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Hepatitis B virus X protein enhances hepatocarcinogenesis by depressing the targeting of NUSAP1 mRNA by miR-18b 被引量:6
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作者 Zhe Yang Jiong Li +6 位作者 Guoxing Feng Yuan Wang Guang Yang Yunxia Liu Shuqin Zhang Jinyan Feng Xiaodong Zhang 《Cancer Biology & Medicine》 SCIE CAS CSCD 2019年第2期276-287,共12页
Objective: The aim of this study was to investigate the underlying mechanism whereby HBx modulates the targeting of NUSAP1 by miR-18b to enhance hepatocarcinogenesis.Methods: We employed an integrated approach of bioi... Objective: The aim of this study was to investigate the underlying mechanism whereby HBx modulates the targeting of NUSAP1 by miR-18b to enhance hepatocarcinogenesis.Methods: We employed an integrated approach of bioinformatics analysis and molecular experiments in hepatoma cells, HBV transgenic mice, and clinical liver cancer tissues to investigate the role of HBx-regulated miR-18b in the development of liver cancer.Results: In this study, we report that the HBx-mediated tumor suppressor miR-18b modulates hepatocarcinogenesis during the host-HBV interaction. The expression levels of miR-18b were lower in clinical HBV-positive liver cancer tissues and liver tissues of HBV-transgenic mice. Interestingly, HBx inhibited miR-18b expression by inducing the methylation of CpG islands in its promoter. Accordingly, we tested the hypothesis that HBx enhanced hepatocarcinogenesis by increasing the expression of target genes of miR-18b. Moreover, we identified nucleolar spindle-associated protein 1(NUSAP1) as one of the target genes of miR-18b.NUSAP1 was expressed at high levels in liver cancer tissues. Interestingly, HBx up-regulated NUSAP1 by suppressing miR-18b.Functionally, miR-18b significantly inhibited the proliferation of hepatoma cells by depressing NUSAP1 levels in vivo and in vitro.Conclusions: Thus, we conclude that the targeting of NUSAP1 mRNA by the tumor suppressor miR-18b is controlled by HBxmodulated promoter methylation during the host-virus interaction, leading to hepatocarcinogenesis. Our findings provide new insights into the mechanism by which HBx-mediated miRNAs modulate hepatocarcinogenesis. 展开更多
关键词 hepatitis b virus HbX miR-18b NUSAP1 HCC
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Relationship between interleukin 18 polymorphisms and susceptibility to chronic hepatitis B virus infection 被引量:4
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作者 Na Li Yu-Feng Gao +3 位作者 Tian-Chen Zhang Ping Chen Xu Li Fei Su 《World Journal of Hepatology》 CAS 2012年第3期105-109,共5页
AIM: To identify the relationship between the tagging single nucleotide polymorphism sites (tagSNPs) of the Interleukin-18 (IL-18) gene and genetic susceptibility to chronic hepatitis B virus infection in Chinese pati... AIM: To identify the relationship between the tagging single nucleotide polymorphism sites (tagSNPs) of the Interleukin-18 (IL-18) gene and genetic susceptibility to chronic hepatitis B virus infection in Chinese patients. METHODS: Five hundred and one cases of chronic hepatitis B virus (HBV) infection and 301 HBV natural clearance controls were studied. Two tagSNPs in the IL-18 gene (rs1946518A/C and rs574424C/G) were genotyped by the Multiplex Snapshot technique. The genotype and allele frequencies were calculated and analyzed. RESULTS: In the genotypes of rs1946518, the AA type was present at a higher frequency in the patients compared to those in the controls. Odds ratio (OR) of the AA genotype for the comparison with that of the AC and the CC genotype was 1.537 (95% confidence