Hepatitis B Virus-Related Glomerulonephritis with Positive and Negative Serum HBsAg: Different Clinicopathologic Characteristics of Two Clinical Subtypes
Feng Yu,1,* Guanglan Li,1,2,* Wenke Hao,1 Wenxue Hu1 1Department of Nephrology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, Guangzhou, 510080, People’s Republic of China; 2Shantou University Medical College...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2021-06-01
|
| Series: | International Journal of General Medicine |
| Subjects: | |
| Online Access: | https://www.dovepress.com/hepatitis-b-virus-related-glomerulonephritis-with-positive-and-negativ-peer-reviewed-fulltext-article-IJGM |
| _version_ | 1818905928379924480 |
|---|---|
| author | Yu F Li G Hao W Hu W |
| author_facet | Yu F Li G Hao W Hu W |
| author_sort | Yu F |
| collection | DOAJ |
| description | Feng Yu,1,* Guanglan Li,1,2,* Wenke Hao,1 Wenxue Hu1 1Department of Nephrology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, Guangzhou, 510080, People’s Republic of China; 2Shantou University Medical College, Shantou, 515041, People’s Republic of China*These authors contributed equally to this workCorrespondence: Wenxue HuDepartment of Nephrology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, 106th, Zhongshan Road II, Guangzhou, 510080, People’s Republic of ChinaTel +8620-83827812-70811Email wuleihu@126.comIntroduction: The clinicopathologic characteristics of Hepatitis B virus-associated glomerulonephritis (HBV-GN) patients with different serum HBsAg are not well known. This study aims to investigate the characteristics and treatments between HBV-GN patients with positive and negative serum HBsAg.Methods: A retrospective review of patients with renal biopsies in Guangdong Provincial People’s Hospital from 2005 to 2018 was performed. Clinicopathological data, treatments and remission of proteinuria were collected and compared between HBsAg+ and HBsAg- group.Results: A total of 101 HBV-GN were recruited. Serum HBsAg+ and HBsAg- patients accounted for 62.4% and 37.6%, respectively. HBsAg+ group had poor kidney and liver functions. Pathological data showed the percentage of membranous nephropathy in HBsAg- group is significantly higher than that of HBsAg+ group (60.3% HBsAg+ vs 89.5% HBsAg-, P< 0.05). Chronic renal tubular/interstitial injury was more prevalent in HBsAg+ group (16.9% HBsAg+ vs 2.6% HBsAg-, P< 0.05). The deposition sites of immune complexes were significant different between the two groups. In addition, more HBsAg+ patients were given anti-HBV and less were given corticosteroid or immunosuppressants for treatment than that of HBsAg- patients. Percentages of clinical remission were increasing in both HBsAg+ and HBsAg- patients from 1, 3, 6 months to 1 year (18.75%, 45.2%, 67.8%, 82.4% vs 24.4%, 41.2%, 62.8%, 59.3%). The differences of remission betwen two groups were not significant (P> 0.05).Conclusion: The clinicopathological characteristics and treatments of HBV-GN with serum HBsAg+ and HBsAg- were distinct, which indicated that the pathogenesis might be different and specific treatments were needed for HBV-GN patients with different serum HBsAg.Keywords: hepatitis B, hepatitis B virus related glomerulonephritis, serum HBsAg |
| first_indexed | 2024-12-19T21:31:07Z |
| format | Article |
| id | doaj.art-49e7584557574ff3be0d93e1114aaf66 |
| institution | Directory Open Access Journal |
| issn | 1178-7074 |
| language | English |
| last_indexed | 2024-12-19T21:31:07Z |
| publishDate | 2021-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of General Medicine |
| spelling | doaj.art-49e7584557574ff3be0d93e1114aaf662022-12-21T20:04:55ZengDove Medical PressInternational Journal of General Medicine1178-70742021-06-01Volume 143069307766456Hepatitis B Virus-Related Glomerulonephritis with Positive and Negative Serum HBsAg: Different Clinicopathologic Characteristics of Two Clinical SubtypesYu FLi GHao WHu WFeng Yu,1,* Guanglan Li,1,2,* Wenke Hao,1 Wenxue Hu1 1Department of Nephrology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, Guangzhou, 510080, People’s Republic of China; 2Shantou University Medical College, Shantou, 515041, People’s Republic of China*These authors contributed equally to this workCorrespondence: Wenxue HuDepartment of Nephrology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, 