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Nan Fang Yi Ke Da Xue Xue Bao ; 28(7): 1217-8, 2008 Jul.
Article in Chinese | MEDLINE | ID: mdl-18676267

ABSTRACT

OBJECTIVE: To study the correlation of HBV genotypes to the response to PEG-interferon alpha (PEG-IFN) in chronic hepatitis B (CHB) patients. METHODS: Real-time fluorescent PCR was used for HBV genotyping in 48 CHB patients, and the therapeutic effects of PEG-IFN and hepatic pathological changes were observed. RESULTS: No obvious differences were noted in ALT and HBV DNA levels or negative rate for HBeAg between patients with genotypes B and C (P>0.05). The sustained response rate was significantly higher in genotype B than in genotype C patients 48 weeks o after the therapy. CONCLUSION: HBV genotype is the main factor for predicting PEG-IFN therapy response in CHB patients, and the sustained response rate is significantly higher in genotype B than in genotype C patients.


Subject(s)
Hepatitis B virus/genetics , Hepatitis B, Chronic/drug therapy , Interferon-alpha/therapeutic use , Polyethylene Glycols/therapeutic use , Adolescent , Adult , Antiviral Agents/therapeutic use , DNA, Viral/blood , Female , Genotype , Hepatitis B e Antigens/blood , Hepatitis B virus/immunology , Hepatitis B, Chronic/blood , Hepatitis B, Chronic/virology , Humans , Interferon alpha-2 , Liver/drug effects , Liver/pathology , Liver/virology , Male , Middle Aged , Recombinant Proteins , Young Adult
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