Research advances in predictors of treatment responses to pegylated interferon alpha in patients with chronic hepatitis B
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摘要: 聚乙二醇干扰素(PEG-IFN)α治疗慢性乙型肝炎(CHB)应答受宿主遗传背景、免疫状态、病毒基因型、病毒载量等多重因素的影响。概述了宿主白细胞介素(IL)28B基因多态性、基线干扰素诱导蛋白10、IL-17A、IL-10、肿瘤坏死因子α水平、病毒载量及基因型、治疗12和24周HBs Ag、HBe Ag血清水平变化为实现HBs Ag、HBe Ag消失及血清学转换、持久病毒学应答的重要预测因素。对近年来关于CHB患者PEG-IFNα治疗应答相关因素研究作一综述。Abstract: The treatment responses to pegylated interferon alpha( PEG- IFNα) in patients with chronic hepatitis B( CHB) are associated with the genetic polymorphisms,immune status,hepatitis B virus genotype,and viral load of the host. This article reviews the recent studies on influential factors for the responses to PEG- IFNα in CHB patients. The important predictors of the clearance and seroconversion of HBs Ag and HBe Ag and sustained virological response include interleukin- 28B( IL- 28B) gene polymorphism,baseline level of interferon-inducible protein- 10,IL- 17 A,IL- 10,tumor necrosis factor- α,viral load and genotype,and changes in serum HBs Ag and HBe Ag levels at weeks 12 and 24 of treatment.
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Key words:
- hepatitis B,chronic /
- interferon alpha /
- review
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