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采用逆转录巢式PCR技术检测了51例HCC患者的肝癌及癌周肝组织中HCVRNA正负链,同时以巢式PCR技术检测了这些组织中的HBVDNA。结果,11.8%(6/51)检测出组织中HCVRNA正链;其中5例在癌周肝组织,2例在癌组织中检测出HCVRNA负链。由于负链RNA为HCV的复制中间体,不释放到细胞外,其检出为HCV感染与HCC关系的研究提供了进一步的病因证据。组织中HBVDNA检出率高达92.2%(47/51),显示华南地区HBV感染在HCC的发生中起着特别重要的作用。
Reverse transcription-based nested PCR was used to detect the positive and negative HCVRNA in hepatocellular carcinoma (HCC) and peri-hepatic tissues of 51 patients with HCC. HBVDNA was detected by nested PCR in these tissues. As a result, 11.8% (6/51) of the HCV RNA positive strands were detected in the tissues, of which 5 cases were negative in the peritumoral liver tissue and 2 cases in the cancerous tissue. Since negative-stranded RNA is a replication intermediary of HCV that is not released into the extracellular domain, its detection provides further etiological evidence for the study of the relationship between HCV infection and HCC. The detection rate of HBVDNA in tissues was as high as 92.2% (47/51), indicating that HBV infection in southern China plays a particularly important role in the occurrence of HCC.