[The combined treatment with prednisolone and recombinant alpha 2-interferon of patients with chronic hepatitis B: the factors influencing the immune response]

Ter Arkh. 1994;66(2):24-9.
[Article in Russian]

Abstract

The study included 39 patients with chronic HBeAg and DNA HBV-positive hepatitis B. 18 patients received combined therapy with prednisolone and recombinant interferon. Pretreatment investigations involved assessment of the basic virus replication by HBeAg, IgM anti-HBc, RPSHA titers, of DNA HBV concentration, alanine aminotransferase activity. The serum was examined for antibodies to alpha 2-interferon using enzyme immunoassay. The treatment resulted in disappearance of HBeAg in 70.6% of the examinees, DNA HBV in 66.6% of them. AlAT activity returned to normal in 58.8% of the patients. HBeAg and HBsAg were not registered in 5.6% of the patients. In 2 out of 4 nonresponders antibodies to alpha 2-interferon were absent. It is shown serologically that patients with initially low HBeAg, DNA HBV, high activity of AlAT, high titers IgM anti-HBc, no antibodies to alpha 2-interferon have the most favourable prognosis of the hepatitis.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Biomarkers / blood
  • Chronic Disease
  • DNA, Viral / blood
  • DNA, Viral / drug effects
  • Drug Evaluation
  • Drug Therapy, Combination
  • Female
  • Hepatitis B / blood
  • Hepatitis B / immunology
  • Hepatitis B / therapy*
  • Hepatitis B Antibodies / blood
  • Hepatitis B Antibodies / drug effects
  • Hepatitis B e Antigens / blood
  • Hepatitis B e Antigens / drug effects
  • Hepatitis B virus / genetics
  • Humans
  • Interferon Type I / administration & dosage*
  • Male
  • Prednisolone / administration & dosage*
  • Recombinant Proteins
  • Time Factors

Substances

  • Biomarkers
  • DNA, Viral
  • Hepatitis B Antibodies
  • Hepatitis B e Antigens
  • Interferon Type I
  • Recombinant Proteins
  • Prednisolone