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用套式聚合酶链反应检测乙型肝炎疫苗免疫后无抗体反应者血清HBVDNA
引用本文:魏绍静,唐漾波,何世瑶.用套式聚合酶链反应检测乙型肝炎疫苗免疫后无抗体反应者血清HBVDNA[J].中华传染病杂志,1995(1).
作者姓名:魏绍静  唐漾波  何世瑶
作者单位:广州市传染病医院
摘    要:为了解乙型肝炎(乙肝)疫苗接种后不产生抗-HBs的原因,作者用套式聚合酶链反应(PCR)技术检测了正常人群中乙肝疫苗免疫后15例不产生抗-HBs和20例产生抗-HBs者血清的HBVDNA,同时用Abbott试剂检测血清的HBeAg。结果发现,不产生抗-HBs的15例中有6例(40%)第2次PCR扩增HBVDNA为阳性,其中3例(50%)为HBeAg阳性,产生抗-HBs者的20例其血清HBVDNA和HBeAg均为阴性。提示:常规方法漏检的低水平HBV感染可能是造成乙肝疫苗免疫后不产生抗-HBs的原因之一。

关 键 词:套式聚合酶链反应,乙肝病毒脱氧核糖核酸,乙肝疫苗

DETECTIONS OF SERA HBV DNA IN CASES WITHOUT I MMUNE RESPONES TO HB VACCINE USING NESTED-PCR ASSAY
Wei Shaojing,Huang Jishi,Tang Yangbo. Guangzhou HoSpital of Infection Disesaes.DETECTIONS OF SERA HBV DNA IN CASES WITHOUT I MMUNE RESPONES TO HB VACCINE USING NESTED-PCR ASSAY[J].Chinese Journal of Infectious Diseases,1995(1).
Authors:Wei Shaojing  Huang Jishi  Tang Yangbo Guangzhou HoSpital of Infection Disesaes
Institution:Wei Shaojing,Huang Jishi,Tang Yangbo. Guangzhou HoSpital of Infection Disesaes,510 0 60
Abstract:o study the reason of unresponsiveness to HB vaccine inoculation sera HBVDNA and HBeAg were detected by nested-PCR and ELISA(Abbott) respectively in l 5cases unresponsive to HB vaccine and 20 cases responsive to HB vaccine. 6 of the 15cases(40%)did not respond to HB vaccine were positive for HBV DNA by thesecond PCR amplification and 3 of them(50%)were positive for HBeAg in the meantime. while the 20 cases producing anti-HBs after vaccination were all negative forHBV DNA and HBeAg. The results suggest that low level HBV infection not detectedby routine methods might be one of the reasons of no immune response to HBvaccination.
Keywords:Nested-PCR  HBV DNA  HB vaccine  
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