106th, Zhongshan Road II, Guangzhou, 510080, People’s Republic of ChinaTel +8620-83827812-70811Email wuleihu@126.comIntroduction: The clinicopathologic characteristics of Hepatitis B virus-associated glomerulonephritis (HBV-GN) patients with different serum HBsAg are not well known. This study aims to investigate the characteristics and treatments between HBV-GN patients with positive and negative serum HBsAg.Methods: A retrospective review of patients with renal biopsies in Guangdong Provincial People’s Hospital from 2005 to 2018 was performed. Clinicopathological data, treatments and remission of proteinuria were collected and compared between HBsAg+ and HBsAg- group.Results: A total of 101 HBV-GN were recruited. Serum HBsAg+ and HBsAg- patients accounted for 62.4% and 37.6%, respectively. HBsAg+ group had poor kidney and liver functions. Pathological data showed the percentage of membranous nephropathy in HBsAg- group is significantly higher than that of HBsAg+ group (60.3% HBsAg+ vs 89.5% HBsAg-, P< 0.05). Chronic renal tubular/interstitial injury was more prevalent in HBsAg+ group (16.9% HBsAg+ vs 2.6% HBsAg-, P< 0.05). The deposition sites of immune complexes were significant different between the two groups. In addition, more HBsAg+ patients were given anti-HBV and less were given corticosteroid or immunosuppressants for treatment than that of HBsAg- patients. Percentages of clinical remission were increasing in both HBsAg+ and HBsAg- patients from 1, 3, 6 months to 1 year (18.75%, 45.2%, 67.8%, 82.4% vs 24.4%, 41.2%, 62.8%, 59.3%). The differences of remission betwen two groups were not significant (P> 0.05).Conclusion: The clinicopathological characteristics and treatments of HBV-GN with serum HBsAg+ and HBsAg- were distinct, which indicated that the pathogenesis might be different and specific treatments were needed for HBV-GN patients with different serum HBsAg.Keywords: hepatitis B, hepatitis B virus related glomerulonephritis, serum HBsAghttps://www.dovepress.com/hepatitis-b-virus-related-glomerulonephritis-with-positive-and-negativ-peer-reviewed-fulltext-article-IJGMhepatitis bhepatitis b virus related glomerulonephritisserum hbsag |
| spellingShingle | Yu F Li G Hao W Hu W Hepatitis B Virus-Related Glomerulonephritis with Positive and Negative Serum HBsAg: Different Clinicopathologic Characteristics of Two Clinical Subtypes International Journal of General Medicine hepatitis b hepatitis b virus related glomerulonephritis serum hbsag |
| title | Hepatitis B Virus-Related Glomerulonephritis with Positive and Negative Serum HBsAg: Different Clinicopathologic Characteristics of Two Clinical Subtypes |
| title_full | Hepatitis B Virus-Related Glomerulonephritis with Positive and Negative Serum HBsAg: Different Clinicopathologic Characteristics of Two Clinical Subtypes |
| title_fullStr | Hepatitis B Virus-Related Glomerulonephritis with Positive and Negative Serum HBsAg: Different Clinicopathologic Characteristics of Two Clinical Subtypes |
| title_full_unstemmed | Hepatitis B Virus-Related Glomerulonephritis with Positive and Negative Serum HBsAg: Different Clinicopathologic Characteristics of Two Clinical Subtypes |
| title_short | Hepatitis B Virus-Related Glomerulonephritis with Positive and Negative Serum HBsAg: Different Clinicopathologic Characteristics of Two Clinical Subtypes |
| title_sort | hepatitis b virus related glomerulonephritis with positive and negative serum hbsag different clinicopathologic characteristics of two clinical subtypes |
| topic | hepatitis b hepatitis b virus related glomerulonephritis serum hbsag |
| url | https://www.dovepress.com/hepatitis-b-virus-related-glomerulonephritis-with-positive-and-negativ-peer-reviewed-fulltext-article-IJGM |
| work_keys_str_mv | AT yuf hepatitisbvirusrelatedglomerulonephritiswithpositiveandnegativeserumhbsagdifferentclinicopathologiccharacteristicsoftwoclinicalsubtypes AT lig hepatitisbvirusrelatedglomerulonephritiswithpositiveandnegativeserumhbsagdifferentclinicopathologiccharacteristicsoftwoclinicalsubtypes AT haow hepatitisbvirusrelatedglomerulonephritiswithpositiveandnegativeserumhbsagdifferentclinicopathologiccharacteristicsoftwoclinicalsubtypes AT huw hepatitisbvirusrelatedglomerulonephritiswithpositiveandnegativeserumhbsagdifferentclinicopathologiccharacteristicsoftwoclinicalsubtypes |