Related Experiment Video
Updated: Aug 18, 2026

Zika Virus Infectious Cell Culture System and the In Vitro Prophylactic Effect of Interferons
Published on: August 23, 2016
[Treatment of chronic hepatitis with interferon in children with kidney diseases]
Maria Szczepańska1, Anna Tobis, Barbara Schneiberg
1Klinika Pediatrii, Nefrologii i Endokrynologii Dzieciecej Slaskiej Akademii Medycznej w Zabrzu.
Insights
Interferon treatment for chronic hepatitis in children with prior kidney issues showed comparable efficacy to those without kidney disease. This treatment generally did not cause complications or increase relapse risk for conditions like glomerulonephritis.
Area of Science:
- Pediatric Gastroenterology and Hepatology
- Nephrology
- Virology
Context:
- Chronic hepatitis is a significant concern in pediatric populations.
- Children with pre-existing nephrological conditions present unique challenges for hepatitis treatment.
- Interferon (IFN) therapy is a standard treatment for chronic viral hepatitis.
Purpose:
- To evaluate the efficacy and safety of interferon treatment for chronic hepatitis in children with a history of nephrological indications.
- To compare treatment outcomes in this cohort with those of children without kidney disease.
- To assess the risk of complications and disease relapse in children with glomerulonephritis receiving IFN therapy.
Summary:
- This study examined 42 children (mean age 10.2 years) with chronic HBV, HCV, or mixed infections, many with prior glomerulonephritis or nephrotic syndrome.
- Interferon alpha-2a, alpha-2b, or recombinant IFN-alpha was administered, with biochemical and virological markers monitored.
- Treatment showed comparable efficacy to general pediatric populations, with few side effects and no increased risk of renal disease relapse.
Impact:
- Interferon therapy appears safe and effective for children with chronic hepatitis who have a history of kidney disease.
- Findings suggest that pre-existing renal conditions do not preclude successful hepatitis treatment with IFN.
- This research supports the use of IFN in a vulnerable pediatric subgroup, potentially improving long-term outcomes.
Unlabelled:
The study aimed at evaluation of chronic hepatitis treatment results in children previously treated from nephrological indications in 1994-2002 years.
Material And Methods:
Examination was performed in 42 children in the age 10.2 +/- 4.8 years at the onset time of interferon (INF) treatment application. In 30 children (71.4%) chronic HBV infection, in 8 (19.1%) - HCV infection, in 4 (9.5%) - mixed HBV and HCV infection in phase of replication was revealed. Among examined children in 26 (61.9%) symptoms of glomerulonephritis were previously reported, in 17 (40.5%) - symptoms of nephrotic syndrome; in 9 (21.4%) - chronic renal failure was observed. 22 children received prednisone treatment. Concentrations of albumin, gamma- globulin, bilirubin, haemoglobin, creatinine, haematocrit, leukocytosis, activity of alanine aminotransferase (ALT), chronic hepatitis markers, before, during and 6 and 12 months after treatment termination were evaluated. IFN alpha-2a, alpha-2b and human recombined IFN-alpha were applied
Results:
In 22 (52.4%) children ALT values before treatment not exceeded 100 IU/l. Liver biopsy was performed in 39 children. In 18 (46.2%) - high activity of inflammatory process was revealed; only in 5 of them with ALT activity above 100 IU/l. Higher leukocytosis at the beginning of treatment was accompanied by diminished activity of inflammatory process. In 14/34 children seroconversion was obtained in HBe markers, in 4/12 HCV-RNA elimination occurred after the 1st course of IFN. Only in 5 (11.9%) children treatment was stopped because of side effects (not connected with urinary tract), in 1 - because of relapse of main disease. 2nd course was applied in 13 children. In 2 - seroconversion in HBe markers was obtained.
Conclusions:
Considering the small number of examined children full evaluation of chronic hepatitis treatment efficacy is not possible. It seems comparable as observed in population of children without the risk of nephropathies. IFN treatment in children on previous medication of kidney disease, in most cases does not create complications leading to earlier drug cessation. In the case of glomerulonephritis also does not bear an increased risk of relapse of main disease.
Related Concept Videos
Inhibitors of Viral Protein Synthesis
Hepatitis
Chronic Kidney Disease IV: Nursing Management
Effect of Hepatic Disease on Pharmacokinetics: Dose Adjustments Due to Hepatic Impairment
Kidney Transplant I: Introduction
Acute Kidney Injury IV: Diagnostic Studies and Prevention