Cytokine profiles and virological markers highlight distinctive immune statuses, and effectivenesses and limitations of NAs across different courses of chronic HBV infection.

PURPOSE: The characteristics of cytokine/chemokine(CK) profiles across different courses of chronic hepatitis B virus infection and the effects of NAs antiviral therapy on cytokine profiles remain unclear. METHODS: This report provides evidence from 383 patients with chronic HBV infection. The Luminex multiple cytokine detection technology was used to detect CK profiles. The predictive power of CKs across course of disease was assessedusing univariate analyses and with receiver operating characteristic (ROC) curves. RESULTS: Compared to healthy control (HC), expression levels of interleukin 6 (IL)-6, IL-8, IL-21, matrix metalloproteinases (MMP)-2 and tumor necrosis factor receptor (TNFR)-1 showed a significant increasing trend during chronic HBV infection. IL-23 and IL-33 increased respectively in chronic hepatitis B patients (CHB). interferon (IFN)-gamma and TNF-α changed significantly only in liver cirrhosis (LC) patients. Whereas, myeloid-related markers decreased dramatically in those with hepatocellular carcinoma (HCC). The ROC result suggests that combining IL-6, IL-8, CXCL9 and CXCL13 into a nomogram has closely correlation with HCC during chronic HBV infection. In addition, nucleotide analogues (NAs) antiviral treatments are capable of recoveringnormal liver functions and significantly reducing the viral loads, however, they seem to have a limited effect in changing CKs, especially specific antiviral factors. CONCLUSION: The differential CK and virological markers may serve as potential indicators of distinct immune statuses in chronic HBV infection. They also underscore the varying efficacy and limitations of NAs antiviral therapies. This next step would to break new ground in the optimization of current anti-HBV treatment programs although this requires further research.

Clinical significance of novel biomarkers to predict the natural course of hepatitis B infection.

Background and aim: Chronic hepatitis B (CHB) can be divided into immune tolerance (IT), immune clearance (IC), hepatitis B e antigen (HBeAg)-negative inactive/quiescent carrier (ENQ), and HBeAg-negative hepatitis (ENH) phases. The conventional biomarkers used to distinguish these phases have limitations. We examined the clinical significance of hepatitis B virus (HBV) RNA and hepatitis B core-related antigen (HBcrAg) as novel biomarkers. Methods: One hundred eighty-nine patients without treatment currently were categorized by CHB phase (IT = 46, IC = 45, ENQ = 49, ENH = 49). The associations of HBV RNA and HBcrAg with HBV DNA and alanine transaminase (ALT) were analyzed. The decision tree model was used to distinguish the four phases in the natural course of CHB. Results: The concentrations of HBV RNA and HBcrAg were highest in the IT and IC phases (P < 0.01). Serum HBV RNA was similar to HBcrAg in treatment-naïve patients. HBV RNA and HBcrAg correlated with HBV DNA in the HBeAg+ and HBeAg- status (HBV RNA: e+ r = 0.51, e- r = 0.62; HBcrAg: e+ r = 0.51, e- r = 0.71), but their association with HBV DNA differed among phases. The accuracy, sensitivity, and specificity of HBcrAg with ALT in distinguishing the CHB phases were 95.65%, 95.83%, and 95.55%, respectively. Conclusion: Serum HBV RNA and HBcrAg may be useful to monitor CHB progression.

Describing immune factors associated with Hepatitis B surface antigen loss: A nested case-control study of a Chinese sample from Wuwei City.

