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乙肝病毒父婴垂直传播分子机制的初步研究 被引量:2

Preliminary study on the mechanisms of hepatitis B virus paternal-fetal vertical transmission
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摘要 目的:通过乙肝病毒感染精子的膜蛋白,研究乙肝病毒(HBV)感染精子的分子机制,并进一步为体外阻遏HBV父婴垂直传播提供理论依据。方法:正常人精液与HBV阳性患者血清及ASGPR Mab共培养,实验分为以下4组:A组,正常人精液;B组,HBV阴性血清与精液标本共培养;C组,HBV阳性血清与人精子共培养;D组,ASGPR MAb和HBV阳性血清与精液共培养。每小时观察记录精子活率(a+b)变化,C、D组24 h标本行流式细胞检测精子膜表面HBsAg、HBcAg。结果:1 h精子活率A>D组、C>B组、C>D组,差异有统计学意义。2 h精液活率A>C组、B>C组、D>C组,差异有统计学意义。3 h精液活动率4组差异均有统计学意义。4~6 h精液活动率除B组与D组无统计学差异外其余各组均有统计学差异。7h活动率A>B组、A>C组、B>C组、D>C组,差异有统计学意义(P值均<0.05)。精子膜表面HBcAg蛋白两组无差异,HBsAg蛋白C组明显高于D组。结论:①ASGPR Mab能有效防止HBV感染精子引起的精液参数的改变。②ASGPR是HBV与精子细胞膜结合的关键蛋白之一,阻遏ASGPR能降低HBV感染人精子。 Objective : To study the mechanism of HBV infection through detecting HBV ( hepatitis B virus) membrane receptor in sperm, and then, establish the theoretical supports of HBV block in vitro. Methods: Normal semen were cultured with HBV positive serum and ASGPR Mab. Experimental group was divided into the following four groups : Group A : normal semen; Group B : HBV negative serum and normal semen ; Group C : HBV positive serum and normal semen; Group D : ASGPR Mab ( asialoglycoprotein receptor monoeionat anti- body) , HBV positive serum and normal semen. Sperm motility ( a + b) were observed and recorded for groups every hour. Samples of group C and D made flow cytometry analysis to detect the HBsAg and HBcAg in sperm membrane surface after 24 - hours. Results : Sprem live rate afterl hour^cocultured, groupA〉D, C〉B, C〉D (P〈0.05) . 2hoursA〉C, B〉C, D〉C (P〈0.05) . 3 hoursA〉D〉B〉C (P〈0.05) .4-6hoursA 〉 B = D 〉 C (P〈0.05) . 7hoursA〉B, A〉C, B〉C, D〉C (P〈0.05) . There was no difference in group C and D to HBcAg detected, but group C was higher than group D to HBsAg detected in sperm membrane surface. Conclusion: ① ASGPR Mab can effectively prevent the sperm parameters changing caused by HBV. ②ASGPR is one of the most important membrane protein receptor to HBV paternal - fetal vertical transmission, inhibit ASGPR can prevent the process.
出处 《中国妇幼保健》 CAS 北大核心 2013年第36期6007-6010,共4页 Maternal and Child Health Care of China
关键词 精子 ASGPR MAB 乙肝病毒 父婴垂直传播 Sperm ASGPR (Mab) HBV Paternal - fetal vertical transmission
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