中华肝脏病杂志2024,Vol.32Issue(2) :186-192.DOI:10.3760/cma.j.cn501113-20231213-00278

抗病毒治疗后慢性乙型肝炎HBsAg阴转的预测因子

Predictive factors for HBsAg-negative seroconversion in chronic hepatitis B after antiviral therapy

吴丽丽 高志良
中华肝脏病杂志2024,Vol.32Issue(2) :186-192.DOI:10.3760/cma.j.cn501113-20231213-00278

抗病毒治疗后慢性乙型肝炎HBsAg阴转的预测因子

Predictive factors for HBsAg-negative seroconversion in chronic hepatitis B after antiviral therapy

吴丽丽 1高志良1
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作者信息

  • 1. 中山大学附属第三医院感染科,广州 510630
  • 折叠

摘要

乙型肝炎表面抗原(HBsAg)阴转(HBsAg<0.05 IU/ml)是现阶段肝炎领域的研究热点,达到HBsAg阴转的患者其肝脏相关的并发症明显减少.目前关于HBsAg阴转的研究较多,但临床中用于预测HBsAg阴转的指标仍偏少.基线低HBsAg定量及治疗过程中的动态下降是目前公认的预测HBsAg阴转的最佳指标,其他的因素如病毒基因型、治疗过程中的转氨酶升高、免疫细胞功能及细胞因子水平、宿主因素等均可以影响HBsAg阴转,现就HBsAg阴转的相关指标及潜在预测因子进行综述.

Abstract

Hepatitis B surface antigen(HBsAg)negative seroconversion(HBsAg<0.05 IU/ml)is research hotspot in the field of hepatitis at this stage,and patients who achieve HBsAg negative seroconversion have significantly fewer liver-related complications.Presently,there are many studies with regard to HBsAg-negative seroconversion,but there are still relatively few indicators used in clinical practice to predict HBsAg-negative seroconversion.Low baseline HBsAg quantification and dynamic decline during treatment are currently recognized as the best indicators for predicting HBsAg-negative seroconversion.However,other factors such as viral genotype,elevated transaminases during treatment course,immune cell function and cytokine levels,and host factors can all influence HBsAg-negative seroconversion.This article reviews the relevant indicators and potential predictive factors for HBsAg-negative seroconversion.

关键词

慢性乙型肝炎/乙型肝炎表面抗原/临床治愈/预测因子

Key words

Chronic hepatitis B/Hepatitis B surface antigen/Clinical cure/Predictor

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基金项目

国家自然基金(82170612)

广州市科技计划重点项目(2023B01J1007)

出版年

2024
中华肝脏病杂志
中华医学会

中华肝脏病杂志

CSTPCDCSCD北大核心
影响因子:1.625
ISSN:1007-3418
参考文献量70
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