Quantative HBsAg level correlates dendritic cells maturation in chronic hepatitis B patients

Clin Res Hepatol Gastroenterol. 2020 Jun;44(3):321-328. doi: 10.1016/j.clinre.2019.07.016. Epub 2019 Aug 23.

Abstract

Background: In order to better understand the role of Dendritic cells (DCs) in Chronic Hepatitis B (CHB), we investigated the frequencies and maturation markers on DCs in CHB patients and its change during entecavir treatment.

Methods: Twenty-six CHB patients on anti-virus treatment for 48 weeks were included in this study. Patients' blood samples were collected on every 3 months since starting treatment. Samples on baseline and after 48 weeks treatment were examined using flow-cytometry to investigate frequencies and maturation markers of DCs.

Results: The frequencies of myeloid DCs (mDCs) and plasmacytoid DCs (pDCs) were lower in CHB patients than healthy controls on baseline. pDCs frequencies and mDCs maturation markers expression were increased after entecavir (ETV) treatment. Patients with higher baseline HBsAg levels showed a poorer maturation status than those with low baseline HBsAg levels, regardless of changes in HBsAg levels after treatment.

Conclusions: Entecavir treatment could restore the decreased DCs frequencies in CHB patients and improve DCs maturation levels. Baseline HBsAg level is an important factor that affecting DCs.

Keywords: Chronic Hepatitis B; Dendritic Cells; HBsAg.

MeSH terms

  • Adult
  • Antiviral Agents / therapeutic use
  • Cell Differentiation* / drug effects
  • Dendritic Cells / cytology*
  • Dendritic Cells / drug effects
  • Female
  • Flow Cytometry
  • Guanine / analogs & derivatives
  • Guanine / therapeutic use
  • Hepatitis B Surface Antigens / blood*
  • Hepatitis B, Chronic / blood*
  • Hepatitis B, Chronic / drug therapy
  • Humans
  • Male

Substances

  • Antiviral Agents
  • Hepatitis B Surface Antigens
  • entecavir
  • Guanine