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固相放射免疫法检测血清中HBcAg

DETERMINATION OF SERUM HBcAg BY SOLID PHASE RADIOIMMUNOAY(SPRIA)

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【作者】 陶其敏李新富

【Author】 Tao Qi-min;Li Xin-fu Research Group Hepatology, People’s Hospital, Beijing Medical College

【机构】 北京医学院附属人民医院肝病研究室北京医学院附属人民医院肝病研究室

【摘要】 <正> 乙型肝炎的完整病毒(HBV)是Dane颗粒,早在1970年已被Dane证实。被HBV感染后的患者血清内存在这种Dane颗粒,用去垢剂Tween 80处理,可使Dane颗粒裂解为内核和外壳两部分。其外壳即表面抗原(HBsAg),是由蛋白质、脂质和碳水化合物组成,人体被感染后肝细胞浆内可大量复制HBsAg,机体即可产生相应的抗体,即抗-HBs,国内外对此系统研究较多并先后建立了敏感的检测方法。其内核部份是HBV的第二抗原抗体系统,称核心抗原抗体系统(HBcAg、抗-HBc)。不少报导认为抗-HBc的出现是代表病毒的复制,而肝细胞核内的HBcAg则更是

【Abstract】 Dane’s particles were precipitited in the serum by specific antibody followed by thetreatment with NP-40, then exposed to hepatitis B core antigen (HBcAg) and tested for theHBcAg by the SPRIA. A procedure of determining HBcAg in the serum and various in-fluencing factors and serum samples of 20 healthy donors and 20 carriers of HBsAg werepresented. It is found that the value (test sample/control sample cpm) for the 20 healthy donorswas 0.39--1.47 (<2. 1), the value for the 10 asymptomatic carriers with higher HBsAgtiter (7 with HBeAg(+). 3 with HBeAg(-) anti--HBe(-)) was 5.57--34.98(>2. 1) how-evev 10 HBsAg (+) with anti--HBe (+) was 0.31--1.73. These results are parallel withDNAp activity, therefore SPRIA has higher specificity and sensitiveness as well as the bet-ter repetiveness. It is sensitive index for the HBV infection and prognesis.

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