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献血者乙型肝炎病毒体液免疫和细胞免疫水平研究

Humoral and cellular immune responses to HBV in the blood donors
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摘要 目的:研究自然状态下献血者对乙型病毒性肝炎不同抗原成份的体液、细胞免疫应答水平,及两者的相关性。方法:ELISA检测献血者血浆中HBsAb、HBcAb、preS1+S2-Ab的阳性率,ELISOPT检测外周血单个核细胞中抗原特异性IFN-γ分泌细胞水平。结果:体液免疫应答检测结果表明preS1+S2-Ab的检出率最高,占85.7%(48/56),核心杭体的检出率最低30.4%(17/56);特异性细胞免疫检测结果提示献血者总体preS1+S2-Ag、HBcAg的特异性细胞免疫应答水平有着良好的一致性,无统计学差异(P>0.05),但显著优于HBsAg;preS1+S2-Ag和HBsAg特异性细胞免疫和体液免疫应答有着较好的一致性,但HBcAg特异性细胞免疫和体液免疫无明确关联(P>0.05)。结论:自然状态下献血者对乙型病毒性肝炎不同抗原成份均有较好的体液、细胞免疫应答,preS1+S2的体液免疫应答水平优于表面及核心抗原提示人HBV疫苗的侯选对象。 AIM: To study the magnitude and correlation of humoral and cellular immune responses to hepatitis surface antigen(HBsAg), preS1 + S2 antigen, and core antigen (HBcAg) in the blood donors. METHODS: Enzyme linked immunosorbent assay (ELISA) was employed to scan the humoral immune responses to HBsAg, preS1 + S2 antigen, and HBcAg. Enzyme linked immunospot assay (ELISPOT) was used to check the antigen specific IFN-γ, secreting cells stimulated by HBsAg, preS1 + S2 antigen or HBcAg in peripheral blood mononuclear cell from blood donors. RESULTS: The prevalence of humoral immune response to preS1 + S2 antigen was as high as 85.7% (48/ 56), compared with the lower response to HBcAg (30.4%, 17/56). In the cellular immune response, there was no difference between preS1 + S2 antigen and HBcAg, both of which were stronger than the response stimulated by HBsAg. PreS1 + S2 antigen or HBsAg specific humoral immune and cellular immune responses were highly correlated, which could not be observed in the HBcAg specific humoral immune and cellular immune responses ( P 〉 0.05). CONCLUSION: Either humoral or cellular immune responses to HBsAg, preS1 + S2 antigen and HBcAg could be detected in the blood donors. PreS1 +S2 antigen immune responses, however, were most powerful, which may suggest that PreS1 + S2 antigen may be a candidate for the further HBV vaccine.
出处 《细胞与分子免疫学杂志》 CAS CSCD 北大核心 2012年第4期404-406,共3页 Chinese Journal of Cellular and Molecular Immunology
关键词 HBSAG 前S1+S2抗原 ELISA 献血者 酶联免疫斑点试验 HBsAg preS1+S2 antigen ELISA blooddonation ELISPOT
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