中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Issue 12
Dec.  2011

Anti-viral therapy in adult patients with acute hepatitis B

  • Published Date: 2011-12-20
  • Adult patients with acute hepatitis B generally have self-limiting processes, but the ratio of chronicity is still 5%-10%.This article is focused on whether, when, and how to perform anti-viral therapy in acute hepatitis B adult patients.

     

  • [1] 中华医学会.慢性乙型肝炎防治指南 (2010年版) [J].实用肝脏病杂志, 2011, 14 (2) :81-89.
    [2]Guidotti LG, Lshikawa T, Hobbs MV, et al.Intracellular inac-tivation of the hepatitis B virus by cytotoxic T lymphocytes[J].Immunity, 1996, 4 (1) :25-36.
    [3]Toyonaga T, Hino O, Sugai S, et al.Chronic active hepatitis in transgenic mice expressing interferon-gamma in the liver[J].Proc Natl Acad Sci U S A, 1994, 91 (2) :614-618.
    [4]Guidotti LG, Rochford R, Chung J, et al.Viral clearance without destruction of infected cells during acute HBV infec-tion[J].Science, 1999, 284 (5415) :825-829.
    [5]Webster GJM, Reigant S, Maini MK, et al.Incubation phase of acute hepatitis B in man:dynamic of cellular immune mechanisms[J].Hepatology, 2000, 32 (5) :1117-1124.
    [6]Chisari FV, Ferrari C.Hepatitis B virus immunopathology[J].Springer Semin immunopathol, 1995, 17 (2) :261.
    [7]Akbar SMF, Onlji M.Hepatitis B virus-infection mice:as in vestigative tool tostudy immunopathology during HBV infec-tion[J].Int J Exp Path, 1998, 79 (5) :279.
    [8]Guidotti G, Lshikawa T, Hobbs MV, et al.Intracelluar inacti-vation of the hepatitis B virus by cytotoxic T lymphocytes[J].Immunity, 1996, 4 (1) :25-36.
    [9]张萍, 颜学兵, 吴文漪, 等.慢性乙肝患者外周血单个核细胞Th1、Th2型细胞标记物及其细胞因子的表达[J].中华传染病杂志, 2003, 21 (1) :42-43.
    [10]Penna A, Del Prete G, Cavalli A, et al.Predominant T-heiper1cytokine profile of hepatitis B[J].Hepatology, 1997, 25 (4) :1022-1027.
    [11]郭芳, 魏来.急性乙型病毒性肝炎致病机理及转归[J].中华医学杂志, 2002, 82 (15) :1074-1077.
    [12]陈从新.慢性乙型肝炎的临床分型及亚型建议[J].热带病与寄生虫学, 2004, 2 (4) :253-255.
    [13]赵鸿, 田庚善.急性乙型肝炎和慢性乙型肝炎病毒感染急性发作鉴别诊断的临床研究[J].中华实验和临床病毒学杂志, 2004, 18 (4) :363-365.
    [14]李振方, 赵琦, 徐昌清, 等.淋巴细胞计数联合HBV DNA定量检测在早期诊断重症肝炎及判断预后中的意义[J].胃肠病学和肝病病学杂志, 2003, 12 (1) :49-51.
    [15]许军, 王齐欣, 蒋栋, 等.乙型肝炎病毒基因型与病情轻重的关系[J].中华肝脏病杂志, 2003, 11 (1) :11-13.
    [16]关毅.干扰素在治疗急性乙型肝炎中的抗病毒作用[J].山西临床医药杂志, 2000, 9 (5) :337-338.
    [17]梁扩寰, 李绍白.肝脏病学[M].第2版.北京:人民卫生出版社, 2006:656-657.
    [18]叶春艳, 刘睿.基因重组干扰素治疗急性乙型肝炎疗效观察[J].吉林医学, 2005, 26 (4) :428-429.
