Role of hepatosteatosis in HBsAg seroconversion in HBeAg‐negative chronic hepatitis B patients

Background In chronic Hepatitis B virus (HBV) infection, certain individual and viral characteristics such as advanced age, presence of hepatic steatosis (HS), normal ALT levels, initially negative HBeAg and HBV DNA, and genotype of the virus are associated with HBsAg seroclearance and seroconversio...

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Veröffentlicht in:International journal of clinical practice (Esher) 2021-12, Vol.75 (12), p.e14899-n/a
Hauptverfasser: Bacaksız, Ferhat, Gökcan, Hale, Akdoğan, Meral, Gökçe, Dilara Turan, Arı, Derya, Gökbulut, Volkan, Ergün, Yakup, Öztürk, Ömer, Kacar, Sabite
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container_issue 12
container_start_page e14899
container_title International journal of clinical practice (Esher)
container_volume 75
creator Bacaksız, Ferhat
Gökcan, Hale
Akdoğan, Meral
Gökçe, Dilara Turan
Arı, Derya
Gökbulut, Volkan
Ergün, Yakup
Öztürk, Ömer
Kacar, Sabite
description Background In chronic Hepatitis B virus (HBV) infection, certain individual and viral characteristics such as advanced age, presence of hepatic steatosis (HS), normal ALT levels, initially negative HBeAg and HBV DNA, and genotype of the virus are associated with HBsAg seroclearance and seroconversion. Herein, we report the results of our study evaluating the association between hepatosteatosis and HbsAg seroconversion. Methods The clinical and biochemical data of patients with CHB and hepatosteatosis (HS) (HBsAg seroconversion, n:52, and non‐HbsAg seroconversion, n:352), and the rate of development of HBsAg seroconversion were evaluated. Results We collected data from 404 patients with HBeAg negative CBH (mean age ± SD: 36.2 ± 11 years; 223 [55.2%] men, 181 [44.8%] women). The mean age at diagnosis of disease was 36.2 ± 11 years. The mean duration of the disease was 10.6 ± 7 years. Seroconversion developed in 52 patients (12.8%) with serum HBsAg positive (mean ± SD: 12.7 ± 5.8). Elderly age and the duration of disease time were significantly associated with seroconversion (P 
doi_str_mv 10.1111/ijcp.14899
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Herein, we report the results of our study evaluating the association between hepatosteatosis and HbsAg seroconversion. Methods The clinical and biochemical data of patients with CHB and hepatosteatosis (HS) (HBsAg seroconversion, n:52, and non‐HbsAg seroconversion, n:352), and the rate of development of HBsAg seroconversion were evaluated. Results We collected data from 404 patients with HBeAg negative CBH (mean age ± SD: 36.2 ± 11 years; 223 [55.2%] men, 181 [44.8%] women). The mean age at diagnosis of disease was 36.2 ± 11 years. The mean duration of the disease was 10.6 ± 7 years. Seroconversion developed in 52 patients (12.8%) with serum HBsAg positive (mean ± SD: 12.7 ± 5.8). Elderly age and the duration of disease time were significantly associated with seroconversion (P &lt; .001). The presence of serum HBsAg seroconversion was significantly associated with hepatosteatosis (OR: 3.06, 95% CI 1.64‐5.71, P &lt; .01). Serum HBsAg seroconversion was more frequent in patients with mild HS than patients with moderate‐severe HS (P = .04). In multivariate regression analysis, the presence of HS was found to be an independent factor predicting the development of HBsAg seroconversion (OR: 2.07 95% GA:1.07‐4.0 P = .03). Conclusion The presence of mild HS in HBeAg negative chronic hepatitis B patients contributes to HBsAg seroconversion. Further studies are required to better understand the relationship between steatosis and HBsAg seroconversion.