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Updated: Sep 21, 2026

"Liver-on-a-Chip" Cultures of Primary Hepatocytes and Kupffer Cells for Hepatitis B Virus Infection
Published on: February 19, 2019
Case-control study of hepatitis B virus infection in chronic liver disease and hepatocellular carcinoma
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.
Abstract:
The prevalence of serum hepatitis B virus markers was studied in three groups of age- and sex-matched patients: a. 31 patients with liver cirrhosis and hepatocellular carcinoma (c-HCC); b. 31 patients with chronic liver disease (CLD) and c. 62 hospitalized control subjects. The overall exposure rate to the hepatitis B virus was 90% in c-HCC, 80% in CLD and 58% in control subjects. The prevalence of hepatitis B surface antigen (HBsAg) was 29%, 13% and 1.6% in the three groups, respectively. The prevalence of hepatitis B surface antibody was significantly lower in c-HCC (9.6%) than CLD (42%) and control subjects (40%). The serological evidence of continuous viral replication (HBsAg positivity or isolated high titre hepatitis B core antibody positivity) was more common in c-HCC (39%) than CLD (12%) and control subjects (1.6%). The prevalence and patterns of aggregation of serum hepatitis B virus markers were similar in the 31 patients with c-HCC and in 11 patients with HCC without concomitant liver cirrhosis (n-HCC). In conclusion, the overall exposure rate to the hepatitis B virus is similar in c-HCC and CLD. However, serological evidence of continuous viral replication is more common in the former group. A defective clearance of the hepatitis B virus in hepatocellular carcinoma is a possible explanation of the phenomenon. The strength of the association between hepatitis B virus infection and hepatocellular carcinoma appears to be similar in c-HCC and n-HCC.
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