Background and Aims: Prevalence of hepatitis C virus in-
fection is high in northeastern region of India due to high
rate of intra-venous drug user. The purpose of this study
was to evaluate the therapeutic response of chronic hepati-
tis C in northeastern region of India with standard regi-
mens of interferon alfa 2b and ribavirin.
Methods: Consecutive patients with a diagnosis of CH-C
attending the Liver Clinic at Advanced Medical Research In-
stitute, Kolkata between January 2002 and April 2011 were
included in the study. A competitive reverse transcription-
polymerase chain reaction (RT-PCR) method was used for
quantification of hepatitis C virus (HCV)-RNA. Genotyping
of HCV was also determined. Patients were treated with pe-
gylated interferon [pegIFN]-alpha-2b at 1.5 mg/kg body
weight/week and ribavirin at weight based dosage.
Results: Eighty one with chronic hepatitis C virus infection
were included in this study. History of intra-venous drug use
was present in 22% (18/81). 15% of CH-C patients had child
A cirrhosis. The median HCV load was 1079250copies/ml
(range 831-22568000). Genotype 3 was commonest type
and account for 65% patients. Combined infection with ge-
notype 3 & 4 was found in 15% (12/81). Genotype 1, 4 and 6
were found in 11, 1 and 3 patients respectively. In one pa-
tient, we failed to determine specific genotype and patient
was treated for one year. Sustained virological response
(SVR) was achieved in 89% (72/81). SVR was 100% in geno-
type 1 groups. Similarly we found 100% SVR in IVDU
groups. Relapse rate was 6%. Four patients did not re-
sponded to standard combined therapy.
Conclusion: Response to standard combined therapy for
CH-C was highly effective. Combined genotype infection
was high (15%) in this region. Response rate was 100% in
genotype 1 subgroups and IVDU groups.
Corresponding author. Sujit Chaudhuri.
E-mail: sourjya_c@yahoo.com
HEPATITIS B SEROPREVELANCE IN
CHRONIC LIVER DISEASE PATIENTS:
CORRELATION BETWEEN HBEAG STATUS,
VIRAL LOAD AND GENOTYPES
Dipu Bharali, Manash Pratim Sarma, Premashis Kar
Department of Medicine, Maulana Azad Medical College, India
Background and Aims: Hepatitis B Virus infection and
chronic HBV is main cause of cirrhosis and hepatocellular
carcinoma in India. Study was designed to evaluate HbsAg
and HBeAg seroprevelance, viral load in HBeAg positive
and negative patients with DNA positivity and the geno-
types associated with them.
Method: Total 414 patients visited PCR-Hepatitis Labora-
tory, LNJP Hospital were recruited with their consent dur-
ing January 2012 to November 2012 having liver related
complaints. The clinical, demographic data's were col-
lected from the patients. Serological test, HBV-DNA,
HBV viral load and HBV genotyping was done with tehr-
mocycler PCR, Real Time PCR and PCR-RFLP respectively.
Results: Among 540 people tested for viral markers, 135
were tested +ve for HbsAg (25%) out of which HBV-DNA
was detected in 49 (36.29%). 28 patients (57.14%) were
HBeAg +ve with HBV DNA > 105 copies/ml, with an ele-
vated ALT level and 21 (42.85%) were HBeAg -Ve, with
HBV DNA>104 Copies/ml also with an elevated ALT level.
Both HBV DNA and ALT levels were raised among 60.7%
(17/28 cases) HBeAg +ve patients and 42.8% (9/21) of
HBeAg –ve patients. Genotype D was seen in 35 cases
(71.4%) and A in 14 cases (28.5%). There was no significant
difference in the viral load with respect to the genotypes.
Conclusion: HbsAg seroprevelance was very high (25%) in
patients with liver diseases. A majority of (81.5%) of HbsAg
positive patients were HBeAg negative possibly due to the
length of time of infection. 60.7% of HBeAg +ve patients
and 42.8% of HBeAg – ve patients had both HBV DNA
and ALT levels raised that will prompt consideration of an-
tiviral therapy. The viral load in HBeAg positive patients
were 10 times higher than in HBeAg negative patients. Ge-
notype A and D of HBV were present in patients from New
Delhi, India an d Genotype D is the most predominant ge-
notype.
Corresponding author. Dipu Bharali.
E-mail: dipubhli@gmail.com
PREDICTION OF DISEASE PROGRESSION BY
EVALUATING THE INTERLEUKIN 10
PROMOTER POLYMORPHISM AND ITS
ASSOCIATION WITH HBV RELATED LIVER
DISEASE
Manjita Srivastava, Ashok Kumar Jain, Vinod Kumar Dixit,
Sunit Kumar Shukla, Arttrika Ranjan,
Jitendra Kumar Choudhary, Manish Kumar Tripathi,
Neha Singh
Department of Gastroenterology, Institute of Medical Sciences, BHU,
Varanasi, India
Background: Immune-mediated mechanisms have been
found to play important role in the progression of hepati-
tis B virus (HBV) infection. Allelic variation of cytokine
IL-10 produced by Th-2 act as a potent inhibitor of Th-1
effector mechanisms for host defense and down-regulates
the expression of Th1 cytokines.
Aim: This study was designed to elucidate whether IL-10
promoter polymorphisms is relevant to progression of
chronic HBV infection.
Methods: Blood sample from 232 treated patients (106:
CHB and 126: Liver cirrhosis) were collected. Genomic
ABSTRACTS 21
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ANNUAL CONFERENCE —2013
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Viral Hepatitis