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血清HBV大、中、小表面蛋白检测的临床意义

庄辉

引用本文:
Citation:

血清HBV大、中、小表面蛋白检测的临床意义

DOI: 10.3969/j.issn.1001-5256.2022.03.007
利益冲突声明: 作者声明不存在利益冲突。
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    通信作者:

    庄辉,zhuangbmu@126.com

Clinical significance of determining the serum levels of large, middle, and small hepatitis B virus surface proteins

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  • 摘要: 本文综述了HBV大、中、小表面蛋白相关研究进展,包括基因结构、特点、检测方法和临床意义等方面。截至目前,关于HBV大、中、小表面蛋白的临床意义尚不明确,亟需进一步研究探讨。

     

  • 图  1  HBV体和亚病毒颗粒(引自参考文献[3])

    图  2  LHBs、MHBs和SHBs基因结构(引自参考文献[3])

    注: a,LHBs、MHBs和SHBs基因结构; b,preS1和preS2区域结构。感染性区(2~77 aa); 感染-干扰豆蔻酰化前S1肽与假设的结合位点重叠; 受体结合位点: 关键的结合位点(9~18 aa),辅助的结合位点(28~48 aa); 豆蔻酰化信号区(2~9 aa); 形成外膜的关键区: preS1(92~108 aa) 与preS2(1~5 aa)。

    图  3  HBV A~E基因型患者LHBs、MHBs和SHBs组成比较(引自参考文献[20])

    图  4  1例无并发症急性乙型肝炎患者LHBs、MHBs和HBsAg动态变化(引自参考文献[21])

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    [2] DRYDEN KA, WIELAND SF, WHITTEN-BAUER C, et al. Native hepatitis B virions and capsids visualized by electron cryomicroscopy[J]. Mol Cell, 2006, 22(6): 843-850. DOI: 10.1016/j.molcel.2006.04.025.
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    [14] HEERMANN KH, KRUSE F, SEIFER M, et al. Immunogenicity of the gene S and Pre-S domains in hepatitis B virions and HBsAg filaments[J]. Intervirology, 1987, 28(1): 14-25. DOI: 10.1159/000149993.
    [15] ZHU X, GONG Q, YU D, et al. Early serum hepatitis B virus large surface protein level: A stronger predictor of virological response to peginterferon alfa-2a than that to entecavir in HBeAg-positive patients with chronic hepatitis B[J]. J Clin Virol, 2013, 57(4): 318-322. DOI: 10.1016/j.jcv.2013.04.003.
    [16] PFEFFERKORN M, BÖHM S, SCHOTT T, et al. Quantification of large and middle proteins of hepatitis B virus surface antigen (HBsAg) as a novel tool for the identification of inactive HBV carriers[J]. Gut, 2018, 67(11): 2045-2053. DOI: 10.1136/gutjnl-2017-313811.
    [17] RINKER F, BREMER CM, SCHRÖDER K, et al. Quantitation of large, middle and small hepatitis B surface proteins in HBeAg-positive patients treated with peginterferon alfa-2a[J]. Liver Int, 2020, 40(2): 324-332. DOI: 10.1111/liv.14298.
    [18] BRANCACCIO G, SALPINI R, PIERMATTEO L, et al. An increase in the levels of middle surface antigen characterizes patients developing HBV-driven liver cancer despite prolonged virological suppression[J]. Microorganisms, 2021, 9(4): 752. DOI: 10.3390/microorganisms9040752.
    [19] PFEFFERKORN M, SCHOTT T, BÖHM S, et al. Composition of HBsAg is predictive of HBsAg loss during treatment in patients with HBeAg-positive chronic hepatitis B[J]. J Hepatol, 2021, 74(2): 283-292. DOI: 10.1016/j.jhep.2020.08.039.
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  • 收稿日期:  2022-02-19
  • 录用日期:  2022-02-21
  • 出版日期:  2022-03-20
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