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抗-HBs阳性者血清中的乙型肝炎病毒DNA

[Hepatitis B virus DNA in the serum of anti-HBs positive persons].

作者信息

Zhang Y X, Du S C, Chen P

机构信息

Department of Internal Medicine, General Hospital of Beijing Military District.

出版信息

Zhonghua Nei Ke Za Zhi. 1992 Oct;31(10):629-32, 658-9.

PMID:1306457
Abstract

In order to investigate the significance of HBV DNA in the serum of anti-HBs positive persons, the serum of 76 anti-HBs positive persons was studied for HBV DNA by means of polymerase chain reaction (PCR). The results showed that 21 (32.2%) out of 65 cases without hepatitis B vaccination were positive for HBV DNA detected with PCR (PCR-HBV DNA), but no one was positive for PCR-HBV DNA in 11 cases inoculated against hepatitis B. It was also found that 6 cases were positive for HBsAg-Ab immunocomplex in those positive for PCR-HBV DNA and the liver tissue in 2 of the 5 cases with liver-biopsy were positive for HBVAg determined with immunohistologic ABC method. We believed that persons, who acquired anti-HBs after HBV infection were different from those who were vaccinated, might carry HBV which come from the HBsAg-Ab immunocomplex and HBVAg positive hepatocytes. In addition, the study also proved that the PCR-HBV DNA positive rate correlated significantly with the anti-HBe and or anti-HBc positive rate and with the abnormal rate of liver function in the anti-HBs positive persons. It was suggested that persistent presence of HBV DNA in the bodies should be responsible for the persistent presence of anti-HBe and anti-HBc in the serum and also for the liver damage.

摘要

为探讨抗-HBs阳性者血清中HBV DNA的意义,采用聚合酶链反应(PCR)法对76例抗-HBs阳性者血清进行HBV DNA检测。结果显示,65例未接种乙肝疫苗者中21例(32.2%)PCR检测HBV DNA(PCR-HBV DNA)阳性,而11例接种乙肝疫苗者中无1例PCR-HBV DNA阳性。还发现PCR-HBV DNA阳性者中有6例HBsAg-Ab免疫复合物阳性,5例肝活检者中有2例肝组织免疫组化ABC法检测HBVAg阳性。我们认为,HBV感染后获得抗-HBs者与接种疫苗者不同,可能携带来自HBsAg-Ab免疫复合物和HBVAg阳性肝细胞的HBV。此外,研究还证明,抗-HBs阳性者中PCR-HBV DNA阳性率与抗-HBe和/或抗-HBc阳性率以及肝功能异常率显著相关。提示体内持续存在的HBV DNA可能是血清中抗-HBe和抗-HBc持续存在及肝损伤的原因。

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