Resolved HBV infection is an independent risk factor for enhanced systemic inflammatory responses in COVID-19

Yifan Xu1,2, Jia Lu1,2, Wei Chen3

  • 1Department of Infectious Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Frontiers in Medicine
|August 12, 2026
PubMed

Insights

Resolved hepatitis B virus (HBV) infection is an independent risk factor for COVID-19 patients. These patients exhibit heightened inflammatory responses and poorer outcomes compared to those without HBV infection.

Area of Science:

  • Infectious Diseases
  • Immunology
  • Public Health

Background:

  • Hepatitis B virus (HBV) infection is a global health concern.
  • Coronavirus disease 2019 (COVID-19) has caused a worldwide pandemic.
  • The interplay between HBV and COVID-19 requires further investigation.

Purpose of the Study:

  • To investigate systemic inflammatory responses in COVID-19 patients with resolved HBV infection.
  • To compare outcomes between COVID-19 patients with resolved HBV infection and non-HBV infection.

Main Methods:

  • A retrospective study of 215 COVID-19 patients was conducted.
  • Patients were categorized into current HBV, resolved HBV, and non-HBV infection groups.
  • Demographic, clinical, and laboratory data were analyzed.

Main Results:

  • The resolved HBV infection group showed significantly elevated inflammatory biomarkers (CRP, PCT, ferritin) and cytokines (IL-6, sIL-2R, TNF-α, IL-8).
  • Resolved HBV infection was independently associated with increased pro-inflammatory cytokines.
  • COVID-19 patients with resolved HBV infection had a higher likelihood of developing severe disease (59.7%) compared to other groups.

Conclusions:

  • Resolved HBV infection is an independent risk factor for COVID-19 severity.
  • COVID-19 patients with resolved HBV infection experience enhanced systemic inflammation.
  • These patients face worse prognoses due to heightened inflammatory responses.
Abstract

Related Concept Videos

Hepatitis01:25

Hepatitis

Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver. The...
Viral Hepatitis I: Introduction01:28

Viral Hepatitis I: Introduction

Viral hepatitis is an inflammatory condition of the liver caused by infection with hepatotropic viruses, most commonly hepatitis A, B, C, D, and E. Despite variations in structure and transmission, all viruses mentioned infect hepatocytes and provoke immune responses that can hinder liver function. Additionally, some non-hepatotropic viruses can also lead to hepatic inflammation.Hepatitis A VirusHepatitis A virus (HAV) is transmitted through the fecal–oral route, typically by ingestion of food...
Pulmonary Tuberculosis I01:29

Pulmonary Tuberculosis I

Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Cytomegalovirus Disease01:27

Cytomegalovirus Disease

Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Respiratory Syncytial Virus Disease01:29

Respiratory Syncytial Virus Disease

Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...