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Relationship Between Serum DNA Replication, Clinicopathological Characteristics and Prognosis of Hepatitis B Virus-associated Glomerulonephritis with Severe Proteinuria by Lamivudine Plus Adefovir Dipivoxil Combination Therapy

Objective To explore the relationship between HBV DNA and the clinical manifestations, pathological types, injury severity, and prognosis with HBV-GN. Methods 102 patients with HBV-GN were divided into 3 groups, according to the serum titer of the HBV DNA. 24-h urine protein excretion, and other par...

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Published in:Biomedical and environmental sciences 2015-03, Vol.28 (3), p.206-213
Main Authors: JIANG, Wei, LIU, Tuo, DONG, Hui, XU, Yan, LIU, Li Qiu, GUAN, Guang Ju, LIU, Xiang Chun
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container_title Biomedical and environmental sciences
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LIU, Tuo
DONG, Hui
XU, Yan
LIU, Li Qiu
GUAN, Guang Ju
LIU, Xiang Chun
description Objective To explore the relationship between HBV DNA and the clinical manifestations, pathological types, injury severity, and prognosis with HBV-GN. Methods 102 patients with HBV-GN were divided into 3 groups, according to the serum titer of the HBV DNA. 24-h urine protein excretion, and other parameters were measured. Renal biopsy were performed. The association between HBV DNA and the pathological stage of membranous nephropathy was analyzed in 78 patients with HBV-MN. 24-h urine protein excretion was used for the evaluation of the prognosis, and the relationship between HBV DNA and prognosis were analyzed. Results Several findings were demonstrated with the increase of serum HBV DNA: 24-h urine protein excretion, plasma cholesterol, and triglycerides increased significantly(P〈0.05), while the plasma level of albumin decreased significantly(P〈0.05); The changes of serum creatinine, C3 and C4 were found but no statistical significance. Glomerular deposition of HBVAg increased, and the pathological injury was more severe. The clinical remission rate was lower in the high replication group after treatment as compared with the low replication group(P〈0.01). Conclusion With the increase of serum HBV DNA, the urine protein excretion and the kidney injury were more severe, and the clinical remission rate was decreased.
doi_str_mv 10.3967/bes2015.027
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Methods 102 patients with HBV-GN were divided into 3 groups, according to the serum titer of the HBV DNA. 24-h urine protein excretion, and other parameters were measured. Renal biopsy were performed. The association between HBV DNA and the pathological stage of membranous nephropathy was analyzed in 78 patients with HBV-MN. 24-h urine protein excretion was used for the evaluation of the prognosis, and the relationship between HBV DNA and prognosis were analyzed. Results Several findings were demonstrated with the increase of serum HBV DNA: 24-h urine protein excretion, plasma cholesterol, and triglycerides increased significantly(P〈0.05), while the plasma level of albumin decreased significantly(P〈0.05); The changes of serum creatinine, C3 and C4 were found but no statistical significance. Glomerular deposition of HBVAg increased, and the pathological injury was more severe. The clinical remission rate was lower in the high replication group after treatment as compared with the low replication group(P〈0.01). Conclusion With the increase of serum HBV DNA, the urine protein excretion and the kidney injury were more severe, and the clinical remission rate was decreased.</description><identifier>ISSN: 0895-3988</identifier><identifier>EISSN: 2214-0190</identifier><identifier>DOI: 10.3967/bes2015.027</identifier><identifier>PMID: 25800445</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adefovir dipivoxil ; Adenine - analogs &amp; derivatives ; Adenine - therapeutic use ; Adult ; Aged ; Antiviral Agents - therapeutic use ; DNA Replication ; DNA, Viral - blood ; DNA复制 ; Drug Therapy, Combination ; Female ; Glomerulonephritis - etiology ; Hepatitis B - complications ; Hepatitis B - drug therapy ; Hepatitis B virus ; Hepatitis B virus - genetics ; Humans ; Lamivudine ; Lamivudine - therapeutic use ; Male ; Middle Aged ; Nephritis ; Organophosphonates - therapeutic use ; Pathology ; Prognosis ; Proteinuria ; Proteinuria - etiology ; Young Adult ; 临床病理 ; 乙型肝炎病毒 ; 拉米夫定 ; 联合治疗 ; 血清 ; 阿德福韦酯 ; 预后</subject><ispartof>Biomedical and environmental sciences, 2015-03, Vol.28 (3), p.206-213</ispartof><rights>2015 The Editorial Board of Biomedical and Environmental Sciences</rights><rights>Copyright © 2015 The Editorial Board of Biomedical and Environmental Sciences. Published by China CDC. