Lang Z W, Yan H P, Huang D Z
Department of Pathology, You An Hospital, Beijing.
Zhonghua Bing Li Xue Za Zhi. 1994;23(3):144-7.
Nested polymerase chain reaction (PCR) in two groups of primer was performed in formalin-fixed, paraffin-embedded kidney and liver tissues from 11 autopsies of HBV infected patients for HBV DNA detection. DNA sequence representing HBV infection was detected in all the 11 liver tissue specimens (100%) and in 8 kidney tissue specimens (72.7%). DNA sequence representing HBV replication was detected in only 5 liver tissue specimens. The PCR findings correspond with those obtained in immunohistochemistry studies and in situ hybridization, suggesting that HBV can infect the kidney but does not replicate in this organ and that the kidney pathology in HBV infected patients may be the result of immuno-intermediate injury from immunocomplex deposited in glomeruli.
对11例乙肝病毒感染患者尸检获取的福尔马林固定、石蜡包埋的肾脏和肝脏组织,采用两组引物进行巢式聚合酶链反应(PCR)以检测乙肝病毒DNA。在所有11份肝脏组织标本(100%)和8份肾脏组织标本(72.7%)中检测到代表乙肝病毒感染的DNA序列。仅在5份肝脏组织标本中检测到代表乙肝病毒复制的DNA序列。PCR结果与免疫组织化学研究和原位杂交结果一致,提示乙肝病毒可感染肾脏,但不在该器官中复制,乙肝病毒感染患者的肾脏病变可能是免疫复合物沉积于肾小球导致免疫介导损伤的结果。