intervals (CI): 1.116-2.218, P = 0.009 < 0.025). In phenotypes, the allele C at rs1946518 was of a significantly lower frequency in the patients with chronic hepatitis B than that in the controls (P = 0.017 < 0.025). OR of the allele A for the comparison with that of the allele C was 1.279 (95% CI: 1.045-1.567). As for the rs574424 genotypes, no significant difference in this genotype distribution or in this allele frequency between the patients and the control subjects was observed. No significant difference in the haplotype frequencies between the patients with chronic hepatitis B and HBV natural clearance individuals was displayed. CONCLUSION: The data suggest that genotype AA and the allele A of the IL-18 at position rs1946518 are closely associated with the resistance to chronic hepatitis B and may be the dangerous gene. However, no statistical association was found between polymorphisms of rs574424 for IL-18 and hepatitis B. 展开更多
关键词 hepatitis b virus Interleukin 18 tagSNP Genetic susceptibility
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Predictive potential of IL-28B genetic testing for interferon based hepatitis C virus therapy in Pakistan: Current scenario and future perspective 被引量:1
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作者 Muhammad Sohail Afzal 《World Journal of Hepatology》 CAS 2016年第26期1116-1118,共3页
In Pakistan which ranked second in terms of hepatitis C virus(HCV) infection, it is highly needed to have an established diagnostic test for antiviral therapy responseprediction. Interleukin 28B(IL-28B) genetic testin... In Pakistan which ranked second in terms of hepatitis C virus(HCV) infection, it is highly needed to have an established diagnostic test for antiviral therapy responseprediction. Interleukin 28B(IL-28B) genetic testing is widely used throughout the world for interferon based therapy prediction for HCV patients and is quite helpful not only for health care workers but also for the patients. There is a strong relationship between single nucleotide polymorphisms at or near the IL-28 B gene and the sustained virological response with pegylated interferon plus ribavirin treatment for chronic hepatitis C. Pakistan is a resource limited country, with very low per capita income and there is no proper social security(health insurance) system. The allocated health budget by the government is very low and is used on other health emergencies like polio virus and dengue virus infection. Therefore it is proposed that there should be a well established diagnostic test on the basis of IL-28 B which can predict the antiviral therapy response to strengthen health care set-up of Pakistan. This test once established will help in better management of HCV infected patients. 展开更多
关键词 Diagnostics hepatitis C virus INTERFERON THERAPY POLYMORPHISMS il-28b Genetic testing Pakistan
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Associations of IFN-γ rs2430561 T/A,IL28B rs12979860 C/T and ERα rs2077647 T/C polymorphisms with outcomes of hepatitis B virus infection:a meta-analysis 被引量:2
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作者 Shaidi Tang Ming Yue +5 位作者 Jiajia Wang Yun Zhang Rongbin Yu Jing Su Zhihang Peng Jie Wang 《The Journal of Biomedical Research》 CAS 2014年第6期484-493,共10页
