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題名 Host genetic variants and hepatitis B virologic features in HBeAg-negative hepatitis B carriers with long-term biochemical remission
作者 Lin, Chih-Lin
林志陵
Tseng, Tai-Chung
Su, Tung-Hung
Liu, Chun-Jen
Chen, Pei-Jer
Lai, Ming-Yang
Chen, Ding-Shinn
Kao, Jia-Horng
貢獻者 心理學系
關鍵詞 HBeAg-negative carrier;Hepatitis B virus;HBV-DNA;Alanine aminotransferase;Host genetic variants
日期 2012-06
上傳時間 5-Aug-2015 14:36:54 (UTC+8)
摘要 Purpose:A significant portion of HBeAg-negative chronic hepatitis B patients have persistently normal serum alanine aminotransferase levels (PNALT). We thus investigated host genetic variants and virological features in HBeAg-negative hepatitis B carriers.Methods:Baseline clinical and virological features of 133 HBeAg-negative hepatitis B carriers (77 with PNALT and 56 with chronic hepatitis activity) with follow-up for more than 5 years were investigated. Three single nucleotide polymorphisms (SNPs) located within or around human leukocyte antigen (HLA)-DPA1, HLA-DPB1, and interleukin (IL) 28B loci were genotyped.Results:The genotype frequencies of these SNPs were comparable between hepatitis B carriers with PNALT and those with chronic hepatitis. Compared with hepatitis B carriers with PNALT, those with chronic hepatitis had significantly higher baseline serum HBV-DNA levels (4.96 vs. 4.04 log10 IU/ml, P = 0.001). Baseline serum HBV-DNA level > 2000 IU/ml (OR, 8.42; 95% CI, 2.74–25.90, P < 0.001) were the only independent factor associated with chronic hepatitis activity. Changes of serum HBV-DNA in 30 hepatitis B carriers with PNALT had showed a significant reduction of viral load from baseline to last visit (mean difference of paired HBV-DNA levels: −0.78 log10 IU/ml, 95% CI: −1.57 to −0.013, P = 0.047). In contrast, no significant reduction of viral load was found in 28 patients with chronic hepatitis.Conclusions:The results indicate that lower baseline serum HBV-DNA level and viral load reduction over time are associated with long-term biochemical remission in HBeAg-negative hepatitis B carriers.
關聯 Hepatology International,6,(3),598-605
資料類型 article
DOI http://dx.doi.org/10.1007/s12072-011-9297-4
dc.contributor 心理學系-
dc.creator (作者) Lin, Chih-Lin-
dc.creator (作者) 林志陵zh_TW
dc.creator (作者) Tseng, Tai-Chungen_US
dc.creator (作者) Su, Tung-Hungen_US
dc.creator (作者) Liu, Chun-Jenen_US
dc.creator (作者) Chen, Pei-Jeren_US
dc.creator (作者) Lai, Ming-Yangen_US
dc.creator (作者) Chen, Ding-Shinnen_US
dc.creator (作者) Kao, Jia-Horngen_US
dc.date (日期) 2012-06-
dc.date.accessioned 5-Aug-2015 14:36:54 (UTC+8)-
dc.date.available 5-Aug-2015 14:36:54 (UTC+8)-
dc.date.issued (上傳時間) 5-Aug-2015 14:36:54 (UTC+8)-
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/77425-
dc.description.abstract (摘要) Purpose:A significant portion of HBeAg-negative chronic hepatitis B patients have persistently normal serum alanine aminotransferase levels (PNALT). We thus investigated host genetic variants and virological features in HBeAg-negative hepatitis B carriers.Methods:Baseline clinical and virological features of 133 HBeAg-negative hepatitis B carriers (77 with PNALT and 56 with chronic hepatitis activity) with follow-up for more than 5 years were investigated. Three single nucleotide polymorphisms (SNPs) located within or around human leukocyte antigen (HLA)-DPA1, HLA-DPB1, and interleukin (IL) 28B loci were genotyped.Results:The genotype frequencies of these SNPs were comparable between hepatitis B carriers with PNALT and those with chronic hepatitis. Compared with hepatitis B carriers with PNALT, those with chronic hepatitis had significantly higher baseline serum HBV-DNA levels (4.96 vs. 4.04 log10 IU/ml, P = 0.001). Baseline serum HBV-DNA level > 2000 IU/ml (OR, 8.42; 95% CI, 2.74–25.90, P < 0.001) were the only independent factor associated with chronic hepatitis activity. Changes of serum HBV-DNA in 30 hepatitis B carriers with PNALT had showed a significant reduction of viral load from baseline to last visit (mean difference of paired HBV-DNA levels: −0.78 log10 IU/ml, 95% CI: −1.57 to −0.013, P = 0.047). In contrast, no significant reduction of viral load was found in 28 patients with chronic hepatitis.Conclusions:The results indicate that lower baseline serum HBV-DNA level and viral load reduction over time are associated with long-term biochemical remission in HBeAg-negative hepatitis B carriers.-
dc.format.extent 200497 bytes-
dc.format.mimetype application/pdf-
dc.relation (關聯) Hepatology International,6,(3),598-605-
dc.subject (關鍵詞) HBeAg-negative carrier;Hepatitis B virus;HBV-DNA;Alanine aminotransferase;Host genetic variants-
dc.title (題名) Host genetic variants and hepatitis B virologic features in HBeAg-negative hepatitis B carriers with long-term biochemical remission-
dc.type (資料類型) articleen
dc.identifier.doi (DOI) 10.1007/s12072-011-9297-4-
dc.doi.uri (DOI) http://dx.doi.org/10.1007/s12072-011-9297-4-