    [19]undu SS, Kundu AK, Pal NK.Interferon-alpha in the treat-ment of acute prolonged hepatitis B virus infection[J].J As-soc Physicians India, 2000, 48 (7) :669-670.
    [20]Hoofnagle JH.Therapy of acute and chronic viral hepatitis[J].Adv Intern Med, 1994, 39:241-275.
    [21]Halevy J, Achiron A, Spiegel D, et al.Recombinant alpha-interferon may be efficacious in acute hepatitis B[J].Am J Gastroenterol, 1990, 85 (2) :210-212.
    [22]Kumar M, Statapathy S, Monga R, et al.A randomized con-trolled trial of lamivudine to treat acute hepatitis B[J].Hepa-tology, 2007, 45 (1) :97-101.
    [23]Tillmann HL, Haden J, Leifeld L, et al.Safety and efficacy of lamivudine in patients with severe acute or fulminant hepa-titis B, a multicenter experience[J].J Viral Hepat, 2006, 13 (4) :256-263.
    [24]Dienstag J, Easley C, Kinkpatricck P.Telbivudine[J].Nat Rer Drug Disoov, 2007, 6 (4) :267-268.
    [25]Ruiz-Sanho A, Sheldon J, Soriano V.Telbivudine:a new option for the treatment of chronic hepatitis B[J].Expert Opin Bid Ther, 2007, 7 (5) :754-761.
    [26]葛娅, 赵甫涛.抗乙型肝炎病毒新药—替比夫定的临床应用[J].中西医结合肝病杂志, 2008, 18 (1) :59-60.
    [27]贾继东, 侯金林, 尹有宽, 等.替比夫定或拉米夫定抗乙型肝炎病毒的疗效预测探讨[J].中华肝脏病学杂志, 2007, 15 (5) :342-345.
    [28]马丽娜, 黄云丽, 张永宏, 等.急性乙型肝炎的临床转归及抗病毒效果观察[J].中国现代医学杂志, 2005, 15 (24) :3820-3822.
    [29]羊正纲, 陈智.RNA干扰素抗HBV的研究进展[J].国外医学.流行病学传染病学分册, 2004, 31 (2) :91-93.
    [30]Shomai A, Shaul Y.Inhibition of hepatitis B virus expression and replication by RNA interference[J].Hepatology, 2003, 37 (4) :764-770.
    [31]唐霓, 黄爱龙, 张秉强, 等.应用RNA干扰技术抑制乙型肝炎病毒抗原表达的实验研究[J].中华医学杂志, 2003, 15:25-28.
    [32]McCaffrey AP, Nakai H, Pandey K, et al.Inhibition of hepa-titis B virus in mice by RNA interference[J].Nat B iotechn-ol, 2003, 21 (6) :639-647.
    [33]Siddhesh D, David C, Diang J.DNA-based the rapeutice and DNA delicery systems acom prehensive review[J].AAPSJ, 2005, 7 (1) :61-77.
    [34]Ming-Kai X, Cheng-Gang Z.Gene expression and func-tion study of fusion immunotoxin anti-Her-2-scFv-SEC 2in Escherichia coli[J].Appl Microbiol Biotechnol, 2006, 70 (1) :78-84.
    [35]Chougn S, Kin YJ, Kim S, et al.Chemical modifical of siRNA to improve serum stability without loss of efficacy[J].Bio-chen Biophys Res Cammun, 2006, 342 (3) :919-927.
    [36]Wu RH, Cheng TL, Lo SR.A tightly regulated and reversibly inducble siRNA expression system for conditional RNA i-mediarted gene silcncing in mammaliam cells[J].Gene Med, 2007, 9 (7) :620.
  • Relative Articles

