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Natural history of chronic hepatitis B virus infection from infancy to adult life -the mechanism of inflammation triggering and long-term impacts

Overview of attention for article published in Journal of Biomedical Science, October 2015
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3 X users

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75 Dimensions

Readers on

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107 Mendeley
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1 CiteULike
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Title
Natural history of chronic hepatitis B virus infection from infancy to adult life -the mechanism of inflammation triggering and long-term impacts
Published in
Journal of Biomedical Science, October 2015
DOI 10.1186/s12929-015-0199-y
Pubmed ID
Authors

Jia-Feng Wu, Mei-Hwei Chang

Abstract

Chronic hepatitis B virus (HBV) infection in endemic areas usually starts since infancy and early childhood and persists lifelong. The clinical course varies among different chronic infected subjects. Majority of chronic HBV infected children present with immune-tolerant status initially, experience the immune clearance phase with various degree of liver injury during or beyond puberty, and then enter the inactive phase after hepatitis B e antigen (HBeAg) seroconversion. Part of them may have HBV DNA titers elevation with hepatitis flare after HBeAg seroconversion, the so call HBeAg-negative hepatitis flare. Liver cirrhosis, and even hepatocellular carcinoma may develop afterward.The complex course of chronic HBV infection is associated with the age/route of viral acquisition, host factors such as immune and endocrine factors, viral factors, and host-viral interactions. The adrenarche and puberty onset modulate the start of immune clearance and the severity of liver inflammation in chronic HBV infected children. The genotype and phenotype of human cytokines, innate immunity, and human leukocyte antigens are also associated with the onset of immune clearance of HBV and severity of inflammation. Immune escape HBV mutant strains, emerged during the immune clearance phase under host immune surveillance, may cause different impacts on viral biosynthesis, host immune responses, and clinical course.Early events in childhood during chronic HBV infection may serve as important predictors for the later outcome in adulthood. Understanding the mechanisms triggering liver inflammation and their long-term impacts may enhance the development of better and earlier therapeutic strategies for patients with chronic HBV infection.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 107 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 107 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 13 12%
Student > Master 13 12%
Student > Bachelor 11 10%
Student > Ph. D. Student 11 10%
Student > Postgraduate 11 10%
Other 10 9%
Unknown 38 36%
Readers by discipline Count As %
Medicine and Dentistry 33 31%
Agricultural and Biological Sciences 12 11%
Biochemistry, Genetics and Molecular Biology 7 7%
Immunology and Microbiology 6 6%
Nursing and Health Professions 4 4%
Other 2 2%
Unknown 43 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 March 2018.
All research outputs
#15,699,067
of 26,184,649 outputs
Outputs from Journal of Biomedical Science
#664
of 1,125 outputs
Outputs of similar age
#146,713
of 295,819 outputs
Outputs of similar age from Journal of Biomedical Science
#13
of 25 outputs
Altmetric has tracked 26,184,649 research outputs across all sources so far. This one is in the 38th percentile – i.e., 38% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,125 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.5. This one is in the 39th percentile – i.e., 39% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 295,819 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 25 others from the same source and published within six weeks on either side of this one. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.