慢性肝炎中乙型和丙型病毒混合感染的重症化研究

在慢性肝炎中,乙、丙型病毒性肝炎混合感染相当多见,可使肝炎慢性化、重症化,肝组织损伤加重,肝硬化(LC)和肝癌(HCC)发生率增加[1].本文应用血清学和分子生物学方法对196例肝病患者的血清进行检测,初步探讨了乙型肝炎病毒(Hepatitis B virus,HBV)、丙型肝类病毒(Hepatitis C viruS,HCV)的复制状况以及两者间的相互作用与预后的关系.     

慢性肝炎中乙型和丙型病毒混合感染的重症化研究

在慢性肝炎中,乙、丙型病毒性肝炎混合感染相当多见,可使肝炎慢性化、重症化,肝组织损伤加重,肝硬化(LC)和肝癌(HCC)发生率增加[1]。本文应用血清学和分子生物学方法对196例肝病患者的血清进行检测,初步探讨了乙型肝炎病毒(Hepatitis B virus,HBV)、丙型肝类病毒(Hepatitis C virus,HCV)的复制状况以及两者间的相互作用与预后的关系。1材料和方法1.1病例受检的196例病例均为2004年1月至2005年7月我院住院及门诊病人,男149例,女47例,年龄15~82岁,其中慢性肝炎(CH)患者139例,肝硬化(LC)患者42例,肝癌(HCC)患者15例。所有病例诊断符合…     

慢性乙型肝炎患者血清HBV基因分型

为了解长春市慢性乙型肝炎患者血清中的乙型肝炎病毒(HBV)基因型情况及其与临床特点的相关性,应用型特异性引物进行巢式PCR方法对长春市69例慢性乙型肝炎患者血清HBV进行基因分型检测。在69例血清标本中,B型10例(占14.5%);C型41例(占59.4%);B C混合型8例(占11.6%);未分型的患者共10例(占14.5%)。C基因型患者的HBV-DNA定量、HBeAg阳性率明显高于B基因型患者(HBV-DNA:P<0.01;HBeAg:χ2=3.98,P<0.05),C基因型患者肝功检查指标谷丙转氨酶(ALT)和总胆红素(TB IL)均较B基因型患者高(P<0.01)。长春地区存在HBV B基因型、C基因型、B C混合基因型及未分型,C基因型为优势基因,引起的肝脏活动性炎症较B基因型明显。     

黑龙江省乙型肝炎血清流行病学调查分析

为了掌握黑龙江省乙型肝炎(乙肝)病毒(HBV)流行现状和人群免疫水平,评价我省儿童乙肝疫苗预防接种效果,为制订乙肝预防控制策略提供依据。采用横断面调查方法,选择全省7个国家级疾病监测点,在每个监测点随机抽取2个乡级单位,1～59岁作为目标人群共调查3337名人群。黑龙江省1～59岁人群乙肝病毒表面抗原(HBsAg)阳性率、乙肝病毒表面抗体(抗-HBs)阳性率和乙肝病毒核心抗体(抗-HBc)阳性率经标化后为5.65%、55.45%、30.50%,1～3岁人群乙肝表面抗原阳性率明显低于15～59岁人群。1～3岁、4～10岁和11～14岁人群乙肝疫苗全程接种率为99.43%、89.40%和64.81%;首针及时接种率分别为86.64%、75.57%和49.87。城市和农村HbsAg阳性率分别为3.26%和5.04%。医院出生儿童乙肝疫苗首针及时接种率高于在家出生儿童。结果显示接种乙肝疫苗可明显提高抗-HBs阳性率,提高人群对HBV的免疫保护能力,降低HBsAg携带率。     

应用RNAi文库筛选HBV复制相关基因

深入研究HBV复制机理,筛选参与HBV复制的基因,可能为开发抗乙肝病毒新药提供新 的靶点．本文拟建立一种筛选HBV复制相关基因的方法: RNAi文库感染HepG2.2.15细胞后,利用免疫磁珠收集HBsAg表达降低的细胞,提取DNA,PCR扩增siRNA编码序列,将PCR产物克隆入T-easy载体,随机挑选克隆测序,发现DDB1基因可能参与HBV复制．本试验建立了一种筛选HBV复制相关基因的方法,为大规模全基因组筛选参与HBV复制的基因奠定了基础．     

63例慢性乙肝e抗原阴性HBV基因多态性检测结果报告

用地高辛标记引物酶显色法,检测了63例e抗原阴性慢性肝炎HBV基因多态性。结果突变率为53.9%(34/63)。前C/C区1896位突变率最高为49.2%(31/63),1814位38.1%(24/63);BCP区1762位、1764位均为39.7%(25/63),552位突变率为14.3%(9/63)。该检测方法灵敏度高,简便易行。严格控制杂交温度及显色温度是检测操作的关键。     

