JOURNAL OF PRACTICAL HEPATOLOGY ›› 2014, Vol. 17 ›› Issue (1): 48-50.doi: 10.3969/j.issn.1672-5069.2014.01.014

• Orignal Article • Previous Articles     Next Articles

Serum thyroid-related substances and interleukin -6 levels in patients with chronic hepatitis B and liver cirrhosis

Li Julan, Su Zhijun, Yu Xueping   

  1. Department of Infectious Disease,the First Hospital,Affiliated to Fujian Medical University,Quanzhou 362000,Fujian Province,China
  • Received:2013-07-23 Online:2014-02-28 Published:2016-04-11

Abstract: Objective To investigate serum thyroid hormones,anti-thyroid autoantibodies and interleukin (IL)-6 levels and its clinical significance in patients with chronic hepatitis B virus(HBV) infection. Methods Eighteen healthy persons,65 patients with chronic hepatitis B(CHB)and 34 patients with hepatitis B liver cirrhosis were included in this study,and serum levels of thyroid hormones,anti-thyroid autoantibodies and IL-6 were determined by electrochemiluminescence. Results The serum levels of anti-thyroid peroxidase antibody(TPOAb),anti-thyroglobulin antibody(TGAb),anti-thyroid stimulating hormone receptor antibody(TRAb)and IL-6 in patients with CHB were(9.5±5.6) KIU/L,(42.5±218.7) KIU/L,(1.5±0.7) IU/L,and(6.6±12.6) pg/mL,respectively,and in cirrhotic patients were(9.5±8.6) KIU/L,(47.6±101.5) KIU/L,(2.2±1.7) IU/L and(15.8±25.5) pg/mL,respectively,all of which were significantly higher than those in normal controls[(4.4±5.6) KIU/L,(7.7±18.3) KIU/L,(0.8±0.8) IU/L and (2.8±2.0)pg/mL,respectively,P<0.05],while FT3 in patients with CHB and cirrhotics were (2.4±0.5) ng/L and(2.4±0.6)ng/L,respectively,significantly lower than that in normal controls[(2.9±0.2) ng/L,P<0.05];Serum TRAb and IL-6 levels in cirrhotic group were(2.2±1.7)IU/L and(15.8±25.5) pg/mL,respectively,significantly higher than that in patients with CHB[(1.5±0.7) IU/L and(6.6±12.6) pg/mL,respectively,P<0.05],while serum TT3 and TT4 levels in cirrhotic group were(0.8±0.3)nmol/L and(5.4±1.9) nmol/L,respectively,significantly lower than those in CHB group [(1.3±0.3) nmol/L and(8.0±2.2) nmol/L,respectively,P<0.05]. Conclusion Detection of serum thyroid hormones,anti-thyroid autoantibodies and IL-6 in patients with chronic HBV infection is of clinical significance in evaluation of the disease progress and prognosis.

Key words: Chronic hepatitis B, Liver cirrhosis, Thyroid hormones, Anti-thyroid autoantibodies, Interleukin 6