Çocukluk çağı kronik Hepatit B hastalığının klinik seyir ve tedavisi ile Serum CD 95 (FAS) ve Nitrik Oksid düzeyleri arasındaki ilişkinin belirlenmesi

Öz

Amaç: Nitrik oksid (NO) ve CD 95’ in (FAS) kronik hepatit B enfeksiyonlarında inflamasyonda ve apoptozisde rol oynadığı düşünülmektedir. Bu çalışmada, kronik hepatit B enfeksiyonu olan çocukların serum NO ve CD 95 düzeylerinin sağlıklı çocuklarla karşılaştırmalı olarak incelenmesi amaçlandı. Yöntem: Kronik hepatit B tanısı ile izlenen 1-18 yaş arası 69 hasta çalışmaya dahil edildi. Kronik inaktif hepatit B enfeksiyonu olan 32 hasta (21 erkek, 11 kız) grup 1 olarak, kronik aktif hepatit B enfeksiyonu olan 37 hasta (25 erkek, 12 kız) grup 2 olarak ve 32 sağlıklı çocuk (18 erkek, 14 kız) kontrol grubu olarak sınıflandırıldı. Serum NO ve CD 95 düzeyleri ölçüldü. Hasta ve kontrol grubu karşılaştırmaları yapıldı. Bulgular: Ortalama yaş grup 1’ de 10.1±3.1 yıl, grup 2’ de 9.3±3.3 yıl ve kontrol grubunda 9.2±1.8 yıl bulundu (p>0.05). Hasta grubu ve kontrol grubu arasında serum NO ve CD 95 düzeyleri anlamlı farklılık gösterdi (sırasıyla 72.2±36.9’a karşılık 38.5±17.3 mµ, p<0.001 ve %36.5±11’ e karşılık %29.1±8.1, p<0.001). Grup 1’ in serum NO ve CD 95 düzeyleri kontrol grubundan daha yüksek bulundu (sırasıyla 73.7±38.9’a karşılık 38.5±17.3 mµ, p<0.01 ve %34.8±9.1’e karşılık %29.1±8.1, p<0.05). Grup 2’ nin serum NO ve CD 95 düzeyleri kontrol grubundan daha yüksek bulundu (sırasıyla 71.0±35.5’ e karşılık 38.5±17.3 mµ, p<0.01 ve %38.1±12.4’ e karşılık %29.1±8.1, p<0.05). Grup 1 ve Grup 2 arasında serum NO ve CD 95 düzeyleri anlamlı farklılık göstermedi (p>0.05). Sonuç: Serum NO ve CD 95 düzeylerinin kronik inaktif hepatit B enfeksiyonu olan çocuklarda ve kronik aktif hepatit B enfeksiyonu olan çocuklarda artış gösterdiği saptanmıştır.

Anahtar Kelimeler

• Hepatit B virüs
• kronik hepatit B enfeksiyonu
• apoptozis
• CD 95 (FAS)
• nitrik oksid

The correlation between clinical prognosis together with the treatment of chronic Hepatitis B infection and Serum CD 95 (FAS) and Nitric Oxide levels in children

Öz

Aim: Nitric oxide (NO) and CD 95 (FAS) are thought to play a role in inflammation and apoptosis in chronic hepatitis B infections. This study aimed to examine the serum NO and CD 95 levels of children with chronic hepatitis B infection in comparison with healthy children. Method: 69 patients between the ages of 1 and 18 who were diagnosed with chronic hepatitis B were included in the study. 32 patients (21 boys, 11 girls) with chronic inactive hepatitis B infection as group 1, 37 patients with chronic active hepatitis B infection (25 boys, 12 girls) as group 2 and 32 healthy children (18 boys, 14 girls) as control group were included. Serum NO and CD 95 levels were measured. Comparisons between patient and control groups were made. Results: The mean age was 10.1±3.1 years in group 1, 9.3±3.3 years in group 2 and 9.2±1.8 years in the control group (p>0.05). Serum NO and CD 95 levels showed significant differences between the patient group and the control group (72.2±36.9 vs. 38.5±17.3 mµ, p<0.001 and 36.5±11% vs. 29.1±8.1%, p<0.001, respectively). Serum NO and CD 95 levels of Group 1 were found to be higher than the control group (73.7±38.9 vs. 38.5±17.3 mµ, p<0.01 and 34.8±9.1% vs. 29.1±8.1%, p<0.05, respectively). Serum NO and CD 95 levels of Group 2 were found to be higher than the control group (71.0±35.5 vs. 38.5±17.3 mµ, p<0.01 and 38.1±12.4% vs. 29.1±8.1%, p<0.05, respectively). Serum NO and CD 95 levels did not show significant difference between Group 1 and Group 2 (p>0.05). Conclusion: Serum NO and CD 95 levels were found to increase in children with chronic inactive hepatitis B infection and in children with chronic active hepatitis B infection.

Anahtar Kelimeler

• Hepatitis B virus
• chronic hepatitis B infection
• apoptosis
• CD 95 (FAS)
• nitric oxide (NO)

Kaynakça

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