Hubungan Kadar Vitamin D dan Gangguan Fungsi Hati pada Pasien Hepatitis B Kronik
Abstract
Vitamin D plays an important role in the pathogenesis of chronic hepatitis B (CHB) through regulating immune response. This study aimed to determine the relationship between vitamin D levels and impaired liver function in CHB patients. This was an observational analytical study conducted from March to October 2019. We included 36 CHB patients aged 38.31±12.98 years and consisted of 16 men and 20 women. Vitamin D levels were measured by enzyme-linked immune assay (ELISA) method while albumin and bilirubin levels were examined by colorimetric assay. Vitamin D levels were in normal limits in 80.6% and insufficiency/deficiency in 19.4% of CHB patients. ALBI ratio scores were good in 75% and moderate-poor in 25% of subjects. Furthermore, there was no significant association between vitamin D levels and the ALBI ratio. In conclusion, this study shows that there is no relationship between plasma vitamin D levels and impaired liver function in CHB patients.
Full Text:
PDF (Bahasa Indonesia)References
Liang TJ. Hepatitis B: the virus and disease. Hepatology. 2009; 49 (5 Suppl): S13-21.
MacLachlan JH, Cowie BC. Hepatitis B virus epidemiology. Cold Spring Harbor perspectives in medicine. 2015; 5 (5): a021410–a021410.
Kim H seok, El-Serag HB. The Epidemiology of Hepatocellular Carcinoma in the USA. Curr Gastroenterol Rep. 2019; 21 (4): 17.
Mulyanto, Depamede SN, Surayah K, Tsuda F, Ichiyama K, Takahashi M et al. A nationwide molecular epidemiological study on hepatitis B virus in Indonesia: Identification of two novel subgenotypes, B8 and C7. Archives of Virology. 2009; 154 (7): 1047–1059.
Yano Y, Utsumi T, Lusida MI, Hayashi Y. Hepatitis B virus infection in Indonesia. World Journal of Gastroenterology. 2015; 21 (38): 10714–10720.
H Muljono D. Epidemiology of Hepatitis B and C in Republic of Indonesia. Euroasian Journal of Hepato-Gastroenterology. 2017; 7 (1): 55–59.
Kemenkes RI. Profil Kesehatan Indonesia 2018 [Indonesia Health Profile 2018]. 2019.
Wang L, Wang K, Zou Z-Q. Crosstalk between innate and adaptive immunity in hepatitis B virus infection. World journal of hepatology. 2015; 7 (30): 2980–2991.
Rotman Y, Brown TA, Hoofnagle JH. Evaluation of the patient with hepatitis B. Hepatology (Baltimore, Md). 2009; 49 (5 Suppl): S22–S27.
Du M, Zhang S, Xiao L, Xu Y, Liu P, Tang Y et al. The Relationship between Serum Bilirubin and Elevated Fibrotic Indices among HBV Carriers: A Cross-Sectional Study of a Chinese Population. International journal of molecular sciences. 2016; 17 (12): 1–12.
Fujita K, Nomura T, Morishita A, Oura K, Yoneyama H, Kobara H et al. Albumin-Bilirubin score differentiates liver fibrosis stage and hepatocellular carcinoma incidence in chronic Hepatitis B virus infection: A retrospective cohort study. American Journal of Tropical Medicine and Hygiene. 2019; 101 (1): 220–225.
Johnson PJ, Berhane S, Kagebayashi C, Satomura S, Teng M, Reeves HL et al. A nssessment of liver function in patients with hepatocellular carcinoma: A new evidence-based approach - The albi grade. Journal of Clinical Oncology. 2015; 33 (6): 550–558.
Itokawa N, Atsukawa M, Tsubota A, Abe H, Shimada N, Okubo T et al. The Relationship Between 25-Hydroxyvitamin D3 and Hepatitis B Surface Antigen Levels in Patients with Chronic Hepatitis B in Japan. Hepatitis Monthly. 2018; 18 (5): e63587.
Iruzubieta P, Terán Á, Crespo J, Fábrega E. Vitamin D deficiency in chronic liver disease. World Journal of Hepatology. 2014; 6 (12): 901–915.
Hoan NX, Van Tong H, Song LH, Meyer CG, Velavan TP. Vitamin D deficiency and hepatitis viruses-associated liver diseases: A literature review. World Journal of Gastroenterology. 2018; 24 (4): 445–460.
Makuza JD, Rwema JOT, Ntihabose CK, Dushimiyimana D, Umutesi J, Nisingizwe MP et al. Prevalence of hepatitis B surface antigen (HBsAg) positivity and its associated factors in Rwanda. BMC infectious diseases. 2019; 19 (1): 381–390.
Pradnyawati NPW. Analisis Kadar Albumin Serum terhadap Aspartate Trasminase (AST), Alanine Transaminase (ALT) dan Rasio De Ritis pada PAsien Hepatitis B di RSUP Sanglah, Denpasar. E-Jurnal Medika Udayana. 2018; 7 (6): 1–8.
Jia J, Li Y, Wei C, Guo R, Xu H, Jia Y et al. Factors associated with disease progression and viral replication in patients with chronic hepatitis B virus infection. Experimental and therapeutic medicine. 2019; 17 (6): 4730–4740.
