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乙型肝炎患者血清标志物、前S1蛋白和HBV-DNA检测的相关性探讨 被引量:7

Relationship between Serological Markers,Pre-S1Protein and HBV-DNA in Patients with Hepatitis B
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摘要 的 :检测并观察乙型肝炎患者血清标志物(HBsAg、HBsAb、HBeAg、HBeAb、HBcAb)、前S1(Pre_S1)蛋白和HBV_DNA的相关性 ,探讨新型指标Pre_S1检测的临床意义。方法 :(1)用ELISA法测定100例乙型肝炎患者及35例健康体检者的乙肝血清标志物 ,并按结果分为3组。(2)各组用乙肝病毒Pre_S1蛋白诊断试剂检测Pre_S1蛋白。(3)用定量PCR检测上述标本的HBV_DNA。(4)观察检测血清标志物 ,Pre_S1和HBV_DNA相关性。结果 :Pre_S1蛋白在HBeAg( +)组中检出率 (82.50% )和HBeAg( -)组中检出率 (46.67 % )差别有统计学意义 ;Pre_S1蛋白与HBV_DNA有良好相关性。结论 :3项实验指标之间具有良好相关性 ,Pre_S1蛋白是HBV感染与复制的新指标 ,有望作为乙型肝炎新的检测手段和新的标志物。 Objective:To study the relationship between serological markers(HBsAg,HBsAb,HBeAg,HBeAb,HBcAb),pre_S1protein and HBV_DNA in patients with hepatitis B.Methods:(1)ELISA was used to measure the serological markers in patients with hepatitis B and normal persons.According to the results,they were divided into three groups.(2)Their pre-S1protein was measured with HBV pre-S1diagnosis reagents.(3)The HBV-DNA was detected with quantified-PCR.(4)The relationship between serological markers,pre-S1protein and HBV-DNA was observed.Results:The detectable rate of pre-S1protein in positive HBeAg group(82.50%)was higher than that in negative HBeAg group(46.67%)(P<0.01).Conclusions:There was a sig-nificant relationship between serological markers,pre_S1protein and HBV_DNA.The pre_S1protein would be used as a new marker for infection and replication of HBV.
出处 《天津医药》 CAS 北大核心 2004年第1期19-21,共3页 Tianjin Medical Journal
关键词 乙型肝炎 血清标志物 前S1蛋白 HBV-DNA 检测 相关性 hepatitis B virus viral proteins DNA,viral hepatitis B antigens hepatitis B antibodies
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  • 1陈忠领,张丽萍,魏善和,孔令文.乙型肝炎病毒前S1抗原/抗体检测的临床意义[J].陕西医学杂志,2000,29(6):360-360. 被引量:7
  • 2Theilmann L, Klinkert MQ, Gmelin K, et al.Detection of Pre-S1 protein in serum and liver of HBsAg- positive patients:A new marker for hepatitis B virus infection. Hepatal, 1986, 6:186- 190
  • 3Petit MA, Zoulin F, Capel F, et al Variable expression of Pre-S1 antigen in serum during chronic hepatitis B virus infection : An accurate marker for the level of hepatitis B virus replication. Hepatology, 1990, 11: 809 - 814
  • 4中华医学会传染病与,寄生虫病学分会,肝病学分会.病毒性肝炎防治方案[J].中华肝脏病杂志,2000,8(6):324-329. 被引量:14017
  • 5Yuki N, Hayashi N, Katayama K, et al. Quantitative analysis of Pre-S1 and Pre-S2 in relation to HBsAg expression . Hepatology, 1990, 11:38- 40

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