Interferon Treatment on HBeAg Positive Chronic Hepatitis B with HBV Precore Mutant in Liver Tissue / 대한내과학회지
Korean Journal of Medicine
; : 43-51, 1998.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-111627
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
This study investigates the prevalance of HBV precore mutant in chronic B hepatitis patients and whether HBV precore mutants affect hepatic inflammation and response to interferon alfa.METHODS:
HBV DNA in liver tissue from 48 chronic hepatitis patients was amplified by polymerase chain reaction. The HBV precore mutants were detected by direct sequencing of amplified PCR products. Thirty-three HBeAg-positive patients (Group 1 wild- type, Group 2 mixed) were received 3-6 MU INF three times a week for 4-6 months. We did follow-ups for at least six months(mean Group 1-11.3, Group 2- 13.7 months). A complete responder was defined as persistent(>6 months) normalization of transaminase and loss of HBeAg and/or seroconversion.RESULTS:
The HBV precore mutants were found in 15 cases(31.2%) among 48 patients 7 cases(21.2%) in 33 HBeAg-positive patients and 8 cases(53.3%) in 15 HBeAg-negative patients. The HBV precore mutants were more frequently found in HBeAg-negative patients(p= 0.043). Differences in severity of hepatic pathology were not observed in the wild-type versus mutant-type chronic hepatitis B patients(p =1.00). Initial response rate was not significantly different between two Groups(p= 0.228), but complete response rate had a lower tendency in Group 2 (p=0.073).CONCLUSION:
There is a tendency for HBV precore mutants to be less responsive to INF therapy than wild type. Therefore the patients with chronic hepatitis B should be treated as early as possible in natural history of their liver disease before the emergence of HBV precore mutants.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Pathology
/
DNA
/
Polymerase Chain Reaction
/
Follow-Up Studies
/
Interferons
/
Interferon-alpha
/
Natural History
/
Hepatitis B, Chronic
/
Hepatitis
/
Hepatitis B e Antigens
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
1998
Document type:
Article