Paul S, Tabassum S, Islam M N
Deptt of Virology, Bangabandhu Sheikh Mujib Medical University, Dhaka.
Bangladesh Med Res Counc Bull. 2004 Apr;30(1):9-15.
Cell-mediated immune response by lymphocyte induced through recognition of HBV core antigen during acute HBV infection, chronic HBV infection and in subjects recovered from HBV infection was investigated in the present study by assessing the competence of IFN-gamma secretion by cultured PBMCs on stimulation by HBV nucleocapsid antigen (HBcAg). Fresh blood was collected in heparin from acute, chronic and recovered groups of HBV infected patients and uninfected vaccinated healthy controls aged between 18-50 years. PBMCs were separated by Ficoll-Hypaque density gradient centrifugation technique and were stimulated with hepatitis B virus core antigen (HBcAg) and mitogen (lectin). Stimulated PBMCs were cultured in CO2 and IFN-gamma levels were measured from the culture supernatant by an in-house ELISA technique. The mean+/-SE levels of IFN-gamma in HBcAg stimulated PBMCs in acute, chronic, recovered and controls groups were 875 pg/ml+/-297.56, 128.50 pg/ml+/-33.66, 905 pg/ml+/-172.51 and 235.33 pg/ml+/-111.28 respectively. IFN-gamma levels produced by HBcAg stimulated PBMCs of acute and recovered groups were significantly higher than that of chronic and control group (p<0.001). All groups responded strongly to lectin stimulation. Thus, it may be concluded that patients with acute HBV infection and those who had recovered from HBV infection show vigorous response to HBcAg stimulation in contrast to patients with chronic HBV infection.
本研究通过评估培养的外周血单核细胞(PBMCs)在乙肝病毒核衣壳抗原(HBcAg)刺激下分泌γ干扰素的能力,对急性乙肝病毒感染、慢性乙肝病毒感染以及从乙肝病毒感染中康复的受试者体内淋巴细胞介导的免疫反应进行了研究。从年龄在18至50岁之间的急性、慢性和康复期乙肝感染患者组以及未感染的接种疫苗健康对照组中采集肝素抗凝血。采用Ficoll-Hypaque密度梯度离心技术分离PBMCs,并用乙肝病毒核心抗原(HBcAg)和促有丝分裂原(凝集素)进行刺激。将刺激后的PBMCs置于二氧化碳环境中培养,并采用内部酶联免疫吸附测定(ELISA)技术从培养上清液中测量γ干扰素水平。急性、慢性、康复期和对照组中HBcAg刺激的PBMCs中γ干扰素的平均±标准误水平分别为875 pg/ml±297.56、128.50 pg/ml±33.66、905 pg/ml±172.51和235.33 pg/ml±111.28。急性和康复期组中HBcAg刺激的PBMCs产生的γ干扰素水平显著高于慢性组和对照组(p<0.001)。所有组对凝集素刺激均有强烈反应。因此,可以得出结论,与慢性乙肝病毒感染患者相比,急性乙肝病毒感染患者和从乙肝病毒感染中康复的患者对HBcAg刺激表现出强烈反应。