Autoantibodies before, during and after administration of recombinant interferon-alpha for chronic viral hepatitis

Rev Inst Med Trop Sao Paulo. 1995 Sep-Oct;37(5):455-60. doi: 10.1590/s0036-46651995000500012.

Abstract

This study was undertaken to investigate the presence of autoantibodies in patients with chronic viral hepatitis B and C, before, during and after interferon-alpha (IFN-alpha) therapy and to study their relation to dose and type of IFN-alpha and response to treatment. Fifty patients with chronic hepatitis were divided in two groups, a control-group of 21 patients (10 type B and 11 type C) who were followed for 6 months without treatment and an IFN-group consisting of 29 patients (8 type B and 21 type C) who received IFN therapy for 6 months. Serum samples were tested for a range of antibodies at the start of the study, during therapy and at the end of the 6 month period. Antibodies tested for included: antinuclear, smooth muscle, antimitochondrial, parietal cell and thyroid microsomal. Four (8%) of the total patient group had autoantibodies at the beginning of the study (two in each group). During the follow-up period no patient in the control group developed antibodies compared with 3 (11%) patients in the treatment group. Autoantibodies developed in patients treated with higher doses of IFN and were found in those patients who tended to show a poor response to IFN-therapy. Further studies are needed to establish the relationship between poor response to IFN-alpha and development of autoantibodies.

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial
  • Review

MeSH terms

  • Adult
  • Aged
  • Autoantibodies / blood*
  • Chronic Disease
  • Dose-Response Relationship, Drug
  • Female
  • Follow-Up Studies
  • Hepatitis B / blood
  • Hepatitis B / immunology*
  • Hepatitis B / therapy*
  • Hepatitis C / blood
  • Hepatitis C / immunology*
  • Hepatitis C / therapy*
  • Humans
  • Interferon Type I / administration & dosage*
  • Male
  • Middle Aged
  • Prospective Studies
  • Recombinant Proteins

Substances

  • Autoantibodies
  • Interferon Type I
  • Recombinant Proteins