TTR and hepatitis B virus infection: TTR, known as prealbumin, has a major role in the transport of thyroxine and retinol as a transporter.25 Serum TTR might be a sensitive indicator in assessing liver dysfunction in acute liver diseases.26 Transferrin was also reduced in chronic hepatitis C and hepatitis B.27 Compared to the control group, TTR dropped to 0.85 in AIH, and later continued to decrease to 0.68 in AIC.