Source:http://linkedlifedata.com/resource/pubmed/id/12558905
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2003-1-31
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pubmed:abstractText |
summary. Antiviral treatment of patients with active chronic hepatitis B may lead to significant reduction in morbidity and mortality. However, after stopping nucleoside therapy, relapse rates are high in those without acquired specific immunity. We have treated two chronic hepatitis B patients with in vivo immunization. In vivo immunization aims to optimize conditions for an effective immune response: following rapid and profound virus suppression by interferon-lamivudine combination therapy, lamivudine is withdrawn intermittently for 4 weeks during continued interferon therapy. In both patients with profound virus suppression a rapid rebound in viral replication was observed after lamivudine withdrawal; despite continued interferon. These periods of renewed viral replication were followed by rises in hepatitis activity. After re-introduction of lamivudine HBV DNA became undetectable by PCR followed by normalization of serum ALT. These observations are a stimulus to further explore the concept of in vivo immunization as a novel therapeutic approach for chronic hepatitis B.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Alanine Transaminase,
http://linkedlifedata.com/resource/pubmed/chemical/Antiviral Agents,
http://linkedlifedata.com/resource/pubmed/chemical/DNA, Viral,
http://linkedlifedata.com/resource/pubmed/chemical/Interferon-alpha,
http://linkedlifedata.com/resource/pubmed/chemical/Lamivudine
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
1352-0504
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
10
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
7-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:12558905-Adult,
pubmed-meshheading:12558905-Alanine Transaminase,
pubmed-meshheading:12558905-Antiviral Agents,
pubmed-meshheading:12558905-Chronic Disease,
pubmed-meshheading:12558905-DNA, Viral,
pubmed-meshheading:12558905-Drug Therapy, Combination,
pubmed-meshheading:12558905-Hepatitis B,
pubmed-meshheading:12558905-Humans,
pubmed-meshheading:12558905-Immunization,
pubmed-meshheading:12558905-Interferon-alpha,
pubmed-meshheading:12558905-Lamivudine,
pubmed-meshheading:12558905-Virus Replication
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pubmed:year |
2003
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pubmed:articleTitle |
In vivo immunization following virus suppression: a novel approach for inducing immune control in chronic hepatitis B.
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pubmed:affiliation |
Department of Gastroenterology & Hepatology, Erasmus MC, University Medical Center Rotterdam, The Netherlands.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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