Study on Gut Microbiota in Chronic HBV Infected Patients

Study Overview
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Brief Summary
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Hepatitis B Virus(HBV) infection is a common infectious disease affecting up to 2 billion people worldwide. Around 650 thousand people died of liver failure, cirrhosis and primary liver cancer caused by chronic hepatitis B every year. Age is the main factor affecting the chronicity of hepatitis B, while 90% and 25% to 30% of hepatitis b virus(HBV) infection in perinatal and infant period will develop into chronic infection respectively. Whereas the proportion in patients above 5 years old is only 5% to 10%. Intestinal microbiota plays an important role in maintaining nomal physiological function of the intestine and the immune function of the body. It has been found that the disorder of intestinal microbiota is associated with numerous intestinal and parenteral diseases. Recently, the relationship between immune response and intestinal microbiota has been claimed. In a previous study using IMT to treat HBeAg positive chronic hepatits B patients combined with antiviral theraopy, 80% of them has reached HBeAg clearance. Increasing evidence suggests that the gut microbiota has evolved as a new important player in the pathogenesis of hepatitis B virus-induced chronic liver disease. However, the composition and structure alteration of the gut microbiota associated with the stage and progression of HBV infection remains unknown. Hence, we proposed a trial to detected gut microbiota of chronic HBV infected patients high-throughput 16S rRNA gene sequencing to elucidate the microbial influence which contribute to the microbial shift of patient in different stage.

Official Title
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Study on Gut Microbiota in Chronic Hepatitis B Virus Infected Patients

Conditions
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Chronic Hepatitis B Infection, Healthy

Intervention / Treatment
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* Other: collect fecal specimens


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Alcohol free history or alcohol consumption <140g per week in male, <70g per week in female smooth and soft stool like sausage or snake Voluntary participate in this study Exclusion Criteria: Syptom of digestive system disorder such as hematochezia, constipation, Abdominal distention, abdominal pain, diarrhea and jaundice within 1 month Abormal results of several tests including: fecal routine, fecal occult blood test Be diagnosed as enteritis within 1 month Chronic obstructive pulmonary disease, renal insufficiency and other systemic diseases. Autoimmune disease Chronic fatigue syndrome and neuropsychic disease A history of antibiotics, microecological preparation, gastrointestinal motility medicine, laxative, weight loss drug, Glucose lowering, blood fat regulation, glucocorticoid or immunosuppressor treatment within 1 month History of organic diseases in digestive system such as gastrointestinal polyposis, ulcers, malignancies, etc. History of gastrointestinal surgery
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| health<br>Alcohol free history or alcohol consumption <140g per week in male, <70g per week in female smooth and soft stool like sausage or snake Voluntary participate in this study | Other: collect fecal specimens<br>* collect fresh fecal specimens of participants<br>|
| chronic hepatitis b carrier<br>Alcohol free history or alcohol consumption <140g per week in male, <70g per week in female Meet diagnostic criteria of chronic HBV infection in EASL 2017 Clinical Practice Guidelines on the management | Other: collect fecal specimens<br>* collect fresh fecal specimens of participants<br>|
| chronic hepatitis b<br>Alcohol free history or alcohol consumption <140g per week in male, <70g per week in female Meet diagnostic criteria of chronic hepatitis B in EASL 2017 Clinical Practice Guidelines on the management | Other: collect fecal specimens<br>* collect fresh fecal specimens of participants<br>|
| decompensated cirrhosis<br>Alcohol free history or alcohol consumption <140g per week in male, <70g per week in female Meet diagnostic criteria of chronic hepatitis B in EASL 2017 Clinical Practice Guidelines on the management | Other: collect fecal specimens<br>* collect fresh fecal specimens of participants<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gut microbiota | detected gut microbiota of participants through high-throughput 16S rRNA gene sequencing to elucidate the microbial influence which contribute to the microbial shift of patient in different stage. | 1day |