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/ijcp.14899</identifier><identifier>PMID: 34547163</identifier><language>eng</language><publisher>England: Hindawi Limited</publisher><subject>Age ; Aged ; Chronic infection ; Fatty liver ; Female ; Genotypes ; Hepatitis B ; Hepatitis B e antigen ; Hepatitis B e Antigens ; Hepatitis B surface antigen ; Hepatitis B Surface Antigens ; Hepatitis B, Chronic ; Humans ; Interferon ; Male ; Patients ; Seroconversion ; Steatosis</subject><ispartof>International journal of clinical practice (Esher), 2021-12, Vol.75 (12), p.e14899-n/a</ispartof><rights>2021 John Wiley &amp; Sons Ltd</rights><rights>2021 John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2021 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3939-171034950af420000ac50fa9c57e029c77bac79379c6da801dd40ef1206681313</citedby><cites>FETCH-LOGICAL-c3939-171034950af420000ac50fa9c57e029c77bac79379c6da801dd40ef1206681313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijcp.14899$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijcp.14899$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34547163$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bacaksız, Ferhat</creatorcontrib><creatorcontrib>Gökcan, Hale</creatorcontrib><creatorcontrib>Akdoğan, Meral</creatorcontrib><creatorcontrib>Gökçe, Dilara Turan</creatorcontrib><creatorcontrib>Arı, Derya</creatorcontrib><creatorcontrib>Gökbulut, Volkan</creatorcontrib><creatorcontrib>Ergün, Yakup</creatorcontrib><creatorcontrib>Öztürk, Ömer</creatorcontrib><creatorcontrib>Kacar, Sabite</creatorcontrib><title>Role of hepatosteatosis in HBsAg seroconversion in HBeAg‐negative chronic hepatitis B patients</title><title>International journal of clinical practice (Esher)</title><addtitle>Int J Clin Pract</addtitle><description>Background In chronic Hepatitis B virus (HBV) infection, certain individual and viral characteristics such as advanced age, presence of hepatic steatosis (HS), normal ALT levels, initially negative HBeAg and HBV DNA, and genotype of the virus are associated with HBsAg seroclearance and seroconversion. Herein, we report the results of our study evaluating the association between hepatosteatosis and HbsAg seroconversion. Methods The clinical and biochemical data of patients with CHB and hepatosteatosis (HS) (HBsAg seroconversion, n:52, and non‐HbsAg seroconversion, n:352), and the rate of development of HBsAg seroconversion were evaluated. Results We collected data from 404 patients with HBeAg negative CBH (mean age ± SD: 36.2 ± 11 years; 223 [55.2%] men, 181 [44.8%] women). The mean age at diagnosis of disease was 36.2 ± 11 years. The mean duration of the disease was 10.6 ± 7 years. Seroconversion developed in 52 patients (12.8%) with serum HBsAg positive (mean ± SD: 12.7 ± 5.8). Elderly age and the duration of disease time were significantly associated with seroconversion (P &lt; .001). The presence of serum HBsAg seroconversion was significantly associated with hepatosteatosis (OR: 3.06, 95% CI 1.64‐5.71, P &lt; .01). Serum HBsAg seroconversion was more frequent in patients with mild HS than patients with moderate‐severe HS (P = .04). In multivariate regression analysis, the presence of HS was found to be an independent factor predicting the development of HBsAg seroconversion (OR: 2.07 95% GA:1.07‐4.0 P = .03). Conclusion The presence of mild HS in HBeAg negative chronic hepatitis B patients contributes to HBsAg seroconversion. Further studies are required to better understand the relationship between steatosis and HBsAg seroconversion.</description><subject>Age</subject><subject>Aged</subject><subject>Chronic infection</subject><subject>Fatty liver</subject><subject>Female</subject><subject>Genotypes</subject><subject>Hepatitis B</subject><subject>Hepatitis B e antigen</subject><subject>Hepatitis B e Antigens</subject><subject>Hepatitis B surface antigen</subject><subject>Hepatitis B Surface Antigens</subject><subject>Hepatitis B, Chronic</subject><subject>Humans</subject><subject>Interferon</subject><subject>Male</subject><subject>Patients</subject><subject>Seroconversion</subject><subject>Steatosis</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1OGzEQxy1URID2wgNUK3GpkBY8_livjyFq-RASqGrPrnFmE0ebdWpvqLjxCDwjT4LDAgcOncN4NPr5p9GfkAOgx5DrxC_c6hhErfUW2QUlWAlMwKc886ouJeUwInspLShlUtZ0h4y4kEJBxXfJn5-hxSI0xRxXtg-px033qfBdcX6axrMiYQwudHcYkw_dsMfx7OnhscOZ7f0dFm4eQ-fd4PB9_n1abCbs-vSZbDe2Tfjl9d0nv398_zU5L6-uzy4m46vScc11CQooF1pS2whGc1knaWO1kwop006pW-uU5kq7amprCtOpoNgAo1VVAwe-T74N3lUMf9eYerP0yWHb2g7DOhkmleQ1q2qW0cMP6CKsY5evM6wCobNP1pk6GigXQ0oRG7OKfmnjvQFqNrmbTe7mJfcMf31Vrm-XOH1H34LOAAzAP9_i_X9U5uJycjNInwEz64z7</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Bacaksız, Ferhat</creator><creator>Gökcan, Hale</creator><creator>Akdoğan, Meral</creator><creator>Gökçe, Dilara