# Effect analysis of entecavir on serum hyaluronic acid, laminin and IV collagen in the treatment of hepatitis B E-antigen-positive chronic hepatitis B

**Authors:** Jiancheng Qian, Xiaoyong Sun, Yue Cheng

PMC · DOI: 10.4314/ahs.v24i4.6 · African Health Sciences · 2024-12-01

## TL;DR

This study shows that combining entecavir with thymalfasin improves liver health and reduces fibrosis markers in patients with chronic hepatitis B.

## Contribution

The study demonstrates that entecavir combined with thymalfasin is more effective than entecavir alone in reducing fibrosis markers in HBeAG-positive chronic hepatitis B.

## Key findings

- The observation group had lower levels of HA, LN, and IVC compared to the control group.
- Combination therapy improved immune function and reduced liver enzymes more effectively.
- Entecavir + thymalfasin showed better clinical outcomes in preventing liver fibrosis.

## Abstract

To observe and analyse the clinical effects of entecavir on serum hyaluronic acid (HA), laminin (LN), and type IV collagen (IVC) in patients with hepatitis B e-antigen (HBeAG)-positive chronic hepatitis B during clinical treatment.

The patients in the control group received clinical treatment with entecavir monotherapy, while those in the observation group underwent thymalfasin + entecavir combination therapy. The clinical curative effects of immune checkpoint inhibitors at different concentrations on diseases were compared from all aspects.

There were lower levels of total bilirubin (TBIL) and alanine transaminase (ALT) in the observation group, a more satisfactory improvement in immune function-related indicators, and lower levels of HA, LN, and IVC in the observation group, which were statistically different between the two groups (P<0.05). The levels of liver function indicators, immune function-related indicators (CD3+, CD4+, CD8+, CD4+/CD8+, CD4+/CD8+), and HA, LN and IVC were not statistically different between the two groups before treatment.

Entecavir is highly effective in the clinical treatment of HBeAG-positive chronic hepatitis B. However, entecavir + thymalfasin combination therapy can alleviate the clinical symptoms. In this way, liver fibrosis can be prevented in patients with HBeAG-positive chronic hepatitis B, and the clinical curative effect can be enhanced.

## Linked entities

- **Proteins:** cd.3 (Cd.3 conserved hypothetical protein), CD4 (CD4 molecule), CD8A (CD8 subunit alpha)
- **Chemicals:** entecavir (PubChem CID 135398508), thymalfasin (PubChem CID 16130571), laminin (PubChem CID 44342165)
- **Diseases:** hepatitis B (MONDO:0005344), chronic hepatitis B (MONDO:0005344)

## Full-text entities

- **Genes:** CD8A (CD8 subunit alpha) [NCBI Gene 925] {aka CD8, CD8alpha, IMD116, Leu2, p32}, CD4 (CD4 molecule) [NCBI Gene 920] {aka CD4mut, IMD79, Leu-3, OKT4D, T4}
- **Diseases:** liver fibrosis (MESH:D008103), chronic hepatitis B (MESH:D019694), HBeAG (MESH:D006509)
- **Chemicals:** Entecavir (MESH:C413685), HA (MESH:D006820), bilirubin (MESH:D001663)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

11 references — full list in the complete paper: https://tomesphere.com/paper/PMC11970162/full.md

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Source: https://tomesphere.com/paper/PMC11970162