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/84046X/84046X.jpg</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0895398815300179$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3549,27924,27925,45780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25800445$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>JIANG, Wei</creatorcontrib><creatorcontrib>LIU, Tuo</creatorcontrib><creatorcontrib>DONG, Hui</creatorcontrib><creatorcontrib>XU, Yan</creatorcontrib><creatorcontrib>LIU, Li Qiu</creatorcontrib><creatorcontrib>GUAN, Guang Ju</creatorcontrib><creatorcontrib>LIU, Xiang Chun</creatorcontrib><title>Relationship Between Serum DNA Replication, Clinicopathological Characteristics and Prognosis of Hepatitis B Virus-associated Glomerulonephritis with Severe Proteinuria by Lamivudine Plus Adefovir Dipivoxil Combination Therapy</title><title>Biomedical and environmental sciences</title><addtitle>Biomedical and Environmental Sciences</addtitle><description>Objective To explore the relationship between HBV DNA and the clinical manifestations, pathological types, injury severity, and prognosis with HBV-GN. Methods 102 patients with HBV-GN were divided into 3 groups, according to the serum titer of the HBV DNA. 24-h urine protein excretion, and other parameters were measured. Renal biopsy were performed. The association between HBV DNA and the pathological stage of membranous nephropathy was analyzed in 78 patients with HBV-MN. 24-h urine protein excretion was used for the evaluation of the prognosis, and the relationship between HBV DNA and prognosis were analyzed. Results Several findings were demonstrated with the increase of serum HBV DNA: 24-h urine protein excretion, plasma cholesterol, and triglycerides increased significantly(P〈0.05), while the plasma level of albumin decreased significantly(P〈0.05); The changes of serum creatinine, C3 and C4 were found but no statistical significance. Glomerular deposition of HBVAg increased, and the pathological injury was more severe. The clinical remission rate was lower in the high replication group after treatment as compared with the low replication group(P〈0.01). 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Methods 102 patients with HBV-GN were divided into 3 groups, according to the serum titer of the HBV DNA. 24-h urine protein excretion, and other parameters were measured. Renal biopsy were performed. The association between HBV DNA and the pathological stage of membranous nephropathy was analyzed in 78 patients with HBV-MN. 24-h urine protein excretion was used for the evaluation of the prognosis, and the relationship between HBV DNA and prognosis were analyzed. Results Several findings were demonstrated with the increase of serum HBV DNA: 24-h urine protein excretion, plasma cholesterol, and triglycerides increased significantly(P〈0.05), while the plasma level of albumin decreased significantly(P〈0.05); The changes of serum creatinine, C3 and C4 were found but no statistical significance. Glomerular deposition of HBVAg increased, and the pathological injury was more severe. The clinical remission rate was lower in the high replication group after treatment as compared with the low replication group(P〈0.01). Conclusion With the increase of serum HBV DNA, the urine protein excretion and the kidney injury were more severe, and the clinical remission rate was decreased.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>25800445</pmid><doi>10.3967/bes2015.027</doi><tpages>8</tpages></addata></record>
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ispartof Biomedical and environmental sciences, 2015-03, Vol.28 (3), p.206-213
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language eng
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subjects Adefovir dipivoxil
Adenine - analogs & derivatives
Adenine - therapeutic use
Adult
Aged
Antiviral Agents - therapeutic use
DNA Replication
DNA, Viral - blood
DNA复制
Drug Therapy, Combination
Female
Glomerulonephritis - etiology
Hepatitis B - complications
Hepatitis B - drug therapy
Hepatitis B virus
Hepatitis B virus - genetics
Humans
Lamivudine
Lamivudine - therapeutic use
Male
Middle Aged
Nephritis
Organophosphonates - therapeutic use
Pathology
Prognosis
Proteinuria
Proteinuria - etiology
Young Adult
临床病理
乙型肝炎病毒
拉米夫定
联合治疗
血清
阿德福韦酯
预后
title Relationship Between Serum DNA Replication, Clinicopathological Characteristics and Prognosis of Hepatitis B Virus-associated Glomerulonephritis with Severe Proteinuria by Lamivudine Plus Adefovir Dipivoxil Combination Therapy
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