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Wiley InterScience

American Journal of Transplantation

American Journal of Transplantation

Volume 6 Issue 11, Pages 2680 - 2685

Published Online: 16 Oct 2006

© 2010 American Society of Transplantation and the American Society of Transplant Surgeons



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Beneficial Effects of Short-Term Lamivudine Treatment for de novo Hepatitis B Virus Reactivation After Liver Transplantation
M. Umeda a , H. Marusawa a , M. Ueda b , Y. Takada b , H. Egawa b , S. Uemoto b andT. Chiba a,*
  a Department of Gastroenterology and Hepatology and   b Department of Transplantation Immunology, Graduate School of Medicine, Kyoto University, Kyoto, Japan
  *Corresponding author: Tsutomu Chiba, chiba@kuhp.kyoto-u.ac.jp
Copyright 2006 The Authors Journal compilation © 2006 The American Society of Transplantation and the American Society of Transplant Surgeons
KEYWORDS
Anti-HBc • hepatitis B • hepatitis B immunoglobulin • lamivudine • liver transplantation

ABSTRACT

Clearance of hepatitis B surface antigen (HBsAg) by lamivudine is achieved in only a small proportion of patients with chronic hepatitis B virus (HBV) infection. We investigated the effect of lamivudine on de novo HBV reactivation after living-donor liver transplantation when the number of HBV was expected to be very small. Thirty-eight HBV-naive recipients who received liver grafts from antibodies to core antigen-positive donors receiving hepatitis B immunoglobulin (HBIG) were studied. HBsAg appeared in nine cases (23.7 %) despite receiving HBIG for 12–71 months (mean: 35.1 months) after transplantation. Lamivudine treatment was started in six recipients during the acute phase of HBV reactivation. Five of the six recipients achieved complete clearance of HBsAg in sera at a median of 4.6 months (ranging from 21 to 330 days) after lamivudine administration. Although lamivudine was stopped in four cases, all remained negative for HBsAg. Our findings suggested that short-term lamivudine treatment during acute phase of HBV reactivation could achieve complete clearance of HBsAg in a significant number of liver transplant recipients.


Received 11 May 2006, revised 3 July 2006 and accepted for publication 1 August 2006

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1600-6143.2006.01542.x About DOI

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