    [1]Chinese Society of Hepatology, Chinese Medical Association. Consensus on the management of hepatitis B virus infection in women of childbearing age[J]. Journal of Clinical Hepatology, 2018, 34(6): 1176-1180. doi: 10.3969/j.issn.1001-5256.2018.06.008
    [2]Liao Kai, Zhang LeiDa. Role of hepatitis B virus X protein in development and progression of primary liver cancer[J]. Journal of Clinical Hepatology, 2014, 30(1): 78-81. doi: 10.3969/j.issn.1001-5256.2014.01.023
    [3]Jiang LiSheng, Li YongGuo, Chen Shu, Lan YingHua. Short-term and long-term efficacy of antiviral treatment of patients with HBV-associated acute-on-chronic liver failure[J]. Journal of Clinical Hepatology, 2013, 29(2): 110-113.
    [4]Li JinE, Chen XinYue. Recent progress in research of hepatitis B viruses with precore and basic core promoter mutations[J]. Journal of Clinical Hepatology, 2013, 29(2): 88-92. doi:
    [5]Yan Tao, Li Fan, Li Ke, Zhao Ping, Wang HuiFen. Analysis of mutational patterns of the pre-C/C region of with hepatitis B virus in patients with HBV-associated acute-on-chronic liver failure [J]. Journal of Clinical Hepatology, 2013, 29(2): 120-123+127.
    [6]Cao Xiao, Cao QingBao, Zhang GuoQiang, Chang ZaiJuan, Li ShuPing, Xu WeiWei. Analysis of occult hepatitis B virus infection among blood donors in Tangshan, China[J]. Journal of Clinical Hepatology, 2013, 29(2): 117-119.
    [7]Peng JianPing, Sun KeWei, Wu YuNan. Impact of early virological response to antiviral treatment on the outcomes of hepatitis B-associated liver failure [J]. Journal of Clinical Hepatology, 2012, 28(10): 752-755.
    [8]Wang YuMing, Cheng Lin. Recent perspectives of Chinese medicine-based therapy for hepatitis B and C virus infection[J]. Journal of Clinical Hepatology, 2012, 28(11): 872-876.
    [9]Liu Cheng, Mu YongPing, Yang ZongGuo, Chen XiaoRong. Clinical significance of monitoring hepatitis B virus core-related antigens [J]. Journal of Clinical Hepatology, 2012, 28(10): 793-796.
    [10]Hu XiaoLi, Zhao HongWei, Wu XiaoYan, Niu JunQi. Prevalence of hepatitis B virus infection[J]. Journal of Clinical Hepatology, 2012, 28(6): 413-416+421.
    [11]Deng Le, Wen ZhiLi. Review of recent research progress in correlating HBV genotypes with efficacy of antiviral treatments[J]. Journal of Clinical Hepatology, 2012, 28(6): 469-473.
    [12]Zhao YanJuan, Ye ChunYan, Song XiaoDan. The change in serum thyroid hormone levels in acute hepatitis B[J]. Journal of Clinical Hepatology, 2011, 27(2): 161-162+165.
    [13]Zhang XinXin. The hepatitis B virus heterogeneity and the anti-viral response[J]. Journal of Clinical Hepatology, 2011, 27(12): 1262-1265.
    [14]Chen Wei, Ding Yang, Sheng QiuJu, Dou XiaoGuang. HBV mother-to-child transmission block-agreement and controversy[J]. Journal of Clinical Hepatology, 2011, 27(12): 1259-1261.
    [15]Gao Zhen, Zhang LunLi. Toll like receptors mediated innate immune responses against HBV infection[J]. Journal of Clinical Hepatology, 2011, 27(6): 667-669+673.
    [16]Yuan JianGuo, Wang XinGuo, Cui Xia, Liu FengHua, Wang FengHua, Song JiKui, Zhao HongKui. The activation of rat hepatic stellate cells stimulated with hepatitis B virus in vitro[J]. Journal of Clinical Hepatology, 2011, 27(2): 163-165.
    [17]Gu MaoLin, Wang XingLiang, Wu TingTing. Detection of HBV-LP and relationships between HBV DNA and its level in HBV patients with different patterns of HBV Markers[J]. Journal of Clinical Hepatology, 2011, 27(8): 810-812.
    [18]Yu Hui. Advances in epidemiology, diagnosis and treatment of hepatitis B in children[J]. Journal of Clinical Hepatology, 2011, 27(7): 687-689.
    [19]Shi YanMei, Lan YingHua, Dan Lei, Zhou Jin, Li YongGuo. The relationship between of hematopoietic stem cells and hepatitis B virus infection[J]. Journal of Clinical Hepatology, 2010, 26(4): 377-380.
    [20]Wang Xia, Chen ChangYun, Zhang JiaJun, Shi Jun, Zhu XinYu, Wang Yan, Wu JianRui. Detection and clinical characteristics analysis of occult hepatitis B virus infection[J]. Journal of Clinical Hepatology, 2007, 23(4): 243-245.
  • Created with Highcharts 5.0.7Amount of accessChart context menuAbstract Views, HTML Views, PDF Downloads StatisticsAbstract ViewsHTML ViewsPDF Downloads2024-042024-052024-062024-072024-082024-092024-102024-112024-122025-012025-022025-03051015
    Created with Highcharts 5.0.7Chart context menuAccess Class DistributionFULLTEXT: 1.7 %FULLTEXT: 1.7 %META: 90.6 %META: 90.6 %PDF: 7.6 %PDF: 7.6 %FULLTEXTMETAPDF
    Created with Highcharts 5.0.7Chart context menuAccess Area Distribution其他: 3.5 %其他: 3.5 %其他: 0.3 %其他: 0.3 %China: 0.3 %China: 0.3 %上海: 1.4 %上海: 1.4 %北京: 3.5 %北京: 3.5 %南京: 0.7 %南京: 0.7 %南宁: 1.0 %南宁: 1.0 %南昌: 0.7 %南昌: 0.7 %吉林: 0.3 %吉林: 0.3 %四平: 0.7 %四平: 0.7 %大连: 0.7 %大连: 0.7 %广州: 0.3 %广州: 0.3 %张家口: 1.4 %张家口: 1.4 %无锡: 0.3 %无锡: 0.3 %昆明: 1.0 %昆明: 1.0 %杭州: 0.3 %杭州: 0.3 %武汉: 0.7 %武汉: 0.7 %湖州: 0.7 %湖州: 0.7 %滨州: 0.7 %滨州: 0.7 %石家庄: 1.0 %石家庄: 1.0 %舟山: 0.3 %舟山: 0.3 %芒廷维尤: 31.9 %芒廷维尤: 31.9 %苏州: 0.3 %苏州: 0.3 %莫斯科: 0.3 %莫斯科: 0.3 %衢州: 0.7 %衢州: 0.7 %西宁: 43.1 %西宁: 43.1 %长春: 2.4 %长春: 2.4 %长沙: 0.3 %长沙: 0.3 %青岛: 0.7 %青岛: 0.7 %其他其他China上海北京南京南宁南昌吉林四平大连广州张家口无锡昆明杭州武汉湖州滨州石家庄舟山芒廷维尤苏州莫斯科衢州西宁长春长沙青岛

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (4249) PDF downloads(800) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return