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尼日利亚伊费市 HIV/HBV 合并感染和单纯 HBV 感染患者的乙型肝炎病毒(HBV)血清学特征比较。

Comparative serologic profiles of hepatitis B Virus (HBV) between HIV/HBV co-infected and Hbv mono-infected patients in Ile-Ife, Nigeria.

机构信息

African Centre of Excellence for Genomics of Infectious Diseases, Redeemers University, Ede, Nigeria.

Department of Biological Sciences, Redeemers University, Ede, Nigeria.

出版信息

J Immunoassay Immunochem. 2021 Nov 2;42(6):633-647. doi: 10.1080/15321819.2021.1924197. Epub 2021 May 24.

DOI:10.1080/15321819.2021.1924197
PMID:34029499
Abstract

Hepatitis B virus (HBV) infects about 2 billion people globally and accounts for mortality of about 800,000 from liver cirrhosis and hepatocellular carcinoma. Sub-Saharan Africa accounts for 70% of the Human Immunodeficiency Virus (HIV) global burden. HIV/HBV co-infection results in the early development of HBV complications, alterations of serological biomarkers of HBV. Two hundred and fifty patients with HIV/AIDS were screened for HBV and 20 (8%) were identified. The same number of HBV mono-infected individuals were recruited into the study and subsequently, HBV serological profiles which include HBsAg, HBsAb, HBeAg, HBeAb, HBcAbIgM, and HBcAbIgG were assayed using HBV ELISA kits. Mean age of patients in the HBV/HIV cohort was 45.5 years while the HBV mono-infected infected cohort was 30.5 years. The majority of the HBV/HIV co-infected individuals were females (85%). The frequency of HBeAg among HIV/HBV co-infected cohort was 25% and 15% for HBV mono-infected, while the frequency of HBeAb was higher (60%) among the cohort of HBV/HIV co-infected patients in comparison with the HBV mono-infected cohorts (50%). Two patients among the HIV/HBV co-infected cohort have the isolated anti-HBcAg serologic pattern. The study broadened the available evidence of comparative serologic profiles of Hepatitis B virus between cohorts of HBV/HIV co-infected individuals and HBV mono-infected patients in Nigeria.

摘要

乙型肝炎病毒(HBV)感染全球约 20 亿人,导致肝硬化和肝细胞癌死亡约 80 万人。撒哈拉以南非洲地区占全球人类免疫缺陷病毒(HIV)负担的 70%。HIV/HBV 合并感染导致 HBV 并发症的早期发展,HBV 血清学标志物发生改变。对 250 名艾滋病毒/艾滋病患者进行了 HBV 筛查,发现 20 例(8%)为阳性。对同样数量的 HBV 单感染个体进行了研究,随后使用 HBV ELISA 试剂盒检测 HBsAg、HBsAb、HBeAg、HBeAb、HBcAbIgM 和 HBcAbIgG 等 HBV 血清学特征。HBV/HIV 组患者的平均年龄为 45.5 岁,而 HBV 单感染组为 30.5 岁。HBV/HIV 合并感染组中大多数为女性(85%)。HIV/HBV 合并感染组的 HBeAg 频率为 25%,HBV 单感染组为 15%,而 HBV/HIV 合并感染组的 HBeAb 频率(60%)高于 HBV 单感染组(50%)。HBV/HIV 合并感染组中有 2 例患者存在单独的抗-HBcAg 血清学模式。本研究扩大了关于尼日利亚 HBV/HIV 合并感染个体和 HBV 单感染患者之间 HBV 血清学特征的比较证据。

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