prevalence of occult hepatitis b virus in plasma and peripheral blood mononuclear cell compartments of patients with chronic hepatitis c infection in tehran-iran

نویسندگان

zeinab vakili ghartavol department of basic sciences, science and research branch, islamic azad university, tehran, ir iran

seyed moayed alavian baqiyatallah research center for gastroenterology and liver diseases, baqiyatallah university of medical sciences and tehran hepatitis center, tehran, ir iran

safieh amini department of hepatitis and aids, pasteur institute of iran, tehran, ir iran; department of hepatitis andaids, pasteur institute of iran, tehran, ir iran. tel: +98-2166969291, fax: +98-2166969291

rouhollah vahabpour department of hepatitis and aids, pasteur institute of iran, tehran, ir iran; department of virology, tehran university of medical sciences, tehran, ir iran

چکیده

conclusions in conclusion, occult hbv was found in 36% of patients with negative results for hbsag, but positive results for hcv. detection of hbv-dna in both pbmcs and plasma together in comparison with plasma alone provided more true identification of obi.the svr rate was significantly higher in coinfected patients than mono-infected ones. background occult hepatitis b virus (hbv) infection (obi) is frequently reported in patients with chronic hepatitis c virus (hcv) infection. an association between obi and more liver damage, cirrhosis, hepatocellular carcinoma, and reduced response to interferon therapy in patients with hcv infection is suggested. results hbv-dna was detected using nested-pcr in 20% of plasma and 32.6% of peripheral blood mononuclear cell (pbmc) compartments. no significant differences were observed between patients with and without occult hbv for sex, age, duration of hcv infection, histological markers, presence of anti-hbc, hcv viral load, and hcv genotype. the response rate was significantly higher in patients with positive results for hbv-dna test compared to those with negative findings (100% vs. 71.9 %, p < 0.05). objectives the aim of this study was to determine the prevalence of occult hbv, and evaluate its clinical influence on patients with chronic hcv. patients and methods a cohort study including50 patients with positive results for hcv, and negative results for hbsag tests was performed. the patients were divided into two groups: one group had positive results for both hcv and occult hbv tests (n = 18), and the other had positive results for hcv, but negative findings for occult hbv (n = 32). all were treated with peg-ifn alpha-2a and ribavirin. presence of hcv rna was followed in these patients.

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hepatitis monthly

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