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采用放射免疫分析法测定HBeAg:对乙型肝炎预后的影响

Determination of HBeAg by radioimmunoassay: prognostic implications in hepatitis B.

作者信息

Norkrans G, Frösner G, Iwarson S

出版信息

Scand J Gastroenterol. 1979;14(3):289-93. doi: 10.3109/00365527909179885.

DOI:10.3109/00365527909179885
PMID:441677
Abstract

A radioimmunoassay was used to determine the presence of the hepatitis B e antigen (HBeAg) and anti-HBe in the serum of 12 hepatitis B patients, who were follofed from an early phase of the illness into convalescence. The duration of detectable HBeAg in serum from these patients, in all ow whom the disease ran a normal course, was compared with the persistence of HBeAg in serum of nine patients with a protracted course and persistence of HBsAg in serum for more than 1 year. None of the hepatitis B patients with a normal course of the disease had HBeAg demonstrable for more than 9 weeks after the onset of illness (mean 5.4 weeks), whereas all patients developing chronic hepatitis had HBeAg in serum for more than 1 year after the onset of illness. These findings indicate that the detection of HBeAg in serum by radioimmunoassay for 10 weeks or more after the onset of illness implies a great risk of progression of the hepatitis B infection to chronic liver disease.

摘要

采用放射免疫分析法检测了12例乙型肝炎患者血清中乙型肝炎e抗原(HBeAg)和抗-HBe,这些患者从疾病早期开始随访直至康复。将这些疾病呈正常病程的患者血清中可检测到HBeAg的持续时间,与9例病程迁延且血清中HBsAg持续存在超过1年的患者血清中HBeAg的持续时间进行了比较。疾病呈正常病程的乙型肝炎患者在发病后9周以上均未检测到HBeAg(平均5.4周),而所有发展为慢性肝炎的患者在发病后1年以上血清中仍有HBeAg。这些发现表明,发病后10周或更长时间通过放射免疫分析法检测血清中的HBeAg意味着乙型肝炎感染进展为慢性肝病的风险很大。

相似文献

1
Determination of HBeAg by radioimmunoassay: prognostic implications in hepatitis B.采用放射免疫分析法测定HBeAg:对乙型肝炎预后的影响
Scand J Gastroenterol. 1979;14(3):289-93. doi: 10.3109/00365527909179885.
2
Hepatitis B e antigen and antibody measured by radioimmunoassay in acute hepatitis B surface antigen-positive hepatitis.在急性乙型肝炎表面抗原阳性肝炎中,通过放射免疫测定法检测乙肝e抗原和抗体。
J Infect Dis. 1980 Mar;141(3):293-8. doi: 10.1093/infdis/141.3.293.
3
Clearance of hepatitis B e-antigen in chronic hepatitis B infection.慢性乙型肝炎感染中乙肝e抗原的清除
Scand J Gastroenterol. 1982 Apr;17(3):383-7. doi: 10.3109/00365528209182072.
4
[Radioimmunological determination of HBeAg/anti-HBe in HBsAg-positive liver diseases and in "healthy" HBsAg carriers].[乙肝表面抗原(HBsAg)阳性肝病患者及“健康”HBsAg携带者中HBeAg/抗-HBe的放射免疫测定]
Z Gastroenterol. 1979 Oct;17(10):704-12.
5
Detection of HBeAg and anti-HBe in acute hepatitis B by a sensitive radioimmunoassay.采用灵敏放射免疫分析法检测急性乙型肝炎中的HBeAg和抗-HBe。
J Med Virol. 1978;3(1):67-76. doi: 10.1002/jmv.1890030114.
6
[HBeAg and Anti-HBe in various groups of acute hepatitis patients and carriers of HBsAg].[急性肝炎患者各亚组及乙肝表面抗原携带者中的乙肝e抗原和乙肝e抗体]
Boll Ist Sieroter Milan. 1977 Mar 31;56(1):74-8.
7
Persistence of e antigen as prognostic marker in acute hepatitis B.e抗原持续存在作为急性乙型肝炎的预后标志物
Infection. 1979;7(1):17-20. doi: 10.1007/BF01640550.
8
Radioimmunoassay for detection of hepatitis B e antigen and its antibody. Results of clinical evaluation.检测乙型肝炎e抗原及其抗体的放射免疫测定法。临床评估结果。
Am J Clin Pathol. 1981 Nov;76(5):692-7. doi: 10.1093/ajcp/76.5.692.
9
[Clinical significance of HBeAg and anti-HBe in HBsAg positive liver diseases].[乙肝表面抗原阳性肝病中HBeAg和抗-HBe的临床意义]
Hokkaido Igaku Zasshi. 1983 Jan;58(1):30-42.
10
Preference and significance of HBeAg and anti-HBe, determined by enzyme immunoassay, in patients with acute, chronic and resolved hepatitis B.采用酶免疫测定法测定急性、慢性和已康复乙型肝炎患者中HBeAg和抗-HBe的偏好性及意义。
Hepatogastroenterology. 1980 Oct;27(5):350-5.

引用本文的文献

1
Diagnostic significance of quantitative determination of hepatitis B surface antigen in acute and chronic hepatitis B infection.乙肝表面抗原定量检测在急慢性乙肝感染中的诊断意义
Eur J Clin Microbiol. 1982 Feb;1(1):52-8. doi: 10.1007/BF02014141.
2
Hepatitis B e antibody determination: comparison and evaluation of four different methods.乙型肝炎e抗体测定:四种不同方法的比较与评价
J Clin Microbiol. 1980 May;11(5):458-61. doi: 10.1128/jcm.11.5.458-461.1980.
3
Hepatitis B vaccine: further studies in children with previously acquired hepatitis B surface antigenemia.
乙肝疫苗:对先前已感染乙肝表面抗原血症儿童的进一步研究
Infect Immun. 1983 Jul;41(1):83-7. doi: 10.1128/iai.41.1.83-87.1983.