Background: Hepatitis B surface antigen (HBsAg) loss is considered a functional cure for chronic hepatitis B (CHB), however, several factors influence HBsAg loss. Methods: 29 CHB patients who had achieved HBsAg loss, were selected and 58 CHB patients with persistent HBsAg were matched, according to gender and age (+/- 3 years). Logistic regression and restricted cubic spline (RCS) modelling were performed. Results: Multivariate-adjusted logistic regression, based on stepwise selection, showed that baseline HBsAg levels negatively correlated with HBsAg loss (odds ratio [OR] = 0.99, 95% confidence interval [CI] = 0.98-0.99). Interferon treatment positively related with HBsAg loss (OR = 7.99, 95%CI = 1.62-44.88). After adjusting for age, HBsAg level, ALT level, HBeAg status and interferon treatment, MMP-1 (OR = 0.66, 95%CI = 0.44-0.97), CXCL9 (OR = 0.96, 95%CI = 0.93-0.99) and TNF-R1 (OR = 0.97, 95%CI = 0.94-0.99) baseline levels all negatively correlated with HBsAg loss. Our multivariate-adjusted RCS model showed that baseline CXCL10 was associated with HBsAg loss although the relationship was "U-shaped". Conclusions: Cytokines such as MMP-1, CXCL9, CXCL10 and TNF-R1 are important factors which influence HBsAg loss. It may be possible to develop a nomogram which intercalates these factors; however, further research should consider immune processes involved in HBsAg loss.

2,5-Dichloro-thio-phene 1,1-dioxide.

The complete mol-ecule of the title compound, C(4)H(2)Cl(2)O(2)S, is generated by crystallographic twofold symmetry, with the S atom lying on the rotation axis. In the crystal, the molecules are linked by C-H⋯O hydrogen bonds..

Substituent effects in pentacenes: gaining control over HOMO-LUMO gaps and photooxidative resistances.

A combined experimental and computational study of a series of substituted pentacenes including halogenated, phenylated, silylethynylated and thiolated derivatives is presented. Experimental studies include the synthesis and characterization of six new and six known pentacene derivatives and a kinetic study of each derivative under identical photooxidative conditions. Structures, HOMO-LUMO energies and associated gaps were calculated at the B3LYP/6-311+G**//PM3 level while optical and electrochemical HOMO-LUMO gaps were measured experimentally. The combined results provide for the first time a quantitative assessment of HOMO-LUMO gaps and photooxidative resistances for a large series of pentacene derivatives as a function of substituents. The persistence of each pentacene derivative is impacted by a combination of steric resistance and electronic effects as well as the positional location of each substituent. Silylethynyl-substituted pentacenes like TIPS-pentacene possess small HOMO-LUMO gaps but are not the longest lived species under photooxidative conditions, contrary to popular perception. A pentacene derivative with both chlorine substituents in the 2,3,9,10 positions and o-alkylphenyl substituents in the 6,13 positions is longer lived than TIPS-pentacene. Of all the derivatives studied, alkylthio- and arylthio-substituted pentacenes are most resistant to photooxidation, possess relatively small HOMO-LUMO gaps and are highly soluble in a variety of organic solvents. These results have broad implications for the field of organic molecular electronics where OFET, OLED, and other applications can benefit from highly persistent, solution processable pentacene derivatives.

Two-photon absorption and degenerate four-wave mixing studies of sulfide semiconductor nanoparticles in polymeric solutions.

The two-photon absorption coefficients (beta) and the third-order nonlinear susceptibilities (chi(3)) of several semiconductor nanoparticles (CdS, Cd(x)Ag(1-x)S, and core-shell CdS/Ag2S) that are confined and stabilized by random and block ionomers have been measured by nonlinear transmission and degenerate four-wave mixing techniques using 21 picosecond laser pulses at near-infrared spectral region. The imaginary part of the third-order nonlinear susceptibility that is related to the two-photon absorption coefficient was then calculated. The absorptive nonlinearity of the nanoparticles (2 approximately 9 nm) was found to be dependent on the particle size, composition and wavelength, i.e., larger CdS particles exhibit higher two-photon absorption coefficients and the presence of Ag improves two-photon absorption of CdS nanoparticles. The obtained two-photon absorption coefficients of nanoparticles corrected for their volume fraction in solution are significantly greater that those of corresponding bulk semiconductors.