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[使用单克隆抗体的间接免疫过氧化物酶法及非甲非乙型肝炎的临床病理检查]

[Indirect immunoperoxidase method using a monoclonal antibody and clinico-pathological examination of non-A, non-B hepatitis].

作者信息

Unoki H

机构信息

Third Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

出版信息

J UOEH. 1988 Sep 1;10(3):305-16. doi: 10.7888/juoeh.10.305.

Abstract

For the purpose of diagnosing non-A, non-B hepatitis, an indirect immunoperoxidase method using the monoclonal antibody 48-1 was carried out. Human liver biopsy specimens of 74 cases with various hepatic diseases containing non-A, non-B hepatitis were investigated by using optical microscopy. Moreover, cases with non-A, non-B hepatitis were clinico-pathologically examined. Peroxidase-positive hepatocytes were found in 13 cases of the 74 cases. The thirteen cases were as follows; 8 cases with acute hepatitis (non-A, non-B type), 2 cases with chronic hepatitis (non-A, non-B type), 2 cases with acute hepatitis (B type), 1 case with chronic hepatitis (B type). The frequency of positive peroxidase staining was high (80%) in acute hepatitis (non-A, non-B type), but it was not significant statistically. On histological examination, acidophilic condensation was frequently seen in liver specimens of cases with acute hepatitis (non-A, non-B type). Furthermore, the correlation between acidophilic condensation and peroxidase positive staining was statistically seen. It is suggested that the peroxidase staining by using monoclonal antibody 48-1 is useful for diagnosis of acute hepatitis (non-A, non-B type).

摘要

为诊断非甲非乙型肝炎,采用单克隆抗体48-1进行间接免疫过氧化物酶法检测。利用光学显微镜对74例包含非甲非乙型肝炎的各种肝脏疾病患者的肝活检标本进行了研究。此外,对非甲非乙型肝炎患者进行了临床病理检查。在74例患者中,有13例发现过氧化物酶阳性肝细胞。这13例患者情况如下:8例急性肝炎(非甲非乙型)、2例慢性肝炎(非甲非乙型)、2例急性肝炎(乙型)、1例慢性肝炎(乙型)。急性肝炎(非甲非乙型)中过氧化物酶染色阳性率较高(80%),但无统计学意义。组织学检查发现,急性肝炎(非甲非乙型)患者肝脏标本中常可见嗜酸性凝集。此外,嗜酸性凝集与过氧化物酶阳性染色之间存在统计学相关性。提示使用单克隆抗体48-1进行过氧化物酶染色有助于急性肝炎(非甲非乙型)的诊断。

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