医療薬学
Online ISSN : 1882-1499
Print ISSN : 1346-342X
ISSN-L : 1346-342X
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C 型慢性肝炎に対するペグインターフェロン/リバビリン併用療法の効果と脂質要因との関係
原田 慎一名和 文花濱邊 和歌子金 星希秋元 庸子志方 真央木村 訓世井澤 聡子大谷 綾笹瀬 典子大山 紘一郎本嶋 眞得平井 みどり廣岡 輝子鍋島 静田中 一彦金 啓二金 守良徳山 尚吾
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2008 年 34 巻 4 号 p. 355-360

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It is well known that combination therapy with interferon (IFN) and ribavirin may not achieve the full therapeutic effect in patients with high-titers(≥100 KIU/mL) for hepatitis C virus genotype 1 b.Further,high low-density lipoprotein cholesterol (LDL-C) levels are reported to be a significant indicator of the potential therapeutic effect of IFN in hepatitis C patients,though this is still controversial.In this study,we examined the serum levels of various lipids - comprising LDL-C,total-cholesterol (T-Cho),triglyceride (TG) and high-density lipoprotein cholesterol (HDL-C)-before and after combination therapy with pegylated interferon (PEG-IFN) and ribavirin in chronic hepatitis C patients.In an end of treatment response group (ETR) group,TG levels prior to the start of the therapy were significantly lower than those in a no response (NR) group,while there were no differences in LDL-C,T-Cho and HDL-C levels between the two groups.In a sustained virological response (SVR) group,TG levels were also significantly lower than those of the NR group.These findings suggest that serum TG levels may be a significant predictive factor for the outcome of combined therapy with PEG-IFN and ribavirin in chronic hepatitis C patients.
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© 2008 日本医療薬学会
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