LOSS OF HBsAg WITH INTERFERON THERAPY IN CHRONIC HEPATITIS B VIRUS INFECTION

46 male chronic hepatitis B virus (HBV) carriers with active viral replication were randomised, with stratification for histology and sexual preference, to receive six months' lymphoblastoid interferon or no therapy. After nine to eighteen months' follow-up, HBeAg was no longer detectable...

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Veröffentlicht in:The Lancet (British edition) 1987-07, Vol.330 (8550), p.66-69
Hauptverfasser: Alexander, GraemeJ.M., Fagan, ElizabethA, Daniels, HelenaM, Brahm, Javier, Smith, HeatherM, Eddleston, AdrianL.W.F., Williams, Koger
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container_end_page 69
container_issue 8550
container_start_page 66
container_title The Lancet (British edition)
container_volume 330
creator Alexander, GraemeJ.M.
Fagan, ElizabethA
Daniels, HelenaM
Brahm, Javier
Smith, HeatherM
Eddleston, AdrianL.W.F.
Williams, Koger
description 46 male chronic hepatitis B virus (HBV) carriers with active viral replication were randomised, with stratification for histology and sexual preference, to receive six months' lymphoblastoid interferon or no therapy. After nine to eighteen months' follow-up, HBeAg was no longer detectable and anti-HBe was present in 6 of the 23 treated patients. HBsAg was not detectable in 5 of these patients and 3 had anti-HBs. All of the controls remained positive for HBeAg and HBsAg. Seroconversion from HBeAg to anti-HBe was preceded in all cases by a pronounced increase in serum aspartate aminotransferase levels of more than ten times the upper limit of normal at eight to twelve weeks; this response was exclusively associated with interferon therapy. These results suggest that loss of HBsAg and a hepatitis-like illness in the third month of therapy are direct effects of interferon treatment.
doi_str_mv 10.1016/S0140-6736(87)92735-8
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source Elsevier ScienceDirect Journals
subjects Aspartate aminotransferase
Chronic infection
Hepatitis
Hepatitis B
Hepatitis B e antigen
Hepatitis B surface antigen
Histology
Interferon
Patients
Seroconversion
Therapy
Viruses
title LOSS OF HBsAg WITH INTERFERON THERAPY IN CHRONIC HEPATITIS B VIRUS INFECTION
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