干扰素治疗对慢性丙型肝炎病毒抗核心和包膜抗体的影响

Fumihiko Komine , Mituhiko Moriyama , Nakanobu Hayashi , Toshikazu Uchida , Toshio Shikata , Yasuyuki Arakawa
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摘要

我们测量了22例慢性丙型肝炎患者在干扰素(IFN)治疗前后抗丙型肝炎病毒(HCV)的三种抗体(JCC-2)、E1 (E1 - 5)和E2NS1 (E2-1)的水平,并评估了这些抗体滴度的变化与对IFN的反应之间的关系。IFN治疗前血清JCC-2和E2-1抗体滴度与IFN疗效无显著关系。完全应答(CR)组e2 - 5抗体滴度明显低于无应答(NR)组。在IFN给药结束后6个月和1年,CR组对IFN治疗的JCC-2抗体滴度立即显著下降。然而,NR组在治疗后6个月或1年没有改变或在短期立即下降后再次上升。因此,IFN治疗前的E1-5抗体滴度和IFN治疗期间的JCC-2抗体滴度似乎是IFN疗效的良好指标。相反,E2-1抗体与IFN的疗效无关。
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Changes of chronic hepatitis C virus anti-core and envelope antibodies by interferon therapy

We measured the levels of three antibodies against core (JCC-2), E1 (E1–5), and E2NS1 (E2-1) hepatitis C virus (HCV) before and after interferon (IFN) therapy in 22 patients with chronic hepatitis C and assessed the relationship between the changes in these antibody titers and the response to IFN. The titers of serum JCC-2 and E2-1 antibodies before the IFN therapy did not show any significant relationship with IFN efficacy. In contrast, the titer of E1–5 antibody was significantly lower in the complete responder (CR) group than in the non-responder (NR) group. The JCC-2 antibody titer of the CR group to IFN therapy showed a significant decrease immediately, at 6 months and 1 year after the completion of IFN administration. However, that of the NR group either did not change or rose again 6 months or 1 year after therapy following an immediate short-term decrease. Thus the E1–5 antibody titer before IFN therapy and the JCC-2 antibody titer during IFN therapy seems to be a good indicator of IFN efficacy. In contrast, the E2-1 antibody did not correlate with IFN efficacy.

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Author index Subject index Clinical usefulness of serum HBV DNA measurement with a non radioactive chemiluminescence method A new point mutation in cholinesterase: relationship between multiple mutation sites and enzyme activity The changes of serum soluble HLA-class I and CD8 concentrations during interferon treatment of chronic hepatitis C patients
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