Several studies investigated associations of IFN-γ rs2430561 T/A,IL28 B rs12979860 C/T and ERα rs2077647 T/C gene polymorphisms with outcomes of hepatitis B virus(HBV) infection,but the results were controversial.... Several studies investigated associations of IFN-γ rs2430561 T/A,IL28 B rs12979860 C/T and ERα rs2077647 T/C gene polymorphisms with outcomes of hepatitis B virus(HBV) infection,but the results were controversial.Therefore,we performed a meta-analysis of all published observational studies to address this inconsistency.Literature was searched in online database and a systematic review was conducted based on the search results.A total of 24 studies were included and dichotomous data were presented as odds ratio(OR) with a 95%confidence interval(CI).The rs2430561 T allele was associated with reduced persistent HBV infection risk(T vs.A:OR,0.690;95%CI,[0.490,0.971]),while the rs2077647 T allele significantly increased the risk of persistent HBV infection(T vs.C:OR.1.678;95%CI,[1.212,2.3231).Rs 2077647 CC might play a role in protecting individuals against HBV persistence(TT vs.CC:OR,4.109;95%CI,[2.609,6.473]).Furthermore,carriers of the rs2430561 TT genotype were more likely to clear HBV spontaneously compared with those of the AA genotype(TT vs.AA:OR,0.555;95%CI,[0.359,0.856]).For rs12979860 C/T polymorphism,no significant correlation with HBV infection outcomes was found.In subgroup analyses,the results were similar to those of overall analysis.However,for rs2077647 TT vs.TC+CC,significantly increased risks were observed in the Asian and hospital-based population,but not in the overall analysis.IFN-γrs2430561 T/A and ERα rs2077647 T/C genetic polymorphisms were associated with outcomes of HBV infection,but no association was found between IL28 B rs12979860 C/T and HBV infection. 展开更多
关键词 meta-analysis single nucleotide polymorphism ifn rs2430561 T/A IL28b rs12979860 C/T ERα rs2077647 T/C hepatitis b virus
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Early Evolution of Hepatitis B Virus Quasispecies During IFN-α Treatment 被引量:1
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作者 Yu-lian Ren Yao Xie 《国际感染病学(电子版)》 CAS 2014年第4期152-160,共9页
Objective To investigate the dynamic change of hepatitis B virus quasispecies within complete genome during the early stage of IFN-α treatment and its impact on virological response.Methods Sixteen patients with chro... Objective To investigate the dynamic change of hepatitis B virus quasispecies within complete genome during the early stage of IFN-α treatment and its impact on virological response.Methods Sixteen patients with chronic hepatitis B receiving IFN-α treatment were investigated. HBV DNA was extracted from serum sample at baseline and week 12. The complete genome of HBV was amplified, then cloned and sequenced. The quasispecies heterogeneity of HBV complete genome was depicted at baseline and week 12. Results The quasispecies heterogeneity of the genome except for C-ORF were comparable in three groups at baseline and week 12. The quasispecies diversity at amino acid levels of responders within C-ORF were higher than that of non-responders at baseline. The quasispecies diversity within the C-ORF of partial responders was reduced in the early stage of IFN-α treatment. Furthermore, the mean genetic distance at amino acid levels of partial responders was significantly higher than that of the non-responders at week 12. The evolutionary rate was not different between non-responders and partial responders. Conclusions In the immune clearance phase, the patients who had greater viral quasispecies diversity within C-ORF at amino acid level had more chance to obtain the early virological response during IFN-α treatment. 展开更多
关键词 hepatitis b virus ifn QUASISPECIES EVOLUTION
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Prediction of the Response to Pegylated Interferon α-2a in Patients with HBeAg Positive Chronic Hepatitis B through Decline of Serum HBV DNA and Hepatitis B Virus Surface Antigen at Week 4
