s-adenosyl-methionine and betaine improve early virological response in chronic hepatitis c patients with previous nonresponses-adenosyl-methionine和甜菜碱提高早期病毒学反应在慢性丙型肝炎患者先前nonresponse.pdfVIP
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s-adenosyl-methionine and betaine improve early virological response in chronic hepatitis c patients with previous nonresponses-adenosyl-methionine和甜菜碱提高早期病毒学反应在慢性丙型肝炎患者先前nonresponse
S-Adenosyl-Methionine and Betaine Improve Early
Virological Response in Chronic Hepatitis C Patients with
Previous Nonresponse
1,2 1,2 3 1
Magdalena Filipowicz , Christine Bernsmeier , Luigi Terracciano , Francois H. T. Duong , Markus H.
Heim1,2*
1 Hepatology Laboratory, Department of Biomedicine, University Hospital Basel, Basel, Switzerland, 2 Department of Gastroenterology and Hepatology, University
Hospital Basel, Basel, Switzerland, 3 Institute for Pathology, University Hospital Basel, Basel, Switzerland
Abstract
Background/Aims: Treatment of chronic hepatitis C (CHC) with pegylated interferon a (pegIFNa) and ribavirin results in a
sustained response in approximately half of patients. Viral interference with IFNa signal transduction through the Jak-STAT
pathway might be an important factor underlying treatment failure. S-adenosyl-L-methionine (SAMe) and betaine
potentiate IFNa signaling in cultured cells that express hepatitis C virus (HCV) proteins, and enhance the inhibitory effect of
IFNa on HCV replicons. We have performed a clinical study with the aim to evaluate efficacy and safety of the addition of
SAMe and betaine to treatment of CHC with pegIFNa/ribavirin.
Methods: In this open-label pilot study, 29 patients with CHC who failed previous therapy with (peg)IFNa/ribavirin were
treated with SAMe, betaine, pegIFNa2b and ribavirin. Treatment duration was 6 or 12 months, depending on genotype, and
the protocol comprised a stopping rule at week 12 if early virological response (EVR) was not achieved. Virological and
biochemical response and safety were assessed throughout the treatment.
Results: 29 patients were enrolled and treated according to the
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