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Predictive value of Th17 and Treg cells at baseline for HBsAg loss in chronic hepatitis B patients with low HBsAg quantification treated with pegylated interferon and nucleos(t)ide analogue

Authors :
Li-Li Wu
Xiao-Yan Li
Kai Deng
Bing-Liang Lin
Hong Deng
Dong-Ying Xie
Geng-Lin Zhang
Qi-Yi Zhao
Zhi-Shuo Mo
Yue-Hua Huang
Zhi-Liang Gao
Source :
Liver Research, Vol 7, Iss 2, Pp 136-144 (2023)
Publication Year :
2023
Publisher :
KeAi Communications Co., Ltd., 2023.

Abstract

Background and aims: The primary goal of chronic hepatitis B (CHB) treatment is to reduce hepatitis B surface antigen (HBsAg). T helper 17 (Th17) and regulatory T (Treg) cells are essential for the development of CHB. However, how Th17 and Treg cells contribute to HBsAg loss is still unknown. Therefore, this study aimed to search for the predictive value of Th17 and Treg cells for HBsAg loss in CHB patients with low HBsAg quantification. Methods: The study included 99 hepatitis B e antigen (HBeAg)-negative CHB patients who had completed a year of nucleos(t)ide analogue (NA) monotherapy and had received both NA and pegylated interferon (PEG-IFN) treatment for less than 96 weeks (96 wk). In the cured group, 48 patients lost HBsAg within 48 wk, while 51 patients did not (uncured group). Blood samples and clinical data were collected for research. Results: During PEG-IFN and NA combination therapy, the proportion of Th17 cells in the cured group increased significantly, while the proportion of Treg cells in the uncured group increased. From 0 to 24 wk, the proportion of Th17 cells in the cured group was significantly higher than in the uncured group, while the opposite was true for Treg cells. Patients with alanine aminotransferase (ALT) ≥ 2.5 upper limit of normal (ULN) at 12 wk had a higher proportion of Th17 cells and a lower proportion of Treg cells than those with ALT

Details

Language :
English
ISSN :
25425684
Volume :
7
Issue :
2
Database :
Directory of Open Access Journals
Journal :
Liver Research
Publication Type :
Academic Journal
Accession number :
edsdoj.8d959db95e01445fb794174860636754
Document Type :
article
Full Text :
https://doi.org/10.1016/j.livres.2023.04.002