PMID- 24645320 OWN - NLM STAT- MEDLINE DCOM- 20140408 LR - 20181202 IS - 1003-9279 (Print) IS - 1003-9279 (Linking) VI - 27 IP - 5 DP - 2013 Oct TI - [Relationship between serum HBV DNA level and follicular helper T lymphocyte in patients with chronic hepatitis B and its significance]. PG - 351-3 AB - OBJECTIVE: To explore relationship between HBV DNA level and peripheral blood follicular helper T lymphocyte (Tfh) in patients with chronic hepatitis B (CHB) and its significance. METHODS: HBV DNA levels of 179 cases of CHB patients with positive HBV DNA, positive HBeAg and positive human leukocyte antigen(HLA)-A2 were tested with real time fluorescent quantitative PCR. Tfh and HBV specific CTL were tested with flow cytometry. IL-21 was also tested. 179 cases of CHB patients were divided into group A and group B based on HBV DNA levels, 86 cases in group A, HBV DNA levels were 10(4)-10(5) copies/ml, 93 cases in group B, HBV DNA levels were 10(6)-10(7) copies/ml. Above testing indexes of the two groups were compared. RESULTS: HBV DNA levels of group A were (4.85 +/- 0.37) log10 copies/ml, HBV DNA levels of group B were (6.83 +/- 0.31 ) log10 copies/ml, t = 27.31, P < 0. 001; Tfh of group A was (5.96 +/- 1.59)%, higher than that of group B (3.71 +/- 2.15)%, t = 4.92, P < 0.01; IL-21 of group A was (42.61 +/- 15.11)ng/L, higher than that of group B (14.91 +/- 3.15) ng/L, t = 8.62, P < 0.01; HBV specific CTL of group A was (0.36 +/- 0.08)%, higher than that of group B (0.18 +/- 0.06)%, t = 19.99, P < 0.001. CONCLUSION: Serum HBV DNA level of CHB patients is related to the level of peripheral blood Tfh level: patients with low HBV DNA level have high Tfh level, high IL-21 level and high HBV specific CTL level. Patients with high HBV DNA level have low Tfh level, low IL-21 level and low HBV specific CTL level. The mechanism of baseline HBV DNA level affecting anti-viral therapy may be related to Tfh level. FAU - Wang, Juan-Hua AU - Wang JH FAU - Gu, Xi-Bing AU - Gu XB FAU - Zhu, Yin-Fang AU - Zhu YF FAU - Hua, Zhong AU - Hua Z FAU - Wang, Dong AU - Wang D FAU - Yang, Xiao-Juan AU - Yang XJ FAU - Xu, Yue-Qin AU - Xu YQ FAU - Lu, Zhong-Hua AU - Lu ZH LA - chi PT - Journal Article PT - Research Support, Non-U.S. Gov't 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 (DNA, Viral) RN - 0 (HLA-A2 Antigen) RN - 0 (Interleukins) RN - MKM3CA6LT1 (interleukin-21) SB - IM MH - Adult MH - CD4 Lymphocyte Count MH - DNA, Viral/*blood/genetics MH - Female MH - HLA-A2 Antigen/immunology MH - Hepatitis B virus/genetics/*isolation & purification MH - Hepatitis B, Chronic/blood/*immunology/virology MH - Humans MH - Interleukins/immunology MH - Male MH - T-Lymphocytes, Helper-Inducer/*cytology EDAT- 2014/03/22 06:00 MHDA- 2014/04/09 06:00 CRDT- 2014/03/21 06:00 PHST- 2014/03/21 06:00 [entrez] PHST- 2014/03/22 06:00 [pubmed] PHST- 2014/04/09 06:00 [medline] PST - ppublish SO - Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi. 2013 Oct;27(5):351-3.