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检测聚乙二醇干扰素联合利巴韦林治疗患者抗 HCV-ARF/CORE+1 蛋白的特异性抗体。

Detection of specific antibodies to HCV-ARF/CORE+1 protein in patients treated with pegylated interferon plus ribavirin.

机构信息

Department of Hygiene, Epidemiology and Medical Statistics, Athens University Medical School, Athens, Greece.

出版信息

J Viral Hepat. 2012 Mar;19(3):182-8. doi: 10.1111/j.1365-2893.2011.01502.x. Epub 2011 Oct 4.

DOI:10.1111/j.1365-2893.2011.01502.x
PMID:22329372
Abstract

Hepatitis C virus (HCV) infection is a major cause for chronic liver disease and hepatocellular carcinoma. The HCV-ARF/core+1 protein is an alternative product of HCV core-encoding sequence of unknown biological function. Highly purified HCV core and ARF/core+1 recombinant proteins from HCV genotype 1a and HCV-ARF/core+1 recombinant protein from HCV genotype 3a were expressed in Escherichia coli. Using an enzyme-linked immunosorbent assay, we assessed the prevalence of anti-ARF/core+1 antibodies in 90 chronic hepatitis C patients infected with HCV genotypes 1a/1b or 3a, treated with pegylated interferon (Peg-IFN-a-2a) plus ribavirin. Samples derived from 92 healthy blood donors were used as negative controls. All HCV-RNA-positive serum samples reacted with core 1a antigen, while 15 (37.5%) of 40 and 14 (28%) of 50 patients infected with HCV-1a/1b and HCV-3a, respectively, were found to have anti-ARF/core+1 antibodies into their serum before treatment initiation. These antibodies were persistently present during treatment follow-up and linked to elevated levels of HCV-RNA at baseline.

摘要

丙型肝炎病毒 (HCV) 感染是慢性肝病和肝细胞癌的主要病因。HCV-ARF/core+1 蛋白是 HCV 核心编码序列的替代产物,其生物学功能未知。从 HCV 基因型 1a 和 HCV-ARF/core+1 的 HCV 中高度纯化的核心和 ARF/core+1 重组蛋白在大肠杆菌中表达。我们使用酶联免疫吸附试验评估了 90 例慢性丙型肝炎患者(感染 HCV 基因型 1a/1b 或 3a)中抗-ARF/core+1 抗体的流行情况,这些患者接受了聚乙二醇干扰素 (Peg-IFN-a-2a) 加利巴韦林治疗。来自 92 名健康献血者的样本被用作阴性对照。所有 HCV-RNA 阳性血清样本均与核心 1a 抗原发生反应,而在接受治疗前,分别有 15 例(37.5%)感染 HCV-1a/1b 和 14 例(28%)感染 HCV-3a 的患者的血清中存在抗-ARF/core+1 抗体。这些抗体在治疗随访期间持续存在,并与基线时 HCV-RNA 水平升高有关。

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