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α干扰素治疗后幼儿慢性乙型肝炎病毒感染的清除

Clearance of chronic hepatitis B virus infection in young children after alpha interferon treatment.

作者信息

Narkewicz M R, Smith D, Silverman A, Vierling J, Sokol R J

机构信息

Department of Pediatrics, University of Colorado School of Medicine, Denver, USA.

出版信息

J Pediatr. 1995 Nov;127(5):815-8. doi: 10.1016/s0022-3476(95)70181-8.

DOI:10.1016/s0022-3476(95)70181-8
PMID:7472844
Abstract

Nine children aged 18 months to 17 years (mean 5.7 years) with chronic hepatitis b virus infection and chronic active hepatitis were treated with 5 to 6 million units/m2 of body surface area of interferon -alpha 2b administered subcutaneously three times per week for 4 months (n = 1) or 6 months (n = 8). At 12 months after the start of therapy, six children less than 3 years of age responded to the treatment (three completely and three partially), whereas only one of three children older than 7 years of age responded. We conclude that IFN treatment may be effective in children with chronic HBV infection, especially when administered while they are young.

摘要

9名年龄在18个月至17岁(平均5.7岁)的慢性乙型肝炎病毒感染且患有慢性活动性肝炎的儿童,接受了皮下注射α-2b干扰素治疗,剂量为每平方米体表面积500万至600万单位,每周3次,持续4个月(n = 1)或6个月(n = 8)。治疗开始后12个月时,6名3岁以下儿童对治疗有反应(3名完全缓解,3名部分缓解),而7岁以上的3名儿童中只有1名有反应。我们得出结论,干扰素治疗可能对慢性HBV感染儿童有效,尤其是在他们年幼时给药。

相似文献

1
Clearance of chronic hepatitis B virus infection in young children after alpha interferon treatment.α干扰素治疗后幼儿慢性乙型肝炎病毒感染的清除
J Pediatr. 1995 Nov;127(5):815-8. doi: 10.1016/s0022-3476(95)70181-8.
2
[Long term study of the treatment with recombinant alfa 2b interferon in chronic active hepatitis due to B virus in children and adolescents].[重组α2b干扰素治疗儿童和青少年B病毒所致慢性活动性肝炎的长期研究]
G E N. 1994 Oct-Dec;48(4):219-25.
3
Interferon alfa-2b therapy in children with chronic hepatitis B.干扰素α-2b治疗慢性乙型肝炎儿童
Gut. 1993;34(2 Suppl):S87-90. doi: 10.1136/gut.34.2_suppl.s87.
4
[Chronic hepatitis B. Treatment in childhood with alpha-interferon].[慢性乙型肝炎。儿童期使用α干扰素治疗]
Monatsschr Kinderheilkd. 1992 Oct;140(10):775-9.
5
[Treatment of chronic viral hepatitis B in children with moderate doses of alpha interferon].
Gastroenterol Clin Biol. 1995 Jan;19(1):53-7.
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Pilot interferon-beta trial in children with chronic hepatitis B who had previously not responded to interferon-alpha therapy.对先前对α干扰素治疗无反应的慢性乙型肝炎儿童进行的干扰素-β试验。
Pediatrics. 1997 Feb;99(2):222-5. doi: 10.1542/peds.99.2.222.
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Treatment with human gamma interferon of chronic hepatitis B: comparative study with alpha interferon.人γ干扰素治疗慢性乙型肝炎:与α干扰素的对比研究。
J Med Virol. 1991 Sep;35(1):32-7. doi: 10.1002/jmv.1890350108.
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A randomized, controlled trial of recombinant alpha-interferon therapy for chronic hepatitis B.重组α干扰素治疗慢性乙型肝炎的随机对照试验
Am J Gastroenterol. 1993 Nov;88(11):1887-92.
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Efficacy of hepatitis B vaccination and interferon-alpha-2b combination therapy versus interferon-alpha-2b monotherapy in children with chronic hepatitis B.乙肝疫苗与α-干扰素-2b联合疗法对比α-干扰素-2b单药疗法治疗儿童慢性乙型肝炎的疗效
J Gastroenterol Hepatol. 2004 Jul;19(7):785-91. doi: 10.1111/j.1440-1746.2004.03358.x.
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[Chronic infection due to hepatitis B virus in patients less than 16 years of age: therapeutic approach by means of interferon alfa-2b].16岁以下患者的乙型肝炎病毒慢性感染:采用α-2b干扰素的治疗方法
G E N. 1990 Oct-Dec;44(4):353-60.

引用本文的文献

1
Asian-Pacific clinical practice guidelines on the management of hepatitis B: a 2015 update.《亚太地区乙型肝炎管理临床实践指南:2015年更新版》
Hepatol Int. 2016 Jan;10(1):1-98. doi: 10.1007/s12072-015-9675-4. Epub 2015 Nov 13.
2
Natural history and clinical management of chronic hepatitis B virus infection in children.儿童乙型肝炎病毒感染的自然史和临床管理。
Hepatol Int. 2008 May;2(Supplement 1):28-36. doi: 10.1007/s12072-008-9050-9. Epub 2008 Mar 6.
3
Functional characterization of the interferon regulatory element in the enhancer 1 region of the hepatitis B virus genome.
乙肝病毒基因组增强子1区域中干扰素调节元件的功能特性
Nucleic Acids Res. 2002 May 1;30(9):2068-75. doi: 10.1093/nar/30.9.2068.
4
Successful treatment of non-familial haemophagocytic lymphohistiocytosis with interferon and gammaglobulin.使用干扰素和丙种球蛋白成功治疗非家族性噬血细胞性淋巴组织细胞增生症。
Arch Dis Child. 1996 Nov;75(5):432-5. doi: 10.1136/adc.75.5.432.