HBV DNA环化结构在体外的复制表达水平优于HBV线性结构的表达质粒

为了研究乙型肝炎病毒（hepatitis B virus, HBV）DNA环化结构与HBV线性结构的表达质粒在体外复制表达水平的差异,采用3种含有HBV全长DNA的表达质粒与自连环化的HBV DNA分别转染Huh7细胞. 5 d后收集转染处理过的Huh7细胞和细胞上清,从感染细胞中抽提纯化HBV复制中间体进行Southern印迹分析,并将细胞培养上清进行ELISA分析.结果显示,HBV DNA通过环化后转染Huh7细胞,可高效地进行转录和复制表达,且优于质粒转染的效果.证明在细胞中,HBV DNA环状结构的复制表达能力优于HBV线性结构的表达质粒.     

乙型肝炎病毒的核心启动子各区段功能的研究

将一系列核心启动子区的缺失突变引入乙肝病毒（ＨＢＶ）线性转录单元,从病毒的抗原,ＲＮＡ以及子代ＤＮＡ等各个水平,分析了各缺失突变对前基因组ＲＮＡ和前核心ＲＮＡ转录的影响,对核心启动子各片段的功能进行了深入的研究。Ｃ片段缺失后检测不到ｅ抗原和前核心ＲＮＡ,却仍有核心抗原和前基因组ＲＮＡ的合成以及病毒子代ＤＮＡ的复制;而Ｂ３片段缺失后ｅ抗原和核心抗原均有显著下降,但仍能检测到两种ｍＲＮＡ的合成和病毒子     

Enhanced host immune responses in presence of HCV facilitate HBV clearance in coinfection

Hepatitis B virus (HBV)/Hepatitis C virus (HCV) coinfection is frequently observed because of the common infection routine. Despite the reciprocal inhibition exerted by HBV and HCV genomes, the coinfection of HBV and HCV is associated with more severe forms of liver diseases. However, the complexity of viral interference and underlying pathological mechanism is still unclarified. With the demonstration of absence of direct viral interplay, some in vitro studies suggest the indirect effects of viral-host interaction on viral dominance outcome. Here, we comprehensively investigated the viral replication and host immune responses which might mediate the interference between viruses in HBV/HCV coinfected Huh7-NTCP cells and immunocompetent HCV human receptors transgenic ICR mice. We found that presence of HCV significantly inhibited HBV replication in vitro and in vivo irrespective of the coinfection order, while HBV did not affect HCV replication. Pathological alteration was coincidently reproduced in coinfected mice. In addition to the participation of innate immune response, an involvement of HCV in up-regulating HBV-specific immune responses was described to facilitate HBV clearance. Our systems partially recapitulate HBV/HCV coinfection and unveil the uncharacterized adaptive anti-viral immune responses during coinfection, which renews the knowledge on the nature of indirect viral interaction during HBV/HCV coinfection.     

Mutation analyses of integrated HBV genome in hepatitis B patients

Little has been learnt in the last 30 years about detection of HBV genome as well as its mutation analysis between hepatitis B fathers （HBF） and their children. In this study, we used nest polymerase chain reaction （PCR）, fluorescence in situ hybridization （FISH）, and DNA sequencing analysis, to examine the integrated HBV genome in paraffin-embedded testis tissues, which were taken as samples from HBE and in peripheral blood mononuclear cells （PBMC） from 74 cases of HBFs and their children who were born after their fathers＇ HBV infection （caHBF）. We found that HBV DNA existed in testis tissues, mainly in the basilar parts of the seminiferous tubules, and also in PBMC of HBE It was also documented that there were point mutations of poly-loci, insertions and deletions of nucleotides in integrated HBV genomes, and the types of gene mutations in the HBFs were similar to those in caHBE This study addresses the major types of gene mutations in integrated HBV genome in human patients and also presents reliable evidence of possible genetic transmission of hepatitis B.     

mTOR regulates TLR-induced c-fos and Th1 responses to HBV and HCV vaccines

Although IL-12 plays a critical role in priming Th1 and cytotoxic T lymphocyte(CTL) responses, Toll-like receptor(TLR) signaling only induces low amounts of IL-12 in dendritic cells and macrophages, implying the existence of stringent regulatory mechanisms. In this study, we sought to uncover the mechanisms underlying TLR-induced IL-12 expression and the Th1 response. By systemic screening, we identified a number of protein kinases involved in the regulation of TLRinduced IL-12 expression. In particular, PI3 K, ERK, and m TOR play critical roles in the TLR-induced Th1 response by regulating IL-12 and IL-10 production in innate immune cells. Moreover, we identified c-fos as a key molecule that mediates m TOR-regulated IL-12 and IL-10 expression in TLR signaling. Mechanistically, m TOR plays a crucial role in c-fos expression, thereby modulating NFκB binding to promoters of IL-12 and IL-10. By controlling the expression of a special innate gene program, m TOR can specifically regulate the TLR-induced T cell response in vivo. Furthermore, blockade of m TOR by rapamycin efficiently boosted TLR-induced antigen-specific T and B cell responses to HBV and HCV vaccines. Taken together, these results reveal a novel mechanism through which m TOR regulates TLR-induced IL-12 and IL-10 production, contributing new insights for strategies to improve vaccine efficacy.     

