Effects of hepatitis C virus and antiviral treatment on thyroid function and thyroid autoantibody levels
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摘要:
丙型肝炎病毒(HCV)是慢性肝炎、肝硬化、肝细胞癌的主要原因。多种肝外疾病都和HCV慢性感染有关系,并且在慢性HCV感染的患者中甲状腺失调是很普遍的。干扰素(IFN)联合利巴韦林(RBV)被公认为是治疗慢性丙型肝炎患者有效的方案,然而,甲状腺功能紊乱也是IFN抗病毒治疗的一个副作用。本综述包含了HCV慢性感染直接对甲状腺的影响和IFNα联合RBV抗病毒治疗所诱发的甲状腺功能紊乱及自身抗体的变化。
Abstract:Hepatitis C virus (HCV) is the main cause of chronic hepatitis, liver cirrhosis, and hepatocellular carcinoma.Chronic HCV infection is associated with many extrahepatic diseases, and thyroid disorders are common in patients with chronic HCV infection.Interferon (IFN) plus ribavirin (RBV) is recognized as an effective treatment regimen for chronic hepatitis C (CHC) .However, thyroid dysfunction is also a side effect of antiviral treatment with IFN.This review summarizes the effect of chronic HCV infection on thyroid function as well as the thyroid dysfunction and changes in thyroid autoantibody levels induced by antiviral treatment with IFNα plus RBV.
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Key words:
- hepatitis C /
- chronic /
- interferon-alpha
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[1]Jamil KM, Leedman PJ, Kontorinis N, et al.Interferon-in-duced thyroid dysfunction in chronic hepatitis C[J].J Gas-troenterol Hepatol, 2009, 24 (6) :1017-1023. [2]Wang CY, Hu DS, Lu W.Detection and clinical significanceof autoantibodies in patients with chronic hepatitis C in Tianjin[J].J Clin Hepatol, 2011, 27 (1) :93-95. (in Chinese) 王春妍, 胡东胜, 陆伟.天津地区慢性丙型肝炎患者自身抗体的检测结果及临床分析[J].临床肝胆病杂志, 2011, 27 (1) :93-95. [3]Yang R, Shan Z, Li Y, et al.Prevalence of thyroid autoanti-bodies in hepatitis C and hepatitis B infection in China[J].Intern Med, 2011, 50 (8) :811-815. [4]Wu J, Peng YZ.Study on serum levels of thyroid hormones andthyroid autoantibodies in patients with chronic hepatitis C[J].JClin Exp Med, 2010, 9 (14) :1043-1044. (in Chinese) 武敬, 彭雁忠.慢性丙型肝炎患者血清甲状腺激素水平及甲状腺自身抗体的分析[J].临床和实验医学杂志, 2010, 9 (14) :1043-1044. [5]赵平, 王江滨, 焦健.慢性丙型肝炎患者合并肝外自身免疫现象及自身抗体分析在自身免疫型肝炎鉴别诊断中的意义[J].中国老年学杂志, 2010, 30 (15) :2097-2098. [6]Huo N, Wang LF, Fan XH, et al.Observation of thyroid dys-function in patients with chronic hepatitis C[J].Infect Dis In-form, 2011, 24 (2) :97-99. (in Chinese) 霍娜, 王力芬, 范晓红, 等.慢性丙型肝炎患者甲状腺功能异常情况观察[J].传染病信息, 2011, 24 (2) :97-99. [7]Tomer Y.Hepatitis C and interferon induced thyroiditis[J].J Autoimmune, 2010, 34 (3) :J322-326. [8]Pavan MH, Pavin EJ, Gon ales FL Jr, et al.Virus C geno-type predisposes to primary hypothyroidism during interferon-αtreatment for chronic hepatitis C[J].Braz J Infect Dis, 2011, 15 (5) :449-56. [9] Friedrich-Rust M, Theobald J, Zeuzem S, et al.Thyroid func-tion and changes in ultrasound morphology duringantiviral thera-py with pegylated interferon and ribavirin in patients with chronichepatitis C[J].J Viral Hepat, 2009, 16 (3) :168-177. [10]Melo FM, Vasconcelos LR, Silva BS, et al.Structural polymor-phism of the mannose-binding lectin 2 (MBL2) gene in HCV-infected patients with a serological marker for thyroid autoimmu-nity[J].Int J Immunogenet, 2009, 36 (6) :377-381. [11]Shi XD, Jiang J, Niu JQ.Association of interleukin 28B (IL28B) polymorphisms with the outcomes of HCV infection[J].J ClinHepatol, 2011, 27 (1) :28-31. (in Chinese) 石晓东, 姜晶, 牛俊奇.