Occult hepatitis B virus infection in patients with chronic hepatitis C treated with antiviral therapy

Occult hepatitis B virus infection (OBI) is defined as the presence of hepatitis B virus (HBV) DNA in the liver and/or in the serum of patients with negative results of hepatitis B s antigen (HBsAg) test with or without serological markers of previous viral exposure. The impact of OBI in patients wi...

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Veröffentlicht in:Hepatitis monthly 2012-11, Vol.12 (11), p.e7292-e7292
Hauptverfasser: Caviglia, Gian Paolo, Abate, Maria Lorena, Manzini, Paola, Danielle, Franca, Ciancio, Alessia, Rosso, Chiara, Olivero, Antonella, Pellicano, Rinaldo, Touscoz, Giovanni Antonio, Smedile, Antonina, Rizzetto, Mario
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container_end_page e7292
container_issue 11
container_start_page e7292
container_title Hepatitis monthly
container_volume 12
creator Caviglia, Gian Paolo
Abate, Maria Lorena
Manzini, Paola
Danielle, Franca
Ciancio, Alessia
Rosso, Chiara
Olivero, Antonella
Pellicano, Rinaldo
Touscoz, Giovanni Antonio
Smedile, Antonina
Rizzetto, Mario
description Occult hepatitis B virus infection (OBI) is defined as the presence of hepatitis B virus (HBV) DNA in the liver and/or in the serum of patients with negative results of hepatitis B s antigen (HBsAg) test with or without serological markers of previous viral exposure. The impact of OBI in patients with chronic hepatitis C (CHC) is still unclear. The Aim of this study was to assess OBI prevalence and its potential implications on treatment outcome in a cohort of patients with CHC underwent standard antiviral therapy. Baseline serum samples from 137 HBsAg-negative CHC patients treated with pegylated-interferon and ribavirin (73 Responders/74 Non Responders),were retrospectively analyzed for HBV status. Seventy-three patients (53.3%) showed markers of previous exposure to HBV. HBV DNA was detected in 2 of 137 serum samples (1.5%), both carrying HBV antibodies. Liver biopsies and post-therapy sera were available for 35 patients (12 Responders/23 Non Responders). HBV DNA sequences were found in 13 of 35 specimens (37.1%), all of patients with HBV DNA negativity in basal and post-therapy serum samples. Among OBI-positive patients, 5 (38.5%) carried serological markers of HBV infection. Regarding therapy outcome, in the OBI-positive group there were 5 of 13 (38.5%) sustained virological responders (SVR) compared to 7 of 22 (31.8%) in the OBI-negative one. Despite the high prevalence rate of liver HBV DNA in patients with CHC, SVR was not affected by occult HBV infection.
doi_str_mv 10.5812/hepatmon.7292
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The impact of OBI in patients with chronic hepatitis C (CHC) is still unclear. The Aim of this study was to assess OBI prevalence and its potential implications on treatment outcome in a cohort of patients with CHC underwent standard antiviral therapy. Baseline serum samples from 137 HBsAg-negative CHC patients treated with pegylated-interferon and ribavirin (73 Responders/74 Non Responders),were retrospectively analyzed for HBV status. Seventy-three patients (53.3%) showed markers of previous exposure to HBV. HBV DNA was detected in 2 of 137 serum samples (1.5%), both carrying HBV antibodies. Liver biopsies and post-therapy sera were available for 35 patients (12 Responders/23 Non Responders). HBV DNA sequences were found in 13 of 35 specimens (37.1%), all of patients with HBV DNA negativity in basal and post-therapy serum samples. Among OBI-positive patients, 5 (38.5%) carried serological markers of HBV infection. Regarding therapy outcome, in the OBI-positive group there were 5 of 13 (38.5%) sustained virological responders (SVR) compared to 7 of 22 (31.8%) in the OBI-negative one. 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The impact of OBI in patients with chronic hepatitis C (CHC) is still unclear. The Aim of this study was to assess OBI prevalence and its potential implications on treatment outcome in a cohort of patients with CHC underwent standard antiviral therapy. Baseline serum samples from 137 HBsAg-negative CHC patients treated with pegylated-interferon and ribavirin (73 Responders/74 Non Responders),were retrospectively analyzed for HBV status. Seventy-three patients (53.3%) showed markers of previous exposure to HBV. HBV DNA was detected in 2 of 137 serum samples (1.5%), both carrying HBV antibodies. Liver biopsies and post-therapy sera were available for 35 patients (12 Responders/23 Non Responders). HBV DNA sequences were found in 13 of 35 specimens (37.1%), all of patients with HBV DNA negativity in basal and post-therapy serum samples. Among OBI-positive patients, 5 (38.5%) carried serological markers of HBV infection. Regarding therapy outcome, in the OBI-positive group there were 5 of 13 (38.5%) sustained virological responders (SVR) compared to 7 of 22 (31.8%) in the OBI-negative one. Despite the high prevalence rate of liver HBV DNA in patients with CHC, SVR was not affected by occult HBV infection.</abstract><cop>Iran</cop><pub>Tehran Hepatitis Center</pub><pmid>23300497</pmid><doi>10.5812/hepatmon.7292</doi><oa>free_for_read</oa></addata></record>
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title Occult hepatitis B virus infection in patients with chronic hepatitis C treated with antiviral therapy
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