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1.
bioRxiv ; 2024 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-37961579

RESUMO

Endosomal-lysosomal trafficking is accompanied by the acidification of endosomal compartments by the H+-V-ATPase to reach low lysosomal pH. Disruption of proper pH impairs lysosomal function and the balance of protein synthesis and degradation (proteostasis). We used the small dipeptide LLOMe, which is known to permeabilize lysosomal membranes, and find that LLOMe also impacts late endosomes (LEs) by neutralizing their pH without causing membrane permeabilization. We show that LLOMe leads to hyper-activation of Rab7 and disruption of tubulation and mannose-6-phosphate receptor (CI-M6PR) recycling on pH-neutralized LEs. Either pH neutralization (NH4Cl) or Rab7 hyper-active mutants alone can phenocopy the alterations in tubulation and CI-M6PR trafficking. Mechanistically, pH neutralization increases the assembly of the V1G1 subunit of the V-ATPase on endosomal membranes, which stabilizes GTP-bound Rab7 via RILP, a known interactor of Rab7 and V1G1. We propose a novel pathway by which V-ATPase and RILP modulate LE pH and Rab7 activation in concert. This pathway might broadly contribute to pH control during physiologic endosomal maturation or starvation and during pathologic pH neutralization, which occurs via lysosomotropic compounds or in disease states.

2.
Science ; 274(5294): 1924-6, 1996 Dec 13.
Artigo em Inglês | MEDLINE | ID: mdl-8943208

RESUMO

The human beta-chemokine receptor CCR5 is an important cofactor for entry of human immunodeficiency virus-type 1 (HIV-1). The murine form of CCR5, despite its 82 percent identity to the human form, was not functional as an HIV-1 coreceptor. HIV-1 entry function could be reconstituted by fusion of various individual elements derived from the extracellular region of human CCR5 onto murine CCR5. Analysis of chimeras containing elements from human CCR5 and human CCR2B suggested that a complex structure rather than single contact sites is responsible for facilitation of viral entry. Further, certain chimeras lacking the domains necessary to signal in response to their natural chemokine ligands retained vigorous HIV-1 coreceptor activity.


Assuntos
HIV-1/metabolismo , Receptores de Quimiocinas , Receptores de Citocinas/metabolismo , Receptores de HIV/metabolismo , Animais , Antígenos CD4/metabolismo , Células COS , Humanos , Fosfatos de Inositol/metabolismo , Ligantes , Camundongos , Receptores CCR2 , Receptores CCR5 , Receptores de Citocinas/química , Receptores de Citocinas/genética , Receptores de HIV/química , Receptores de HIV/genética , Proteínas Recombinantes de Fusão/metabolismo , Transdução de Sinais , Transfecção
3.
Curr Opin Genet Dev ; 5(6): 807-13, 1995 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-8745081

RESUMO

The past five years have seen significant advances in understanding the origin and evolution of human T-cell leukemia/lymphotropic virus types I and II. The highlights include the identification of human T-cell leukemia/lymphotropic virus types I and II genotypic variants in remote human populations and the discovery of widely divergent simian T-cell leukemia virus in African and Asian non-human primates.


Assuntos
Evolução Biológica , Vírus Linfotrópico T Tipo 1 Humano/fisiologia , Vírus Linfotrópico T Tipo 2 Humano/fisiologia , Animais , Geografia , Infecções por HTLV-I/transmissão , Infecções por HTLV-I/veterinária , Infecções por HTLV-II/transmissão , Infecções por HTLV-II/veterinária , Vírus Linfotrópico T Tipo 1 Humano/classificação , Vírus Linfotrópico T Tipo 1 Humano/genética , Vírus Linfotrópico T Tipo 2 Humano/classificação , Vírus Linfotrópico T Tipo 2 Humano/genética , Humanos , Filogenia , Doenças dos Primatas , Primatas , Vírus Linfotrópico T Tipo 1 de Símios/classificação , Vírus Linfotrópico T Tipo 1 de Símios/genética , Vírus Linfotrópico T Tipo 1 de Símios/fisiologia , Zoonoses/transmissão
4.
Curr Biol ; 8(16): 943-6, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9707408

