Che M L
Department of Pathology, First Hospital, Beijing Medical University.
Zhonghua Nei Ke Za Zhi. 1990 Feb;29(2):102-4, 127.
The results of histological and immunohistological studies on the liver biopsies from patients with positive serum HBsAg, HBeAg, HBVDNA, and HBVDNAp showed: 1. In addition to the inclusion body like, marginal, diffuse and membranous patterns of HBsAg, we found that marginal and diffuse patterns of HBsAg may appear within one hepatocyte and this is named as transitional pattern. A preliminary suggestion about the process of formation and evolution of different patterns of HBsAg and HBcAg was raised. 2. There is a relationship between HBV replication and the activity of hepatitis. Different patterns and distributions of HBAg affect the lesion of the liver significantly. 3. According to the morphology of HBsAg and HBcAg, we suggest to divide their patterns into the following two categories: The first includes the diffuse and membranous patterns of HBsAg and the cytoplasmic and membranous HBcAg; these are related to the replication of HBVDNA. The second includes inclusion body like and marginal patterns of HBsAg with and without nuclear pattern of HBcAg; these probably reflect the integration of HBVDNA to the host genome.
对血清HBsAg、HBeAg、HBVDNA及HBVDNAp呈阳性的患者肝活检组织进行组织学和免疫组织学研究的结果显示:1. 除了发现HBsAg的包涵体样、边缘型、弥漫型和膜型外,还发现HBsAg的边缘型和弥漫型可出现在单个肝细胞内,此被命名为过渡型。对HBsAg和HBcAg不同类型的形成及演变过程提出了初步的推测。2. HBV复制与肝炎活动之间存在关联。HBAg的不同类型及分布对肝脏病变有显著影响。3. 根据HBsAg和HBcAg的形态,建议将其类型分为以下两类:第一类包括HBsAg的弥漫型和膜型以及胞质型和膜型HBcAg;这些与HBVDNA的复制有关。第二类包括有或无HBcAg核型的HBsAg包涵体样和边缘型;这些可能反映了HBVDNA与宿主基因组的整合。