The primary study on the expression of HBcAg and HBVDNA in the liver tissues of the patients with hepatitis hepatocirrhosis of liver.
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摘要: 观察乙型肝炎引起的肝炎肝硬化患者肝组织中HBcAg和HBVDNA的表达。随机采取 10 0例乙型肝炎肝硬化患者 ,行肝活检术取肝组织 ,采用免疫组织化学和原位分子杂交法 ,检测其中HBcAg和HBVDNA。肝组织中HBcAg、HBVDNA的检出率分别为 6 4%和 6 2 %(P >0 0 5 )。血清HBV呈高复制时 ,肝组织中HBcAg和HB VDNA的阳性表达 ,有较好的一致性 ;HBcAg颗粒在肝呈弥漫的浆、膜型分布者 ,其肝组织中HBVDNA呈高表达 ;其肝组织病变是活动的 (P <0 0 5 )。乙型肝炎肝硬化患者肝组织中有较高的HBV复制率 ;肝组织中HBcAg和HBVDNA的分布类型与其中的HBV的复制状况和组织病变的活动性有关。
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关键词:
- 乙型肝炎病毒核心抗原 /
- 肝炎硬肝化 /
- 乙型肝炎病毒脱氧核糖核酸
Abstract: To observe the expression of HBcAg and HBVDNA in the Liver tissues of the patients with posthepatitic cirrhosis by hepatitis B which was diagnosed by detecting HBV in the serum using ELISA methods, 100 such cases were collected by random sampling methods. In these cases, the biopsy of liver were performed and HBcAg and HBV DNA were detected by immuno-cytochemistry and in situ molecule hybridization technique. For these patients, HBcAg-positive rate and HBVDNA-positive rate in liver tissues were 64%, 62% respectively, but there were no statistically significant differences between them (P>0.05) . When HBV was in high replication statas, the expression of HBcAg was coherent with that of HBVDNA in the liver tissues. In the patients with HBcAg and HBVDNA mainly in the cytoplasm and cytomembrane, the HBVDNA were highly expressed in liver and the liver tissues pathological changes were active (P<0.05) . The results suggest that HBV replication rate were higher in the liver tissues of these patients. The expression of HBcAg and HBVDNA in the liver tissues were correlated with the HBV replication and the activity of liver tissue pathological changes.-
Key words:
- HBcAg /
- HBVDNA /
- Posthepatitic Cirrhosis
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[1] 王宝恩, 姚光弼, 殷蔚荑, 主编肝脏病学进展[M ]上海:上海科技出版社, 1991, (1) ∶14-29. [2]周文三, 唐勤, 黄远成, 等HBVDNA定量测定与HBVM的关系及临床意义分析[J]江苏:医药杂志, 2000, 26 (12) ∶961-962. [3]王虹, 万成松, 王省良乙型肝炎患者HBVDNA定量测定与临床疗效的关系[J]中华肝脏病杂志, 2000, 8 (4) ∶255-256. [4]张定凤主编乙型肝炎的发病机理及临床[M ]重庆:重庆出版社, 1992, 1-35.
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