RESUMO

The C-C chemokine receptor CCR5 in humans and rhesus macaques (Macaca mulatta) serves as the primary coreceptor for cellular entry by macrophagetropic strains of human immunodeficiency virus type 1 (HIV-1) and all reported strains of simian immunodeficiency virus (SIV) [1-6]. Humans homozygous for a 32 bp deletion allele of CCR5, resulting in a null phenotype, are highly resistant to infection by HIV-1 [7-9], prompting development of therapies and vaccines targeting CCR5. We now report a novel deletion allele of CCR5, with an allele frequency of 0.04, in sooty mangabey monkeys (Cercocebus torquatus atys), a natural host of SIV (SIVsmm) [10]. The mutant protein was not expressed at the cell surface and accordingly did not function as a viral coreceptor. Primary activated lymphocytes from mangabeys heterozygous for the deletion allele expressed significantly less CCR5 on the cell surface. Moreover, SIV seroprevalence and viremia were comparable among CCR5 heterozygotes and wild-type animals. Parallel evolution of CCR5-null alleles in humans and sooty mangabeys suggests that similar negative selection pressures have acted against CCR5, as would occur during epidemics of infectious agents that require CCR5 for pathogenesis. Sooty mangabeys bred to homozygosity for the deletion allele will be useful for experimental studies on the context-dependent role of CCR5 in host defense and microbial pathogenesis.


Assuntos
HIV-1/fisiologia , Receptores CCR5/genética , Vírus da Imunodeficiência Símia/fisiologia , Animais , Antígenos CD/fisiologia , Antígenos CD4/fisiologia , Células COS , Cercocebus , Triagem de Portadores Genéticos , Homozigoto , Humanos , Macaca mulatta , Fenótipo , Receptores CCR5/deficiência , Receptores CCR5/fisiologia , Proteínas Recombinantes/biossíntese , Deleção de Sequência , Transfecção
6.
Reprod Fertil Dev ; 16(1-2): 69-78, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-14972104

RESUMO

In order to gain a deeper understanding of the molecular underpinnings of sperm-egg interaction and early development, we have used two-dimensional (2D) electrophoresis, avidin blotting and tandem mass spectrometry to identify, clone and characterise abundant molecules from the mouse egg proteome. Two-dimensional avidin blots of biotinylated zona-free eggs revealed an abundant approximately 75-kDa surface-labelled heterogeneous protein possessing a staining pattern similar to that of the zona pellucida glycoprotein, mouse ZP3 (mZP3). In light of this observation, we investigated whether mZP3 specifically localises to the plasma membrane of mature eggs. Zona pellucidae of immature mouse oocytes and mature eggs were removed using acid Tyrode's solution, chymotrypsin or mechanical shearing. Indirect immunofluorescence using the mZP3 monoclonal antibody (mAb) IE-10 demonstrated strong continuous staining over the entire surface of immature oocytes and weak microvillar staining on ovulated eggs, regardless of the method of zona removal. Interestingly, in mature eggs, increased fluorescence intensity was observed following artificial activation and fertilisation, whereas little to no fluorescence was observed in degenerated eggs. The surface localisation of ZP3 on mature eggs was supported by the finding that the IE-10 mAb immunoprecipitated an approximate 75-kDa protein from lysates of biotinylated zona-free eggs. To further investigate the specificity of the localisation of mZP3 to the oolemma, indirect immunofluorescence was performed using the IE-10 mAb on both CV-1 and CHO cells transfected with full-length recombinant mZP3 (re-mZP3). Plasma membrane targeting of the expressed re-mZP3 protein was observed in both cell lines. The membrane association of re-mZP3 was confirmed by the finding that biotinylated re-mZP3 (approximately 75 kDa) is immunoprecipitated from the hydrophobic phase of Triton X-114 extracts of transfected cells following phase partitioning. Immunoprecipitation assays also demonstrated that surface re-mZP3 was released from transfected CV-1 in a time-dependent manner. These results demonstrate that ZP3 is specifically associated with the surface of mature eggs and its subsequent release from the cell surface may represent one mechanism by which ZP3 is secreted. Furthermore, the increase in ZP3 surface expression following fertilisation suggests that ZP3 may have a functional role during sperm-oolemma binding and fusion. These results also validate the usefulness of using the 2D proteomic approach to identify and characterise egg-surface proteins.


