Evidence map›Paper›PMID 42259392›Full record

ArticleVirus research2026

Hepatitis B virus RNA levels and clinical characteristics of persistent viremia in HBsAg-positive patients undergoing nucleos(t)ide analog.

Yuzhu Shi, Yuchen Xie, Ying Chen, Xinru Guo, Li Yang, Xuedong Song, Fumin Feng, Jianhua Lu, Erhei Dai

Abstract read
In one paragraph

Article in Virus research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Yuzhu ShiSchool of Public Health, North China University of Science and Technology, Tangshan, Hebei 063210, China; Hebei Key Laboratory of Immune Mechanism of Major Infectious Diseases and New Technology of Diagnosis and Treatment, The Fifth Hospital of Shijiazhuang, North China University of Science and Technology, Shijiazhuang, Hebei 050021, China.
Yuchen XieSchool of Public Health, North China University of Science and Technology, Tangshan, Hebei 063210, China; Hebei Key Laboratory of Immune Mechanism of Major Infectious Diseases and New Technology of Diagnosis and Treatment, The Fifth Hospital of Shijiazhuang, North China University of Science and Technology, Shijiazhuang, Hebei 050021, China.
Ying ChenJingmen Central Hospital, Jingmen, Hubei 448000, China; Jingmen Central Hospital affiliated to Jingchu University of Technology, Jingmen, Hubei 448000, China.
Xinru GuoHebei Key Laboratory of Immune Mechanism of Major Infectious Diseases and New Technology of Diagnosis and Treatment, The Fifth Hospital of Shijiazhuang, North China University of Science and Technology, Shijiazhuang, Hebei 050021, China.
Li YangHebei Key Laboratory of Immune Mechanism of Major Infectious Diseases and New Technology of Diagnosis and Treatment, The Fifth Hospital of Shijiazhuang, North China University of Science and Technology, Shijiazhuang, Hebei 050021, China.
Xuedong SongDepartment of Laboratory Medicine, Handan Central Hospital, Hebei Medical University, Handan, Hebei 056001, China.
Fumin FengSchool of Public Health, North China University of Science and Technology, Tangshan, Hebei 063210, China.
Jianhua LuHebei Key Laboratory of Immune Mechanism of Major Infectious Diseases and New Technology of Diagnosis and Treatment, The Fifth Hospital of Shijiazhuang, North China University of Science and Technology, Shijiazhuang, Hebei 050021, China. Electronic address: 13323219965@163.com.
Erhei DaiHebei Key Laboratory of Immune Mechanism of Major Infectious Diseases and New Technology of Diagnosis and Treatment, The Fifth Hospital of Shijiazhuang, North China University of Science and Technology, Shijiazhuang, Hebei 050021, China. Electronic address: daieh2008@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study aimed to analyze serum HBV RNA levels in HBsAg-positive patients with persistent viremia undergoing nucleos(t)ide analog (NAs) therapy for over 48 weeks and to examine the clinical characteristics of HBV RNA-positive patients.

methodsIn this cross-sectional study, 277 patients with complete virological response (CVR) and 277 patients with persistent viral positivity (PV) were included, with confounders balanced using 1:1 propensity score matching (PSM). Serum HBV RNA levels were quantified using a PCR-fluorescent probe assay, with a lower limit of quantification of 100 copies/mL. Patients in the PV group were classified into RNA-negative (<100 copies/mL) and RNA-positive (≥100 copies/mL) subgroups based on RNA levels.

resultsThe HBV RNA-positive rate was significantly higher in the PV group than in the CVR group (P < 0.001). Multivariable regression analysis identified ALT, AST, HBsAg level, HBeAb status, and HBV RNA status as independent predictors of HBV DNA positivity. ALT levels were significantly higher in HBV RNA-positive patients, and the prevalence of cirrhosis and splenomegaly was notably higher in the RNA-positive group (P < 0.05), suggesting more severe liver damage. HBV RNA status was positively associated with HBsAg, HBeAg, and HBV DNA positivity.

conclusionHBV RNA status is an important marker of viral replication activity and liver injury, particularly in PV patients. Monitoring HBV RNA status as a non-invasive biomarker may help assess disease progression and inform patient management.

Indexed as

Antiviral AgentsHepatitis B, ChronicHepatitis B Surface AntigensHepatitis B virusNucleosidesRNA, ViralViremiaAdultCross-Sectional StudiesDNA, ViralFemaleHumansMaleMiddle AgedViral LoadAntiviral AgentsDNA, ViralHepatitis B Surface AntigensNucleosidesRNA, ViralHepatitis B virus RNALiver injuryNucleos(t)ide analogsPersistent viremia

Identifiers

PMID42259392
PMCPMC13279470

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.