Molade J K, Onifade A A, Jimoh M A, Oyero O G, Ahube I C, Olawuyi O K, Ayodeji I
Department of Chemical Pathology, College of Medicine, University of Ibadan.
Department of Radiation Oncology, College of Medicine. University of Ibadan.
Ann Ib Postgrad Med. 2020 Jun;18(1):31-36.
Changes in immunological response have been reported during HBV infections, and these changes can be markers for the diagnosis and prediction of the outcome of infection The aim of this study was to measure and correlate serum levels of interleukin-2 (IL-2), C-reactive protein (CRP) Alanine aminotransferase (ALT), Aspartate aminotransferase (AST) and HBV antigens and antibodies in a sample of patients with HBV infection and in healthy controls.
The study population consisted of 26 patients with hepatitis B infection (HBsAg seropositive), and 26 apparently healthy (HBsAg seronegative) participants as controls. Biochemical markers of liver disease were evaluated by routine methods. Hepatitis B antigens (HBVsAg, HBeAg) and antibodies (HBsAb, HBeAb, HBcAb) were determined using immunochromatographic method. Serum concentrations of IL-2, and CRP were determined using ELISA method.
IL-2 level in HBsAg seropositive patients was found to be lower than that of control with no statistical significance while CRP level in HBV positive patients was higher than that of control with no statistical significance. HBV patients showed statistically significant difference in AST and ALT levels, compared to healthy controls. A statistically significant value was also observed between IL-2 and CRP in HBV infected individuals.
The study concluded that deranged ALT and AST values correlate with HBV infection and may be a potential tool for disease diagnosis and progression.
已有报道称乙肝病毒(HBV)感染期间免疫反应会发生变化,这些变化可作为感染诊断及预后预测的标志物。本研究旨在检测乙肝病毒感染患者样本及健康对照者血清中白细胞介素-2(IL-2)、C反应蛋白(CRP)、丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)以及乙肝病毒抗原和抗体的水平,并进行相关性分析。
研究人群包括26例乙肝感染患者(乙肝表面抗原血清学阳性)以及26例表面健康的对照者(乙肝表面抗原血清学阴性)。采用常规方法评估肝脏疾病的生化指标。使用免疫层析法检测乙肝病毒抗原(乙肝表面抗原、乙肝e抗原)和抗体(乙肝表面抗体、乙肝e抗体、乙肝核心抗体)。采用酶联免疫吸附测定法(ELISA)检测血清中IL-2和CRP的浓度。
发现乙肝表面抗原血清学阳性患者的IL-2水平低于对照组,但差异无统计学意义;乙肝病毒阳性患者的CRP水平高于对照组,差异也无统计学意义。与健康对照者相比,乙肝患者的AST和ALT水平存在统计学显著差异。在乙肝感染个体中,IL-2和CRP之间也观察到具有统计学意义的值。
该研究得出结论,ALT和AST值紊乱与乙肝病毒感染相关,可能是疾病诊断和病情进展的潜在工具。