Assuntos
Membrana Celular/química , Proteínas do Ovo/análise , Glicoproteínas de Membrana/análise , Oócitos/metabolismo , Proteômica , Receptores de Superfície Celular/análise , Interações Espermatozoide-Óvulo , Animais , Anticorpos Monoclonais/imunologia , Membrana Celular/metabolismo , Proteínas do Ovo/genética , Proteínas do Ovo/metabolismo , Eletroforese em Gel Bidimensional , Feminino , Técnica Indireta de Fluorescência para Anticorpo , Masculino , Glicoproteínas de Membrana/genética , Glicoproteínas de Membrana/metabolismo , Camundongos , Ratos , Receptores de Superfície Celular/genética , Receptores de Superfície Celular/metabolismo , Glicoproteínas da Zona Pelúcida
7.
J Chemother ; 4(2): 95-8, 1992 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-1629752

RESUMO

The relationship between the behavior of hepatitis B virus (HBV) replication markers and the response to treatment with recombinant alpha-2b interferon (IFN) was investigated in 11 patients with chronic hepatitis. At the end of 6 months of treatment, 4 patients showed a complete response to IFN: 2 more patients had seroconversion to HBeAb after 8 and 9 months of follow-up, respectively. The response to IFN was partial in the remaining patients. Pre-treatment levels of HBV DNA in patients showing complete response were lower than pre-treatment levels in patients with partial response: in addition, serum HBV DNA clearance during the treatment was associated with sustained remission more frequently than changes in the HBeAg/HBeAb system.


Assuntos
Biomarcadores/sangue , Vírus da Hepatite B/fisiologia , Hepatite B/tratamento farmacológico , Hepatite Crônica/tratamento farmacológico , Interferon-alfa/uso terapêutico , Replicação Viral/efeitos dos fármacos , Adolescente , Adulto , Alanina Transaminase/efeitos dos fármacos , Alanina Transaminase/metabolismo , Criança , DNA Viral/sangue , Feminino , Anticorpos Anti-Hepatite/análise , Anticorpos Anti-Hepatite/imunologia , Hepatite B/sangue , Antígenos E da Hepatite B/análise , Antígenos E da Hepatite B/imunologia , Vírus da Hepatite B/imunologia , Hepatite Crônica/sangue , Humanos , Interferon alfa-2 , Masculino , Pessoa de Meia-Idade , Proteínas Recombinantes , Replicação Viral/fisiologia
8.
Infez Med ; 5(1): 29-33, 1997 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-12847309

RESUMO

The effects of IFN treatment were retrospectively evaluated for 18 drug-addict patients with symptomatic HIV infection and chronic hepatitis C. Most of the patients were receiving concomitant treatment with zidovudine. Seven out of the 18 patients (39%) stopped IFN after less than three months, most of them for non-compliance. Among the 11 patients who completed a 6-12 month period of IFN treatment, 3 (27%) normalized and maintained normal ALT levels during therapy: for 2 of them the response was sustained after IFN discontinuation. The response to IFN therapy was neither correlated to the CD4+ levels nor to the clinical stage of the HIV infection. Instead, the response seemed to be influenced by pre-therapy ALT levels and liver histology. Tolerance to IFN treatment was good. These data show that IFN may be indicated in the therapy of chronic HCV infection for HIV-positive patients.

9.
J Androl ; 29(3): 272-82, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-17978344

RESUMO

The equatorial segment of the sperm head is known to play a role in fertilization; however, the specific sperm molecules contributing to the integrity of the equatorial segment and in binding and fusion at the oolemma remain incomplete. Moreover, identification of molecular mediators of fertilization that are also immunogenic in humans is predicted to advance both the diagnosis and treatment of immune infertility. We previously reported the cloning of Equatorial Segment Protein (ESP), a protein localized to the equatorial segment of ejaculated human sperm. ESP is a biomarker for a subcompartment of the acrosomal matrix that can be traced through all stages of acrosome biogenesis (Wolkowicz et al, 2003). In the present study, ESP immunoreacted on Western blots with 4 (27%) of 15 antisperm antibody (ASA)-positive serum samples from infertile male patients and 2 (40%) of 5 ASA-positive female sera. Immunofluorescent studies revealed ESP in the equatorial segment of 89% of acrosome-reacted sperm. ESP persisted as a defined equatorial segment band on 100% of sperm tightly bound to the oolemma of hamster eggs. Antisera to recombinant human ESP inhibited both oolemmal binding and fusion of human sperm in the hamster egg penetration assay. The results indicate that ESP is a human alloantigen involved in sperm-egg binding and fusion. Defined recombinant sperm immunogens, such as ESP, may offer opportunities for differential diagnosis of immune infertility.


