慢性乙型肝炎患者HBV前C区及BCP区变异与血清细胞因子的关系
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蒋孝华

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R512.6+2

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The relationship between HBV precore and basal core promoter mutations and serum cytokines in patients with chronic hepatitis B
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    摘要:

    目的探讨乙型肝炎e抗原(HBeAg)阴性和阳性慢性乙型肝炎(CHB)患者乙型肝炎病毒(HBV)前C区、基本核心启动子(BCP)区变异特点以及与血清细胞因子干扰素(IFN)γ、白细胞介素(IL)10水平的关系。方法将120例HBV DNA阳性CHB患者(HBeAg阴性和阳性各60例)与60例健康体检者(对照组)纳入研究。荧光定量聚合酶链反应(PCR)法检测HBeAg阴性和阳性组患者HBV DNA水平,直接测序法检测两组前C区 G1896A变异及BCP区A1762T和G1764A变异,双抗夹心酶联免疫吸附试验检测血清细胞因子IFNγ、IL10的水平。结果120例HBV DNA阳性CHB患者HBV前C区和BCP区变异总检出率为60.00%(72/120),其中HBeAg阴性组变异检出率为80.00%(48/60),HBeAg阳性组变异检出率为40.00%(24/60),两组比较,差异有显著性(χ2=20.00,P=0.000)。HBeAg阴性组G1896A变异(38.33%)和联合变异(G1896A、A1762T和G1764A同时变异,25.00%)的检出率明显高于HBeAg阳性组(16.67%、0.00%)(分别χ2=7.06,P=0.008;χ2=17.14,P=0.000)。变异组血清IFNγ水平为(102.33±27.20)pg/mL,明显高于无变异组(79.18±16.43)pg/mL及对照组(35.77±4.23)pg/mL(分别t=5.72,t=19.33,均P=0.000);变异组血清IL10水平为(28.13±7.00)pg/mL,明显高于无变异组(13.91±5.42)pg/mL及对照组(13.68±2.27)pg/mL(分别t=12.50,t=15.65,均P=0.000)。结论G1896A变异和联合变异更常见于HBeAg阴性CHB;G1896A和A1762T/G1764A变异与血清细胞因子IFNγ和IL10水平升高有关。

    Abstract:

    ObjectiveTo study the characteristics of hepatitis B virus (HBV) precore G1896A mutation and basal core promoter (BCP) A1762T and G1764A mutations among HBeAgnegative and HBeAgpositive chronic hepatitis B (CHB) patients, and to explore the relationship between the above mutations and the serum levels of interferonγ (IFNγ) and interleukin10 (IL10) in these patients.Methods120 patients with HBV DNA positive CHB including 60 HBeAgnegative CHB (group A) and 60 HBeAgpositive CHB (group B), and 60 healthy persons were enrolled in this study. The serum HBV DNA of group A and B were determined by realtime fluorescence quantitative polymerase chain reaction (PCR). The HBV precore G1896A mutation and BCP A1762T and G1764A mutation in group A and B were detected by PCR  and direct sequencing. The levels of IFNγ and IL10 in serum were measured by enzyme linked immunosorbent assay.ResultsThe total incidence of precore and BCP mutations was 60.00%(72/120) in 120 patients, the incidence of precore and BCP mutation in group A and B was 80.00% (48/60) and 40.00% (24/60) respectively (χ2=20.00,P=0.000). The incidence of precore G1896A mutation (38.33%) and the united mutation (G1896A and A1762T and G1764A mutation,25.00%) in group A were significantly higher than those in group B (16.67%, 0.00%) (χ2=7.06,P=0.008; χ2=17.14,P=0.000).  The serum level of IFNγ in the mutation group were(102.33±27.20)pg/mL, which were significantly higher than (79.18±16.43)pg/mL in the nonmutation group (t=5.72,P=0.000) and (35.77±4.23)pg/mL in the healthy control group (t=19.33,P=0.000) .The serum level of IL10 in the mutation group were(28.13±7.00)pg/mL , which were  also significantly higher than(13.91±5.42)pg/mL in the nonmutation group(t=12.50,P=0.000) and (13.68±2.27)pg/mL in the healthy control group (t=15.65,P=0.000).ConclusionThe G1896A mutation and the united mutation commonly occur in the HBeAg negative CHB patients. The mutations of G1896A and A1762T/G1764A may be related to the serum increased levels of IFN γ and IL10.

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蒋孝华,李小芬.慢性乙型肝炎患者HBV前C区及BCP区变异与血清细胞因子的关系[J]. 中国感染控制杂志,2010,9(5):320-323.
JIANG Xiaohua, LI Xiaofen. The relationship between HBV precore and basal core promoter mutations and serum cytokines in patients with chronic hepatitis B[J]. Chin J Infect Control, 2010,9(5):320-323.

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  • 收稿日期:2010-06-24
  • 最后修改日期:2010-08-22
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  • 在线发布日期: 2010-09-30
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