乙型肝炎血清标志模式与病毒载量的关系及意义

为探讨乙型肝炎 (以下简称乙肝 )血清标志模式与病毒载量的关系及临床意义 ,作者选择符合 2 0 0 0年《全国病毒性肝炎诊断标准》的慢性肝炎血清 1343份 ,分别用ELISA法、PCR ELISA法检测HB血清标志、HBV -DNA和 1896位点变异株。结果显示 :HBsAg阳性血清 10 97份 (81.6 8%、)HBsAg阴性血清 2 4 6份 (81.31% )。在HBsAg阳性血清中 ,HBsAg、HBeAg、抗 HBc(1 3 5 )阳性组 4 0 4份 (30 .l% ) ,HBV -DNA阳性 347份 (85 .89% ) ,DNA阳性值呈递增趋势 (10 4～ 10 6拷贝 /ml,各占 8.6 5 %、33.71%、5 3.6 1% ) ;而HBsAg、抗 HBe阳性组血清 6 0 6份 (45 .12 % ) ,DNA阳性值 10 5拷贝 /ml,占优势 (6 4 .18% )。在HBsAg阴性血清中 ,抗 HBs、抗 HBe、抗 HBc(2 4 5 )阳性组 2 32份 (17.2 7% ) ,DNA阳性占 7.32 % ,DNA阳性值递减由 10 4～ 10 6拷贝 /ml,各占 5 2 .9%、4 1.l%、5 .9%。结论 ,各血清标志模式中的病毒载量为HBsAg阳性组 >HBsAg阴性组 ,阳性组 1 3 5 >1 4 5 >l 5 >2 4 5。但 1 3 5阳性组中 14 %在界值以下 ,1 4 5阳性组中 1896位点自然变异达 78.6 % ,2 4 5阳性组中仍存在DNA+ 血清 ,以上提示在临床判定和治疗时要慎重对待(注 :l=HBsAg,2 =抗 HBs,3=HBeAg ,4 =抗 HBe ,5 =抗 HBc)     

The HBV E genotype discover in Dai nationality in Xishuangbanna, Yunnan Province

To investigate the distribution of Hepatitis B virus (HBV) genotypes among the population of Dai nationality in Xishuangbanna, Yurman Province HBV genotypes of the Serum samples were tested by PCR-RFLP. This is the first time to discover the B+E genotypes in China. This finding provides new information for understanding the distribution of HBV genotype in China and a provides a basis for establishing a Chinese gene bank.     

Interaction between nucleophosmin and HBV core protein increases HBV capsid assembly

Host factors are involved in Hepatitis B virus (HBV) genome replication and capsid formation during the viral life cycle. A host factor, nucleophosmin (B23), was found to bind to HBV core protein dimers, but its functional role has not been studied. This interaction promoted HBV capsid assembly and decreased the degree of capsid dissociation when subjected to denaturant treatments in vitro. In addition, inhibition of B23 reduced intracellular capsid formation resulting in a decrease of HBV production in HepG2.2.15 cells. These results provide important evidence that B23 acts on core capsid assembly via its interaction with HBV core dimers.     