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作者 Jian-ming Zheng Ming-quan Chen +5 位作者 Meng-qi Zhu Ning Li Qian Li Xin-yu Wang Chong Huang Guang-feng Shi 《国际感染病学(电子版)》 CAS 2012年第4期183-190,共8页
Objective To assess on-treatment serum HBsAg and HBV DNA kinetics in HBeAg-positive CHB patients to predict the efficacy of pegylated interferon(PEG-IFN) in early phase of treatment. Methods Forty-one treatment-naive ... Objective To assess on-treatment serum HBsAg and HBV DNA kinetics in HBeAg-positive CHB patients to predict the efficacy of pegylated interferon(PEG-IFN) in early phase of treatment. Methods Forty-one treatment-naive HBeAg-positive patients treated with PEG-IFNα 2a at a dose of 180 μg/week for at least 24 weeks were evaluated. Their treatment response was assessed, including normalization of serum ALT, decline of serum HBV DNA and loss of HBeAg. Results We found that a decrease of HBV DNA level at the 4th week was positively correlated with the decrease of HBV DNA level at the 12th week and 24th week(r = 0.8202, P < 0.0001 and r = 0.6838, P < 0.0001, respectively). We observed that a decrease of HBsAg level at the 4th week was positively correlated with decrease of HBsAg level at the 12th week and 24th week(r = 0.4868, P = 0.0023 and r = 0.4251, P = 0.0109, respectively). A decrease of HBsAg level at the 24th week was positively correlated with the decrease of HBV DNA level at the 24th week(r = 0.5262, P = 0.0024). Serum level of IFN and IFN neutralizing antibody had no relationship with HBV DNA or HBsAg titers kinetics. Conclusions The decline of serum HBV DNA and hepatitis B surface antigen at the 4th week can be used to predict the response to PEG-IFNα 2a in patients with HBeAg positive chronic hepatitis B. 展开更多
关键词 RESPONSE ANTIVIRAL therapy Pegylated interferon(PEG-ifn) hepatitis b virus HbV DNA HbsAg
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新生儿脐血细胞因子Elafin、IL-18、IFN-γ/IL-4与HBV宫内感染的相关性研究 被引量:2
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作者 万毅 谢明月 +1 位作者 唐云 张丽娇 《中国现代医学杂志》 CAS 北大核心 2021年第18期88-94,共7页
目的研究新生儿脐血细胞因子弹性蛋白酶特异性抑制物(Elafin)、白细胞介素18(IL-18)、γ-干扰素(IFN-γ)/白细胞介素4(IL-4)与乙型肝炎病毒(HBV)宫内感染的相关性。方法选取2016年5月-2019年5月攀枝花市妇幼保健院收治的HBV携带产妇分... 目的研究新生儿脐血细胞因子弹性蛋白酶特异性抑制物(Elafin)、白细胞介素18(IL-18)、γ-干扰素(IFN-γ)/白细胞介素4(IL-4)与乙型肝炎病毒(HBV)宫内感染的相关性。方法选取2016年5月-2019年5月攀枝花市妇幼保健院收治的HBV携带产妇分娩的新生儿96例。其中,31例发生HBV宫内感染新生儿作为宫内感染组,65例未感染新生儿作为宫内未感染组。另选取同期该院非HBV携带且健康产妇分娩的新生儿90例作为对照组。比较3组脐血Elafin、IL-18、IFN-γ、IL-4水平及IFN-γ/IL-4,分析新生儿宫内感染影响因素、脐血因子之间关联性及与HBV-DNA载量相关性。结果宫内感染组Elafin、IL-18、IFN-γ、IFN-γ/IL-4低于宫内未感染组、对照组,IL-4高于宫内未感染组、对照组(P<0.05)。宫内感染组与宫内未感染者组产妇HBV大三阳、羊水情况、阴道流血史的比较,差异有统计学意义(P<0.05)。产妇HBV大三阳[OR=3.125(95%CI:2.379,4.105),P<0.05]、产妇羊水浑浊[OR=2.781(95%CI:2.041,3.790),P<0.05]、产妇阴道流血史[OR=2.389(95%CI:1.816,3.144),P<0.05]、Elafin[OR=0.574(95%CI:0.405,0.813),P<0.05]、IL-18[OR=0.529(95%CI:0.352,0.796),P<0.05]、IFN-γ/IL-4[OR=0.475(95%CI:0.440,0.512),P<0.05]是新生儿HBV宫内感染的影响因素。Elafin与IL-18呈正相关(r=0.649,P<0.05),IFN-γ/IL-4与Elafin、IL-18呈正相关(r=0.529和0.499,P<0.05)。HBV-DNA载量≥1.00×10^(4)copies/ml患者Elafin、IL-18、IFN-γ/IL-4水平较<1.00×10^(4)copies/ml患者低(P<0.05)。Elafin、IL-18、IFN-γ/IL-4与HBV-DNA载量呈负相关(r=-0.601、-0.556和-0.712,均P<0.05)。结论Elafin、IL-18、IFN-γ/IL-4在新生儿宫内感染中呈异常表达,并与HBV-DNA载量密切相关。 展开更多
关键词 肝炎 乙型 胎血 细胞因子类 胰弹性蛋白酶 感染
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Studies on Mutual Relationship between Anti-HBx and sFas, IL-10 or IL-12 in Sera of Cases with Chronic Hepatitis B Infection 被引量:3
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作者 Ai-kun Ding Li-wei Guo +3 位作者 Yong-kong Wang Wei Liu Cheng Li Chang-yuan Wang 《国际感染病学(电子版)》 CAS 2014年第2期49-53,共5页
