Monitoring of serum HBV RNA, HBcrAg, HBsAg and anti-HBc levels in patients during long-term nucleoside/nucleotide analogue therapy

This study was aimed at evaluating the clinical significance of serum HBV RNA, hepatitis B core-related antigen (HBcrAg) and hepatitis B core antibody (anti-HBc) levels in chronic hepatitis B patients with undetectable HBV DNA during nucleoside/nucleotide analogue (NA) treatment. Fifty-seven patient...

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Veröffentlicht in:Antiviral therapy 2019-01, Vol.24 (2), p.105-115
Hauptverfasser: Liao, Hao, Liu, Yan, Li, Xiaodong, Wang, Jie, Chen, Xiangmei, Zou, Jun, Li, Qi, Liu, Lujie, Wang, Jun, Huang, Bixia, Lu, Fengmin, Xu, Dongping
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container_end_page 115
container_issue 2
container_start_page 105
container_title Antiviral therapy
container_volume 24
creator Liao, Hao
Liu, Yan
Li, Xiaodong
Wang, Jie
Chen, Xiangmei
Zou, Jun
Li, Qi
Liu, Lujie
Wang, Jun
Huang, Bixia
Lu, Fengmin
Xu, Dongping
description This study was aimed at evaluating the clinical significance of serum HBV RNA, hepatitis B core-related antigen (HBcrAg) and hepatitis B core antibody (anti-HBc) levels in chronic hepatitis B patients with undetectable HBV DNA during nucleoside/nucleotide analogue (NA) treatment. Fifty-seven patients who received long-term NA treatment of median 5.83 (25%, 75% percentiles 4.67, 7.75) years were enrolled, and 285 serum samples at five time points for each patient were quantitatively analysed for the three serum markers together with serum HBV DNA and hepatitis B surface antigen (HBsAg) levels. The HBV RNA level significantly correlated with HBcrAg (r=0.629; P
doi_str_mv 10.3851/IMP3280
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Fifty-seven patients who received long-term NA treatment of median 5.83 (25%, 75% percentiles 4.67, 7.75) years were enrolled, and 285 serum samples at five time points for each patient were quantitatively analysed for the three serum markers together with serum HBV DNA and hepatitis B surface antigen (HBsAg) levels. The HBV RNA level significantly correlated with HBcrAg (r=0.629; P&lt;0.001) but not HBsAg levels (P=0.1460). Nonetheless, the HBcrAg level significantly correlated with the HBsAg level (r=0.469; P&lt;0.001). Hepatitis B e antigen (HBeAg)-positive samples showed higher HBV RNA, HBcrAg and HBsAg levels than HBeAg-negative samples did (all P&lt;0.05). Nine patients with HBeAg loss manifested a significantly greater decline in HBV RNA and HBcrAg levels (median 1.84 [25%, 75% percentiles 1.02, 2.12] log copies/ml, 1.14 [0.62, 2.21] log U/ml, respectively) compared with those in seven patients without HBeAg loss (0.74 [0.10, 1.08] log copies/ml and 0.41 [0.21, 0.69] log U/ml, respectively). Overall, serum HBV RNA, HBcrAg, HBsAg and anti-HBc levels gradually decreased with time during NA treatment. At the end of observation, HBV RNA and HBcrAg reached an undetectable level in 26 and 6 (46% and 11%) patients, respectively. Monitoring of HBV RNA and HBcrAg levels is useful for NA-treated patients with undetectable HBV DNA. The attainment of HBV RNA undetectability usually occurs prior to HBcrAg undetectability.</description><identifier>ISSN: 1359-6535</identifier><identifier>EISSN: 2040-2058</identifier><identifier>DOI: 10.3851/IMP3280</identifier><identifier>PMID: 30511941</identifier><language>eng</language><publisher>England: International Medical Press</publisher><subject>Adult ; Antigens ; Antiviral Agents - therapeutic use ; Biomarkers ; Deoxyribonucleic acid ; DNA ; Female ; Hepatitis ; Hepatitis B Antibodies - blood ; Hepatitis B Antibodies - immunology ; Hepatitis B Core Antigens - blood ; Hepatitis B e antigen ; Hepatitis B surface antigen ; Hepatitis B Surface Antigens - blood ; Hepatitis B virus - immunology ; Hepatitis B, Chronic - blood ; Hepatitis B, Chronic - diagnosis ; Hepatitis B, Chronic - drug therapy ; Hepatitis