Relationship between HBeAg seroconversion with genotypes and HBV specific CTL in patients with chronic hepatitis B treated with Adefovir dipivoxil
10.3760/cma.j.issn.1003-9279.2011.03.020
- VernacularTitle:阿德福韦酯治疗慢性乙型肝炎HBeAg血清学转换与基因型、HBV特异性CTL的关系
- Author:
Yu-Lin ZHOU
1
;
Xue-Cai WANG
;
Yin-Tao WU
;
Yong-Fei TAN
;
Yan-Ping ZHAO
;
Jun-Ming TANG
;
Jian-Qiang PAN
;
Zhi-Xian YANG
;
Xi-Bing GU
Author Information
1. 宣兴市人民医院
- Keywords:
Adefovir dipivoxil;
Hepatitis B,chronic;
Genotype;
T-lymphocytes,cytotoxic;
Hepatitis B e antigens;
Serologic tests
- From:
Chinese Journal of Experimental and Clinical Virology
2011;25(3):220-223
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore relationship between HBeAg seroconversion with HBV genotypes and HBV specific CTL in patients with chronic hepatitis B ( CHB) treated with Adefovir dipivoxil. Methods Seventy CHB patients had positive HBV DNA ( HBV DNA ≥ 1 X 104 copy/ml) ,45 cases had positive HBeAg,of whom 23 cages (51. 11% ) had genotype B, 22 cases (48. 89% ) had genotype C. ALT ＞ 2 × upper limit of normal value(ULN) , human leukocyte antigen( HLA)-An positive,patients were treated with Adefovir dipivoxil ( commercial name is Mingzheng, Zhengda Tianjing Pharmaceutical Company), 10 mg, orally,once a day. After treatment for 12 months, observe relationship between HBeAg seroconversion with HBV genotypes and HBV specific CTL. Results After treatment with Adefovir dipivoxil for 12 months, HBV specific CTL(0. 68% ±0. 11% )was higher than that before treatment (0. 33% ±0. 11% ) , t =8. 36 P ＜ 0.001, HBV DNA (3.01 ±0.2) log 10 copy/ml was lower than that before treatment (6.27 ±0.70) log10 copy/ml, t = 12. 63 P＜0.001, HBV DNA turned negative ( ＜500 copy/ml) 43 cases (61.43%), in 45 cases with positive HBeAg, HBeAg turned negative in 13 cases (28.89%), 8 cases had HBeAg seroconversion( 17. 78% ) ,HBV specific CTL(0.86% ±0. 05% ) of patients with HBeAg seroconversion is higher than (0. 61% ±0. 07% )of patients without HBeAg seroconversion (37 cases, 82. 22% ) t =7. 88, P ＜0. 001. In 8 cases with HBeAg seroconversion, 7 cases had genotype B(30. 43% of genotype B) , 1 cases had genotype C(4. 55% of genotype C) ,x2 =5. 15,P ＜0. 05. Conclusion Adefovir dipivoxil can enhance HBV specific cellular immunity of CHB patients. After treatment, occurrence of HBeAg seroconversion is related to increase of HBV specific CTL level and may be related to genotypes.
