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Published on: December 15, 2023
Predictors of antiviral treatment in Chronic Hepatitis -B (CHB) population
1Experimental and Public Health Laboratory, Department of Zoology, University of Lucknow, Lucknow, U.P. India.
Insights
This study investigated Hepatitis B Virus (HBV) biomarkers in Chronic Hepatitis B (CHB) patients. Results show HBeAg is significantly associated with antiviral therapy, guiding treatment decisions for HBsAg-positive individuals.
Area of Science:
- Hepatology
- Virology
- Clinical Biochemistry
Background:
- Chronic Hepatitis B (CHB) is a liver condition managed with antiviral drugs.
- Hepatitis B Virus (HBV) DNA, liver enzymes, HBeAg, and HBeAb are key indicators for CHB treatment decisions.
Purpose of the Study:
- To determine the prognostic value of Hepatitis B envelope antibody (HBeAb) in CHB infection.
- To explore the relationship between HB viral antigens, HB antibodies, and liver enzymes in CHB patient treatment.
Main Methods:
- Study included all Hepatitis B surface Antigen (HBsAg)-positive patients.
- Data extraction focused on biochemical markers relevant to antiviral therapy.
Main Results:
- An association was found between antiviral drugs and viral antigens.
- HBeAg showed a significant association with antiviral therapy (p=0.022).
- Highest HBeAg positivity occurred in the 15-30 year age group.
Conclusions:
- Biomarkers are crucial for managing HBsAg-positive patients.
- The study provides insights for incorporating specific indicators into HBV treatment protocols.
Background:
CHB causes liver adversity and can be treated by antiviral drugs. HBV-DNA with Liver enzymes, HBeAg and, HBeAb plays a very crucial role in determining whether to provide treatment or not.
Objective:
This study aimed to derive the prognostic impact of HBeAb on CHB infection and the association between HB viral antigen, HB antibodies, and liver enzymes in providing antiviral treatment to CHB patients.
Methods:
This study was performed on all HBsAg-positive patients. A data extraction form was prepared to analyse biochemical measures associated with antiviral treatment.
Results:
An association between antiviral drugs and viral antigens was reported. The average age of participants was 36.89 (± 13.703), and separately, males were 37.64583 (±14.501), and females were 35.2093 (±11.708). Mean of ALT level 105.788 (±239.9647) and AST level 94.775 (± 234.0753). The highest HBeAg positivity was reported at the age of 15-30 years. 0.822 and 0.723p values were reported for the association between ALT, AST serum levels and HBeAg. HBeAg and antiviral therapy show a 0.022 significant value. Regression analysis reported HBeAg with different variables: age(p = 0.422),gender(p = 0.780), ALT(p = 0.819), and AST (p = 0.439).
Conclusion:
Various biomarkers play an important role in treating HBsAg-positive patients. This study stated the pointers to be incorporated during the treatment of HBV patients.
Abbreviation:
HBV, Hepatitis- B Virus; CHB, Chronic Hepatitis-B; HBsAg, Hepatitis-B surface Antigen; HBeAg, Hepatitis-B envelope antigen; HBeAb, Hepatitis-B envelope antibody.
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