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伴有或不伴有丁型肝炎病毒重叠感染的慢性乙肝表面抗原携带者的乙肝病毒DNA水平评估。

Assessment of hepatitis B virus DNA levels in chronic HBsAg carriers with or without hepatitis delta virus superinfection.

作者信息

Bas C, Bartolomé J, La Banda F, Porres J C, Quiroga J A, Mora I, Carreño V

机构信息

Department of Gastroenterology, Fundación Jiménez Díaz, Universidad Autónoma, Madrid, Spain.

出版信息

J Hepatol. 1988 Apr;6(2):208-13. doi: 10.1016/s0168-8278(88)80033-3.

DOI:10.1016/s0168-8278(88)80033-3
PMID:3411100
Abstract

In order to document the incidence of hepatitis delta virus (HDV) replication markers and their relationship to HBV replication, 91 HBsAg chronic carriers were studied. Of these, 51 were anti-HD-positive (19 HBeAg-positive and 32 anti-HBe-positive). Liver HDAg was found in 75% of anti-HD-positive patients. Of the 19 patients who had anti-HD and HBeAg, 13 were HBV-DNA-positive. None of the anti-HBe patients were HBV-DNA-positive. No differences with respect to HBV-DNA concentration were observed between anti-HD-positive and -negative patients. Liver HDAg was detected with similar frequency in patients who were HBeAg- and HBV-DNA-positive (63.6%) and in those who were anti-HBe-positive (78.5%), with no statistically significant difference. HBcAg and HDAg were simultaneously detected in 36% of the anti-HD cases. Patients with anti-HD and HBV-DNA had the highest levels of transaminases (SGPT). Our results suggest that in certain patients HDV and HBV replication coexists without mutual inhibition.

摘要

为了记录丁型肝炎病毒(HDV)复制标志物的发生率及其与HBV复制的关系,对91例HBsAg慢性携带者进行了研究。其中,51例抗HD阳性(19例HBeAg阳性,32例抗HBe阳性)。75%的抗HD阳性患者肝脏中检测到HDAg。在19例抗HD和HBeAg阳性的患者中,13例HBV-DNA阳性。抗HBe患者均未检测到HBV-DNA阳性。抗HD阳性和阴性患者之间未观察到HBV-DNA浓度的差异。HBeAg和HBV-DNA阳性患者(63.6%)和抗HBe阳性患者(78.5%)肝脏中检测到HDAg的频率相似,无统计学显著差异。36%的抗HD病例同时检测到HBcAg和HDAg。抗HD和HBV-DNA阳性的患者转氨酶(SGPT)水平最高。我们的结果表明,在某些患者中HDV和HBV复制共存且无相互抑制。

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