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自身免疫性慢性活动性肝炎和原发性胆汁性肝硬化患者中戊型肝炎病毒抗体的检测

Detection of antibodies to hepatitis E virus in patients with autoimmune chronic active hepatitis and primary biliary cirrhosis.

作者信息

Le Cann P, Tong M J, Werneke J, Coursaget P

机构信息

Institute of Virology, School of Pharmacy, Tours, France.

出版信息

Scand J Gastroenterol. 1997 Apr;32(4):387-9. doi: 10.3109/00365529709007689.

DOI:10.3109/00365529709007689
PMID:9140163
Abstract

BACKGROUND

Viral hepatitis E (HIV) frequently causes epidemic outbreaks in many developing countries. It is also present in developed countries as imported cases. The role of hepatitis A virus as trigger for autoimmune chronic hepatitis has been demonstrated, and it has been suggested that this may also apply to HEV.

METHODS

The presence of anti-HEV antibodies in serum samples from patients with autoimmune chronic active hepatitis (n = 52) and with primary biliary cirrhosis (n = 25) was investigated using an Abbott assay and a peptide-based test.

RESULTS

Anti-HEV antibodies were detected with the Abbott test in 13% (7 of 52) of the patients with autoimmune chronic active hepatitis, but not of these were positive in the synthetic peptide-based test.

CONCLUSION

These findings indicate the HEV is not associated with primary biliary cirrhosis but may be implicated in some cases of autoimmune chronic active hepatitis.

摘要

背景

戊型肝炎病毒(HEV)在许多发展中国家经常引发疫情暴发。在发达国家也存在输入性病例。甲型肝炎病毒作为自身免疫性慢性肝炎触发因素的作用已得到证实,并且有人提出这可能也适用于戊型肝炎病毒。

方法

使用雅培检测法和基于肽的检测方法,对自身免疫性慢性活动性肝炎患者(n = 52)和原发性胆汁性肝硬化患者(n = 25)的血清样本中抗戊型肝炎病毒抗体的存在情况进行了调查。

结果

在自身免疫性慢性活动性肝炎患者中,13%(52例中的7例)通过雅培检测法检测到抗戊型肝炎病毒抗体,但在基于合成肽的检测中这些抗体均未呈阳性。

结论

这些发现表明戊型肝炎病毒与原发性胆汁性肝硬化无关,但可能与某些自身免疫性慢性活动性肝炎病例有关。

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