Occult Hepatitis B Virus Infection in Patients With Chronic Hepatitis C Treated With Antiviral Therapy

AuthorGian Paolo Cavigliaen
AuthorMaria Lorena Abateen
AuthorPaola Manzinien
AuthorFranca Danielleen
AuthorAlessia Ciancioen
AuthorChiara Rossoen
AuthorAntonella Oliveroen
AuthorRinaldo Pellicanoen
AuthorGiovanni Antonio Touscozen
AuthorAntonina Smedileen
AuthorMario Rizzettoen
OrcidAlessia Ciancio [0000-0003-3438-0649]en
OrcidRinaldo Pellicano [0000-0003-3438-0649]en
OrcidGiovanni Antonio Touscoz [0000-0003-3438-0649]en
OrcidAntonina Smedile [0000-0003-3438-0649]en
OrcidMario Rizzetto [0000-0003-3438-0649]en
Issued Date2012-11-01en
AbstractBackground: Occult hepatitis B virus infection (OBI) is defined as the presence of hepatitis B virus (HBV) DNA in the liver and/or in the serum of patients with negative results of hepatitis B s antigen (HBsAg) test with or without serological markers of previous viral exposure. The impact of OBI in patients with chronic hepatitis C (CHC) is still unclear. Objectives: The Aim of this study was to assess OBI prevalence and its potential implications on treatment outcome in a cohort of patients with CHC underwent standard antiviral therapy. Patients and Methods: Baseline serum samples from 137 HBsAg-negative CHC patients treated with pegylated-interferon and ribavirin (73 Responders/74 Non Responders),were retrospectively analyzed for HBV status. Results: Seventy-three patients (53.3%) showed markers of previous exposure to HBV. HBV DNA was detected in 2 of 137 serum samples (1.5%), both carrying HBV antibodies. Liver biopsies and post-therapy sera were available for 35 patients (12 Responders/23 Non Responders). HBV DNA sequences were found in 13 of 35 specimens (37.1%), all of patients with HBV DNA negativity in basal and post-therapy serum samples. Among OBI-positive patients, 5 (38.5%) carried serological markers of HBV infection. Regarding therapy outcome, in the OBI-positive group there were 5 of 13 (38.5%) sustained virological responders (SVR) compared to 7 of 22 (31.8%) in the OBI-negative one. Conclusions: Despite the high prevalence rate of liver HBV DNA in patients with CHC, SVR was not affected by occult HBV infection.en
DOIhttps://doi.org/10.5812/hepatmon.7292en
KeywordHepatitis Cen
KeywordChronicen
KeywordHepatitis B Virusen
KeywordInfectionen
PublisherBrieflandsen
TitleOccult Hepatitis B Virus Infection in Patients With Chronic Hepatitis C Treated With Antiviral Therapyen
TypeResearch Articleen

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