B, Chronic - virology ; Humans ; Interferon ; Male ; Middle Aged ; Nucleoside analogs ; Nucleotide analogs ; Patients ; Ribonucleic acid ; RNA ; RNA, Viral ; Treatment Outcome ; Viral Load</subject><ispartof>Antiviral therapy, 2019-01, Vol.24 (2), p.105-115</ispartof><rights>Copyright International Medical Press 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c309t-854a1b601b84fa8dda66357b365dd74d70f915d006bf297abc3a815ccdd0ff953</citedby><cites>FETCH-LOGICAL-c309t-854a1b601b84fa8dda66357b365dd74d70f915d006bf297abc3a815ccdd0ff953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30511941$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liao, Hao</creatorcontrib><creatorcontrib>Liu, Yan</creatorcontrib><creatorcontrib>Li, Xiaodong</creatorcontrib><creatorcontrib>Wang, Jie</creatorcontrib><creatorcontrib>Chen, Xiangmei</creatorcontrib><creatorcontrib>Zou, Jun</creatorcontrib><creatorcontrib>Li, Qi</creatorcontrib><creatorcontrib>Liu, Lujie</creatorcontrib><creatorcontrib>Wang, Jun</creatorcontrib><creatorcontrib>Huang, Bixia</creatorcontrib><creatorcontrib>Lu, Fengmin</creatorcontrib><creatorcontrib>Xu, Dongping</creatorcontrib><title>Monitoring of serum HBV RNA, HBcrAg, HBsAg and anti-HBc levels in patients during long-term nucleoside/nucleotide analogue therapy</title><title>Antiviral therapy</title><addtitle>Antivir Ther</addtitle><description>This study was aimed at evaluating the clinical significance of serum HBV RNA, hepatitis B core-related antigen (HBcrAg) and hepatitis B core antibody (anti-HBc) levels in chronic hepatitis B patients with undetectable HBV DNA during nucleoside/nucleotide analogue (NA) treatment. Fifty-seven patients who received long-term NA treatment of median 5.83 (25%, 75% percentiles 4.67, 7.75) years were enrolled, and 285 serum samples at five time points for each patient were quantitatively analysed for the three serum markers together with serum HBV DNA and hepatitis B surface antigen (HBsAg) levels. The HBV RNA level significantly correlated with HBcrAg (r=0.629; P&lt;0.001) but not HBsAg levels (P=0.1460). Nonetheless, the HBcrAg level significantly correlated with the HBsAg level (r=0.469; P&lt;0.001). Hepatitis B e antigen (HBeAg)-positive samples showed higher HBV RNA, HBcrAg and HBsAg levels than HBeAg-negative samples did (all P&lt;0.05). Nine patients with HBeAg loss manifested a significantly greater decline in HBV RNA and HBcrAg levels (median 1.84 [25%, 75% percentiles 1.02, 2.12] log copies/ml, 1.14 [0.62, 2.21] log U/ml, respectively) compared with those in seven patients without HBeAg loss (0.74 [0.10, 1.08] log copies/ml and 0.41 [0.21, 0.69] log U/ml, respectively). Overall, serum HBV RNA, HBcrAg, HBsAg and anti-HBc levels gradually decreased with time during NA treatment. At the end of observation, HBV RNA and HBcrAg reached an undetectable level in 26 and 6 (46% and 11%) patients, respectively. Monitoring of HBV RNA and HBcrAg levels is useful for NA-treated patients with undetectable HBV DNA. The attainment of HBV RNA undetectability usually occurs prior to HBcrAg undetectability.</description><subject>Adult</subject><subject>Antigens</subject><subject>Antiviral Agents - therapeutic use</subject><subject>Biomarkers</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>Female</subject><subject>Hepatitis</subject><subject>Hepatitis B Antibodies - blood</subject><subject>Hepatitis B Antibodies - immunology</subject><subject>Hepatitis B Core Antigens - blood</subject><subject>Hepatitis B e antigen</subject><subject>Hepatitis B surface antigen</subject><subject>Hepatitis B Surface Antigens - blood</subject><subject>Hepatitis B virus - immunology</subject><subject>Hepatitis B, Chronic - blood</subject><subject>Hepatitis B, Chronic - diagnosis</subject><subject>Hepatitis B, Chronic - drug therapy</subject><subject>Hepatitis B, Chronic - virology</subject><subject>Humans</subject><subject>Interferon</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nucleoside