, A.S., and V.C. conducted the laboratory work related to IP-10. The primary statistical analysis was conducted by J.Gr., J.J.F., G.J.D., J.B., and A.R.L. Protease Inhibitor Library clinical trial All authors reviewed data analysis. J.Gr. wrote the first draft of the article. All authors contributed to and approved the final article. Additional Supporting Information may be found in the online version of this article. “
“Aim: Only seven cases of liver transplantation (OLT) with positive serum hepatitis B surface antigen (HBsAg) grafts have been reported in the world till now. Here
we report the 4-year follow-up results and clinical pathologic characteristics of two recipients of chronic hepatitis B transplanted with HBsAg-positive cadaveric liver grafts from asymptomatic carriers. Methods: Lamivudine combined with hepatitis B immune globulin were used for the control of hepatitis B virus (HBV) infection in both of the recipients
post-OLT. The selleck chemical liver functions, virus status and pathologic characteristics of two recipients were followed up according to the rounte protocol of Liver Transplantation Center of West China Hospital. Results: The serum HBV deoxyribonucleic acid (DNA) turned negative within 30 days post-OLT, but HBsAg remained positive for both of the recipients during follow up. HBV breakthrough occurred in one recipient at the month 12 post-OLT, with detectable serum HBV-DNA (740 copies/mL) and tyrosine-methionine-aspartate-aspartate motif mutation (rtM204I and rtM204V). After the replacement of lamivudine by adefovir dipivoxil 10 mg daily for 2 months, serum HBV-DNA of this recipient became undetectable again and maintained undetectable during follow up. Both of the recipients have survived for more than 4 years post-OLT, with stable liver function and mild hepatitis. Conclusion: Due to extreme scarcity of liver graft, we think that HBsAg-positive liver graft without active HBV-DNA replication and severe pathological manifestation from asymptomatic carriers may deserve consideration when no other graft is available in a bearable waiting time. “
“Background: Through 5 years of treatment with tenofovir disoproxil fumarate (TDF) in mostly naïve
patients, we reported sustained viral suppression with regression of fibrosis, and reversal of cirrhosis in 74% of patients (Lancet 2013;381:468-75). Further, no evidence Selleck Abiraterone of resistance to TDF was seen through Year 6 (J Hepatol. 2014;59:434-42). Here we present Year 8 results, the initially pre-specified end of study period, for two Phase 3 studies in HBeAg- and HBeAg+ chronic hepatitis B patients. Methods: After 48 weeks of double-blind comparison of TDF to adefovir dipivoxil, all patients were eligible to continue open-label TDF. Patients were assessed every 3 months for efficacy and safety; resistance surveillance was performed annually, and annual bone mineral density (BMD) assessments by DXA were included starting at Year 4.