PMID- 21977598 OWN - NLM STAT- MEDLINE DCOM- 20111028 LR - 20131121 IS - 1003-9279 (Print) IS - 1003-9279 (Linking) VI - 25 IP - 3 DP - 2011 Jun TI - [Relationship between HBeAg seroconversion with genotypes and HBV specific CTL in patients with chronic hepatitis B treated with Adefovir dipivoxil]. PG - 220-3 AB - OBJECTIVE: To explore relationship between HBeAg seroconversion with HBV genotypes and HBV specific CTL in patients with chronic hepatitis B (CHB) treated with Adefovir dipivoxil. METHODS: Seventy CHB patients had positive HBV DNA (HBV DNA > or = 1 x 10(4) copy/ml), 45 cases had positive HBeAg, of whom 23 cases (51. 11%) had genotype B, 22 cases (48.89%) had genotype C. ALT > 2 x upper limit of normal value (ULN), human leukocyte antigen (HLA)-A(n) positive, patients were treated with Adefovir dipivoxil (commercial name is Mingzheng, Zhengda Tianjing Pharmaceutical Company), 10 mg, orally, once a day. After treatment for 12 months, observe relationship between HBeAg seroconversion with HBV genotypes and HBV specific CTL. RESULTS: After treatment with Adefovir dipivoxil for 12 months, HBV specific CTL (0.68% +/- 0.11%) was higher than that before treatment (0.33% +/- 0.11%), t = 8.36 P < 0.001, HBV DNA (3.01 +/- 0.2) log10 copy/ml was lower than that before treatment (6.27 +/- 0.70) log10 copy/ml, t = 12.63 P < 0.001, HBV DNA turned negative (< 500 copy/ml) 43 cases (61.43%), in 45 cases with positive HBeAg, HBeAg turned negative in 13 cases (28.89%), 8 cases had HBeAg seroconversion (17.78%), HBV specific CTL (0.86% +/- 0.05%) of patients with HBeAg seroconversion is higher than (0.61% +/- 0.07%) of patients without HBeAg seroconversion (37 cases, 82.22%) t = 7.88, P < 0.001. In 8 cases with HBeAg seroconversion, 7 cases had genotype B (30.43% of genotype B), 1 cases had genotype C (4.55% of genotype C), chi2 = 5.15, P < 0.05. CONCLUSION: Adefovir dipivoxil can enhance HBV specific cellular immunity of CHB patients. After treatment, occurrence of HBeAg seroconversion is related to increase of HBV specific CTL level and may be related to genotypes. FAU - Zhou, Yu-Lin AU - Zhou YL AD - Dept. of Infection, Yixing People's Hospital, Yixing 214200, China. zhouyl972@163.com FAU - Wang, Xue-Cai AU - Wang XC FAU - Wu, Yin-Tao AU - Wu YT FAU - Tan, Yong-Fei AU - Tan YF FAU - Zhao, Yan-Ping AU - Zhao YP FAU - Tang, Jun-Ming AU - Tang JM FAU - Pan, Jian-Qiang AU - Pan JQ FAU - Yang, Zhi-Xian AU - Yang ZX FAU - Gu, Xi-Bing AU - Gu XB LA - chi PT - Clinical Trial PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi JT - Zhonghua shi yan he lin chuang bing du xue za zhi = Zhonghua shiyan he linchuang bingduxue zazhi = Chinese journal of experimental and clinical virology JID - 9602873 RN - 0 (Antiviral Agents) RN - 0 (Hepatitis B e Antigens) RN - 0 (Organophosphonates) RN - JAC85A2161 (Adenine) RN - U6Q8Z01514 (adefovir dipivoxil) SB - IM MH - Adenine/*analogs & derivatives/therapeutic use MH - Adult MH - Antiviral Agents/*therapeutic use MH - Female MH - Hepatitis B e Antigens/blood/*immunology MH - Hepatitis B, Chronic/*drug therapy/*immunology MH - Humans MH - Immunity, Cellular/drug effects MH - Male MH - Organophosphonates/*therapeutic use MH - T-Lymphocytes, Cytotoxic/*immunology EDAT- 2011/10/08 06:00 MHDA- 2011/10/29 06:00 CRDT- 2011/10/08 06:00 PHST- 2011/10/08 06:00 [entrez] PHST- 2011/10/08 06:00 [pubmed] PHST- 2011/10/29 06:00 [medline] PST - ppublish SO - Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi. 2011 Jun;25(3):220-3.