[Prospects for interferon therapy in chronic hepatitis C with normal transaminase levels]. / Vozmozhnosti interferonoterapii pri khonicheskom gepatite C s normal'nym urovnem transaminaz.

AIM: To study effectiveness of recombinant interferon-alpha (Ifna) in patients with chronic hepatitis C with normal transaminases. MATERIAL AND METHODS: 26 patients with positive tests for abHCV and RNA HCV with a normal level of alaninaminotransferase (AlAT) entered the study. 16 patients of the test group received recombinant Ifna three times a week in a dose 3 mln IU. Mean duration of interferon therapy was 7.44 +/- 4.27 months. Control group consisted of 10 patients with natural course of the disease. Biochemical, virusological and morphological examinations were conducted in all the patients. The patients were followed up for 1.5-2 years, on the average. RESULTS: Treatment with recombinant Ifna was well tolerated. A persistent positive virusological response after the treatment was achieved in 25% of the test patients. They exhibited improvement of histological structure of the liver. In control group the dynamics was opposite. CONCLUSION: In patients with chronic hepatitis C with normal transaminases level interferon therapy improves structure of hepatic tissue. Puncture biopsy of the liver is the main method which determines the validity of the treatment and its efficacy.

Virus-specific antibody titres in different phases of hepatitis C virus infection.

This study aimed to examine anti hepatitis C virus (HCV) antibody titres, their changes and differences in acute, chronic and past HCV infection and to examine them after IFN-alpha-therapy. Ninety five patients were studied in a cross-sectional investigation and 18 of them were followed long-term. Titres of IgM and IgG antibodies against core, NS3, NS4 (A + B), NS5A proteins were determined by the third generation enzyme immunoassays. Patients with acute hepatitis C developed IgG antibodies against core protein in titres 1/5-1/800 and against individual NS proteins at the same titres. During the first to second month of acute hepatitis C IgG antibody titres to HCV proteins were very low, but they had risen considerably by the fourth to sixth month. Anti-HCV IgM antibodies were found in half the acute hepatitis serum samples, titres were 1/5-1/40. Sixty individuals with chronic hepatitis C showed IgG antibodies against core in titres 1/800-1/40,000 and against individual NS proteins in titres 1/5-1/20,000. Eight patients with chronic hepatitis C had invariable anti-HCV IgG antibodies over 2-3 years. About 81.7% of chronically infected patients had anti-HCV IgM antibodies in titres 1/5-1/160. Patients with resolution of HCV infection showed only anti-core IgG antibodies (titres 1/5-1/200) or no virus-specific antibodies. Individuals with different response to IFN-alpha-therapy showed two distinct patterns of anti-HCV antibody titres. Acute and chronic HCV infection may be distinguished by anti-core titres.