Assuntos
Proteínas de Transporte/imunologia , Fertilização/fisiologia , Infertilidade/imunologia , Isoantígenos/metabolismo , Proteínas de Plasma Seminal/imunologia , Espermatozoides/imunologia , Reação Acrossômica/fisiologia , Animais , Western Blotting , Proteínas de Transporte/metabolismo , Cricetinae , Feminino , Fertilização in vitro , Humanos , Infertilidade/metabolismo , Masculino , Oócitos/fisiologia , Proteínas Recombinantes/metabolismo , Proteínas de Plasma Seminal/metabolismo , Espermatozoides/metabolismo , Espermatozoides/fisiologia
10.
Soc Reprod Fertil Suppl ; 63: 87-101, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17566264

RESUMO

A family of testis specific serine/threonine kinases, TSSK1-4 and SSTK, in addition to the substrate of TSSK1 & 2, TSKS, have been studied during the past several years in our laboratory. This paper will provide a general background on these kinases through review of pertinent literature and then will summarize data from our laboratory germane to evaluating these kinases as candidate targets for future development of small molecule kinase inhibitors that may serve to regulate male fertility. Bio-informatic and structural analyses of human TSSK1-4 and SSTK indicate that these kinases constitute a unique subfamily belonging to the AMPK branch on the human kinome tree. Expression studies showed that all five kinases and the TSKS substrate are testis abundant, if not strictly testis specific, indicating that tissue specific contraceptive targeting is possible. In situ hybridization further confirmed that mouse TSSK2, SSTK and TSKS are post-meiotic in their expression patterns, a finding that makes them possible targets of reversible contraceptive intervention by preserving spermatogonia and spermatocytes. Our laboratory detected TSSK2, TSKS and SSTK proteins in mature spermatozoa for the first time. TSKS was localized to the centrioles of human spermatozoa, while TSSK2 was observed in the sperm neck, equatorial segment and mid-piece of the sperm tail, and SSTK was localized in the equatorial segment. The interaction and binding between human TSSK2 and TSKS was confirmed by several methods: this substrate and enzyme interaction offers a particularly interesting opportunity for drug design. In vitro kinase assay showed phosphorylation of TSKS by TSSK2. The TSKS phosphopeptide, HGLSPATPIQGCSGPPGS*PEEPPR, was identified by IMAC-LC-FTMS, with serine 285 being phosphorylated (representend by asterisk). These results provide a rationale for high-throughput screening of inhibitors for TSKS phosphorylation and further studies of members of this kinase family as targets for both male contraception and intra-vaginal spermicides.


Assuntos
Anticoncepcionais Masculinos/farmacologia , Proteínas Serina-Treonina Quinases/metabolismo , Espermatogênese/fisiologia , Testículo/enzimologia , Animais , Proteínas do Citoesqueleto , Inibidores Enzimáticos/farmacologia , Humanos , Masculino , Fosfoproteínas , Proteínas Serina-Treonina Quinases/análise , Proteínas Serina-Treonina Quinases/antagonistas & inibidores , Proteínas Serina-Treonina Quinases/genética
11.
Int J Clin Lab Res ; 24(2): 86-9, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-7919433

RESUMO

Cytomegalovirus has been suggested as a co-factor of disease progression in patients with human immunodeficiency virus type 1 infection. Cytomegalovirus infection is highly prevalent among populations at risk of human immunodeficiency virus 1 infection, and has been associated with both an increased susceptibility to infection and a more rapid course of the disease towards immunodeficiency. Cytomegalovirus can have a direct immunosuppressive effect (through infection of immune cells) and can enhance the replication of human immunodeficiency virus (through the transactivation of the genic immunodeficiency virus expression, the stimulation of cytokine production, and the increase in Fc receptor expression on target cells). The role of cytomegalovirus as a co-factor of the progression towards immunodeficiency in subjects infected with the human immunodeficiency virus type 1 needs to be elucidated with more extensive clinical studies and the application of new molecular biology techniques.


