Kinetics of HBV DNA and HBsAg in acute hepatitis B patients with and without coinfection by other hepatitis viruses
- PMID: 12526040
- DOI: 10.1002/jmv.10291
Kinetics of HBV DNA and HBsAg in acute hepatitis B patients with and without coinfection by other hepatitis viruses
Abstract
The kinetics of hepatitis B virus (HBV) and its surface antigen (HBsAg) during acute hepatitis has not yet been studied accurately in a representative number of patients. The influence of coinfecting hepatitis viruses during the acute phase of infection is not known. Three to four serum samples from 21 patients with acute HBV monoinfection and 27 with coinfection were taken at intervals of 6-10 days and analyzed for the number of HBV genome equivalents (ge) by real time polymerase chain reaction (PCR) and for HBsAg quantity using Laurell electrophoresis. Log HBV ge/ml decreased during the follow-up from 6.8 +/- 1.1 to 5.1 +/- 1.0 to 4.2 +/- 0.8 to 3.3 +/- 1.1 (mean +/- SD). The half-life times of HBV ge increased from 1.6 days at the beginning to 4 days at the end. HBsAg decreased much slower: from 38 to 23 to 12 to 3.8 microg/ml. Half-life time was around 8 days at the beginning and 5.7 days at the end, but 11 patients showed a rapid elimination of HBsAg and HBV DNA. Hepatitis C virus (HCV) coinfection did not change the kinetics of HBV ge and HBsAg significantly. A moderate but significant suppression of HBV ge levels was observed in hepatitis D virus (HDV) coinfected patients. HBsAg levels were, however, enhanced in this cohort. In conclusion, the data suggest that expression and elimination of HBV is in most patients with acute hepatitis B not altered by coinfecting hepatitis viruses. The initial decrease of HBV ge and HBsAg in serum appears to be caused by decay or non-specific removal in the absence of replacement.
Copyright 2003 Wiley-Liss, Inc.
Similar articles
-
Role of hepatitis B, C, and D viruses in dual and triple infection: influence of viral genotypes and hepatitis B precore and basal core promoter mutations on viral replicative interference.Hepatology. 2001 Aug;34(2):404-10. doi: 10.1053/jhep.2001.26511. Hepatology. 2001. PMID: 11481626
-
Virological significance of low-level hepatitis B virus infection in patients with hepatitis C virus associated liver disease.J Med Virol. 2004 Feb;72(2):223-9. doi: 10.1002/jmv.10566. J Med Virol. 2004. PMID: 14695663
-
Hepatitis B virus DNA in liver, serum, and peripheral blood mononuclear cells after the clearance of serum hepatitis B virus surface antigen.J Med Virol. 2004 Feb;72(2):203-14. doi: 10.1002/jmv.10547. J Med Virol. 2004. PMID: 14695661
-
Diagnosis of hepatitis B virus infection through serological and virological markers.Expert Rev Gastroenterol Hepatol. 2008 Aug;2(4):553-62. doi: 10.1586/17474124.2.4.553. Expert Rev Gastroenterol Hepatol. 2008. PMID: 19072403 Review.
-
Hepatitis B transplantation: special conditions.Semin Liver Dis. 2000;20 Suppl 1:25-8. Semin Liver Dis. 2000. PMID: 10895441 Review.
Cited by
-
Longitudinal change of HBsAg in HBeAg-negative patients with genotype B or C infection.PLoS One. 2013;8(2):e55916. doi: 10.1371/journal.pone.0055916. Epub 2013 Feb 20. PLoS One. 2013. PMID: 23437072 Free PMC article.
-
Risk factors for acute hepatitis B and its progression to chronic hepatitis in Shanghai, China.Gut. 2008 Dec;57(12):1713-20. doi: 10.1136/gut.2008.157149. Epub 2008 Aug 28. Gut. 2008. PMID: 18755887 Free PMC article.
-
Unusual serological profile in hepatitis B virus (HBV) infection associated with a probable clinical case of acute exacerbation of pre-existing chronic HBV infection.Mol Biol Rep. 2023 Aug;50(8):6435-6443. doi: 10.1007/s11033-023-08546-7. Epub 2023 Jun 16. Mol Biol Rep. 2023. PMID: 37326752
-
Replicative and transcriptional activities of hepatitis B virus in patients coinfected with hepatitis B and hepatitis delta viruses.J Virol. 2011 Jan;85(1):432-9. doi: 10.1128/JVI.01609-10. Epub 2010 Oct 20. J Virol. 2011. PMID: 20962099 Free PMC article.
-
Within-host mathematical models of hepatitis B virus infection: Past, present, and future.Curr Opin Syst Biol. 2019 Dec;18:27-35. doi: 10.1016/j.coisb.2019.10.003. Epub 2019 Nov 2. Curr Opin Syst Biol. 2019. PMID: 31930181 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical