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Correlation Between HBV Infection Status, Level of Surface Antigen-antibody and Phospholipid Metabolism, Insulin Resistance

Received: 20 February 2021    Accepted: 6 March 2021    Published: 26 March 2021
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Abstract

Background: Chronic HBV infection has a continuous effect on blood sugar and blood phospholipid metabolism. Metabolic syndrome (MS) and insulin resistance (IR) are the main risk factor leading to diabetes and cardiovascular disease. At present, the relationship between chronic HBV infection and MS was still controversial. Objective: To explore the correlation between hepatitis B virus (HBV) infection status, level of surface antigen-antibody and phospholipid metabolism, insulin resistance (IR). Methods: A retrospective analysis was performed on the clinical data of 423 patients who underwent hepatitis B markers test in the hospital from January 2017 to June 2019. Among them, there were 95 cases with positive hepatitis B surface antigen (HBsAg) in the HBV infection positive group and 328 cases with negative HBsAg in the HBV infection negative group. The serum phospholipid fatty acid maps and IR related indexes were compared between the two groups. The correlation between the level of HBsAg antibody and phospholipid fatty acid maps, IR related indexes were analyzed by Spearman analysis. Results: The levels of saturated fatty acid (SFA) and u-6/u-3 polyunsaturated fatty acid (PUFA) in the HBV infection positive group were higher than those in the HBV infection negative group, while n-6PUFA, n-3PUFA, PUFA, and PUFA/SFA were all lower than those in HBV infection negative group (P<0.05). The levels of fasting blood glucose (FBG) and insulin resistance index (HOMA-IR) in the HBV infection positive group were higher than those in the HBV infection negative group, while fasting insulin (FINS) and islet sensitivity index (ISI) were lower than those in HBV infection negative group (P<0.05). Spearman correlation analysis showed that HBeAg level was positively correlated with SFA, n-6/n-3 PUFA, FBG and HOMA-IR (r=0.381, 0.369, 0.516, 0.453, P<0.001), while negatively correlated with n-3 PUFA, n-6 PUFA, PUFA, PUFA/SFA, FINS and ISI (r=-0.322, -0.306, -0.467, -0.482, -0.465, -0.356, P<0.001). Conclusion: HBV infection may cause changes in the composition of serum phospholipid fatty acid and IR.

Published in American Journal of Internal Medicine (Volume 9, Issue 2)
DOI 10.11648/j.ajim.20210902.17
Page(s) 91-95
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hepatitis B Virus, Hepatitis B Surface Antigen, Phospholipid Fatty Acid, Insulin Resistance

References
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Cite This Article
  • APA Style

    Li Ting, Chen Chan, Liu Yonggang, Yin Yan, Li Pin. (2021). Correlation Between HBV Infection Status, Level of Surface Antigen-antibody and Phospholipid Metabolism, Insulin Resistance. American Journal of Internal Medicine, 9(2), 91-95. https://doi.org/10.11648/j.ajim.20210902.17

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    ACS Style

    Li Ting; Chen Chan; Liu Yonggang; Yin Yan; Li Pin. Correlation Between HBV Infection Status, Level of Surface Antigen-antibody and Phospholipid Metabolism, Insulin Resistance. Am. J. Intern. Med. 2021, 9(2), 91-95. doi: 10.11648/j.ajim.20210902.17

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    AMA Style

    Li Ting, Chen Chan, Liu Yonggang, Yin Yan, Li Pin. Correlation Between HBV Infection Status, Level of Surface Antigen-antibody and Phospholipid Metabolism, Insulin Resistance. Am J Intern Med. 2021;9(2):91-95. doi: 10.11648/j.ajim.20210902.17

