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抗HIV阳性患者外周血单个核细胞中HBV-DNA的检测及其与HBV其他血清学标志物的关系

[Detection of HBV-DNA in peripheral blood mononuclear cells of anti-HIV-positive patients and its relation to other serological markers of HBV].

作者信息

Suñén E, Malave C, Sarriá L, Gorriño C, Campelo C, Martínez J, Cisterna R

机构信息

Departamento de Microbiología e Inmunología, Universidad del País Vasco, Hospital Civil de Bilbao.

出版信息

Enferm Infecc Microbiol Clin. 1992 Oct;10(8):445-50.

PMID:1489771
Abstract

HBV infection has been investigated in 47 anti-human HIV positive patients in relation to a similar group of 33 anti-HIV negative patients. Serological HBV markers were found in 87% of anti-HIV positive patients. The difference in markers of viral replication (HBeAg, HBV-DNA) was not statistically significant between the two groups. It has been suggested that HBV infection of peripheral blood mononuclear cells could be a cofactor implicated in the development of immunodeficiency due to HIV. For this reason we have investigated the presence of HBV-DNA in peripheral blood mononuclear cells by in situ hybridization. Although its detection was more frequent in anti-HIV positive patients than in anti-HIV negative ones (p < 0.05), it was not related to clinical state of immunodeficiency. With regard to serological HBV markers, HBV-DNA was detected in peripheral blood mononuclear cells from antiHBc w/o antiHBs patients. This fact means the virus may persist in this cells after recovery and suggest they could serve as additional reservoirs of HBV. These cells, that contain the HBV genome, could be implicated in the perpetuation, reactivation of the infection and in its transmission.

摘要

对47名抗人类免疫缺陷病毒(HIV)呈阳性的患者及33名抗HIV呈阴性的类似患者群体进行了乙肝病毒(HBV)感染情况的调查。在87%的抗HIV阳性患者中发现了血清学HBV标志物。两组之间病毒复制标志物(HBeAg、HBV-DNA)的差异无统计学意义。有人提出,外周血单核细胞的HBV感染可能是导致HIV所致免疫缺陷发展的一个辅助因素。因此,我们通过原位杂交研究了外周血单核细胞中HBV-DNA的存在情况。虽然在抗HIV阳性患者中其检测频率高于抗HIV阴性患者(p<0.05),但它与免疫缺陷的临床状态无关。关于血清学HBV标志物,在抗HBc阳性但无抗HBs的患者外周血单核细胞中检测到了HBV-DNA。这一事实意味着病毒在恢复后可能在这些细胞中持续存在,并表明它们可能是HBV的额外储存库。这些含有HBV基因组的细胞可能与感染的持续存在、再激活及其传播有关。

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