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Updated: Jul 13, 2026

Real-Time Polymerase Chain Reaction-Based Detection and Quantification of Hepatitis B Virus DNA
Published on: December 15, 2023
[Relationship between serum HBV DNA levels and hepatic fibrosis markers in chronic hepatitis B]
Zhong Dong1, Hong Shen, Fu-kui Zhang
1Liver Research Center, Beijing Friendship Hospital, Capital University of Medical Sciences, Beijing, 100050 China.
Insights
In chronic hepatitis B, serum HBV DNA levels showed no significant relationship with hepatic fibrosis markers. Early cirrhosis patients had higher fibrosis markers and lower HBV DNA levels than non-cirrhotic individuals.
Area of Science:
- Hepatology
- Virology
- Biochemistry
Context:
- Chronic hepatitis B (CHB) is a significant global health concern.
- Hepatic fibrosis is a key determinant of liver disease progression in CHB.
- Accurate assessment of fibrosis is crucial for patient management.
Purpose:
- To investigate the correlation between serum hepatitis B virus (HBV) DNA levels and established hepatic fibrosis markers in patients with CHB.
- To compare HBV DNA levels and fibrosis markers between cirrhotic and non-cirrhotic CHB patients.
Summary:
- A study of 157 CHB patients, including 49 with early cirrhosis, analyzed serum HBV DNA levels and fibrosis markers (hyaluronic acid, laminin, P III P, IV-C).
- Results indicated no significant relationship between serum HBV DNA levels and hepatic fibrosis markers in the overall CHB cohort.
- Conversely, patients with early cirrhosis exhibited significantly higher fibrosis markers and lower HBV DNA levels compared to non-cirrhotic patients.
Impact:
- This study suggests that serum HBV DNA levels may not be a reliable indicator of hepatic fibrosis severity in CHB.
- Findings highlight the complex interplay between viral load and fibrogenesis in CHB.
- Further research may explore alternative non-invasive biomarkers for fibrosis staging in CHB.
Objective:
To study the relationship between serum HBV DNA levels and hepatic fibrosis markers in chronic hepatitis B.
Methods:
One hundred and fifty-seven patients with chronic hepatitis B were included in the study, 49 patients among them were diagnosed as early cirrhosis by liver biopsy. Serum HBV DNA levels were determined using fluorescent quantitative PCR, and serum hepatic fibrosis markers including hyaluronic acid (HA), laminin (LN), amino terminal propeptide of type III precollagen (P III P) and type IV collagen (IV-C) were determined by radioimmunity assay. The relationship between serum HBV DNA levels and hepatic fibrosis markers were analyzed. Serum HBV DNA levels and hepatic fibrosis markers of 49 patients with early cirrhosis were compared with those of 108 non-cirrhotic patients.
Results:
There was no significant relationship between serum HBV DNA levels and hepatic fibrosis markers in chronic hepatitis B (P>0.05). Patients with early cirrhosis had much higher hepatic fibrosis markers together with lower HBV DNA levels than non-cirrhotic patients (P<0.05).
Conclusions:
There were no significant relationship between serum HBV DNA levels and hepatic fibrosis markers in patients with chronic hepatitis B.
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