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HBsAg和HBVe抗原定量检测的临床意义 被引量:19

Clinical significance of quantitative assay of serum HBsAg and HBV e antigen
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摘要 HBsAg和HBVe抗原(HBeAg)定量检测的发展有助于监测患者血中HBV抗原的动态变化,在干扰素治疗过程中优于单纯监测HBVDNA。长效干扰素治疗12和24周,HBsAg水平及其下降幅度与患者治疗结束及随访期间持续性病毒学应答甚至HBsAg转阴相关。HBsAg定量测定程序的标准化和HBeAg定量测定试剂的研发是亟待解决的技术问题,能够准确预测疗效和改变治疗方案的时间点和具体定量临界值也需进一步大样本临床研究来确定。 Recent development in the field of quantitative assay of HBsAg and HBV e antigen (HBeAg) is of help to monitor the dynamic changes of HBV antigens and is superior to quantitative measurement of HBV DNA alone. The decline or levels of HBsAg at 12 or 24 weeks after the treatment of pegylated interferon are associated with the sustained viralogical response and even HBsAg loss at the end of therapy and fallow-up survey. The standardization of protocol for quantitative HBsAg measurement and the development of quantitative assay reagents for HBeAg are essential for further investigation and wide clinical application. In addition, the optimal time point and cut-off values for accurate prediction of the treatment performance remains to be determined through large scale clinical trials.
作者 贾继东 李海
出处 《中华检验医学杂志》 CAS CSCD 北大核心 2009年第9期965-966,共2页 Chinese Journal of Laboratory Medicine
关键词 肝炎表面抗原 乙型 肝炎e抗原 乙型 干扰素类 Hepatitis,B surface antigens Hepatitis,B e antigens Interferons
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  • 1贾继东,侯金林,尹有宽,徐道振,谭德明,牛俊奇,周霞秋,王宇明,朱理珉,贺永文,任红,万谟彬,陈成伟,巫善明,陈亚岗,许家璋,王勤环,魏来,马红.替比夫定或拉米夫定抗乙型肝炎病毒的疗效预测探讨[J].中华肝脏病杂志,2007,15(5):342-345. 被引量:141
  • 2Keeffe EB, Zeuzem S, Koff RS, et al. Report of an international workshop : Roadmap for management of patients receiving oral therapy for chronic hepatitis B. Clin Gastroenterol Hepatol, 2007, 5:890-897.
  • 3Buster EH, Flink HJ, Cakaloglu Y, et al. Sustained HBeAg and HBsAg loss after long-term follow-up of HBeAg-positive patients treated with peginterferon alpha-2b. Gastroenterology, 2008,135:459-467.
  • 4Moucari R, Mackiewicz V, Lada O, et al. Early serum HBsAg drop: a strong predictor of sustained virological response to pegylated interferon alfa-2a in HBeAg-negative patients. Hepatology, 2009,49:1151-1157.
  • 5Manesis EK, Hadziyannis ES, Angelopoulou OP, et al. Prediction of treatment-related HBsAg loss in HBeAg-negative chronic hepatitis B: a clue from serum HBsAg levels. Antivir Ther, 2007,12:73-82.
  • 6Brunetto MR, Moriconi F, Bonino F, et al. Hepatitis B virus surface antigen levels: a guide to sustained response to peginterferen alfa-2a in HBeAg-negative chronic hepatitis B. Hepatology, 2009, 49 : 1141-1150.
  • 7Chen J, Wang Z, Guo Y, et al. Serum HBsAg changes in HBeAg positive chronic hepatitis B patients with continuous viral load reductions during treatment with adefovir or peg-interferon-alpha-2a. Antiviral Res, 2009, 81:88-91.
  • 8Wiegand J, Wedemeyer H, Finger A, et al. A decline in hepatitis B virus surface antigen (HBsAg) predicts clearance, but does not correlate with quantitative HBeAg or HBV DNA levels. Antivir Ther, 2008,13:547-554.
  • 9Hui CK, Leung N, Shek TW, et al. Sustained disease remission after spontaneous HBeAg seroconversion is associated with reduction in fibrosis progression in chronic hepatitis B Chinese patients. Hepatology, 2007, 46:690-698.
  • 10Chinese Society of Hepatology and Chinese Society of Infectious Diseases,Chinese Medical Association. 42 Dongsi Xidajie,Beijing 100710,China.慢性乙型肝炎防治指南[J].中华肝脏病杂志,2005,13(12):881-891. 被引量:1931

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