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[慢性丙型肝炎病毒感染:内科医生的观点(第1部分)]

[Chronic hepatitis C virus infection: An internist's opinion (Part 1)].

作者信息

Zubkin M L, Chervinko V I, Ovchinnikov Yu V, Kryukov E V, Kotenko O N

机构信息

G.N. Gabrichevsky Moscow Research Institute for Epidemiology and Microbiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Welfare, Moscow, Russia; Branch, S.M. Kirov Military Medical Academy, Moscow, Russia.

Branch, S.M. Kirov Military Medical Academy, Moscow, Russia.

出版信息

Ter Arkh. 2016;88(10):105-113. doi: 10.17116/terarkh2016886105-113.

Abstract

Hepatitis C virus (HCV) infection results in not only chronic hepatitis and subsequent complications as liver cirrhosis and hepatocellular carcinoma, but also in a significant number of other diseases, the so-called extrahepatic manifestations of chronic HCV infection. This is because of viral hepatotropicity and lymphotropicity. The most striking example of the course of chronic HCV infection, in which the infectious and inflammatory processes are concurrent with autoimmune disorders and carcinogenesis, is mixed cryoglobulinemia and B-cell non-Hodgkin's lymphoma. The pathogenesis of these diseases is based on the clonal expansion of B cells, which occurs under their prolonged stimulation with the virus or viral proteins. Part 1 of this review is devoted to the analysis of a correlation of chronic HCV infection with lymphoproliferative and autoimmune disorders, as well as its association with kidney injury.

摘要

丙型肝炎病毒(HCV)感染不仅会导致慢性肝炎以及随后诸如肝硬化和肝细胞癌等并发症,还会引发大量其他疾病,即所谓的慢性HCV感染的肝外表现。这是由于病毒的嗜肝性和嗜淋巴细胞性。慢性HCV感染过程中最显著的例子是混合性冷球蛋白血症和B细胞非霍奇金淋巴瘤,其中感染和炎症过程与自身免疫性疾病和致癌作用同时存在。这些疾病的发病机制基于B细胞的克隆性扩增,这发生在病毒或病毒蛋白对其长期刺激的情况下。本综述的第1部分致力于分析慢性HCV感染与淋巴增殖性疾病和自身免疫性疾病的相关性,以及其与肾损伤的关联。

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