Impact of viral replication inhibition by entecavir on peripheral T lymphocyte subpopulations in chronic hepatitis B patients
2008

Effects of Entecavir on T Lymphocytes in Chronic Hepatitis B Patients

Sample size: 55 publication Evidence: moderate

Author Information

Author(s): You Jing, Sriplung Hutcha, Geater Alan, Chongsuvivatwong Virasakdi, Zhuang Lin, Li Yun-Li, Lei Hua, Liu Jun, Chen Hong-Ying, Tang Bao-Zhang, Huang Jun-Hua

Primary Institution: Prince of Songkla University, Thailand

Hypothesis

The study investigates the correlation between serum viral load and peripheral T-lymphocyte subpopulations during entecavir therapy in chronic hepatitis B patients.

Conclusion

Entecavir treatment partially restores T-lymphocyte subpopulations in chronic hepatitis B patients while reducing viral load.

Supporting Evidence

  • The majority of patients had serum levels of HBV DNA over 107 copies per milliliter.
  • HBV viral load dropped sharply during the first two weeks.
  • A significant decrease in CD8+ T cells and increase in CD4+ T cells were found from week 12.
  • The CD4+/CD8+ ratio steadily improved throughout the 48 weeks.

Takeaway

This study shows that a medicine called entecavir helps lower the virus in the blood and also helps the body's immune cells work better in people with chronic hepatitis B.

Methodology

Fifty-five patients received entecavir therapy, and their serum HBV DNA and T-lymphocyte subpopulations were measured at various intervals using Real-Time-PCR and flow cytometry.

Limitations

The specific T-lymphocyte subpopulations and their functionality were not explored concurrently, and long-term effects of entecavir were not assessed.

Participant Demographics

42 males and 13 females, aged 16 to 60 years.

Statistical Information

P-Value

p<0.0001

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1186/1471-2334-8-123

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