IMPROVEMENT OF LIVER FIBROSIS IN CHRONIC HEPATITIS-C PATIENTS TREATED WITH NATURAL INTERFERON-ALPHA

被引:108
作者
HIRAMATSU, N [1 ]
HAYASHI, N [1 ]
KASAHARA, A [1 ]
HAGIWARA, H [1 ]
TAKEHARA, T [1 ]
HARUNA, Y [1 ]
NAITO, M [1 ]
FUSAMOTO, H [1 ]
KAMADA, T [1 ]
机构
[1] OSAKA UNIV,SCH MED,DEPT MED 1,SUITA,OSAKA 565,JAPAN
来源
JOURNAL OF HEPATOLOGY | 1995年 / 22卷 / 02期
关键词
HEPATIC FIBROSIS SCORE; HEPATITIS C VIRUS; LIVER FIBROSIS; PROCOLLAGEN TYPE III PEPTIDE; TYPE IV COLLAGEN-7S;
D O I
10.1016/0168-8278(95)80420-X
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
To investigate the histological change (change of liver fibrosis) produced by the anti-viral effect of interferon on hepatitis C virus, 40 patients with chronic hepatitis C treated with natural interferon alpha were divided according to the existence of viremia at the end of treatment and 6 months after the end of treatment. The condition of liver fibrosis was scored numerically with a new ''hepatic fibrosis score'' which is sensitive to more subtle changes than Knodell's fibrosis score. Each portal zone was evaluated separately. End-of-treatment biopsy for the HCV RNA-negative group (negative for HCV RNA at the end of treatment) showed a significant improvement of the ''hepatic fibrosis score'' as well as the alleviation of necrosis and inflammation. At the end of treatment and 6 months after that, serum procollagen type III: peptide levels and serum type IV collagen-7s levels had also decreased significantly in the HCV RNA-negative group. The present study showed that treatment with interferon alpha could alleviate fibrosis in addition to necrosis and inflammation.
引用
收藏
页码:135 / 142
页数:8
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