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Normal vitamin D levels are associated with spontaneous hepatitis B surface antigen seroclearance
Mahmud Mahamid1, William Nseir, Omar Abu Elhija
1Mahmud Mahamid, Shimon Shteingart, Mosab Smamra, Benjamin Koslowsky, Digestive Disease Institute, Shaare Zedek Medical Center, Jerusalem 93722, Israel.
Normal vitamin D levels are strongly linked to spontaneous hepatitis B surface antigen (HBsAg) seroclearance in patients with chronic inactive hepatitis B. This finding highlights vitamin D
Area of Science:
- Hepatology
- Immunology
- Endocrinology
Background:
- Chronic hepatitis B infection affects millions globally.
- Spontaneous clearance of hepatitis B surface antigen (HBsAg) indicates viral elimination and improved prognosis.
- Vitamin D's role in immune modulation suggests potential links to viral clearance.
Purpose of the Study:
- To investigate the association between serum vitamin D levels and spontaneous HBsAg seroclearance.
- To identify factors correlating with HBsAg seroclearance in chronic hepatitis B patients.
Main Methods:
- Retrospective study of 53 patients with chronic inactive hepatitis B and spontaneous HBsAg seroclearance.
- Analysis of demographic, serological, and serum vitamin D data.
- Multivariate analysis to identify associated factors.
Main Results:
- 83% of patients with HBsAg seroclearance had normal vitamin D levels.
- Normal vitamin D levels ( > 20 ng/mL) were significantly associated with HBsAg seroclearance (OR = 2.6).
- Other associated factors included age > 35, HBeAg negativity, low HBV DNA, and long HBsAg seropositivity duration.
Conclusions:
- A strong correlation exists between normal vitamin D levels and spontaneous HBsAg seroclearance.
- Maintaining adequate vitamin D may be beneficial for patients with chronic hepatitis B.
- Further research is warranted to explore vitamin D's therapeutic potential.
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