Review Article

Contradictory Immune Response in Post Liver Transplantation Hepatitis B and C

Table 1

Recent post-OLT HBV prophylaxis with nucleos(t)ide analogue and/or HBIG combination.

HBV-DNA recurrence (%)Followup (months)Reference numberReported year

Lamivudine + HBIG
 HBIG IV 10000 IU/month013[93]1998
 HBIG IV to maintain HBsAb >200 IU/L9.521 (2.4–49.1)[96]2001
 HBIG to maintain HBsAb >70 IU/L016 (9–22)[97]2004
 HBIG IV to maintain HBsAb >10 IU/L030 (7–73)[6]2007
 Short course (1 month) HBIG718[98]2003
Entecavir + HBIG
 HBIG; IM to maintain HBsAb >100 IU/L041.2 (33–54)[107]2012
 One year HBIG IM; 2000 IU/month
 Lamivudine + adefovir or tenofovir, tenofovir, entecavir
024 (6–40) post HBIG withdrawal[106]2012
 One year HBIG IV; dose not specified3.824[105]2013
HBIG free with newer nucleos(t)ide analogues regimen
 Lamivudine + adefovir
 (no HBIG when HBV-DNA below )
022 (10–58)[103]2013
 Entecavir, lamivudine + adefovir, tenofovir, entecavir + tenofovir
 (no HBIG when HBV-DNA below )
8 (5/6 withdrawn NAs)21 (1–83)[110]2013

OLT; orthotopic liver transplantation, HBV: hepatitis B virus, HBIG; hepatitis B immunoglobulin, HBV-DNA: hepatitis B virus DNA, IV: intravenous administration, IM: intramuscular administration, IU: international unit, HBsAb: anti-hepatitis B s antibody, and NAs: nucleos(t)ide analogues.