C型慢性肝炎のインターフェロン療法における血中HCV RNA定量(branched DNA probe assay)の意義

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タイトル別名
  • Significance of serum HCV RNA titer, determined by branched DNA probe assay, in patients with chronic hepatitis C treated with interferon (IFN).

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Serum HCV RNA titer was determined by branched DNA probe assay (Quantiplex HCV, Chiron Diagnosis) in serial samples from 97 patients with chronic hepatitis C who received recombinant IFN-α 2b therapy. In 30 (31%) of the patients, the pretreatment titer was below the cut-off value (0.5Meq/ml). Complete response (CR) to IFN therapy was seen in 70%, 29% and 6% of patients in whom pretreatment titers were lower than 1.0Meq/ml, 1.0-10Meq/ml and more than 10Meq/ml, respectively. After 2 weeks of daily IFN administration, HCV RNA titers were below the cut-off value in all patients with CR, 88% of transient responders and 43% of non responders. The CR rate was significantly higher in HCV subtype III/2a and IV/2b than in subtype II/1b, given a similar titer of HCV RNA. When the patients were divided into 2 groups according to total dose of IFN (mean: 440MU), there was no significant difference in CR rate between the higher-dose group (more than 440MU) and the low-dose group in patients with III/ 2a or IV/2b. However, high-dose IFN was required in patients with subtype II/1b in order to obtain a CR rate similar to that for subtype III/2a and IV/2b, even in those with HCV RNA titer below 1.0Meq/ml.

収録刊行物

  • 肝臓

    肝臓 36 (10), 561-567, 1995

    一般社団法人 日本肝臓学会

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