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  • @article{10.11648/j.ajim.20210902.17,
      author = {Li Ting and Chen Chan and Liu Yonggang and Yin Yan and Li Pin},
      title = {Correlation Between HBV Infection Status, Level of Surface Antigen-antibody and Phospholipid Metabolism, Insulin Resistance},
      journal = {American Journal of Internal Medicine},
      volume = {9},
      number = {2},
      pages = {91-95},
      doi = {10.11648/j.ajim.20210902.17},
      url = {https://doi.org/10.11648/j.ajim.20210902.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20210902.17},
      abstract = {Background: Chronic HBV infection has a continuous effect on blood sugar and blood phospholipid metabolism. Metabolic syndrome (MS) and insulin resistance (IR) are the main risk factor leading to diabetes and cardiovascular disease. At present, the relationship between chronic HBV infection and MS was still controversial. Objective: To explore the correlation between hepatitis B virus (HBV) infection status, level of surface antigen-antibody and phospholipid metabolism, insulin resistance (IR). Methods: A retrospective analysis was performed on the clinical data of 423 patients who underwent hepatitis B markers test in the hospital from January 2017 to June 2019. Among them, there were 95 cases with positive hepatitis B surface antigen (HBsAg) in the HBV infection positive group and 328 cases with negative HBsAg in the HBV infection negative group. The serum phospholipid fatty acid maps and IR related indexes were compared between the two groups. The correlation between the level of HBsAg antibody and phospholipid fatty acid maps, IR related indexes were analyzed by Spearman analysis. Results: The levels of saturated fatty acid (SFA) and u-6/u-3 polyunsaturated fatty acid (PUFA) in the HBV infection positive group were higher than those in the HBV infection negative group, while n-6PUFA, n-3PUFA, PUFA, and PUFA/SFA were all lower than those in HBV infection negative group (PPr=0.381, 0.369, 0.516, 0.453, Pr=-0.322, -0.306, -0.467, -0.482, -0.465, -0.356, PConclusion: HBV infection may cause changes in the composition of serum phospholipid fatty acid and IR.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Correlation Between HBV Infection Status, Level of Surface Antigen-antibody and Phospholipid Metabolism, Insulin Resistance
    AU  - Li Ting
    AU  - Chen Chan
    AU  - Liu Yonggang
    AU  - Yin Yan
    AU  - Li Pin
    Y1  - 2021/03/26
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajim.20210902.17
    DO  - 10.11648/j.ajim.20210902.17
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 91
    EP  - 95
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20210902.17
    AB  - Background: Chronic HBV infection has a continuous effect on blood sugar and blood phospholipid metabolism. Metabolic syndrome (MS) and insulin resistance (IR) are the main risk factor leading to diabetes and cardiovascular disease. At present, the relationship between chronic HBV infection and MS was still controversial. Objective: To explore the correlation between hepatitis B virus (HBV) infection status, level of surface antigen-antibody and phospholipid metabolism, insulin resistance (IR). Methods: A retrospective analysis was performed on the clinical data of 423 patients who underwent hepatitis B markers test in the hospital from January 2017 to June 2019. Among them, there were 95 cases with positive hepatitis B surface antigen (HBsAg) in the HBV infection positive group and 328 cases with negative HBsAg in the HBV infection negative group. The serum phospholipid fatty acid maps and IR related indexes were compared between the two groups. The correlation between the level of HBsAg antibody and phospholipid fatty acid maps, IR related indexes were analyzed by Spearman analysis. Results: The levels of saturated fatty acid (SFA) and u-6/u-3 polyunsaturated fatty acid (PUFA) in the HBV infection positive group were higher than those in the HBV infection negative group, while n-6PUFA, n-3PUFA, PUFA, and PUFA/SFA were all lower than those in HBV infection negative group (PPr=0.381, 0.369, 0.516, 0.453, Pr=-0.322, -0.306, -0.467, -0.482, -0.465, -0.356, PConclusion: HBV infection may cause changes in the composition of serum phospholipid fatty acid and IR.
    VL  - 9
    IS  - 2
    ER  - 

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Author Information
  • Digestive Endoscopy Center, First Affiliated Hospital of Jinan University, Guangzhou, China

  • Digestive Endoscopy Center, First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Digestive Medicine, First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Infection, First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Digestive Rheumatology, First Affiliated Hospital of Jinan University, Guangzhou, China

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