抗乙肝病毒shRNA表达载体转染条件的优化

目的优化抗乙肝病毒(HBV)短发夹样RN(A short hairpin RNA,shRNA)表达载体转染条件,从而克服过量转染所致细胞大批死亡的弊端,以便更客观地反映RNA干扰抗乙肝病毒的效率、方法,通过脂质体介导,将HBV真核表达载体pHBV1.3与我们以前研究确定为能有效抗乙肝病毒的shRNA表达载体pTZU6-C共同转染肝癌细胞HepG2,将共转染的两种质粒及所需的脂质体设立成不同浓度和比例,以pHBV1.3与不表达shRNA的空载体pTZU6的共转染作为未干扰阴性对照,转染36h后收集细胞,通过Southern杂交来观察乙肝病毒DNA明显复制和显著受抑时,所需pHBV1.3与pTZU6-C的最适剂量和比例,以及相应脂质体的用量;同时,通过Western杂交来观察HBV蛋白表达的变化。结果通过southern杂交,发现当将pHBV1.(3μg):pTZU6-C(μg)固定为6:1,脂质体(μl):质粒(μg)为1:1时,对于100ml培养瓶中90%以上融合的细胞,用3.5μl的脂质体共转染0.5μg pHBV1.3和3μg pTZU6-C,即可检测出HBV DNA的表达,此时,存活细胞总数不受任何影响;随着pHBV1.3量的增多,HBV DNA的表达亦增多;当pHBV1.3增至4μg时,虽然表达量增多,但存活的细胞总数却开始明显减少,存活细胞约为70%～80%;当用8μg时,存活的细胞不足40%～50%,检测水平反而下降。当pHBV1.(3μg):pTZU6-C(μg)为1:1时,即可观察到乙肝病毒DNA表达的明显抑制作用,其抑制率为71%;当两者的比例为1:2时,其抑制率为70%;比例为1:6时,抑制率为84%。Western杂交的结果亦证实,共转染0.5μgpHBV1.3和3μg pTZU6-C,即可检测出HBV蛋白的表达;但转染36h后,尚未能观察到HBV表面抗原(HBsAg)表达明显受抑的情况。结论抗乙肝病毒shRNA表达载体的转染条件需要优化,对于100ml培养瓶中90%以上融合的细胞,用6μl的脂质体共转染2μg pHBV1.3和4μg pTZU6-C,即可观察到明显的HBV表达和显著的RNA干扰抑制效果,本研究结果为下一步针对乙肝病毒不同靶区shRNA表达载体的转染奠定了坚实的基础。     

Polymorphism attribution of cSNPs in cancer-related genes located in loss regions with a high frequency of HCC between HBV and health groups

Cancer-related genes harbored in the loss regions containing a high frequency of hepatocellular carcinoma (HCC) were selected. Related information was gathered and the coding single nucleotide polymorphism (cSNP) sequences were obtained from the single nucleotide polymorphism (SNP) database. The appropriate primers and oligonucleotide probes were then designed in accordance with the SNP sites, and subsequently, the gene chips for detecting SNPs were constructed. Genomic DNA was extracted from blood samples of healthy controls and from patients with HBV infection. The sequences, including the SNPs, were amplified via polymerase chain reaction (PCR) and labeled using digoxigenin deoxyuridine tri-phosphate (Dig-dUTP). The labeled products were then hybridized with the SNP chips. Results confirmed that the differences in allele frequencies of three SNPs EGFL3 (rs947345), Caspase9 (rs2308950), and E2F2 (rs3218171) were distinct between HBV-infected patients and controls, suggesting that these SNPs ocuring in high frequency in HBV-infected individuals may be associated with susceptibility to HCC. Translated from Acta Scientiarum Naturalium Universitatis Nankaiensis, 2006, 39(3): 1–5 [译自: 南开大学学报(自然科学版)]     

基于近邻成分分析算法的原发性肝癌精确放疗后HBV再激活分类预测

原发性肝癌(PLC)患者在精确放疗后乙型肝炎病毒(HBV)再激活是一种常见并发症,及时的预测防护能降低发病率、死亡率。研究表明:多余的特征变量会影响HBV再激活的预测精度。通过提出基于近邻成分分析(NCA)的特征选择方法找出HBV再激活的危险因素及特征组合。之后分别建立经Bayes优化前后的支持向量机模型(SVM)对这些关键特征子集及初始特征集进行分类预测。实验结果表:明HBV DNA水平、KPS评分、分割方式、外放边界、V25、肿瘤分期TNM、ChildPugh等都是影响HBV再激活的危险因素。其中经NCA特征选择之后发现的V25是在乙型肝炎病毒再激活研究中首次提出的危险因素。10折交叉验证下特征组合HBV DNA水平、外放边界、V25的预测精度高达86.11%。支持向量机分类器可以很好的应用于乙型肝炎病毒再激活的研究,特征选择后的关键特征组合具有更优越的分类性能。     

乙型肝炎病毒S-preS1-C融合基因在酵母中的表达及抗原性分析

以HBV全基因组质粒为模板,扩增出目的区段:S(1-222AA),preS1(10-50AA)和C(2-30AA),以酶切-PCR的方法进行连接,克隆入表达载体pPIC3.5k,电穿孔转化后利用G418加压筛选出多拷贝整合菌株,诱导表达并对表达产物进行检测。结果显示融合后的基因为ss1c,长度约为906bp。在酵母中成功地进行了表达,表达产物(SSIC)的大小约为31kDa,并形成直径约为22nm的病毒样颗粒。表达产物与HBs抗体、preS1抗体和HBc抗体均有特异反应。为进一步研究治疗性疫苗提供了重要的基础。