Biomarkers for predicting nucleos(t)ide analogs discontinuation and hepatitis B virus recurrence after drug withdrawal in chronic hepatitis B patients

被引:10
作者
Luo, Mengqi [1 ]
Zhou, Bin [1 ]
Hou, Jinlin [1 ]
Jiang, Deke [1 ]
机构
[1] Southern Med Univ, Dept Infect Dis & Hepatol Unit, State Key Lab Organ Failure Res,Nanfang Hosp, Guangdong Key Lab Viral Hepatitis Res,Inst Liver, Guangzhou 510515, Peoples R China
基金
中国国家自然科学基金;
关键词
chronic; Hepatitis B; predict; withdrawal; CORE-RELATED ANTIGEN; SERUM HBV RNA; HBEAG-NEGATIVE PATIENTS; LONG-TERM TREATMENT; PROTEIN; 10; SERUM; SURFACE-ANTIGEN; ENTECAVIR THERAPY; CLINICAL-OUTCOMES; OFF-TREATMENT; LAMIVUDINE TREATMENT;
D O I
10.1111/hepr.13749
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Aim To summarize HBV-related biomarkers predicting nucleos(t)ide analogs (NAs) discontinuation and hepatitis B virus (HBV) recurrence after drug withdrawal in chronic hepatitis B (CHB) patients, providing references for clinical medication, so as to manage CHB patients more scientifically. Methods Related pieces of literature were retrieved in PubMed and the results were sorted out. We then analyzed and summarized these articles. Results We found that HBV related biomarkers maybe could predict NAs withdrawal safely and the possibility of relapse after treatment cessation, including hepatitis B e antigen (HBeAg), hepatitis B surface antigen (HBsAg), HBV DNA, HBV RNA, pregenomic-RNA (pgRNA), hepatitis B core-related antigen (HBcrAg), hepatitis B core antibody (anti-HBc), and models containing several indicators for predicting the effectiveness of treatment. Conclusions HBV DNA, HBV RNA, pgRNA, HBcrAg, anti-HBc, as well as the prediction models formed by several biomarkers could predict the safe discontinuation of NAs before HBsAg loss and recurrence.
引用
收藏
页码:337 / 351
页数:15
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