白细胞介素28B的基因多态性与丙型肝炎病毒感染转归的关系[J].临床肝胆病杂志, 2011, 27 (1) :28-31. [12]Tanaka Y, Nishida N, Sugiyama M, et al.Genomewide as-sociation of IL28B with response to pegylated interferon-al-pha and ribavirin therapy for chronic hepatitis C[J].Nat Gen-et, 2009, 41 (10) :1105-1109. [13] Huang JF, Huang CK, YU ML, et al.Thyroid autoantibodiesand dysfunction do not impact the treatment efficacy ofpeginterferon and ribavirin combination therapy in chronichepatitis C[J].Hepatol Int, 2011, Aug 18.[Epub of print] [14]Ward DL, Bing-You RG.Autoimmune thyroid dysfunctioninduced by interferon-alpha treatment for chronic hepatitisC:screening and monitoring recommendations[J].EndocrPract, 2001, 7 (1) :52-58. [15]Bini EJ, Mehandru S.Incidence of thyroid dysfunction during in-terferon alfa-2b and ribavirin therapy in men with chronic hepa-titis C[J].Arch Intern Med, 2004, 164 (21) :2371-2376. [16]Friedrich-Rust M, Theobald J, Zeuzem S, et al.Thyroidfunction and changes in ultrasound morphology during antivi-ral therapy with pegylated interferon and ribavirin in patientswith chronic hepatitis C[J].J Viral Hepat, 2009, 16 (3) :168-177. [17]Elena Vezali, Ioannis Elefsiniotis, Constantinos Mihas, et al.Thyroid dysfunction in patients with chronic hepatitis C:Virus-or therapy-related?[J].J Gastroenterol Hepatology, 2009, 24 (6) :1024-1029. [18]Pan L, Wei X, Xie YM, et al.Anti-viral therapy with pegy-lated interferon alpha-2a plus ribavirin in patients co-infec-ted with HBV and HCV[J].J Clin Hepatol, 2011, 27 (1) :84-95. (in Chinese) 潘蕾, 魏欣, 谢玉梅, 等.聚乙二醇干扰素α-2a治疗慢性丙型肝炎病毒/乙型肝炎病毒共感染临床疗效[J].临床肝胆病杂志, 2011, 27 (1) :84-95. [19]Barut S, Gunal O, Erkorkmaz U, et al.Thyroid dysfunction inTurkish patients with chronic hepatitis C receiving peginter-feron plus ribavirin in the period of 2005-2010[J].Braz JInfect Dis, 2012, 16 (5) :448-451. [20]Tran HA, Jones TL, Gibson R, et al.Thyroid disease is a fa-vorable prognostic factor in achieving sustained virologic re-sponse in chronic hepatitis C undergoing combination thera-py:A nested case control study[J].BMC Endocrine Disor-ders, 2011, 11 (1) :10. [21]Koh LK, Greenspan FS, Yeo PP.Interferon-alpha inducedthyroid dysfunction:three clinical presentations and a reviewof the literature[J].Thyroid, 1997, 7 (6) :891-896. [22]Roti E, Minelli R, Giuberti T, et al.Multiple changes in thy-roid function in patients with chronic active HCV hepatitistreated with recombinant interferon-alpha[J].Am J Med, 1996, 101 (5) :482-487. [23]Hollowell JG, Staehling NW, Flanders WD, et al.Serum TSH, T (4) , and thyroid antibodies in the United States population (1988 to 1994) :National Health and Nutrition Examination Sur-vey (NHANES III) [J].Clin Endocrinol Metab, 2002, 87 (2) :489-499. [24]谢青, 吴彦文.