Assuntos
Infecções Oportunistas Relacionadas com a AIDS/virologia , Síndrome da Imunodeficiência Adquirida/virologia , Infecções por Citomegalovirus/virologia , Citomegalovirus/fisiologia , HIV-1/fisiologia , Infecções Oportunistas Relacionadas com a AIDS/epidemiologia , Infecções Oportunistas Relacionadas com a AIDS/imunologia , Síndrome da Imunodeficiência Adquirida/imunologia , Citomegalovirus/genética , Citomegalovirus/imunologia , Infecções por Citomegalovirus/epidemiologia , Infecções por Citomegalovirus/imunologia , Genes Virais , Humanos , Tolerância Imunológica , Prevalência , Fatores de Risco , Replicação Viral
12.
J Virol ; 68(12): 8392-5, 1994 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-7966632

RESUMO

An unusual serological profile against human T-cell leukemia/lymphotropic virus type I and II (HTLV-I and -II) proteins was reported in several human Pygmy tribes in Zaire and Cameroon with serum antibodies reactive with gp21 and p24. Here we describe a similar pattern of serum antibodies in a colony of captive pygmy chimpanzees and the isolation of a novel retrovirus, simian T-cell lymphotropic virus from Pan paniscus (STLVpan-p), from the peripheral blood mononuclear cells of several seropositive animals. Cocultures of peripheral blood mononuclear cells from three seropositive pygmy chimpanzees with human cord blood mononuclear cells led to the expression of an HTLV-I- and HTLV-II-related virus initially demonstrated by electron microscopy. Furthermore, several of these cocultures became immortalized T-cell lines expressing the CD4+ CD8+ DR+ phenotype of mature activated T cells. Southern blotting and DNA sequencing of a PCR fragment of viral DNA from these cell cultures demonstrated a distant evolutionary relationship of these viruses to HTLV-I and -II and distinct from the known STLV isolates. We designated this virus STLVpan-p. A genealogical analysis of the captive pygmy chimpanzees colony, originated from wild-caught animals, revealed a prevalence of seropositive offspring from infected mothers, as also observed with HTLVs. The presence in this old African Great Ape species of a virus which is genetically quite distinct from HTLV-I and -II could provide new insights in the phylogenesis of STLVs and HTLVs and be instrumental in the discovery of related human viruses.


Assuntos
Hominidae/virologia , Vírus Linfotrópico T Tipo 1 Humano/classificação , Vírus Linfotrópico T Tipo 2 Humano/classificação , Pan troglodytes/virologia , Vírus Linfotrópico T Tipo 1 de Símios/classificação , Animais , Antígenos CD/biossíntese , Antígenos de Superfície/biossíntese , Sequência de Bases , Linhagem Celular , DNA Viral/química , DNA Viral/genética , Sangue Fetal , Vírus Linfotrópico T Tipo 1 Humano/genética , Vírus Linfotrópico T Tipo 1 Humano/isolamento & purificação , Vírus Linfotrópico T Tipo 2 Humano/genética , Vírus Linfotrópico T Tipo 2 Humano/isolamento & purificação , Humanos , Linfócitos/virologia , Dados de Sequência Molecular , Fenótipo , Homologia de Sequência do Ácido Nucleico , Vírus Linfotrópico T Tipo 1 de Símios/genética , Vírus Linfotrópico T Tipo 1 de Símios/isolamento & purificação
13.
J Virol ; 71(5): 3684-92, 1997 May.
Artigo em Inglês | MEDLINE | ID: mdl-9094642

RESUMO

The proviral DNA of the simian T-leukemia/lymphotropic virus (STLV) isolate, originally obtained from a captive colony of pygmy chimpanzees (Pan paniscus) (STLV(pan-p)), was cloned from the DNA of the chronically infected human T-cell line L93-79B. The entire proviral DNA sequence was obtained and compared with sequences of the known genotypes of STLV and human T-leukemia/lymphotropic virus types 1 and 2 (HTLV-1 and -2). Phylogenetic analysis indicates that STLV-2(pan-p) is an early divergence within the type 2 lineage and should be referred to as STLV-2(pan-p). Since STLV-2(pan-p) has been found in African nonhuman primates, we investigated its infectiousness and pathogenicity in Asian monkeys. Pigtailed macaques were inoculated with human cells harboring STLV(pan-p), and infection was assessed by virus isolation, PCR analysis of peripheral blood mononuclear cells, and seroconversion against viral antigens in HTLV-1/HTLV-2 and Western blot assay. Pigtailed macaques became persistently infected by STLV-2(pan-p), and the virus could be transferred by blood transfusion from an infected pigtailed macaque to a rhesus macaque. In addition, like HTLV-1 and HTLV-2, STLV-2(pan-p) was infectious in rabbits. In summary, STLV-2(pan-p) is a novel retrovirus distantly related to HTLV-2 and displays a host range similar to that demonstrated for other HTLV and STLV strains.