Ayele AG, Gebre-Selassie S. Prevalence and Risk Factors of Hepatitis B and Hepatitis C Virus Infections among Patients with Chronic Liver Diseases in Public Hospitals in Addis Ababa, Ethiopia. ISRN Tropical Medicine. 2013; 2013: 563821.
Zheng B, Zhu Y-J, Wang H-Y, Chen L. Gender disparity in hepatocellular carcinoma (HCC): multiple underlying mechanisms. Science China Life sciences. 2017; 60 (6): 575–584.
Trepo C, Chan HL, Lok A. Hepatitis B virus infection. Lancet. 2014; 384 (9959): 2053–2063.
Nuraini D, Puspita E. Gambaran Hasil Pemeriksaan Bilirubin Total pada Pasien Hepatitis. Jurnal Insan Cendekia. 2018; 4 (1 SE-Articles): 56–60.
Maharani S, Efendi D, LA. Tampubolon. Gambaran Pemeriksaan Fungsi Hati pada Pasien Sirosis Hepatis yang Dirawat di Rumah Sakit Umum Daerah Arifin Achmad Provinsi Riau Periode 2013-2015. Jurmal Ilmu Kedokteran. 2018; 12 (1): 46–51.
Spinella R, Sawhney R, Jalan R. Albumin in chronic liver disease: structure, functions and therapeutic implications. Hepatology international. 2016; 10 (1): 124–132.
Chen B, Lin S. Albumin-bilirubin (ALBI) score at admission predicts possible outcomes in patients with acute-on-chronic liver failure. Medicine. 2017; 96 (24): e7142.
Wang J, Zhang Z, Yan X, Li M, Xia J, Liu Y et al. Albumin-Bilirubin (ALBI) as an accurate and simple prognostic score for chronic hepatitis B-related liver cirrhosis. Digestive and Liver Disease. 2019; 51 (8): 1172–1178.
Chen R-C, Cai Y-J, Wu J-M, Wang X-D, Song M, Wang Y-Q et al. Usefulness of albumin-bilirubin grade for evaluation of long-term prognosis for hepatitis B-related cirrhosis. Journal of viral hepatitis. 2017; 24 (3): 238–245.
Yu R, Sun J, Zheng Z, Chen J, Fan R, Liang X et al. Association between vitamin D level and viral load or fibrosis stage in chronic hepatitis B patients from Southern China. Journal of gastroenterology and hepatology. 2015; 30 (3): 566–574.
Farnik H, Bojunga J, Berger A, Allwinn R, Waidmann O, Kronenberger B et al. Low vitamin D serum concentration is associated with high levels of hepatitis B virus replication in chronically infected patients. Hepatology (Baltimore, Md). 2013; 58 (4): 1270–1276.
Ilkovska B, Trifunova B, Hristovska S, Ivanovska M. Vitamin D Levels in Patients with Chronic Hepatitis B, Chronic Hepatitis C, and Health Controls. Journal of IMAB. 2019; 25 (2): 2553–2558.
Yu R, Tan D, Ning Q, Niu J, Bai X, Chen S et al. Association of baseline vitamin D level with genetic determinants and virologic response in patients with chronic hepatitis B. Hepatology Research. 2018; 48 (3): E213–E221.
Hoan NX, Khuyen N, Binh MT, Giang DP, Van Tong H, Hoan PQ et al. Association of vitamin D deficiency with hepatitis B virus - related liver diseases. BMC infectious diseases. 2016; 16 (1): 507.
Bi Y, Zhang W, Sun J, Gao R. Therapeutic and immune function improvement of vitamin D combined with IFN-α on mouse with hepatitis B infection. International journal of immunopathology and pharmacology. 2018; 32: 2058738418775250.
Yu R, Tan D, Ning Q, Niu J, Bai X, Chen S et al. Association of baseline vitamin D level with genetic determinants and virologic response in patients with chronic hepatitis B. Hepatology Research. 2018; 48 (3): E213–E221.
Mendes MM, Darling AL, Hart KH, Morse S, Murphy RJ, Lanham-New SA. Impact of high latitude, urban living and ethnicity on 25-hydroxyvitamin D status: A need for multidisciplinary action? The Journal of steroid biochemistry and molecular biology. 2019; 188: 95–102.
Putz-Bankuti C, Pilz S, Stojakovic T, Scharnagl H, Pieber TR, Trauner M et al. Association of 25-hydroxyvitamin D levels with liver dysfunction and mortality in chronic liver disease. Liver international : official journal of the International Association for the Study of the Liver. 2012; 32 (5): 845–851.
Zhao X-Y, Li J, Wang J-H, Habib S, Wei W, Sun S-J et al. Vitamin D serum level is associated with Child-Pugh score and metabolic enzyme imbalances, but not viral load in chronic hepatitis B patients. Medicine. 2016; 95 (27): e3926.
Wong GL-H, Chan HL-Y, Chan H-Y, Tse C-H, Chim AM-L, Lo AO-S et al. Adverse effects of vitamin D deficiency on outcomes of patients with chronic hepatitis B. Clinical Gastroenterology and Hepatology. 2015; 13 (4): 783-90.e1.
Refbacks
- There are currently no refbacks.