PMID- 21779934 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150724 LR - 20211020 IS - 1936-0533 (Print) IS - 1936-0533 (Linking) VI - 6 IP - 3 DP - 2012 Jun TI - Host genetic variants and hepatitis B virologic features in HBeAg-negative hepatitis B carriers with long-term biochemical remission. PG - 598-605 LID - 10.1007/s12072-011-9297-4 [doi] AB - PURPOSE: A significant portion of HBeAg-negative chronic hepatitis B patients have persistently normal serum alanine aminotransferase levels (PNALT). We thus investigated host genetic variants and virological features in HBeAg-negative hepatitis B carriers. METHODS: Baseline clinical and virological features of 133 HBeAg-negative hepatitis B carriers (77 with PNALT and 56 with chronic hepatitis activity) with follow-up for more than 5 years were investigated. Three single nucleotide polymorphisms (SNPs) located within or around human leukocyte antigen (HLA)-DPA1, HLA-DPB1, and interleukin (IL) 28B loci were genotyped. RESULTS: The genotype frequencies of these SNPs were comparable between hepatitis B carriers with PNALT and those with chronic hepatitis. Compared with hepatitis B carriers with PNALT, those with chronic hepatitis had significantly higher baseline serum HBV-DNA levels (4.96 vs. 4.04 log10 IU/ml, P = 0.001). Baseline serum HBV-DNA level > 2000 IU/ml (OR, 8.42; 95% CI, 2.74-25.90, P < 0.001) were the only independent factor associated with chronic hepatitis activity. Changes of serum HBV-DNA in 30 hepatitis B carriers with PNALT had showed a significant reduction of viral load from baseline to last visit (mean difference of paired HBV-DNA levels: -0.78 log10 IU/ml, 95% CI: -1.57 to -0.013, P = 0.047). In contrast, no significant reduction of viral load was found in 28 patients with chronic hepatitis. CONCLUSIONS: The results indicate that lower baseline serum HBV-DNA level and viral load reduction over time are associated with long-term biochemical remission in HBeAg-negative hepatitis B carriers. FAU - Lin, Chih-Lin AU - Lin CL AD - Department of Gastroenterology, Taipei City Hospital, Ren-Ai branch, Taipei, Taiwan. AD - Department of Psychology, National Chengchi University, Taipei, Taiwan. FAU - Tseng, Tai-Chung AU - Tseng TC AD - Division of Hepatogastroenterology, Department of Internal Medicine, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan. FAU - Su, Tung-Hung AU - Su TH AD - Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. FAU - Liu, Chun-Jen AU - Liu CJ AD - Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. AD - Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, 1 Chang-Te St, Taipei, 10002, Taiwan. AD - Hepatitis Research Center, National Taiwan University College of Medicine, National Taiwan University Hospital, Taipei, Taiwan. FAU - Chen, Pei-Jer AU - Chen PJ AD - Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. AD - Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, 1 Chang-Te St, Taipei, 10002, Taiwan. FAU - Lai, Ming-Yang AU - Lai MY AD - Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. AD - Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, 1 Chang-Te St, Taipei, 10002, Taiwan. FAU - Chen, Ding-Shinn AU - Chen DS AD - Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. FAU - Kao, Jia-Horng AU - Kao JH AD - Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. kaojh@ntu.edu.tw. AD - Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, 1 Chang-Te St, Taipei, 10002, Taiwan. kaojh@ntu.edu.tw. AD - Hepatitis Research Center, National Taiwan University College of Medicine, National Taiwan University Hospital, Taipei, Taiwan. kaojh@ntu.edu.tw. AD - Department of Medical Research, National Taiwan University College of Medicine, National Taiwan University Hospital, Taipei, Taiwan. kaojh@ntu.edu.tw. LA - eng PT - Journal Article DEP - 20110721 PL - United States TA - Hepatol Int JT - Hepatology international JID - 101304009 OTO - NOTNLM OT - Alanine aminotransferase OT - HBV-DNA OT - HBeAg-negative carrier OT - Hepatitis B virus OT - Host genetic variants EDAT- 2011/07/23 06:00 MHDA- 2011/07/23 06:01 CRDT- 2011/07/23 06:00 PHST- 2011/02/22 00:00 [received] PHST- 2011/06/24 00:00 [accepted] PHST- 2011/07/23 06:00 [entrez] PHST- 2011/07/23 06:00 [pubmed] PHST- 2011/07/23 06:01 [medline] AID - 10.1007/s12072-011-9297-4 [pii] AID - 10.1007/s12072-011-9297-4 [doi] PST - ppublish SO - Hepatol Int. 2012 Jun;6(3):598-605. doi: 10.1007/s12072-011-9297-4. Epub 2011 Jul 21.