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乙型肝炎患者血清中HBV的前S_1和前S_2蛋白的检测及其意义
引用本文:姜节洪. 乙型肝炎患者血清中HBV的前S_1和前S_2蛋白的检测及其意义[J]. 现代免疫学, 1991, 11(2): 90-93
作者姓名:姜节洪
作者单位:上海第二医科大学附属瑞金医院传染病科(陆志檬,姜節洪,金根娣,王耆煌),法国巴斯德研究院微生物免疫室(A.Budkowska J.Pillot)
摘    要:乙肝病毒的外壳是由S、前S_1、前S_2蛋白所组成。我们用抗前S_1和抗前S_2单克隆抗体检测106例病毒性肝炎的前S_1蛋白和前S_2蛋白,结果表明急性乙肝早期的前S_1、前S_2蛋白(n=16,75%和87,5%)明显高于急性乙肝恢复期(n=33,21.2%、12.1%);慢活肝的前S_2蛋白(n=15,93.7%)明显高于慢迁肝(n=18,55.6%),前S_2蛋白与HBsAg、eAg和HBV-DNA呈正相关(P<0.05,<0.05<0.001),支持前S_2蛋白的出现和HBV复制有关。

关 键 词:乙肝病毒 前S1蛋白 前S2蛋白 检测

DETECTION AND SIGNIFICANCE OF PRE-S1/PRE S2 PROTEINS IN THE SERUM OF PATIENTS WITH HBV INFECTION
Abstract:The envelope of HBV consists of proteins S, Pre-S1 and Pre-S2. The Pre-S1 and Pre-S2 protein in the serum of 106 patients have been detected with anti-PreS1 and anti-PreS2 monoclonal antibodies. The results showed that positive rates of Pre-Sl and Pre-S2 proteins in acute HB patients during early stage (n = 16,75% and 87.5%) were significantly higher than those during convalescene (n = 33, 21.1%, 12.1%). The positive rate of Pre-S2 protein in CAH patients (n = 15, 83.7%) was significantly higher than that in CPH patients (n = 18, 55.6%). In addition, Pre-S2 protein was positively correlated to HBsAg, HBeAg and HBV-DNA, suggesting the appearance of Pre-S2 proten being related to the replication of HBV.
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