Case-control study of hepatitis B virus infection in chronic liver disease and hepatocellular carcinoma

La Ricerca in Clinica E in Laboratorio
|January 1, 1984
PubMed

Insights

Hepatitis B virus (HBV) exposure is high in both liver cirrhosis with hepatocellular carcinoma (c-HCC) and chronic liver disease (CLD). Continuous viral replication is more frequent in c-HCC, suggesting impaired HBV clearance in these patients.

Area of Science:

  • Hepatology
  • Virology
  • Oncology

Background:

  • Hepatitis B virus (HBV) infection is a major global health concern, strongly linked to liver cirrhosis and hepatocellular carcinoma (HCC).
  • Understanding HBV marker prevalence is crucial for assessing viral activity and disease progression.

Purpose of the Study:

  • To compare the prevalence of serum HBV markers in patients with liver cirrhosis and HCC (c-HCC), chronic liver disease (CLD), and healthy controls.
  • To investigate serological evidence of continuous viral replication in these groups.

Main Methods:

  • Serum samples from 31 c-HCC patients, 31 CLD patients, and 62 controls were analyzed for HBV markers.
  • Age and sex matching were employed between the groups.
  • Hepatitis B surface antigen (HBsAg) and antibody, and hepatitis B core antibody (HBcAb) were assessed.

Main Results:

  • Overall HBV exposure rates were 90% in c-HCC, 80% in CLD, and 58% in controls.
  • HBsAg prevalence was 29% in c-HCC, 13% in CLD, and 1.6% in controls.
  • Continuous viral replication markers were significantly higher in c-HCC (39%) compared to CLD (12%) and controls (1.6%).

Conclusions:

  • HBV exposure rates are similar in c-HCC and CLD patients.
  • Continuous viral replication is more prevalent in c-HCC, indicating a potential defect in HBV clearance.
  • The association between HBV infection and HCC is strong in both cirrhotic and non-cirrhotic HCC.

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...
Cirrhosis I: Introduction01:23

Cirrhosis I: Introduction

Cirrhosis is a chronic, irreversible liver disease characterized by the widespread replacement of healthy liver tissue with fibrotic scar tissue and the formation of regenerative nodules.Etiology of cirrhosisCirrhosis results from sustained liver injury that triggers progressive fibrosis and structural remodeling. The underlying causes are diverse, encompassing common and less frequent clinical conditions. Regardless of the origin, all causes lead to chronic inflammation, hepatocyte loss, and...
Cirrhosis II: Pathophysiology01:24

Cirrhosis II: Pathophysiology

Cirrhosis is a progressive chronic liver injury caused by prolonged inflammation, excessive fibrotic remodeling, and impaired regeneration. Over time, repeated hepatic insults disrupt the liver’s architecture and function, leading to reduced blood flow, impaired bile drainage, and diminished metabolic capacity.Pathophysiology of cirrhosisCirrhosis arises from three main responses to chronic liver damage: inflammation, immune activation, and hepatocyte death. These processes lead to structural...