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慢性乙型肝炎患者血清中前S1抗原、前S2抗原、HBeAg与HBV DNA的相关性分析

[Analysis of the correlation between PreS1-Ag, PreS2-Ag, HBeAg and HBV DNA in the serum of chronic hepatitis B patients].

作者信息

Dou Ya-ling, Han Jian-hua, Li Yong-zhe, DI Qian, Ni An-ping

机构信息

Department of Clinical Labs, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100730, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2007 Jul 24;87(28):1984-6.

Abstract

OBJECTIVE

To investigate the correlation between the serum indices and HBV DNA.

METHODS

100 chronic HBV patients and 40 healthy controls were enrolled in this study. The patients have not received any treatment with interferon (IFN) and similar nucleotide, and featured with normal ALT/AST, positive HBV DNA examined by using internal-quantitative standard PCR. Serum indices were measured by micro-particle enzyme immunoassay analysis and ELISA.

RESULTS

In chronic HBV patients with positive HBV DNA, the positive percentage were 75% for HBeAg, 25% for anti-HBe, 69% for PreS1-Ag, and 77% for PreS2-Ag. In 75 HBeAg positive cases, there were 54 cases of PreS1-Ag positive and 60 cases of PreS2-Ag positive; while among anti-HBe positive cases, there were 14 cases of PreS1-Ag positive and 17 cases of PreS2-Ag positive. There was no significant difference of the positive percentage of PreS1-Ag and PreS2-Ag between HBeAg positive and anti-HBe positive (both P > 0.05). Under circumstance of HBeAg positive, the percentage of both PreS1-Ag and PreS2-Ag negative (8%) was significant lower than that of anti-HBe positive (28%) (P < 0.05). There were 72 cases with consistent positive or negative for both PreS1-Ag and PreS2-Ag.

CONCLUSION

For hepatitis B patients with positive HBV DNA, the differences of positive percentages for HBeAg, PreS1-Ag and PreS2-Ag are moderate. The positive percentages of PreS1-Ag and PreS2-Ag do not correlate with HBeAg positive. The negative percentages of PreS1-Ag and PreS2-Ag correlate with anti-HBe positive.

摘要

目的

探讨血清指标与乙肝病毒脱氧核糖核酸(HBV DNA)之间的相关性。

方法

本研究纳入100例慢性乙肝患者和40例健康对照者。患者未接受过任何干扰素(IFN)及类似核苷酸治疗,谷丙转氨酶(ALT)/谷草转氨酶(AST)正常,采用内标定量聚合酶链反应(PCR)检测HBV DNA呈阳性。血清指标采用微粒子酶免疫分析和酶联免疫吸附测定(ELISA)进行检测。

结果

在HBV DNA阳性的慢性乙肝患者中,HBeAg阳性率为75%,抗-HBe阳性率为25%,前S1抗原(PreS1-Ag)阳性率为69%,前S2抗原(PreS2-Ag)阳性率为77%。在75例HBeAg阳性病例中,PreS1-Ag阳性54例,PreS2-Ag阳性60例;而在抗-HBe阳性病例中,PreS1-Ag阳性14例,PreS2-Ag阳性17例。HBeAg阳性与抗-HBe阳性之间PreS1-Ag和PreS2-Ag的阳性率差异无统计学意义(P均>0.05)。在HBeAg阳性情况下,PreS1-Ag和PreS2-Ag均阴性的比例(8%)显著低于抗-HBe阳性时(28%)(P<0.05)。PreS1-Ag和PreS2-Ag阳性或阴性一致的有72例。

结论

对于HBV DNA阳性的乙肝患者,HBeAg、PreS1-Ag和PreS2-Ag的阳性率差异中等。PreS1-Ag和PreS2-Ag的阳性率与HBeAg阳性无关。PreS1-Ag和PreS2-Ag的阴性率与抗-HBe阳性有关。

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