analogs</subject><subject>Nucleotide analogs</subject><subject>Patients</subject><subject>Ribonucleic acid</subject><subject>RNA</subject><subject>RNA, Viral</subject><subject>Treatment Outcome</subject><subject>Viral Load</subject><issn>1359-6535</issn><issn>2040-2058</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkctKxDAUhoMoOl7wDSTgQhdWT5KmTZbj4A28Ieq2pE1aK20zJqng1ic3OqMLF4fzc_j4OPAjtEvgmAlOTq5u7hkVsIImFFJIKHCxiiaEcZlknPENtOn9KwAVEmAdbTDghMiUTNDnjR3aYF07NNjW2Bs39vjy9Bk_3E6PYqjctPneftpgNeg4oU3iGXfm3XQetwOeq9CaIXisxx9NZ4cmCcb1eBirzljfanOyiCHGqFCdbUaDw4txav6xjdZq1Xmzs9xb6On87HF2mVzfXVzNptdJxUCGRPBUkTIDUoq0VkJrlWWM5yXLuNZ5qnOoJeEaICtrKnNVVkwJwqtKa6hrydkWOlx4586-jcaHom99ZbpODcaOvqAklSKjkMuI7v9DX-3o4t-RoilhNM8Yi9TBgqqc9d6Zupi7tlfuoyBQfNdSLGuJ5N7SN5a90X_cbw_sC0JLhpw</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Liao, Hao</creator><creator>Liu, Yan</creator><creator>Li, Xiaodong</creator><creator>Wang, Jie</creator><creator>Chen, Xiangmei</creator><creator>Zou, Jun</creator><creator>Li, Qi</creator><creator>Liu, Lujie</creator><creator>Wang, Jun</creator><creator>Huang, Bixia</creator><creator>Lu, Fengmin</creator><creator>Xu, Dongping</creator><general>International Medical Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20190101</creationdate><title>Monitoring of serum HBV RNA, HBcrAg, HBsAg and anti-HBc levels in patients during long-term nucleoside/nucleotide analogue therapy</title><author>Liao, Hao ; 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Fifty-seven patients who received long-term NA treatment of median 5.83 (25%, 75% percentiles 4.67, 7.75) years were enrolled, and 285 serum samples at five time points for each patient were quantitatively analysed for the three serum markers together with serum HBV DNA and hepatitis B surface antigen (HBsAg) levels. The HBV RNA level significantly correlated with HBcrAg (r=0.629; P&lt;0.001) but not HBsAg levels (P=0.1460). Nonetheless, the HBcrAg level significantly correlated with the HBsAg level (r=0.469; P&lt;0.001). Hepatitis B e antigen (HBeAg)-positive samples showed higher HBV RNA, HBcrAg and HBsAg levels than HBeAg-negative samples did (all P&lt;0.05). Nine patients with HBeAg loss manifested a significantly greater decline in HBV RNA and HBcrAg levels (median 1.84 [25%, 75% percentiles 1.02, 2.12] log copies/ml, 1.14 [0.62, 2.21] log U/ml, respectively) compared with those in seven patients without HBeAg loss (0.74 [0.10, 1.08] log copies/ml and 0.41 [0.21, 0.69] log U/ml, respectively). Overall, serum HBV RNA, HBcrAg, HBsAg and anti-HBc levels gradually decreased with time during NA treatment. At the end of observation, HBV RNA and HBcrAg reached an undetectable level in 26 and 6 (46% and 11%) patients, respectively. Monitoring of HBV RNA and HBcrAg levels is useful for NA-treated patients with undetectable HBV DNA. The attainment of HBV RNA undetectability usually occurs prior to HBcrAg undetectability.</abstract><cop>England</cop><pub>International Medical Press</pub><pmid>30511941</pmid><doi>10.3851/IMP3280</doi><tpages>11</tpages></addata></record>
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subjects Adult
Antigens
Antiviral Agents - therapeutic use
Biomarkers
Deoxyribonucleic acid
DNA
Female
Hepatitis
Hepatitis B Antibodies - blood
Hepatitis B Antibodies - immunology
Hepatitis B Core Antigens - blood
Hepatitis B e antigen
Hepatitis B surface antigen
Hepatitis B Surface Antigens - blood
Hepatitis B virus - immunology
Hepatitis B, Chronic - blood
Hepatitis B, Chronic - diagnosis
Hepatitis B, Chronic - drug therapy
Hepatitis B, Chronic - virology
Humans
Interferon
Male
Middle Aged
Nucleoside analogs
Nucleotide analogs
Patients
Ribonucleic acid
RNA
RNA, Viral
Treatment Outcome
Viral Load
title Monitoring of serum HBV RNA, HBcrAg, HBsAg and anti-HBc levels in patients during long-term nucleoside/nucleotide analogue therapy
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