간조직내 HBV precore 변이를 동반한 HbeAg 양성 만성 B 형간염 환자에서의 인터페론 치료효과

• Published in: The Korean journal of medicine Vol. 55; no. 1; pp. 43 - 51
• Main Authors: 이연재, Youn Jae Lee, 옥승철, Sung Cheul Ok, 이상혁, Sang Hyuk Lee, 설상영, Sang Young Seol, 정정명, Jung Myung Chung, 박영홍, Yeong Hong Park, 주남영, Nam Young Joo
• Format: Journal Article
• Language: Korean
• Published: 대한내과학회 01.07.1998
• Subjects: HBV precore mutant; INF
• ISSN: 1738-9364

type, Group 2: mixed) were received 3-6 MU INF three times a week for 4-6 months, We did follow-ups for at least six months(mean : Group 1-11.3, Group 2- 13.7 months). A complete responder was defined as persis- tent(>6 months) normalization of transaminase and loss of HBeAg and/or seroconversion. Results : The HBV precore mutants were found in 15 cases(31.2%) among 48 patients: 7 cases(21.2%) in 33 HBeAg-positive patients and 8 cases(53.396) in 15 HBeAg-negative patients. The HBV precore mutants were more frequently found in HBeAg-negative patients(p= 0.043). Differences in severity of hepatic pathology were not observed in the wild-type versus mutant-type chronic hepatitis B patients(p =1.00). Initial response rate was not significantly different between two Groups(p= 0.228), but complete response rate had a lower tendency in Group 2 (p=0.073). Conclusion : There is a tendency for HBV precore mutants to be less responsive to INF therapy than wild type. Therefore the patients with chronic hepatitis B should be treated as early as possible in natural history of their liver disease before the emergence of HBV precore mutants.