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人类免疫缺陷病毒-1和获得性免疫缺陷综合征患者中与人类疱疹病毒8型相关的卡波西肉瘤的选定基因

Selected genes of Human herpesvirus-8 associated Kaposi's sarcoma among patients with Human Immunodeficiency Virus-1 and Acquired Immunodeficiency Disease Syndrome.

作者信息

Demba Rodgers Norman, Shaviya Nathan, Aradi Sylviah Mweyeli, Mwanda Walter

机构信息

School of Health Sciences, Kisii University, Kisii, Kenya.

Institute of Tropical and Infectious Diseases, University of Nairobi, Nairobi, Kenya.

出版信息

Pan Afr Med J. 2019 Apr 30;32:215. doi: 10.11604/pamj.2019.32.215.17322. eCollection 2019.

Abstract

INTRODUCTION

Kaposi's sarcoma (KS) is a kind of cancer that causes flat or raised lesions containing Human herpes virus 8 (HHV8). The KS lesions are common among immunosuppressed HIV patients. Highly Active Antiretroviral (HHART) treats and prevents the development of KS. The objective of this study was to determine the presence of K1 and K15 (predominant alleles) genes in Kaposi's sarcoma-associated herpes virus (KSHV) among immunosuppressed patients due to HIV-1.

METHODS

This was a cross-sectional descriptive study where consecutive sampling technique was adopted to pick archived tissue blocks from the Thematic Unit of Anatomic Pathology, Department of Human Pathology, College of Health Sciences, University of Nairobi and Department of Laboratory Medicine, Histology Section, Kenyatta National Hospital.

RESULTS

Upon staining 81 tissue blocks with H & E, 84% (68/81) were diagnosed as KS and 16% (13/81) as KS-like. The K1 and K15 (P) genes were both detected at 88.9% (72/81) in the tissue blocks, with 95.8% (69/72) detection from KS and 4.2% (3/72) from the KS-like.

CONCLUSION

The K1 and K15 (P) genes of KSHV were present among the immunosuppressed patients with Human Immunodeficiency Virus (HIV)-1. It is important to carry out K1 and K15 (P) genes detection on tissues that are diagnosed as KS or KS-like by histology technique.

摘要

引言

卡波西肉瘤(KS)是一种会导致出现含有人类疱疹病毒8型(HHV8)的扁平或凸起病变的癌症。KS病变在免疫抑制的HIV患者中很常见。高效抗逆转录病毒疗法(HAART)可治疗并预防KS的发展。本研究的目的是确定因HIV-1导致免疫抑制的患者中卡波西肉瘤相关疱疹病毒(KSHV)的K1和K15(主要等位基因)基因的存在情况。

方法

这是一项横断面描述性研究,采用连续抽样技术从内罗毕大学健康科学学院人类病理学系解剖病理学主题单元以及肯雅塔国家医院实验室医学部组织学科室选取存档组织块。

结果

在用苏木精和伊红(H&E)对81个组织块进行染色后,84%(68/81)被诊断为KS,16%(13/81)为KS样病变。在组织块中检测到K1和K15(P)基因的比例均为88.9%(72/81),其中KS中检测到的比例为95.8%(69/72),KS样病变中为4.2%(3/72)。

结论

KSHV的K1和K15(P)基因存在于感染人类免疫缺陷病毒(HIV)-1的免疫抑制患者中。对经组织学技术诊断为KS或KS样病变的组织进行K1和K15(P)基因检测很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/6675582/687dfeea445e/PAMJ-32-215-g001.jpg

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