients with mild and moderate fibrosis and those with severe fibrosis. While mir-122 in the serum was correlated with ALT, no significant association
was found for mir-92a and mir-20a. Conclusions Interestingly, the expression of hepatic miR-122, miR-92a and miR-20a was higher in patients with mild and moderate fibrosis as compared to those with more advanced fibrosis. The study of the five paired biopsies confirmed the importance of those miRNAs during fibrosis progression. Disclosures: Nathalie Boyer – Board Membership: MSD, JANSSEN, Gilead, Abbvie; Speaking Everolimus and Teaching: BMS Patrick Marcellin – Consulting: Roche, Gilead, BMS, Vertex, Novartis, Janssen, MSD, Abbvie, Alios BioPharma, Idenix, Akron; Grant/Research Support: Roche, Gilead, BMS, Novartis, Janssen, MSD, Alios BioPharma; Speaking and Teaching: Roche, Gilead, BMS, Vertex, Novartis, Janssen, MSD, Boehringer, Pfizer, Abbvie Tarik Asselah – Advisory Committees or Review Panels: AbbVie, Boerhinger-Ingelheim, Gilead, BMS, Roche, Janssen The following people have nothing to disclose:
Kevin Appourchaux, Emilie Estrabaud, Philippe Broet, Martine Amoxicillin Lapalus, Michelle Martinot-Peignoux, Michel Vidaud, Pierre Bedossa Background: Recent therapeutic advances promise greater convenience (oral therapies) with higher efficacy (>90% sustained viral response (SVR), and shorter duration of treatment than current standard of care in Europe. The implementation of these higher-cost agents to abrogate the escalating disease burden of untreated HCV infection requires robust epidemiological data and country-specific mathematical modeling to assess the potential impact of improved HCV treatment strategies. Methods: Disease progression was modeled using age-and gender-defined cohorts to track HCV incidence, prevalence, morbidity and mortality. Baseline assumptions were derived from published literature and unpublished data.