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苦参素对慢性乙型肝炎Fas/Fasl表达的影响
引用本文:黄以群,林珍辉,纪树梅,王崇国. 苦参素对慢性乙型肝炎Fas/Fasl表达的影响[J]. 中国医师进修杂志, 2004, 27(11): 19-20
作者姓名:黄以群  林珍辉  纪树梅  王崇国
作者单位:解放军第一八○医院,临床肝病中心,福建,泉州,362000
摘    要:目的 探讨苦参素对慢性乙型肝炎 (CHB)可溶性Fas/Fasl的表达。方法  1 2 0例CHB ,随机分为A、B二组。A组采用苦参素治疗 ,B组甘利欣治疗 ,疗程 3个月。肝组织采用免疫组化SP法及血清采用ELISA法检测Fas、Fasl。结果 肝组织及血清中Fas/Fasl的表达强弱与慢性肝炎程度有关 ,经治疗后A组肝组织及血清中Fas/Fasl的表达明显下降 ,与B组对比差异有显著性 (P <0 .0 5 )。结论 Fas/Fasl介导的细胞凋亡参与了慢性乙型肝炎的发病机制 ,苦参素可能是通过调节Fas/Fasl的表达 ,发挥其治疗作用

关 键 词:苦参素  凋亡  慢性乙型肝炎  Fas  Fasl
文章编号:1002-0764(2004)06A-0019-02
修稿时间:2004-01-04

Effect of expression of Fas/Fasl of chronic hepatitis B undergoing treatment with kurorinone
HUANG Yi-qun,LIN Zhen-hui,JI Shu-mei,WANG Chong-guo. Effect of expression of Fas/Fasl of chronic hepatitis B undergoing treatment with kurorinone[J]. Chinese Journal of Postgraduates of Medicine, 2004, 27(11): 19-20
Authors:HUANG Yi-qun  LIN Zhen-hui  JI Shu-mei  WANG Chong-guo
Abstract:Objective To study the effects of expression of Fas/Fasl of chronic hepatitis B (CHB)treatment with kurorinone.Methods 120 patients with CHB were randomly divided into group A and B,60 patients in group A was received kurorinone for 3 months.However, 60 patients in group B received diammonium glycyrrhizin.The Fas/Fasl were examined immunohistochemically by SP or ELISA method.Results The expression of Fas/Fasl was correlated with the degree of CHB.At the end of treatment, the expression of Fas/Fasl in the live tissue or serum in group A was lower than group B (P<0.05).Conclusions Fas/Fasl -induced apoptosis and necrosis contribute to pathogenesis of CHB. Kurorinone is effective to treat CHB by down-regulating the expression of Fas/Fasl.
Keywords:kurorinone  apoptosis and necrosis  chronic hepatitis B  Fas  Fasl
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