The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Prophylaxis against hepatitis B recurrence following liver transplantation using combination lamivudine and hepatitis B immune globulin
Abstract
Patients undergoing liver transplantation for hepatitis B-related liver disease are prone to recurrence. The mainstay of prophylaxis has been passive immunotherapy with hepatitis B immune globulin (HBIG). Antiviral therapy with lamivudine has proven effective in lowering hepatitis B virus (HBV) DNA and improving histology in patients with hepatitis B infection; its role in prophylaxis against hepatitis B recurrence following liver transplantation is under investigation. Viral breakthrough and resistance, however, are a significant problem with monotherapy with either HBIG or lamivudine. The efficacy of combination lamivudine/HBIG prophylaxis has not been reported. Fourteen patients underwent transplantation for decompensated liver disease owing to hepatitis B. Lamivudine (150 mg po/d) was begun before transplantation in 10 patients, including 4 who were HBV DNA-positive. In addition, 1 patient was HBV DNA-positive when transplanted. HBIG was given perioperatively and continued thereafter; treatment with lamivudine was maintained or initiated at the time of transplantation and continued indefinitely. The median follow-up was 387 days. Actuarial 1-year patient and graft survival was 93% (1 patient died of unrelated causes). At a median interval of 28 days following lamivudine treatment, all 5 HBV DNA-positive patients cleared HBV DNA from the serum; 1 went on to clear hepatitis B surface antigen (HBsAg), before transplantation, at day 148 of lamivudine treatment. By the highly sensitive polymerase chain reaction (PCR), at a median of 346 days (range, 130-525 days) following transplantation, all 13 surviving patients had no detectable serum HBV DNA. Lamivudine suppresses HBV replication in patients awaiting liver transplantation. At a median follow-up of 1.1 years, combination prophylaxis with lamivudine and HBIG prevented hepatitis B recurrence following liver transplantation.
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Citations
Cites
Liver Transplantation in European Patients with the Hepatitis B Surface Antigen
Samuel, D., Muller, R., Alexander, G., Fassati, L., Ducot, B., Benhamou, J.-P., & Bismuth, H. (1993) · New England Journal of Medicine · doi:10.1056/nejm199312163292503 · Cited by 1,031
Rehermann, B., Ferrari, C., Pasquinelli, C., & Chisari, F. V. (1996) · Nature Medicine · doi:10.1038/nm1096-1104 · Cited by 854
A Preliminary Trial of Lamivudine for Chronic Hepatitis B Infection
Dienstag, J. L., Perrillo, R. P., Schiff, E. R., Bartholomew, M., Vicary, C., & Rubin, M. (1995) · New England Journal of Medicine · doi:10.1056/nejm199512213332501 · Cited by 800
Tisdale, M., Kemp, S. D., Parry, N. R., & Larder, B. A. (1993) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.90.12.5653 · Cited by 603
Ling, R., Mutimer, D., Ahmed, M., Boxall, E. H., Elias, E., Dusheiko, G. M., & Harrison, T. J. (1996) · Hepatology · doi:10.1002/hep.510240339 · Cited by 466
Passive immunoprophylaxis after liver transplantation in HBsAg-positive patients
Samuel, D., Bismuth, H., Bismuth, A., Arulnaden, J.-L., Mathieu, D., Reynes, M., Benhamou, J.-P., & Brechot, C. (1991) · The Lancet · doi:10.1016/0140-6736(91)92515-4 · Cited by 405
Lamivudine prophylaxis against reinfection in liver transplantation for hepatitis B cirrhosis
Grellier, L., Mutimer, D., Ahmed, M., Brown, D. J., Burroughs, A. K., Rolles, K., McMaster, P., Beranek, P. A., Kennedy, F., Kibbler, H., et al. (1996) · The Lancet · doi:10.1016/s0140-6736(96)04444-3 · Cited by 391
Terrault, N. A., Zhou, S., Combs, C., Hahn, J. A., Lake, J. R., Roberts, J. P., Ascher, N. L., & Wright, T. L. (1996) · Hepatology · doi:10.1002/hep.510240601 · Cited by 301
Protzer-Knolle, U., Naumann, U., Bartenschlager, R., Berg, T., Hopf, U., zum Büschenfelde, K.-H. M., Neuhaus, P., & Gerken, G. (1998) · Hepatology · doi:10.1002/hep.510270138 · Cited by 271
Liver transplantation in HBs antigen (HBsAg) carriers
Müller, R., Gubernatis, G., Farle, M., Niehoff, G., Klein, H., Wittekind, C., Tusch, G., Lautz, H.-U., Böker, K., Stangel, W., et al. (1991) · Journal of Hepatology · doi:10.1016/0168-8278(91)90869-d · Cited by 190
Cited by
EASL Clinical Practice Guidelines: Liver transplantation
(2016) · Journal of Hepatology · doi:10.1016/j.jhep.2015.10.006 · Cited by 1,082
Evolving Frequency and Outcomes of Liver Transplantation Based on Etiology of Liver Disease
Singal, A. K., Guturu, P., Hmoud, B., Kuo, Y.-F., Salameh, H., & Wiesner, R. H. (2013) · Transplantation · doi:10.1097/tp.0b013e31827afb3a · Cited by 278
Metadata
- Authors
- Markowitz, J. S., Martin, P., Conrad, A. J., Markmann, J. F., Seu, P., Yersiz, H., Goss, J. A., Schmidt, P., Pakrasi, A., Artinian, L., Murray, N. G., Imagawa, D. K., Holt, C., Goldstein, L. I., Stribling, R., & Busuttil, R. W.
- Venue
- Hepatology
- Published
- 1998-08
- Volume
- 28
- Issue
- 2
- Pages
- 585-589
- ISSN
- 0270-9139 (ISSN-L)
- OpenAlex
- W2091910482
- Cited by
- 485
- References
- 15
- FWCI
- 32.39
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Prophylaxis against hepatitis B recurrence following liver transplantation using combination lamivudine and hepatitis B immune globulin. https://app.cochat.ai/papers/10.1002/hep.510280241
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- Markowitz, J. S., Martin, P., Conrad, A. J., Markmann, J. F., Seu, P., Yersiz, H., Goss, J. A., Schmidt, P., Pakrasi, A., Artinian, L., Murray, N. G., Imagawa, D. K., Holt, C., Goldstein, L. I., Stribling, R., & Busuttil, R. W. (1998). Prophylaxis against hepatitis B recurrence following liver transplantation using combination lamivudine and hepatitis B immune globulin. Hepatology. https://doi.org/10.1002/hep.510280241
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