Dai CY, Chuang WL, Chang WY, Chen SC, Lee LP, Hsieh MY, Hou NJ, Lin ZY, Hsieh MY, Wang LY, Yu ML. Co-infection of SENV-D among chronic hepatitis C patients treated with combination therapy with high-dose interferon-alfa and ribavirin. World J Gastroenterol 2005; 11(27): 4241-4245 [PMID: 16015698 DOI: 10.3748/wjg.v11.i27.4241]
Corresponding Author of This Article
Ming-Lung Yu, MD, PhD, Hepatobiliary Division, Department of Internal Medicine, Kaohsiung Medical University Hospital, No. 100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan, China. d780178@kmu.edu.tw
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World J Gastroenterol. Jul 21, 2005; 11(27): 4241-4245 Published online Jul 21, 2005. doi: 10.3748/wjg.v11.i27.4241
Table 1 Comparison of clinical characteristics between individuals with and without SENV-D viremia in 164 CHC patients
SENV-D viremia
P
Positive (n = 61)
Negative (n = 103)
Sex (male) (%)
36 (59.0)
61 (59.2)
NS
Age (yr)
50.7 ± 10.6
46.6 ± 11.6
0.026
Serum ALT (IU/L)
144.0 ± 164.3
125.8 ± 164.2 )
NS
Normal ( ≤ 34 IU/L) (%)
8 (33.3)
16 (66.7)
NS
Abnormal (> 34 IU/L) (%)
53 (37.9)
87 (62.1)
HCV RNA levels (log IU/mL)
5.72 ± 0.70
5.85 ± 0.63
NS
HCV genotype 1b (%)
26 (42.6)
54 (52.4)
NS
Histology (HAI scores)
46
82
Peri-portal necrosis
1.11 ± 1.34
1.11 ± 1.35
NS
Intralobular necrosis
0.70 ± 1.00
0.41 ± 0.78
NS
Portal inflammation
1.80 ± 1.31
1.98 ± 1.21
NS
Total score (grading)
3.54 ± 2.65
3.49 ± 2.52
NS
Fibrosis
1.39 ± 1.50
1.16 ± 1.28
NS
Table 2 Comparison of clinical and virological features between sustained viral responders (SVR) and non-responders (NR) of CHC patients after combination therapy
HCV response
P
NR (n = 51)
SVR (n = 105)
Sex (male) (%)
31 (60.8)
61 (58.1)
NS
Age (yr)
51.24 ± 11.3
46.4 ± 11.3
0.014
Serum ALT (IU/L)
122.2 ± 105.0
140.9 ± 189.9
NS
Normal ( ≤ 34 IU/L) (%)
4 (18.2)
18 (81.8)
NS
Abnormal (> 34 IU/L) (%)
47 (34.6)
87 (65.4)
HCV RNA levels (log IU/mL)
5.90 ± 0.62
5.73 ± 0.68
NS
High level (≥ 200 000 IU/mL) (%)
39 (39.4)
60 (60.6)
0.019
Low level (< 200 000 IU/mL) (%)
12 (21.1)
45 (78.9)
HCV genotype 1b (%)
44 (86.3)
32 (30.5)
<0.0001
Positive SENV-D DNA (%)
16 (31.4)
41 (39.0)
NS
Histology (HAI scores)
Patients no.
37
85
Peri-portal necrosis
1.08 ± 1.30
1.091 ± 1.323
NS
Intralobular necrosis
0.278 ± 0.61
0.64 ± 0.97
0.037
Portal inflammation
2.03 ± 1.17
1.89 ± 1.25
NS
Total score (grading)
3.32 ± 2.22
3.60 ± 2.59
NS
Fibrosis
1.41 ± 1.38
1.157 ± 1.31
NS
Table 3 Stepwise logistic regression analysis of factors significantly associated with HCV sustained virologic response (SVR) after combination therapy in 156 CHC patients
Table 4 Comparison of clinical characteristics and virological features between 48 CHC patients with and without sustained clearance of SENV-D after combination therapy
SENV-D response
P
NR (n = 21)
SVR (n = 27)
Sex (male) (%)
15 (71.4)
13 (48.2)
NS
Age (yr)
48.3 ± 10.6
51.7 ± 10.3
NS
Serum ALT (IU/L)
157.6 ± 122.9
152.4 ± 216.3
NS
High HCV RNA level
9 (42.9)
18 (66.7)
NS
(≥ 200000 IU/mL) (%)
HCV genotype 1b (%)
7 (33.3)
12 (44.4)
NS
SENV-D ETVR (%)
13 (61.9)
24 (88.9)
0.04
HCV SVR (%)
17 (81.0)
18 (66.7)
NS
Citation: Dai CY, Chuang WL, Chang WY, Chen SC, Lee LP, Hsieh MY, Hou NJ, Lin ZY, Hsieh MY, Wang LY, Yu ML. Co-infection of SENV-D among chronic hepatitis C patients treated with combination therapy with high-dose interferon-alfa and ribavirin. World J Gastroenterol 2005; 11(27): 4241-4245