Fist Department of Liver Disease Center, Beijing You'an Hospital, Capital Medical University, Beijing, China.
Science and Technology Department, Beijing You'an Hospital, Capital Medical University, Beijing, China.
PLoS One. 2020 Dec 2;15(12):e0242559. doi: 10.1371/journal.pone.0242559. eCollection 2020.
Our recent study showed high rate of HBsAg seroconversion achieved in inactive HBsAg carriers (IHCs) treated with peginterferon (PEG-IFN). To better understand the immune-mediated component to the HBsAg seroconversion, we investigated the role of B cells in this study. A total of 44 IHCs were given 48 weeks of PEG-IFN. Fifteen cases achieve HBsAg seroconversion (R group), whereas 29 failed (NR group). The proportion of total B cells and plasma B cells were measured before and during treatment. We found that the proportion of total B cells and plasma B cells was no significant between R group and NR group at baseline, but significantly higher in R group than NR group during PEG-IFN treatment, even when the exact age-, sex-, and treatment period-match was made. In conclusion, we demonstrated the increase of total B cell and plasma B cells during PEG-IFN treatment favored HBsAg seroconversion for IHC, and B cells may play a role in HBV seroconversion.
我们最近的研究表明,聚乙二醇干扰素(PEG-IFN)治疗无活动 HBsAg 携带者(IHC)可实现高 HBsAg 血清学转换率。为了更好地了解免疫介导的 HBsAg 血清学转换成分,我们在这项研究中研究了 B 细胞的作用。共有 44 名 IHC 接受了 48 周的 PEG-IFN 治疗。15 例实现 HBsAg 血清学转换(R 组),29 例未实现(NR 组)。在治疗前后测量总 B 细胞和浆细胞 B 细胞的比例。我们发现,在基线时,R 组和 NR 组之间总 B 细胞和浆细胞 B 细胞的比例无显著差异,但在 PEG-IFN 治疗期间,R 组明显高于 NR 组,即使在精确的年龄、性别和治疗期匹配的情况下也是如此。总之,我们证明了在 PEG-IFN 治疗期间总 B 细胞和浆细胞 B 细胞的增加有利于 IHC 的 HBsAg 血清学转换,B 细胞可能在 HBV 血清学转换中发挥作用。