Hyper-Activated Pro-Inflammatory CD16+ Monocytes Correlate with the Severity of Liver Injury and Fibrosis in Patients with Chronic Hepatitis B
2011

Increased Monocytes in HBV Infection

Sample size: 110 publication Evidence: moderate

Author Information

Author(s): Zhang Ji-Yuan, Zou Zheng-Sheng, Huang Ang, Zhang Zheng, Fu Jun-Liang, Xu Xiang-Sheng, Chen Li-Ming, Li Bao-Sen, Wang Fu-Sheng

Primary Institution: Beijing 302 Hospital, Beijing, China

Hypothesis

The study investigates the role of hyper-activated pro-inflammatory CD16+ monocytes in the severity of liver injury and fibrosis in patients with chronic hepatitis B.

Conclusion

Increased CD16+ monocytes and macrophages are associated with liver inflammation and damage in chronic hepatitis B patients.

Supporting Evidence

  • IA patients displayed significant increases in peripheral blood monocytes and intrahepatic macrophages.
  • Increased CD16+ monocytes correlated with higher serum ALT levels and liver histological activity index scores.
  • Peripheral blood CD16+ monocytes preferentially released inflammatory cytokines.

Takeaway

This study found that certain immune cells called CD16+ monocytes are more common in people with liver damage from hepatitis B, and they help cause more inflammation.

Methodology

The study analyzed monocyte and macrophage subsets in 110 chronic hepatitis B patients and performed immunohistochemical analysis on liver biopsies.

Limitations

The study did not include patients who had received antiviral therapy or immunosuppressive drugs within 6 months prior to sampling.

Participant Demographics

The study included 110 HBV-infected HBeAg positive subjects, with 78 immune activated patients and 32 immune tolerant carriers.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0017484

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