天然干扰素γ治疗慢性丙型肝炎的初步研究

Michio Sata , Hitoshi Nakano , Tatsuya Ide , Taiji Sato , Norito Matsukuma , Hiroshi Suzuki , Kyuichi Tanikawa
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摘要

背景:为了评估干扰素(IFN)γ治疗慢性丙型肝炎的有效性和副作用。材料和方法:对5例慢性活动性丙型肝炎患者,每天肌肉注射1 × 106 IU天然IFNγ单剂量,持续4周。测定血清中丙氨酸转氨酶水平、2′-5′低聚腺苷酸合成酶活性、β2微球蛋白水平、IFNγ活性和HCV RNA水平。结果:在IFNγ开始后1-2周,ALT水平、2 ' -5 '寡聚腺苷酸合成酶(2- 5as)活性、β2微球蛋白(BMG)水平和IFNγ活性均升高。然而,在给药过程中,HCV RNA水平没有下降。未见严重不良反应。结论:IFNγ因其免疫增强作用而备受关注,值得研究其作为慢性丙型肝炎的治疗方法。然而,IFNγ与IFNα、β或其他抗病毒药物联合使用可能更有价值,因为IFNγ的抗病毒作用可能较弱。
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A pilot study of natural interferon γ therapy for chronic hepatitis C

Background: To assess the effectiveness and side effects of interferon (IFN)γ therapy for chronic hepatitis C. Materials and methods: A single dose of 1 × 106 IU of natural IFNγ was administered intramuscularly daily for 4 weeks to five patients with chronic active hepatitis C. Alanine aminotransferase levels, 2′-5′ oligoadenylate synthetase activity, β2 microglobulin levels, IFNγ activity and HCV RNA levels were measured in sera. Results: ALT level, 2′-5′ oligoadenylate synthetase (2-5AS) activity, β2 microglobulin (BMG) level, and IFNγ activity increased from 1–2 weeks after the start of IFNγ. However, HCV RNA levels did not decrease during IFNγ administration. There were no serious adverse reactions. Conclusions: IFNγ, which has attracted attention for its immunoenhancement, is worthy to be investigated as a therapy for chronic hepatitis C. However, the use of IFNγ in combination with IFNα, β or other antiviral agents may be more rewarding because of the possibly weak antiviral action of IFNγ.

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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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