Tracking B cell immunity during perturbation of hepatitis B infection induced by treatment withdrawal - Takeaways - MDSpire
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Monitoring B cell Immune Responses Following Discontinuation of Treatment in Hepatitis B Infection

  • By

  • Sabela Lens

  • Alice R Burton

  • Jessica Davies

  • Maelle Locatelli

  • Mireia García-López

  • Anna Pocurull

  • Anna Jeffery-Smith

  • Nikolai Novikov

  • Simon P Fletcher

  • Xavier Forns

  • Sofía Pérez-del-Pulgar

  • Mala K Maini

  • August 1, 2026

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  • 1

    Prolonged nucleos(t)ide analogue therapy equalizes frequencies of class-switched memory B cells specific for hepatitis B core and surface antigens.

  • 2

    PD-1 expression on hepatitis B surface-specific memory B cells decreases only after treatment withdrawal, with sustained reductions linked to HBsAg loss.

  • 3

    NA withdrawal leads to increased activated memory B cells, plasmablasts, and functional potential of HBs-specific memory B cells in patients achieving HBsAg loss.

  • 4

    Class-switched HBc-specific memory B cells show temporal increases associated with withdrawal flares following nucleos(t)ide analogue therapy.

  • 5

    The study emphasizes the need for larger investigations into B cell biomarkers to predict responses to nucleos(t)ide analogue therapy discontinuation.

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