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人白细胞干扰素对慢性活动性肝炎患者乙型肝炎病毒感染的影响。

Effect of human leukocyte interferon on hepatitis B virus infection in patients with chronic active hepatitis.

作者信息

Greenberg H B, Pollard R B, Lutwick L I, Gregory P B, Robinson W S, Merigan T C

出版信息

N Engl J Med. 1976 Sep 2;295(10):517-22. doi: 10.1056/NEJM197609022951001.

Abstract

Four patients with chronic hepatitis B infection and chronic active hepatitis were treated with human leukocyte interferon. Three of them had consistently elevated levels of circulating Dane-particle markers, including Dane-particle-associated DNA polymerase activity, hepatitis B core antigen and Dane-particle-associated DNA. Parenteral interferon administration at a dosage between 6.0 X 10(3) and 17 X 10(4) U per kilogram per day was associated with a rapid and reproducible fall in all Dane-particle markers in the three patients. The suppressive effect was transient when the interferon was given for 10 days or less but appeared to be more permanent when administration was prolonged for a month or more. In addition, long-term interferon therapy was associated with a marked fall in hepatitis B surface antigen in two of three patients and a disappearance of e antigen in two of two patients. Interferon may be useful in limiting carrier infectivity or eradicating chronic infection.

摘要

四名慢性乙型肝炎感染且患有慢性活动性肝炎的患者接受了人白细胞干扰素治疗。其中三名患者的循环 Dane 颗粒标志物水平持续升高,包括 Dane 颗粒相关的 DNA 聚合酶活性、乙肝核心抗原和 Dane 颗粒相关的 DNA。每天每千克 6.0×10³至 17×10⁴单位的剂量进行肠道外干扰素给药,与这三名患者所有 Dane 颗粒标志物的快速且可重复下降相关。当干扰素给药 10 天或更短时间时,抑制作用是短暂的,但当给药延长至一个月或更长时间时,似乎更持久。此外,长期干扰素治疗与三名患者中的两名患者乙肝表面抗原显著下降以及两名患者中的两名患者 e 抗原消失相关。干扰素可能有助于限制携带者的传染性或根除慢性感染。

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