Objective To study the mutual relationship between anti-HBx and IL-10, IL-12 or soluble Fas(s Fas) in sera of patients with chronic HBV infection and to explore the importance of anti-HBx detection as well as its role... Objective To study the mutual relationship between anti-HBx and IL-10, IL-12 or soluble Fas(s Fas) in sera of patients with chronic HBV infection and to explore the importance of anti-HBx detection as well as its role in the development of chronic HBV infection.Methods Total of 90 cases with chronic HBV infection were randomly selected, including 10 of asymptomatic carriers(ASC), 28 of chronic hepatitis B(CHB), 26 of liver cirrhosis(LC) and 26 patients of hepatocellular carcinoma(HCC). Their clinical data and blood samples were collected, and serum was prepared and stored at-73℃. Anti-HBx was detected with an indirect ELISA established in our earlier research, and levels of IL-10, IL-12 and Fas were determined with commercial double-antibody sandwich ELISA kits. The mutual relationship between anti-HBx and IL-10, IL-12 or s Fas in serum were analyzed with the software SPSS 20.0. Results All levels of IL-10, IL-12 and s Fas in peripheral blood showed a rising trend with development of chronic HBV infection. The levels of IL-10 in ASC, CHB, LC and HCC groups were 13.93 ± 14.40 ng/L, 39.38 ± 20.77 ng/L, 69.06 ± 46.37 ng/L and 62.82 ± 23.42 ng/L, respectively, levels of IL-12 in the 4 groups were 15.64 ± 23.04 ng/L, 68.50 ± 23.14 ng/L, 76.83 ± 12.82 ng/L and 83.74 ± 24.88 ng/L, respectively, and levels of s Fas were 58.17 ± 77.42 ng/L, 179.88 ± 104.36 ng/L, 249.22 ± 107.80 ng/L and 252.98 ± 87.65 ng/L, respectively. Twenty-seven out of 90 patients showed a positive result for anti-HBx detection, including 1 in ASC, 4 in CHB, 12 in LC and 10 in HCC group. The levels of IL-10, IL-12 and sF as were higher in anti-HBx positive group than in negative group. Statistical analysis demonstrated significant differences of IL-10 and IL-12 between the two groups(P < 0.05), but the differences of s Fas had no statistical significance(P = 0.094). Conclusions Anti-HBx antibody is not protective, and is closely related to IL-10, IL-12 and s Fas. It may be an important serum indicator for aggravation from chronic hepatitis B to liver cirrhosis or hepatocellular carcinoma in patients with chronic HBV infection. 展开更多
关键词 hepatitis b virus Chronic infection Anti-Hbx s Fas il-10 il-12
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Single Nucleotide Polymorphisms rs2227284, rs2243283 and rs2243288 in the IL-4 Gene show no Association with Susceptibility to Chronic Hepatitis B in a Chinese Han Population
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作者 Qin Zhou Yu-feng Gao +2 位作者 Xiao-miao Zhao Fa-ming Pan Xu Li 《国际感染病学(电子版)》 CAS 2014年第1期16-21,共6页
Objective To investigate the relationship between single nucleotide polymorphisms(SNPs) of the interleukin-4(IL-4) gene and outcome of hepatitis B virus(HBV) infection in a Chinese Han population.Methods Total of 501 ... Objective To investigate the relationship between single nucleotide polymorphisms(SNPs) of the interleukin-4(IL-4) gene and outcome of hepatitis B virus(HBV) infection in a Chinese Han population.Methods Total of 501 patients with chronic hepatitis B virus(HBV) infection and 301 controls with selflimiting HBV infection were studied. Three tag SNPs in the IL-4 gene(rs2227284G/T, rs2243283C/G and rs2243288A/G) were genotyped by the Multiplex snapshot technique. The genotype and allele frequencies were calculated and analyzed.Results The three SNPs showed no significant genotype/allele associations with chronic HBV infection. Overall allele P values were: rs2227284, P = 0.655, odds ratio(OR) [95% confidence interval(CI)] = 1.070(0.793-1.445); rs2243283, P = 0.849, OR(95% CI) = 0.976(0.758-1.257); rs2243288, P = 0.659, OR(95% CI) = 1.060(0.818-1.375). Overall genotype P values were: rs2227284, P = 0.771; rs2243283, P = 0.571; rs2243288, P = 0.902. There were no statistically significant differences between patients with chronic HBV infection and controls. Haplotypes generated by these three SNPs also had no significant differences between the two groups. Conclusions The three tag SNPs of IL-4 were not associated with the outcome of HBV infection in the Han Chinese population. 展开更多
关键词 hepatitis b virus il-4 gene POLYMORPHISM
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乙型肝炎肝硬化患者HBV复制对外周血IL-12和IL-18表达水平的影响 被引量:6
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作者 陈永胜 李东复 +1 位作者 刘晓阳 周键 《吉林大学学报(医学版)》 CAS CSCD 北大核心 2008年第6期1038-1041,共4页
目的:探讨慢性乙型肝炎肝硬化患者HBV复制对血清中细胞因子白细胞介素-12(IL-12)、白细胞介素-18(IL-18)水平变化的影响及其临床意义。方法:应用定量PCR、ELISA法检测136例不同类型慢性肝病患者(102例慢性乙型肝炎和34例乙型肝炎肝硬化)... 目的:探讨慢性乙型肝炎肝硬化患者HBV复制对血清中细胞因子白细胞介素-12(IL-12)、白细胞介素-18(IL-18)水平变化的影响及其临床意义。方法:应用定量PCR、ELISA法检测136例不同类型慢性肝病患者(102例慢性乙型肝炎和34例乙型肝炎肝硬化),95例HBV携带者及20名健康献血者(对照组)外周血HBV-DNA复制与IL-12和IL-18表达水平。结果:慢性乙型肝炎、肝炎肝硬化组IL-12及IL-18表达水平明显高于对照组(P<0.05);慢性乙型肝炎、肝硬化患者HBV-DNA高复制组(HBV-DNA≥105.mL-1)IL-12及IL-18表达水平明显高于HBV-DNA阴性组(HBV-DNA<103.mL-1)(P<0.05);慢性乙型肝炎与肝炎肝硬化患者组及不同HBV携带者组之间IL-12及IL-18水平比较差异无显著性(P>0.05);慢性肝病患者HBV复制水平与IL-12和IL-18表达水平呈正相关关系(r=0.74,P<0.05;r=0.80,P<0.05)。结论:HBV复制活跃程度影响慢性乙型肝炎、肝硬化患者血清中细胞因子IL-12及IL-18的表达,HBV复制程度越活跃,慢性肝病患者IL-12及IL-18表达水平越高。 展开更多
关键词 肝炎 乙型 慢性 肝硬化 病毒复制 白细胞介素12 白细胞介素18
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新生儿IL-18对Th1/Th2类细胞免疫平衡的作用与HBV宫内感染相关性研究 被引量:6
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作者 郑九生 杜二球 +3 位作者 周小飞 刘淮 张红玲 张桂芳 《现代妇产科进展》 CSCD 北大核心 2009年第9期678-681,共4页
目的:探讨新生儿IL-18对Th1/Th2类细胞免疫平衡的作用与HBV宫内感染的相关性。方法:选择HBsAg、HBeAg双阳性但肝功能正常孕产妇分娩的新生儿157例,以其中胎儿宫内感染21例为研究组,无宫内感染136例为对照组。用流式细胞仪检测两组脐血... 目的:探讨新生儿IL-18对Th1/Th2类细胞免疫平衡的作用与HBV宫内感染的相关性。方法:选择HBsAg、HBeAg双阳性但肝功能正常孕产妇分娩的新生儿157例,以其中胎儿宫内感染21例为研究组,无宫内感染136例为对照组。用流式细胞仪检测两组脐血白细胞介素-18(IL-18)、γ-干扰素(IFN-γ)、白细胞介素-4(IL-4)的表达水平。结果:(1)研究组IL-18及IFN-γ表达水平明显低于对照组,差异有显著性(P<0.05;P<0.05);研究组IL-4表达水平百分数高于对照组,但差异无显著性(P>0.05);研究组IFN-γ/IL-4高于对照组,差异有显著性(P<0.05);(2)研究组IL-18与IFN-γ、IL-4、IFN-γ/IL-4均呈显著正相关(P均<0.05)。结论:IL-18是Th1/Th2网络平衡的更高层次的调控者;IL-18水平下调,导致新生儿Th1/Th2细胞因子比例下降,以致不利于HBV的清除,IL-18水平下调可能是HBV宫内感染的危险因素之一。 展开更多
关键词 肝炎病毒 乙型 疾病传播 垂直 TH1细胞 TH2细胞 细胞因子类 白细胞介素18 婴儿 新生
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乙型肝炎肝硬化患者血清IL-18、IFN-γ水平变化的研究 被引量:4
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作者 杨小云 观晓辉 +3 位作者 曾宏 吴静黎 杨清绪 李韶光 《现代中西医结合杂志》 CAS 2005年第14期1815-1816,共2页
目的探讨乙型肝炎肝硬化患者血清白细胞介素-18(IL-18)、γ-干扰素(interferonγ,IFN-γ)水平与肝功能状态的关系。方法采用ELISA法检测42例肝硬化患者及25例正常人血清IL-18、IFN-γ水平,并同时检测肝功能指标。结果肝硬化患者血清IL-1... 目的探讨乙型肝炎肝硬化患者血清白细胞介素-18(IL-18)、γ-干扰素(interferonγ,IFN-γ)水平与肝功能状态的关系。方法采用ELISA法检测42例肝硬化患者及25例正常人血清IL-18、IFN-γ水平,并同时检测肝功能指标。结果肝硬化患者血清IL-18、IFN-γ水平显著高于对照组(P<0.01),且随着肝损害的加重而升高,Child-pugh肝功能分级C级增高最著,其升高水平依次为C级>B级>A级。IL-18和IFN-γ与血清TBil及ALT正相关,两细胞因子间呈正相关。结论IL-18、IFN-γ参与乙型肝炎肝硬化的病理过程,与肝硬化炎症活动情况、肝功能损害及预后密切相关,检测血清IL-18、IFN-γ水平有助于判断肝硬化的病情和预后。 展开更多
关键词 乙型肝炎 肝硬化 il-18 ifn
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IL-18对慢性乙型肝炎患者PBMC的作用 被引量:4
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作者 孙颖 陈焕永 +2 位作者 董娟 张新 姜宏齐 《哈尔滨医科大学学报》 CAS 2003年第2期162-165,共4页
