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1、l634~ChinJLabDiagn,September,2013,Voll7,No.9文章編號:1007—4287(2013)09—1634—04乙肝病毒外膜大蛋白、前S1抗原、HBV—DNA與血清標志物之間相關性分析龔杰,劉柏林,方艷秋,楊廣民。(1.廈門大學醫(yī)院體檢科,福建廈門361005;2.吉林省人民醫(yī)院,長春130021)摘要:目的通過對乙型肝炎患者HBV—LP、PreS1抗原、HBV—DNA載量和乙型肝炎血清標志物的檢測,探討反映不同血清學類型患者體內病毒復制及抗病毒療效監(jiān)測的最佳指標以及分析各指標之間的關系。方法
2、對864例HBV感染者及100例健康體檢者血清采用EIISA法定性檢測HBV—M;ELISA雙抗體夾心法檢測HBVIP、Pre—s1;熒光定量PCR法檢測HBV-DNA。結果HBsAg、HBeAg、HBcAb陽性模式組(大三陽)HBV-IP、Pre—S1及HBV—DNA陽性率顯著高于其它HBV—M模式組(PO.05),Pre—sl的陽性率明顯低于HBV—IP與HBV—DNA的陽性率(P%0.05);HBV—DNA拷貝數(shù)與HBV—IP、Pres1平均A值具有明顯的相關性
3、(相關系數(shù)r一0.926),而與HBsAg定量值無明顯相關性。結論HBV—IP比Pres1試劑效果大大提高,且大蛋白的檢出率與血液中病毒DNA的檢出高度符合,對于判斷病毒復制具有重要意義,可作為HBeAg及HBV—DNA的補充檢測指標。關鍵詞:乙肝病毒外膜大蛋白;前s1抗原;HBV—DNA;乙肝血清學標志物中圖分類號:R512.6。。2文獻標識碼:ACorrelationanalysisbetweenhepatitisBviruslargesurfaceprotein,proS1antigen,HBV—DNAandserumma
4、rkers.GONGJie,L兒Bai—lin,F(xiàn)ANGYan—qiu,eta1.(1.XiamenUniversityHospital,Xiamen361005,China;2.JilinProvincePeople’sHospital,Changchun130021,China)Abstract:ObjectiveToinvestigatethebestindicatorwhichishelpfulinvisualizingvivoviralreplicationandantiviralefficacymonitoringi
5、nexaminationfordifferenttypesofserologicalpatientsandanalysistherelationshipbetweenindicatorsthroughdetectionsofHBV—LP,Pre—S1antigen,HBV—DNAandserummarkersofhepatitisBinpatientsin—fectedbyHBV.Methods864casesofHBVinfectionand100casesofhealthypersons"serumswascollected
6、andserumHBV—MwasdetectedbyELISAmethod.HBV—LPwasdetectedbyELISAdoubleantibodysandwichassayandHBV—DNAwasdetectedbyfluorescencequantitativePCR.ResultsHBV—IP,Pre—S1andHBV—DNApositiveratewassignificantlyhigherinthegroupofHBsAg,HBeAg,HBcAbpositivemode(HBeAg)thanotherHBV-Mm
7、odelgroup(P%0.05);HBV—IPandHBV—DNApositivewasnosignificantdifference(P>0.05),Pre—S1positiveratewassignifieantlylowerthanHBV—LPandHBV-DNApositiverate(P%0.05);HBV—DNAcopynumberofHBV-LP,Pre-S1averageavaluehasasignificantcorrelation(correlationcoefficient,T-=0.926),while
8、thequantitativevalueofHBsAgwasnosignificantcorrelation.ConclusionTheeffectofHBV—IPreagentsaregreatlyimprovedthanthePreS1andlargepro