干扰素-α诱导甲状腺炎的临床分类和诊治原则[J].肝脏, 2011, 16 (6) :495-497. [25]Marazuela M, Garcia-Buey L, Gonzalez-Fernandez B, etal.Thyroid autoimmune disorders in patients with chronichepatitis C before and during interferonalpha therapy[J].JClin Endocrinol (Oxf) , 1996, 44 (6) :635-642. [26]Mandac JC, Chaudhry S, Sherman KE, et al.The clinicaland physiological spectrum of interferon-alpha induced thy-roiditis:toward a new classification[J].Hepatology, 2006, 43 (3) :661-672. [27]Carella C, Mazziotti G, Morisco F, et al.Long-term out-come of interferon-alpha-induced thyroid autoimmunityand prognostic influence of thyroid autoantibody pattern atthe end of treatment[J].Clin Endocrinol Metab, 2001, 86 (5) :1925-1929. [28]李素清, 刘平, 高杨, 等.Th1/Th2细胞因子失衡对干扰素α诱发老年女性甲状腺功能低下的相关性分析[J].中国老年学杂志, 2011, 23 (31) :4572-4574. [29]Carella C, Mazziotti G, Amato G, et al.Clinical review 169:Interferon-alpha-related thyroid disease:pathophysiologi-cal, epidemiological and clinical aspects[J].J Clin Endocri-nol Metab, 2004, 89 (8) :3656-3661. [30]Roti E, Minelli R, Giuberti T, et al.Multiple changes in thy-roid function in patients with chronic active HCV hepatitistreated with recombinant interferon-alpha[J].Am J Med, 1996, 101 (5) :482-487. [31]Bini EJ, Mehaandru S.Incidence of thyroid dysfunction dur-ing interferon alfa-2b and ribavirin therapy in men with chro-nic hepatitis C:aprospective cohort study[J].Arch InternMed, 2004, 164 (21) :2371-2376. [32]Dalgard O, Bjoro K, Hellum K, et al.Thyroid dysfunctionduring treatment of chronic hepatitis C with interferon alpha:no association with either interferon dosage or efficacy oftherapy[J].J Intern Med, 2002, 251 (5) :400-406. [33]Grossman CJ, Roselle GA, Mendenhall CL.Sex steroid reg-ulation of autoimmunity[J].Steroid Biochem Mol Biol, 1991, 40 (4-6) :649-659. [34]Kajiyama Y, Kikuchi K, Takai A, et al.B-Cell-activating factoraffects the occurrence of thyroid autoimmunity in chronic hepa-titis C patients treated with interferon alpha[J].Clini Dev Im-munol, 2012, 2012:247973. [35]Menconi F, Hasham A, Tomer Y.Environmental triggers ofthyroiditis:hepatitis C and interferon-α[J].J Endocrinol In-vest, 2011, 34 (1) :78-84. [36]Dabrowska MM, Panasiuk A, Flisiak R.Thyroid dysfunctionin antiviral therapy of chronic hepatitis C[J].Hepatogastro-enterloogy, 2010, 57 (101) :826-31. [37]Czarnywojtek A, Waligórska-Stachura J, Szczepanek E, etal.A rare case of interferon-alpha-induced hyperthyroid-ism in patients with a chronic hepatitis C with granulocytope-nia and transaminasemia treated successfully with radioiodine[J].J Neuro Endocrinology Lett, 2012, 33 (3) :268-272. [38]Qi ZT.Hepatitis C virus infection and its therapeutic drugs[J].J Clin Hepatol, 2011, 27 (1) :15-27. (in Chinese) 戚中田.丙型肝炎病毒感染与治疗药物[J].临床肝胆病杂志, 2011, 27 (1) :15-27.
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