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11.
S. Caillard C. Lelong F. Pessione B. Moulin for the French PTLD Working Group 《American journal of transplantation》2006,6(11):2735-2742
Post-transplant lymphoproliferative disorders (PTLD) are a rare but serious complication after organ transplantation. A French Registry of PTLD was set up in a nationwide population of kidney transplant recipients. We prospectively enrolled all adult kidney recipients developing PTLD between January 1, 1998, and December 31, 2003. We analyzed the incidence, risk and prognostic factors of PTLD by Kaplan-Meier and Cox analyses. Totally 230 cases of PTLD were referred to the French Registry. Cumulative incidence was 1.18% after 5 years. Older age (per year, AHR = 2.19, CI = 1.22-3.94) and recipient Epstein-Barr virus seronegativity (AHR = 3.01, CI = 1.57-5.08) were associated with an increased risk of PTLD. Patients with PTLD had a reduced survival rate (61% at 5 years). Graft PTLD had the best prognosis with an 81% survival rate after 5 years. Infection with hepatitis C or B virus (HCV or HBV), late-onset PTLD, multiple sites involvement and high Ann Arbor staging were risk factors for patient death. Use of azathioprine was associated with a poorer survival rate. PTLD incidence and risk factors in French recipients are in line with the international or American PTLD series. We highlighted the role of HBV or HCV in patient mortality and described the relevant prognosis factors for patients with post-transplant lymphoproliferations. 相似文献
12.
本文检测了140例丙型肝炎病毒(HCV)抗体(抗-HCV)阳性的慢性丙型肝炎(CHC)的HCV核酸(HCVRNA)和IgM抗体(抗-HCVIgM)两项指标。结果表明,原始诊断为不同临床型的肝炎(HC)患者,8年随访时,HCVRNA和抗-HCVIgM阳性率分别为80.7%和90.7%(u=2.39P<0.05).在原始诊断不同临床型HC转慢者中,上述两项指标均未发现统计学上的差别(均为P>0.05)。HCVRNA与抗-HCVIgM配对比较,符合率为78.6%。基因分型初步结果表明,河北省固安HCV以基因Ⅱ型为主。本研究提示,随访8年的CHC患者绝大多数仍有传染性;本文方法检测的抗-HCVIgM不能代表早期感染标志,但代表慢性感染活动化或带毒,所以,在不具备检测HCVRNA的地方更具有实用价值. 相似文献
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14.
性传播疾病危险人群乙型肝炎和丙型肝炎病毒感染的血清流行病学调查 总被引:1,自引:0,他引:1
通过对431名卖淫妇女和109名正常妇女HBV和HCV感染的血清学指标的检测、性传播有关因素的调查,发现卖淫妇女HBV和HCV感染中的抗-Hkc为43.15%,抗-HBs为36.89%,HBsAg为10.44%,抗-HCV为9.51%,明显高于正常妇女;有性传播疾病者HBV和HCV的各项感染指标也明显高于正常妇女。卖淫妇女的抗-HCV感染率有随年龄增长而增高的趋势,与卖淫时限长、卖淫次数多有明显差别,这表明卖淫妇女中有较严重的HBV和HCV感染。 相似文献
15.
广州市人群乙型肝炎病毒感染模式与丙型肝炎病毒感染情况调查 总被引:7,自引:0,他引:7
为了解广州市人群乙型肝炎病毒(HBV)与丙型肝炎病毒(HCV)双重感染情况,对1993年4月体检中检出的193例HBV标志物阳性血清归类分析,发现有14种HBV感染模式,其中以HBsAg·HBeAb·HBcAb和HBsAg·HBeAg·HBcAb为多见,阳性模式构成分别为43.01%和30.57%。在HBV感染者中HCV感染的检出率为11.39%(22/193).不同HBV感染模式组别的抗-HCV阳性率差异有统计学显著意义(p<0.001). 相似文献
16.
合肥地区献血员感染HBV和HCV危险因素的多因素分析 总被引:2,自引:0,他引:2
用ELISA法检测了合肥地区1440名献血员抗HCV和乙肝五项指标,抗HCV阳性率为55%;HBsAg携带率为15%,HBV总感染率437%。分别以抗HCV阳性与感染过HBV的献血员为病例,以抗HCV阴性与未感染HBV的献血员为对照进行了HCV和HBV感染危险因素的单因素和多因素分析。结果显示,ALT、献血次数、献血量、文化程度、献血员心理和输血史与HCV感染有关;血型、家庭人口数和家庭子女数与HBV感染有关。 相似文献
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18.
目的为了了解丙型肝炎病毒载量在两性间的流行状况.方法荧光定量PCR用于HCV RNA定量检测.结果男性患者阳性率为20.27%(30/148),病毒拷贝对数值为4.18±1.04;而女性分别为29.29%(29/99),4.28±1.07.结论男女HCV阳性病人的阳性率(P=0.103,χ2=2.656)和病毒量(P=0.487 ,t=0.699)在男女两性间无统计学差异. 相似文献
19.
Immunoglobulin mimicry by Hepatitis C Virus envelope protein E2 总被引:4,自引:0,他引:4
Hu YW Rocheleau L Larke B Chui L Lee B Ma M Liu S Omlin T Pelchat M Brown EG 《Virology》2005,332(2):538-549
Hepatitis C virus (HCV) establishes persistent infection in the majority of infected individuals. The currently accepted hypothesis of immune evasion by antigenic variation in hypervariable region 1 (HVR1) of glycoprotein E2 does not however, explain the lack of subsequent immune recognition. Here, we show that the N-terminal region of E2 is antigenically and structurally similar to human immunoglobulin (Ig) variable domains. E2 is recognized by anti-human IgG antibodies and also possesses common amino acid (aa) sequence features of the conserved v-gene framework regions of human Ig light chains in particular but also heavy chains and T cell receptors. Using a position specific scoring system, the degree of similarity of HVR1 to Ig types correlated with immune escape and persistence in humans and experimentally infected chimpanzees. We propose a unique role for threshold levels of Ig molecular mimicry in HCV biology that not only advances our concept of viral immune escape and persistent infection but also provides insight into host-dependent disease patterns. 相似文献
20.
Libra M Capello D Gloghini A Laura P Berra E Cerri M Gasparotto D Franca S De Re V Gaidano G Carbone A 《The Journal of pathology》2005,206(1):87-91
Hepatitis C virus (HCV) and aberrant somatic hypermutation (SHM) have each been suggested to contribute to the development of B-cell non-Hodgkin's lymphoma (NHL). The incidence of PIM-1, PAX-5, RhoH/TTF, and c-MYC mutations in tumour biopsy specimens from 32 HCV-infected B-cell NHL patients was analysed to determine whether the extent of aberrant SHM among these patients differed from that previously reported for HCV-negative B-cell NHL patients. Mutation of PIM-1, PAX-5, RhoH/TTF, and c-MYC was detected in 4 (13%), 5 (16%), 4 (13%), and 4 (13%) of 32 samples, respectively. In HCV-positive B-cell NHL patients, the frequency of aberrant SHM was lower than that already found in HCV-negative B-cell NHL patients. This indicates that, unlike B-cell lymphomas from HCV-negative patients, aberrant SHM may not contribute significantly to malignant transformation in HCV-associated B-cell lymphomas. 相似文献