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慢性乙型肝炎患者肝组织中HBV cccDNA定量与病情的相关性分析
引用本文:盛慧萍,杨岩,赖雅芳,刘娅,张栩,秦璟. 慢性乙型肝炎患者肝组织中HBV cccDNA定量与病情的相关性分析[J]. 山东医药, 2010, 50(7): 12-14
作者姓名:盛慧萍  杨岩  赖雅芳  刘娅  张栩  秦璟
作者单位:宁夏医科大学附属医院,银川,750004
摘    要:目的探讨肝组织HBV cccDNA定量对慢性乙型肝炎(乙肝)患者病情的影响。方法应用FQ—PRC法检测42例乙肝患者肝组织HBVcecDNA、肝组织和血清HBV—DNA水平,同时对肝组织行常规病理染色判断肝组织炎症及纤维化程度;SP法检测肝组织中HBsAg、HBcAg表达,化学发光法检测HBV标志物。分析肝组织HBVceeDNA与组织和血清HBV-DNA、肝细胞内HBsAg、HBcAg水平及肝脏炎症、纤维化程度的关系。结果肝组织HBVeecDNA定量与组织及血清HBV—DNA定量呈正相关(r=0.807,P〈0.001;r=0.627,P〈0.001);与肝组织炎症活动度及纤维化程度无明显相关性:肝组织HBVcccDNA定量与肝细胞内HBsAg表达无明显相关性,而与HB—cAg表达呈正相关(r=0.486,P〈0.05)。结论检测肝组织内HBVceeDNA可更精确反映HBV复制程度;对乙肝诊断、抗病毒治疗及选择停药时机具有重要价值。肝组织HBV cccDNA与血清HBV-DNA定量及HBcAg联合检测可指导抗病毒治疗。

关 键 词:慢性乙型肝炎  共价闭合环状DNA  乙肝病毒表面抗原  乙肝病毒核心抗原

Analysis of the correlation between the quantities of hepatitis B virus covalently closed circular DNA and condition in chronic hepatitis B patients
SHENG Hui-ping,YAND Yan,LAI Ya-fang,LIU Ya,ZHANG Xu,QIN Jing. Analysis of the correlation between the quantities of hepatitis B virus covalently closed circular DNA and condition in chronic hepatitis B patients[J]. Shandong Medical Journal, 2010, 50(7): 12-14
Authors:SHENG Hui-ping  YAND Yan  LAI Ya-fang  LIU Ya  ZHANG Xu  QIN Jing
Affiliation:SHENG Hui-ping,Y, Yan,LAI Ya-fang,LIU Ya,ZHANG Xu,QIN Jing(Affiliated Hospital of Ningxia Medical University,Yinchuan 710004,P.R.China)
Abstract:Objective To investigate the effect of HBV cccDNA quantitation on the condition of chronic hepatitis B(CHB) patients.Methods The quantity of HBV cccDNA and HBV DNA in the hepatocytes and HBV DNA in the serum of 42 patients with CHB were detected by real-time fluorescence quantitative PCR(FQ-PCR).The inflammation and fibrosis degree were estimated by pathological staining.The expression of HBsAg,HBcAg in the hepatocytes were identified by SP method.Correlations between the HBV cccDNA quantitation and other i...
Keywords:chronic hepatitis B  HBV cccDNA  HBsAg  HBcAg  
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