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Copyright of Journal of Clinical Hepatology / Linchuang Gandanbing Zazhi is the property of Journal of Clinical Hepatology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of China Tropical Medicine is the property of China Tropical Medicine Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To investigate the clinical features of immune control phase and immune escape phase of chronic hepatitis B virus(HBV) infection. Methods A total of 226 patients with chronic HBV infection(with positive HBsAg, anti-HBe, and anti-HBc) who visited or were hospitalized in Yan’an University Affiliated Hospital from January 2016 to February 2018 were enrolled, and all of them underwent liver biopsy. According to the liver pathological results, the patients were divided into immune control group(121 patients with A <2 and F < 2) and immune escape group(105 patients with A≥2 or F≥2). The two groups were compared in terms of general data, virology, liver function, and liver stiffness measurement(LSM). The independent samples t-test or the Mann-Whitney U test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. Results There were no significant differences in sex, age, and family aggregation of hepatitis B between the immune control group and the immune escape group(all P > 0.05). There was a significant difference in HBV DNA level between the two groups [1107.00(369.00-3876.00)IU/ml vs 2171.00(596.00-8887.00) IU/ml, Z =-2.425, P = 0.015], while there were no significant differences in the levels of HBs Ag and anti-HBc(both P > 0.05). Compared with group A, group B had significantly higher levels of alanine aminotransferase(ALT)[46.00(22.00-97.50) U/L vs 30.00(19.00-87.50) U/L, Z =-2.261, P = 0.024], aspartate aminotransferase(AST)(35.50 ±14.74 U/L vs 31.30 ± 12.17 U/L, t =-2.351, P = 0.020), and LSM(7.41 ± 1.51 k Pa vs 4.76 ± 1.23 k Pa, t =-9.021, P <0.001). Conclusion Patients with chronic HBV infection(with positive HBsAg, anti-HBe, and anti-HBc) in the immune escape phase have significantly higher viral load, ALT, AST, and LSM than those in the immune control phase. In future, multicenter studies can be performed to clarify the ranges of the references values of the above parameters, in order to provide accurate diagnosis and treatment for patients with chronic HBV infection. [ABSTRACT FROM AUTHOR]