[Level and clinical significance of soluble CD40 in patients with chronic hepatitis B]
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Updated: Jun 22, 2026

Real-Time Polymerase Chain Reaction-Based Detection and Quantification of Hepatitis B Virus DNA
Published on: December 15, 2023
Hong-hui Shen1, Hong-yan Sun, Jing-min Zhao
1Laboratory of Virology, Institute of Infectious Diseases, Beijing 302 Hospital, Beijing 100039, China.
Insights
Soluble CD40 (sCD40) levels are elevated in chronic hepatitis B patients and correlate with severe liver inflammation and necrosis. This immunological marker aids in assessing disease status.
Area of Science:
- Immunology
- Hepatology
- Biomarker Discovery
Background:
- Chronic hepatitis B (CHB) is a significant global health concern.
- Understanding immunological markers in CHB is crucial for disease management.
Purpose of the Study:
- To investigate the levels of soluble CD40 (sCD40) in CHB patients.
- To determine the clinical significance and correlation of sCD40 with liver inflammation and necrosis.
Main Methods:
- Enzyme-linked immunosorbent assay (ELISA) was used to measure sCD40 concentrations.
- 176 CHB patients and healthy controls were included.
- Correlation analysis was performed between sCD40 levels and liver histopathology.
Main Results:
- sCD40 levels were significantly higher in CHB patients compared to healthy individuals.
- sCD40 concentration showed a positive correlation with the severity of liver inflammation and necrosis.
- In patients with ALT < 80 IU/L and sCD40 > 80 pg/ml, 65.85% exhibited high-grade liver inflammation and necrosis.
Conclusions:
- sCD40 concentration is a valuable immunological index for evaluating the grade of liver inflammation and necrosis in CHB.
- Elevated sCD40 levels indicate a more severe disease state in CHB patients.
Objective:
To understand the level and clinical significance of soluble CD40 in patients with chronic hepatitis B.
Methods:
Detecting the concentration of sCD40 from 176 cases with chronic hepatitis B by ELISA and analyzing its relationship with different grades of inflammation and necrosis in liver tissue.
Results:
sCD40 from patients with chronic hepatitis B was significantly higher than those from healthy. And that the concentration of sCD40 was positive correlation with severe clinical disease and liver inflammation and necrosis. In patients whose ALT lower than 80 IU/L and sCD40 higher than 80 pg/ml, it showed that 65.85% cases have high grade of liver inflammation and necrosis, which was significantly higher than patients with sCD40 lower than 80 pg/ ml.
Conclusion:
The concentration of sCD40 is positively related with the grade of liver inflammation and necrosis. This information could help us to evaluate the status of chronic hepatitis B as an immunological index.
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