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乙型肝炎患者血清IL-18水平的检测及其临床意义 被引量:5

The detection of serum IL-18 level in patients with viral hepatitis B and its clinical significance
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摘要 目的:探讨IL-18在乙型肝炎病毒(HBV)感染中的作用。方法:用ELISA法测定107例HBV感染者和20例健康者血清中IL-18水平,荧光定量PCR法测定44例慢性肝炎患者血清中HBVDNA含量。结果:病毒性肝炎患者血清IL-18水平均高于正常对照组(P<0.01),在轻、中、重度慢性乙型肝炎及重型肝炎各组间血清IL-18水平存在显著性差异,(F=19.49,P<0.001);低病毒量组血清IL-18浓度高于高病毒量组(P<0.05)。血清IL-18水平与肝功能指标ALT、TBiL呈正相关(P<0.01)。结论:IL-18可能参与乙型肝炎的免疫应答,在清除HBV的同时也造成肝细胞的损伤,并在一定程度上与肝损害程度相关。 Objective:To evaluate the possible roles of IL - 18 in hepatitis B virus (HBV) infection. Methods:Serum IL-18 level was measured byusing ELISA in 107 hepatitis patients and in 20 normal controls, and serum HBV-DNA content was detected by FQ - PCR in 44 chronic hepatitis B patients conformed. Results:The content ration of serum IL-18 in patients with different types of viral hepatitis was significantly higher than that in normal eontrols (P〈O.O1) Serum IL-18 level was significantly different among patients with mild, media ,severe chronic hepatitis and fulminant hepatitis B (F=19.49,P〈0.001). In addition , the serum IL-18 level in patients with low HBV DNA content was higher than that in patients with high HBV-DNA content (P〈0.05).There was a close positive correlation between IL-18 and ALT,TBiL in overall hepatitis B (P〈0.01). Conclusion:The results show that IL-18 may take part in the host immunity against HBV, and is associated with HBV clearance and liver damage, to some degree.
出处 《中国交通医学杂志》 2006年第1期51-53,共3页 Chinese Medical JOurnal of Communications
关键词 IL-18 乙型肝炎病毒 HBV—DNA Interleukin-18 hepatitis B virus HBV-DNA
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