RESUMEN
Objective To investigate the effect of lamivudine (LAM) on serum interferon (IFN)-γ and interleukin (IL)-4 levels in patients with chronic hepatitis B(CHB). Methods Serum IFN-γ and IL-4 levels were measured with enzyme-linked immunosorbent assay (ELISA) in 66 CHB patients at baseline and 3, 6, 9 and 12 months after LAM treatment respectively. And 20 healthy volunteers served as healthy control. The comparision of pretreatment and post-treatment was done using t test and numberation data were analyzed by non parametric rank sum test. Results In HBeAg positive patients, the serum level of IFN-γ was (21.03±4.44) ng/L in complete response group, which was higher than partial response group [(13.85±3.92) ng/L] and non-response group [(10.63± 3.11) ng/L] (t=7.56,t=11.87, both P<0.01). Take that IFN-γ is 15.66 ng/L as boundry patients with high baseline IFN-γ level showed much higher complete response rate (31.0% vs 8.7%, x2 =8.391, P<0.01) and lower non-response rate (13.8% vs 52.2%,x2=4. 256, P<0.01) than those with low baseline IFN-γ levels. After LAM treatment, the IFN-γ/IL-4 ratios in complete response patients were approximate or even higher than those in healthy group, whereas the IFN-γ/ IL-4 ratios of patients with partial response and non response were lower than those in healthy group. In HBeAg negative patients, the IFN-γ/IL-4 ratios increased slowly but didn't reach the same levels of healthy group. Conclusions It is suggested that LAM treatment can increase IFN-γ release and reduce IL-4 release in CHB patients. The response type to LAM therapy is associated with the recovery of T helper cell (Th) 1/Th2 balance post-treatment and pretreatment IFN-γ levels.
RESUMEN
Objective To explore the oxidation stress effects of nitrogen monoxide (NO) on rats' hepatic fibrosis induced by carbon tetrachloride (CCl_4). Methods Thirty-four male Wistar rats were subcutaneously given CCl_4 to induce hepatic fibrosis model. Six additional rats were chosen to serve as control group. Histological sections of liver of the animals were stained by H & E and Massons staining. NO in serum, malon-dialdehyde (MDA) and superoxide dismutase (SOD) in liver tissue were determined. Results At 7th week, grade 2 or 3 of hepatic fibrosis was reproduced, in which fibrous tissue formed fibrous septa, around the portal areas stretching into hepatic lobules. The structure of the hepatic lobules was intact or disarranged, but there was no signs of cirrhosis. There was moderate fatty change and vacuolar degeneration of heputocytes. The level of serum NO increased significantly (152.8?12.30?mol/L vs. 11.03?1.95?mol/L, P