Turan</creator><creator>Arı, Derya</creator><creator>Gökbulut, Volkan</creator><creator>Ergün, Yakup</creator><creator>Öztürk, Ömer</creator><creator>Kacar, Sabite</creator><general>Hindawi Limited</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>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>202112</creationdate><title>Role of hepatosteatosis in HBsAg seroconversion in HBeAg‐negative chronic hepatitis B patients</title><author>Bacaksız, Ferhat ; Gökcan, Hale ; Akdoğan, Meral ; Gökçe, Dilara Turan ; Arı, Derya ; Gökbulut, Volkan ; Ergün, Yakup ; Öztürk, Ömer ; Kacar, Sabite</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3939-171034950af420000ac50fa9c57e029c77bac79379c6da801dd40ef1206681313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Aged</topic><topic>Chronic infection</topic><topic>Fatty liver</topic><topic>Female</topic><topic>Genotypes</topic><topic>Hepatitis B</topic><topic>Hepatitis B e antigen</topic><topic>Hepatitis B e Antigens</topic><topic>Hepatitis B surface antigen</topic><topic>Hepatitis B Surface Antigens</topic><topic>Hepatitis B, Chronic</topic><topic>Humans</topic><topic>Interferon</topic><topic>Male</topic><topic>Patients</topic><topic>Seroconversion</topic><topic>Steatosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bacaksız, Ferhat</creatorcontrib><creatorcontrib>Gökcan, Hale</creatorcontrib><creatorcontrib>Akdoğan, Meral</creatorcontrib><creatorcontrib>Gökçe, Dilara Turan</creatorcontrib><creatorcontrib>Arı, Derya</creatorcontrib><creatorcontrib>Gökbulut, Volkan</creatorcontrib><creatorcontrib>Ergün, Yakup</creatorcontrib><creatorcontrib>Öztürk, Ömer</creatorcontrib><creatorcontrib>Kacar, Sabite</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; 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Herein, we report the results of our study evaluating the association between hepatosteatosis and HbsAg seroconversion. Methods The clinical and biochemical data of patients with CHB and hepatosteatosis (HS) (HBsAg seroconversion, n:52, and non‐HbsAg seroconversion, n:352), and the rate of development of HBsAg seroconversion were evaluated. Results We collected data from 404 patients with HBeAg negative CBH (mean age ± SD: 36.2 ± 11 years; 223 [55.2%] men, 181 [44.8%] women). The mean age at diagnosis of disease was 36.2 ± 11 years. The mean duration of the disease was 10.6 ± 7 years. Seroconversion developed in 52 patients (12.8%) with serum HBsAg positive (mean ± SD: 12.7 ± 5.8). Elderly age and the duration of disease time were significantly associated with seroconversion (P &lt; .001). The presence of serum HBsAg seroconversion was significantly associated with hepatosteatosis (OR: 3.06, 95% CI 1.64‐5.71, P &lt; .01). Serum HBsAg seroconversion was more frequent in patients with mild HS than patients with moderate‐severe HS (P = .04). In multivariate regression analysis, the presence of HS was found to be an independent factor predicting the development of HBsAg seroconversion (OR: 2.07 95% GA:1.07‐4.0 P = .03). Conclusion The presence of mild HS in HBeAg negative chronic hepatitis B patients contributes to HBsAg seroconversion. Further studies are required to better understand the relationship between steatosis and HBsAg seroconversion.</abstract><cop>England</cop><pub>Hindawi Limited</pub><pmid>34547163</pmid><doi>10.1111/ijcp.14899</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Age
Aged
Chronic infection
Fatty liver
Female
Genotypes
Hepatitis B
Hepatitis B e antigen
Hepatitis B e Antigens
Hepatitis B surface antigen
Hepatitis B Surface Antigens
Hepatitis B, Chronic
Humans
Interferon
Male
Patients
Seroconversion
Steatosis
title Role of hepatosteatosis in HBsAg seroconversion in HBeAg‐negative chronic hepatitis B patients
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