Characteristics and outcomes of HBV-infected patients with HBsAg and anti- HBs coexistence

IF 1.6 Q4 INFECTIOUS DISEASES
Nguyen Thi Cam Huong , Pham Thi Hai Men , Brian Thanh Do , Hoa Pham Thi Le
{"title":"Characteristics and outcomes of HBV-infected patients with HBsAg and anti- HBs coexistence","authors":"Nguyen Thi Cam Huong ,&nbsp;Pham Thi Hai Men ,&nbsp;Brian Thanh Do ,&nbsp;Hoa Pham Thi Le","doi":"10.1016/j.jcvp.2025.100220","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The coexistence of HBsAg and anti-HBs is a unique detection in chronic HBV-infected patients. This serological status has not been reported in Vietnamese cases.</div></div><div><h3>Objectives</h3><div>description of HBV viral markers, activity of hepatitis, and progression of HBV-infected patients with HBsAg and anti-HBs coexistence over a six-month follow-up period and define related factors to HBsAg seroclearance.</div></div><div><h3>Method</h3><div>cross-sectional descriptive study with a six-month follow-up on patients who tested positive for HBsAg and anti-HBs simultaneously at the Liver Clinic nit, Hospital for Tropical Diseases, Vietnam, from 12/2018 to 12/2019.</div></div><div><h3>Result</h3><div>122 patients with coexistence of HBsAg and anti-HBs were included. 50.8 % were male, with median age of 42 (30-53). The median of ALT was 34 (24-66) U/L, 24.6 % had chronic hepatitis, 32 % had positive HBeAg, median of HBsAg was 1.76 ((-0.25) – (2.87)) log IU/mL, median of anti-HBs was 50 (24-99) mIU/mL, median of HBVDNA was 3.45 (1.46-6.55) log copies/mL. Eighty-four patients were confirmed chronic HBV infection with anti-HBs coexistence (68.9 %), 26.2 % loss HBsAg, and 6 cases (4.9 %) loss anti-HBs, as chronic HBV infection. Without chronic hepatitis, HBsAg &lt;100 S/CO, high anti-HBs, low HBsAg quantification lower 3 log IU/mL, HBeAg negative, HBV DNA lower 1.7 log copies/mL related to HBsAg seroclearance.</div></div><div><h3>Conclusion</h3><div>The coexistence of HBsAg and anti-HBs occurs in both HBeAg-negative and HBeAg-positive patients. Most cases had high viral load, and one-fourth of cases had chronic liver diseases. HBsAg loss occurred in 26.2 % of cases and related to chronic liver disease, low HBsAg, high anti-HBs, and low HBV DNA.</div></div>","PeriodicalId":73673,"journal":{"name":"Journal of clinical virology plus","volume":"5 3","pages":"Article 100220"},"PeriodicalIF":1.6000,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of clinical virology plus","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2667038025000195","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0

Abstract

Background

The coexistence of HBsAg and anti-HBs is a unique detection in chronic HBV-infected patients. This serological status has not been reported in Vietnamese cases.

Objectives

description of HBV viral markers, activity of hepatitis, and progression of HBV-infected patients with HBsAg and anti-HBs coexistence over a six-month follow-up period and define related factors to HBsAg seroclearance.

Method

cross-sectional descriptive study with a six-month follow-up on patients who tested positive for HBsAg and anti-HBs simultaneously at the Liver Clinic nit, Hospital for Tropical Diseases, Vietnam, from 12/2018 to 12/2019.

Result

122 patients with coexistence of HBsAg and anti-HBs were included. 50.8 % were male, with median age of 42 (30-53). The median of ALT was 34 (24-66) U/L, 24.6 % had chronic hepatitis, 32 % had positive HBeAg, median of HBsAg was 1.76 ((-0.25) – (2.87)) log IU/mL, median of anti-HBs was 50 (24-99) mIU/mL, median of HBVDNA was 3.45 (1.46-6.55) log copies/mL. Eighty-four patients were confirmed chronic HBV infection with anti-HBs coexistence (68.9 %), 26.2 % loss HBsAg, and 6 cases (4.9 %) loss anti-HBs, as chronic HBV infection. Without chronic hepatitis, HBsAg <100 S/CO, high anti-HBs, low HBsAg quantification lower 3 log IU/mL, HBeAg negative, HBV DNA lower 1.7 log copies/mL related to HBsAg seroclearance.

Conclusion

The coexistence of HBsAg and anti-HBs occurs in both HBeAg-negative and HBeAg-positive patients. Most cases had high viral load, and one-fourth of cases had chronic liver diseases. HBsAg loss occurred in 26.2 % of cases and related to chronic liver disease, low HBsAg, high anti-HBs, and low HBV DNA.

Abstract Image

乙型肝炎病毒感染患者HBsAg与抗hbbs共存的特点及预后
背景HBsAg和anti-HBs共存是慢性hbv感染患者的独特检测结果。这种血清学状况尚未在越南病例中报告。目的描述HBV病毒标志物、肝炎活动性、HBV感染患者伴HBsAg和抗hbs共存的进展情况,并确定影响HBsAg血清清除率的相关因素。方法横断面描述性研究,对2018年12月至2019年12月在越南热带病医院肝脏门诊同时检测HBsAg和anti-HBs阳性的患者进行为期6个月的随访。结果共纳入122例HBsAg和anti-HBs共存的患者。50.8%为男性,中位年龄42岁(30-53岁)。ALT中位数为34 (24-66)U/L,慢性肝炎24.6%,HBeAg阳性32%,HBsAg中位数为1.76 (-0.25)- (2.87)log IU/mL, anti-HBs中位数为50 (24-99)mIU/mL, HBVDNA中位数为3.45 (1.46-6.55)log copies/mL。确诊慢性HBV感染84例(68.9%)存在抗- hbs共存,HBsAg丢失26.2%,抗- hbs丢失6例(4.9%)为慢性HBV感染。无慢性肝炎,HBsAg <100 S/CO,高抗- hbs,低HBsAg定量低3 log IU/mL, HBeAg阴性,HBV DNA低1.7 log拷贝/mL,与HBsAg血清清除率相关。结论hbeag阴性和hbeag阳性患者均存在HBsAg和anti-HBs共存的情况。大多数病例病毒载量高,四分之一的病例有慢性肝病。26.2%的病例发生HBsAg丢失,与慢性肝病、低HBsAg、高抗- hbs和低HBV DNA有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Journal of clinical virology plus
Journal of clinical virology plus Infectious Diseases
CiteScore
2.20
自引率
0.00%
发文量
0
审稿时长
66 days
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信