Hepatic Fibrosis

Hepatic fibrosis in hepatointestinal schistosomiasis, caused by Schistosoma mansoni, results from egg-induced inflammation in the hepatic periportal region, leading to chronic liver damage, extracellular matrix deposition, and eventual scar formation. This fibrotic process impairs blood flow, contributing to portal hypertension and varices. While most infected individuals do not develop severe fibrosis, 5–10% of the 350 million affected individuals experience significant disease progression. Genetic factors, including loci on chromosome 6q23 harboring IFNGR1 and CTGF genes, play a role in susceptibility to hepatic fibrosis.