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目的探讨庚型肝炎病毒(HGV)感染与机体自身免疫的关系.方法抗HGVIgG抗体阳性(ELISA法)的各类肝病及其他疾病患者93例.部分慢性肝炎患者用RTPCR检测证实为HGVRNA阳性.用ELISA检测血清中类风湿因子(RF)、抗双链DNA(dsDNAAb)抗体、抗甲状腺球蛋白抗体(TGAb)、抗甲状腺微粒体抗体(TMAb)4种自身抗体.同时用ELISA检测乙型肝炎病毒(HBV)5项血清标志物(HBsAg,抗HBs,HBeAg,抗HBe,抗HBcIgG)和丙型肝炎病毒标志物(抗HCVIgG和抗HCVIgM).结果研究对象93例中有25例检测出1种以上自身抗体的阳性率为269%.其中自身抗体阳性率在单独抗HGV阳性者中为136%(3/22);抗HGV阳性合并HBV标志物阳性者为179%(5/28);抗HGV阳性合并抗HCV阳性者为400%(10/25);HGV,HBV,HCV标志物全阳性者为389%(7/18).对照组:自身抗体阳性率为261%(31/119).其中HGV,HBV,HCV标志物全阴性者为160%(4/25);HBV标志物阳性者为250%(7/28);HCV标志物阳性者为27?
Objective To investigate the relationship between hepatitis G virus (HGV) infection and autoimmunity. Methods Ninety-three patients with various liver diseases and other diseases who were positive for anti-HGVIgG antibody (ELISA method). Some chronic hepatitis patients with RT PCR confirmed HGVRNA positive. Serum levels of autoantibodies such as rheumatoid factor (RF), anti-dsDNA (anti-dsDNAAb) antibody, anti-thyroglobulin antibody (TGAb) and anti-thyroid microsomal antibody (TMAb) were detected by ELISA. Five serum markers of hepatitis B virus (HBsAg, anti-HBs, HBeAg, anti-HBe, anti-HBcIgG) and hepatitis C virus markers (anti-HCVIgG and anti-HCVIgM) were also detected by ELISA. Results The positive rate of more than one autoantibodies detected in 25 of 93 subjects was 26.9%. The positive rate of autoantibodies was 13.6% (3/22) in patients with anti-HGV alone and 17.9% (5/28) in patients with positive anti-HGV and HBV markers. The anti-HGV positive and anti-HCV positive Were 400% (10/25). The positive rate of HGV, HBV and HCV markers was 389% (7/18). In the control group, the autoantibody positive rate was 26.1% (31/119). Among them, 160% (4/25) were HGV, HBV and HCV markers, 250% (7/28) were HBV markers positive, 27 were HCV markers positive.