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Antiplatelet antibodies in patients with chronic viral hepatitis receiving interferon-alpha.

AbstractBACKGROUND/AIMS: The aim of this study was to investigate the possible role of interferon-alpha in the development of antiplatelet IgG antibodies in patients with chronic viral hepatitis B or C. METHODOLOGY: Ninety-one consecutive patients with chronic viral hepatitis (51 with chronic hepatitis B and 40 with chronic hepatitis C) were investigated for the presence of antiplatelet IgG antibodies in their serum immediately prior to IFN-alpha therapy and after six months of therapy. The method used was the solid phase red cell adherence test (Immucor, Norcross, USA), which is a sensitive tracer of antiplatelet antibodies. Some of the results were confirmed using an indirect immunofluorescence test for the detection of antiplatelet antibodies RESULTS: Overall, we found that antiplatelet antibodies were present in 37.54% (19/51) of patients with chronic hepatitis B before IFN-alpha therapy and in 35.29% (18/51) after therapy. Moreover, antiplatelet antibodies were found in 20% (8/40) of patients with chronic hepatitis C before and after IFN-alpha therapy. CONCLUSIONS: Therapy with IFN-alpha did not induce antiplatelet antibodies in patients with chronic viral hepatitis B or C. Thrombocytopenia observed during IFN-alpha therapy in our study was not due to the development of antiplatelet antibodies.
AuthorsDimitrios Christodoulou, Leonidas Christou, Eleftheria Zervou, Konstantinos Katsanos, Margarita Kitsanou, Epameinondas V Tsianos (Affiliation: 1st Department of Internal Medicine, Hepato-Gastroenterology Unit, Medical School, University of Ioannina, Greece.)
JournalHepato-gastroenterology (Hepatogastroenterology) Vol. 54 Issue 78 Pg. 1761-5 (Sep 2007) ISSN: 0172-6390 Greece
PMID18019713 (Publication Type: Journal Article)
Chemical References
  • Antibodies
  • Autoantibodies
  • Immunoglobulin G
  • Interferon-alpha
Topics
  • Adult
  • Antibodies (chemistry)
  • Autoantibodies (blood)
  • Blood Platelets (immunology)
  • Cell Adhesion
  • Female
  • Fluorescent Antibody Technique, Indirect
  • Hepatitis B (immunology, therapy)
  • Hepatitis C (immunology)
  • Hepatitis, Viral, Human (immunology)
  • Humans
  • Immunoglobulin G (chemistry)
  • Interferon-alpha (therapeutic use)
  • Male
  • Middle Aged
  • Spleen (ultrasonography)
  • Thrombocytopenia (etiology)
  • Treatment Outcome