目的 探讨IL 18对慢性乙型肝炎患者外周血单个核细胞 (PBMC)的作用。方法 分离 2 5例正常人及 2 5例慢性乙型肝炎患者的PBMC ,在HBcAg及不同浓度IL 18刺激下培养 72h ,收集其培养上清液 ,采用ELISA方法检测其中IFN γ的含量。结果 单... 目的 探讨IL 18对慢性乙型肝炎患者外周血单个核细胞 (PBMC)的作用。方法 分离 2 5例正常人及 2 5例慢性乙型肝炎患者的PBMC ,在HBcAg及不同浓度IL 18刺激下培养 72h ,收集其培养上清液 ,采用ELISA方法检测其中IFN γ的含量。结果 单独PHA刺激下IFN γ的水平在正常对照组较慢性肝炎组显著增高 ,其差异具有显著性 (P <0 .0 1) ;单独HBcAg刺激下IFN γ的水平在慢性肝炎组较正常对照组显著增高 ,其差异具有显著性 (P <0 .0 0 1) ;HBcAg联合不同浓度的IL 18刺激下 ,慢性肝炎组的IFN γ的水平均较正常对照组显著增高 ,其差异具有显著性 (P <0 .0 0 1) ;而HBeAb阳性患者组的IFN γ的水平较HBeAg阳性患者组高 ,其差异具有显著性 (P <0 .0 0 1) ;PBMC培养上清液中IFN γ的水平在慢性肝炎组中随着IL 18浓度的增加呈现出增强的趋势。结论 IL 18能够促进慢性乙肝患者PBMC产生大量的IFN γ ,因此在调节免疫功能和增强机体杀伤病毒感染细胞方面具有很好的应用前景。 展开更多
关键词 IL—18 慢性乙型肝炎 PbMC 作用 外周血单个核细胞
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HCV、HBV、HIV间合并感染患者血清IL-18、VEGF、TGF-β_1的含量变化 被引量:4
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作者 付汉东 张爱华 +1 位作者 余小燕 魏威 《中国感染控制杂志》 CAS 2011年第4期256-259,共4页
目的探讨乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)、人免疫缺陷病毒(HIV)间合并感染患者血清白细胞介素(IL)-18、血管内皮生长因子(VEGF)、转化生长因子β_1(TGF-β_1)的表达及临床意义。方法采用酶联免疫吸附试验(ELISA)法检测HBV、HCV、... 目的探讨乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)、人免疫缺陷病毒(HIV)间合并感染患者血清白细胞介素(IL)-18、血管内皮生长因子(VEGF)、转化生长因子β_1(TGF-β_1)的表达及临床意义。方法采用酶联免疫吸附试验(ELISA)法检测HBV、HCV、HIV间合并感染以及单纯HBV或HCV感染患者血清IL-18、VEGF、TGF-β_1含量,同时检测合并感染患者肝功能生化指标血清丙氨酸转氨酶(ALT)、天门冬氨酸转氨酶(AST)、γ-谷氨酰转肽酶(GGT)含量,并分析它们与IL-18、VEGF、TGF-β_1的相关性;另从健康体检人群中随机抽取30例作对照组进行IL-18、VEGF、TGF-β_1检测,并进行统计学分析。结果 HBV、HCV、HIV间合并感染患者血清IL-18、VEGF、TGF-β_1含量变化与性别无相关性(P>0.05);比单纯HBV和HCV感染以及正常对照组均显著升高(P<0.01),其中IL-18、VEGF、TGF-β_1值以HBV+HCV+HIV感染模式最高[分别为(312.44±45.24)pg/L、(326.43±51.24)pg/mL、(283.51±49,27)μg/L],其次为HCV+HIV感染模式[分别为(224.32±34.37)pg/L、(257.72±47.72)pg/mL、(204.11±43.28)μg/L],HBV+HCV感染模式最低[分别为(129.44±27.62)pg/L、(147.67±41.22)pg/mL、(120.47±30.23)μg/L],三者间比较,差异有统计学意义(均P<0.01)。HBV、HCV、HIV间合并感染患者血清IL-18、VEGF、TGF-β_1水平与相应患者肝功能生化指标ALT、AST、GGT均呈正相关(r值分别为:0.667、0.652、0.672;0.643、0.618、0.623;0.712、0.673、0.705)。结论检测血清IL-18、VEGF、TGF-β_1含量,对HBV、HCV、HIV间合并感染患者病情的合理评价有重要意义。 展开更多
关键词 肝炎病毒 乙型 肝炎病毒 丙型 人免疫缺陷病毒 合并感染 白细胞介素18 血管内皮生长因子 转化生长因子β1 血传病原体
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IL-12和IL-18基因免疫对HBcAg核酸疫苗诱导小鼠(H-2^d)特异性免疫应答的影响 被引量:2
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作者 吴欣 黄祖瑚 +2 位作者 成军 邢益平 董菁 《中国免疫学杂志》 CAS CSCD 北大核心 2007年第2期103-107,共5页
目的:观察IL-12和IL-18基因免疫对HBcAg核酸疫苗诱导小鼠(H-2d)特异性体液免疫和细胞免疫应答的影响。方法:用肌肉注射法将HBV核心区DNA疫苗、IL-12质粒和IL-18质粒接种BALB/c小鼠;ELISA法检测小鼠血清抗-HBc(IgG)及IgG亚类(IgG1、IgG2a... 目的:观察IL-12和IL-18基因免疫对HBcAg核酸疫苗诱导小鼠(H-2d)特异性体液免疫和细胞免疫应答的影响。方法:用肌肉注射法将HBV核心区DNA疫苗、IL-12质粒和IL-18质粒接种BALB/c小鼠;ELISA法检测小鼠血清抗-HBc(IgG)及IgG亚类(IgG1、IgG2a);LDH释放法检测小鼠脾细胞HBcAg特异性CTL活性。结果:免疫6周后,HBcAgDNA疫苗联合IL-12质粒、IL-18质粒和IL-12+IL-18质粒组小鼠的血清抗HBc终点滴度均明显高于单纯注射HBcAgDNA疫苗组小鼠(P<0.05),抗HBcIgG亚类以IgG2a占优。DNA疫苗免疫的各组小鼠,HBcAg特异性细胞毒性T淋巴细胞杀伤率均高于对照组(P组),其中C+IL-18组和C+IL-12+IL-18组中CTL值明显高于C组,尤以C+IL-12+IL-18组中的CTL杀伤率最高。结论:IL-12和IL-18基因与HBcAgDNA疫苗联合免疫,不仅能增强HBcAg特异性体液免疫应答,而且能增强HBcAg特异性CTL的杀伤活性。 展开更多
关键词 乙型肝炎核心抗原 DNA疫苗 小鼠 il-12 il-18
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IL-18在慢性HBV感染后不同转归患者肝脏组织中的表达及意义 被引量:3
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作者 郜玉峰 汤磊 +4 位作者 潘高峰 殷宏娟 叶珺 邹桂舟 李旭 《中国肝脏病杂志(电子版)》 CAS 2014年第3期1-5,共5页
目的探讨白细胞介素-18(IL-18)的表达与慢性HBV感染后不同疾病转归患者的相关性及其临床意义。方法收集230例慢性HBV感染后不同疾病患者肝脏组织和临床资料,采用半定量SP免疫组织化学法检测HBV感染者肝组织中IL-18的表达情况,并与患者... 目的探讨白细胞介素-18(IL-18)的表达与慢性HBV感染后不同疾病转归患者的相关性及其临床意义。方法收集230例慢性HBV感染后不同疾病患者肝脏组织和临床资料,采用半定量SP免疫组织化学法检测HBV感染者肝组织中IL-18的表达情况,并与患者的临床生物化学指标、肝脏炎症分级和纤维化分期进行比较,分析肝脏组织中IL-18表达与上述指标的相关性。结果 IL-18在肝脏组织中以肝细胞细胞质表达为主,半定量分析结果显示,在健康者、CHB、肝硬化、HBV相关性肝癌患者肝组织中的IL-18表达,差异均有统计学意义(P<0.05);IL-18在HBV感染者肝组织中的表达与ALT水平、肝脏炎症及纤维化程度均呈正相关(r=0.184、0.169、0.085,P=0.015、0.021、0.032)。结论IL-18表达强弱与HBV感染的免疫发病机制有关,IL-18参与了HBV感染的慢性化和疾病的转归。 展开更多
关键词 白细胞介素-18 乙型肝炎病毒 免疫组织化学 疾病进展
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IL-2/IFN-γ融合蛋白质粒增强HBV DNA疫苗免疫原性的实验研究(英文) 被引量:2
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作者 杨富强 陈光明 +5 位作者 饶桂荣 徐宇虹 赵勇刚 何晓嫱 孙希海 侯金林 《中国现代医学杂志》 CAS CSCD 北大核心 2008年第7期838-842,846,共6页
