Chronic hepatitis B is the immunocompromising condition. The decrease of ly
mphocyte telomerase is linked to immunosenescence in hosts. To know whether
telomerase activity of lymphocytes is involved in immunopathogenesis in pa
tients with chronic hepatitis B, telomerase activity of peripheral lymphocy
tes was determined in such patients. The results showed that telomerase act
ivity in resting peripheral lymphocytes of healthy subjects was detectable
at low level, and obviously increased (P < 0.001) after stimulation in vitr
o with phytohaemagglutinin (PHA). Telomerase activity of lymphocytes decrea
sed with age in both groups with or without PHA stimulation. Telomerase act
ivity of resting lymphocytes in patients with chronic hepatitis B was also
observed at detectable level and markedly upregulated after. PHA stimulatio
n. The decreased telomerase activity of resting lymphocytes was found in pa
tients with chronic hepatitis B (n = 14, 0.32 +/- 0.27) compared to that in
healthy subjects (n = 17, 0.52 +/- 0.28; P < 0.05). However, there was no
difference present between these two groups in telomerase activity of activ
ated lymphocytes with PHA. In addition, no effect of recombinant human inte
rleukin-12 (rhIL-12) on telomerase expression was observed in either the pa
tient group or the healthy group. We concluded that the decreased telomeras
e activity of lymphocytes in chronic hepatitis B patients is present, which
may be partly responsible for immunosuppressive condition in such patients
. (C) 2000 Elsevier Science B.V. All rights reserved.