Assuntos
Macaca nemestrina/virologia , Pan troglodytes/virologia , Vírus Linfotrópico T Tipo 1 de Símios/classificação , Sequência de Aminoácidos , Animais , Clonagem Molecular , DNA Viral/química , Genoma Viral , Vírus Linfotrópico T Tipo 1 Humano/classificação , Vírus Linfotrópico T Tipo 2 Humano/classificação , Dados de Sequência Molecular , Filogenia , Coelhos , Vírus Linfotrópico T Tipo 1 de Símios/genética
14.
Boll Ist Sieroter Milan ; 68(3): 234-40, 1989.
Artigo em Inglês | MEDLINE | ID: mdl-2491431

RESUMO

We have evaluated several commercial monoclonal antibodies, specific for human IgG subclasses, for their reactivity in an ELISA test for the characterization of subclasses of IgG anti- Salmonella typhi lipopolysaccharide (LPS) antibodies. Four monoclonals, each specific for a single IgG subclass, were chosen for their good reactivity. In 19 typhoid and non-typhoid serum samples, the sum of the ELISA values obtained with the four subclass-specific monoclonals was highly correlated with the ELISA values obtained with a monoclonal anti-total IgG. Moreover, there was no competition among the various IgG subclasses of anti-LPS antibodies. These data indicate that the subclass distribution of IgG anti-LPS antibodies, calculated on the basis of ELISA values in the subclass-specific assays, is likely to reflect the actual distribution of the different subclasses in whole serum. Different subclass patterns of IgG anti-LPS antibodies were observed in serum samples from 11 patients with typhoid fever, with IgG1 and IgG2 being the most represented subclasses. The ELISA method described here will be useful to elucidate the factors that influence the anti-LPS subclass profile during the humoral immune response to Salmonella typhi.


Assuntos
Anticorpos Antibacterianos/classificação , Imunoglobulina G/classificação , Salmonella typhi/imunologia , Febre Tifoide/imunologia , Adolescente , Adulto , Anticorpos Monoclonais , Criança , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Lipopolissacarídeos/imunologia , Masculino , Sensibilidade e Especificidade
15.
Am J Gastroenterol ; 86(3): 327-30, 1991 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-1998314

RESUMO

A prospective study was conducted to evaluate the efficacy and tolerance of alpha-interferon in 20 children with biopsy-proven HBsAg/HBeAg/HBV-DNA-positive, anti-delta-negative chronic hepatitis. Patients were randomized to receive alpha 2a-interferon (INF), 3 MU im three times weekly for 12 months, or no treatment (10 patients per group). Five patients receiving IFN showed a marked decrease or negativization of HBV-DNA during treatment. At the end of the study (after 18 month), three patients lost HBV-DNA permanently, and two of them seroconverted to HBeAb 10 and 11 months after disappearance of HBV-DNA with normalization of aminotransferase values. In the control group, one patient had spontaneous clearance of HBV-DNA with conversion to HBeAb and normalization of aminotransferase levels. All treated patients had a febrile reaction in the first month of treatment. The dose of IFN had to be decreased in two patients and was discontinued for persistent intolerance in one of them. Patients who showed a decreased viral replication had higher initial biochemical and histological activity than nonresponders. The data suggest that IFN treatment may favorably influence the progression of chronic B hepatitis in children with a history of acute hepatitis and active chronic disease.


Assuntos
Hepatite B/tratamento farmacológico , Interferon-alfa/uso terapêutico , Adolescente , Criança , Doença Crônica , DNA Viral/sangue , Esquema de Medicação , Feminino , Hepatite B/sangue , Hepatite B/diagnóstico , Vírus da Hepatite B/isolamento & purificação , Humanos , Interferon alfa-2 , Masculino , Proteínas Recombinantes , Fatores de Tempo , Transaminases/sangue
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