目的评价IL-2/IFN-γ融合蛋白基因质粒(pFP)增强HBV DNA疫苗(pS2.S)免疫原性的佐剂作用。方法构建IL-2/IFN-γ融合蛋白和HBV包膜中蛋白(PreS2+S)编码基因的重组真核表达质粒,根据pFP编码的目的基因序列分子模拟IL-2/IFN-γ融合蛋白的空... 目的评价IL-2/IFN-γ融合蛋白基因质粒(pFP)增强HBV DNA疫苗(pS2.S)免疫原性的佐剂作用。方法构建IL-2/IFN-γ融合蛋白和HBV包膜中蛋白(PreS2+S)编码基因的重组真核表达质粒,根据pFP编码的目的基因序列分子模拟IL-2/IFN-γ融合蛋白的空间结构,检测质粒体外转染细胞表达目的基因产物及其生物活性;体内实验采用提高质粒转染效率的在体电脉冲(EP)技术免疫健康BALB/c小鼠,分别以ELISA及免疫酶联斑点(ELISPOT)方法检测小鼠血清抗HBs及脾脏HBsAg特异性分泌IFN-γ的淋巴细胞应答水平。结果pFP能够以融合蛋白的形式正确表达IL-2和IFN-γ,其活性域保持相对独立,其分子模拟的结果得到了质粒体外细胞转染检定实验的证实。EP介导的HBV DNA免疫反应中,pS2.S+pFP组血清抗-HBs[(51.2±50.5)mIU/mL,89%]及HBsAg特异性分泌IFN-γ的淋巴细胞应答[(207±103)IFN-rT细胞SFCs/3×105脾细胞,78%]水平和阳性率均显著高于pS2.S+pcDNA3.1组[抗-HBs:(14.8±7.6)mIU/mL,64%;IFN-γT细胞:(84±70)SFCs/3×105脾细胞,28%](P<0.05)。结论实验结果提示Th1型细胞因子IL-2和IFN-γ的融合蛋白基因表达质粒可提高HBV DNA疫苗的免疫效果,并促进初始T细胞向Th1方向分化。 展开更多
关键词 DNA疫苗 乙型肝炎病毒(HbV) 白细胞介素-2(il-2)/γ-干扰素(ifn-γ)融合蛋白表达质粒(pFP) 在体电转染(EP)
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HBsAg携带患儿血清IL-10、IL-12及IFN-γ的检测及临床意义 被引量:1
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作者 张雷家 张金萍 胡冰 《中国全科医学》 CAS CSCD 2005年第14期1143-1144,共2页
目的探讨HBsAg携带患儿病理过程中血清IL-10、IL-12及IFN-γ的含量变化及意义。方法49例HBsAg携带患儿和30例健康儿童均于清晨空腹采血,以双抗夹心ELISA法检测血清IL-10、IL-12和IFN-γ的含量。结果HBsAg携带患儿血清IL-10、IL-12和IFN... 目的探讨HBsAg携带患儿病理过程中血清IL-10、IL-12及IFN-γ的含量变化及意义。方法49例HBsAg携带患儿和30例健康儿童均于清晨空腹采血,以双抗夹心ELISA法检测血清IL-10、IL-12和IFN-γ的含量。结果HBsAg携带患儿血清IL-10、IL-12和IFN-γ的含量均显著高于对照组(P均<0.05)。HBeAg阳性组患儿血清IL-10和IFN-γ含量较HBeAg阴性组患儿明显升高(P<0.05),而血清IL-12则无明显变化。IL-10与IL-12、IFN-γ的含量呈显著正相关(P<0.01)。IL-12与IFN-γ的含量亦呈显著正相关(P<0.01)。结论HBsAg携带患儿存在异常的细胞免疫应答,IL-10、IL-12和IFN-γ均参与了其病理生理过程,并且与HBeAg有关。 展开更多
关键词 儿童 肝炎病毒 乙型 白细胞介素-10 白细胞介素-12 干扰素-Γ
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慢性HBV感染者外周血单个核细胞IL-18水平的意义
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作者 梁新宇 闫雪华 《国际检验医学杂志》 CAS 2008年第7期583-585,共3页
目的探讨乙型肝炎病毒(HBV)感染者外周血单个核细胞(PBMC)白介素18(IL-18)水平与慢性乙型肝炎病情的活动程度和肝组织炎症的相关性。方法通过流式细胞术对147例HBV感染者PBMC中IL-18水平进行了检测,同时对其中22例慢性乙型肝炎和HBV慢... 目的探讨乙型肝炎病毒(HBV)感染者外周血单个核细胞(PBMC)白介素18(IL-18)水平与慢性乙型肝炎病情的活动程度和肝组织炎症的相关性。方法通过流式细胞术对147例HBV感染者PBMC中IL-18水平进行了检测,同时对其中22例慢性乙型肝炎和HBV慢性携带者行肝穿刺进行肝脏病理组织学检查。结果IL-18水平在慢性肝炎中度、慢性肝炎重度、急性重度肝炎、急性重度肝炎中的表达呈渐次上升,并且随着肝脏炎症活动度的增加,IL-18水平也随之升高。结论IL-18在不同的HBV感染状态下表达水平不同,与慢性乙型肝炎病情的活动和肝组织炎症程度呈相关性,可作为治疗与判定预后的重要指标。 展开更多
关键词 肝炎病毒 乙型 白细胞介素18 流式细胞术
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HBV感染的肝细胞癌患者血清高尔基体蛋白73与IL-18水平及其对肝动脉化疗栓塞术的影响 被引量:5
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作者 徐永 宁国龙 +1 位作者 胡宗举 汤磊 《医学研究生学报》 CAS 北大核心 2021年第11期1188-1193,共6页
目的寻找与肝癌生物学特征关联密切的敏感生物标志物以评估患者预后是当前研究热点。文中探究肝细胞癌(HCC)患者血清高尔基体蛋白73(GP73)、白细胞介素-18(IL-18)表达与乙型肝炎病毒(HBV)感染及肝动脉化疗栓塞术(TACE)术后疾病进展关系... 目的寻找与肝癌生物学特征关联密切的敏感生物标志物以评估患者预后是当前研究热点。文中探究肝细胞癌(HCC)患者血清高尔基体蛋白73(GP73)、白细胞介素-18(IL-18)表达与乙型肝炎病毒(HBV)感染及肝动脉化疗栓塞术(TACE)术后疾病进展关系。方法选取2016年1月至2019年7月107例拟行TACE治疗的HCC患者,根据是否合并HBV感染分为感染组65例.非感染组42例。比较感染组与非感染组血清甲胎蛋白(AFP)、GP73、IL-18水平;采用Pearson相关分析法探讨感染组患者血清AFP、CP73、IL-18水平与HBV-DNA载量关系;通过C0X回归分析探究TACE术后2年无进展生存期影响因素;采用Kaplan-Meier法绘制无进展生存曲线.探讨HBV感染及血清GP73、IL-18水平对患者无进展生存率影响。结果感染组患者血清GP73[(242.75±66.13)ng/mL]IL-18[(1364.37±425.10)pg/mL]水平均显著高于非感染组[(186.34±63.29)ng/mL、(1051.33±306.38)pg/mL,P<0.05].但组间患者AFP水平比较差异无统计学意义(P>0.05)。感染组患者血清GP73、IL-18均与HBV-DNA载量呈正相关(r=0.665.r=0.548,P<0.05)。107例患者随访时间4~24个月,无进展生存率21.50%(23/107),中位无进展生存期10个月。COX回归分析显示,HBV感染、分化程度.CP73、IIL-18是患者TACE术后无进展生存的影响因素(P<0.05)。患者TACE术后2年无进展生存率表现为非HBV感染组高于感染组(Log Rank χ^(2)=26.106,P<0.001),GP73低表达组高于高表达组(Log Rank χ^(2)=24.584,P<0.001),IL-18低表达组高于高表达组(Log Rank χ^(2)=41.309,P<0.001)。结论HCC合并HBV感染患者血清CP73、IL-18表达水平升高,均与HBV-DNA载量呈正相关,且HBV感染.GP73高表达IL-18高表达是导致HCC患者TACE术后无进展生存率下降的危险因素。 展开更多
关键词 肝细胞癌 乙型肝炎病毒 高尔基体蛋白73 白介素-18 肝动脉化疗栓塞 无进展生存
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