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董菁, 施双双, 张国庆, 皇甫竞坤, 成军, 王勤环, 李莉. HBsAg与抗-HBs同时阳性者体内S基因序列分析[J]. 中国公共卫生, 2002, 18(5): 535-537. DOI: 10.11847/zgggws2002-18-05-14
引用本文: 董菁, 施双双, 张国庆, 皇甫竞坤, 成军, 王勤环, 李莉. HBsAg与抗-HBs同时阳性者体内S基因序列分析[J]. 中国公共卫生, 2002, 18(5): 535-537. DOI: 10.11847/zgggws2002-18-05-14
DONG Jing, SHI Shuang-shuang, ZHANG Guo-qing, . Analysis on S-gene Sequence of Patients with Positive HBsAg and Anti-HBs Simultaneously[J]. Chinese Journal of Public Health, 2002, 18(5): 535-537. DOI: 10.11847/zgggws2002-18-05-14
Citation: DONG Jing, SHI Shuang-shuang, ZHANG Guo-qing, . Analysis on S-gene Sequence of Patients with Positive HBsAg and Anti-HBs Simultaneously[J]. Chinese Journal of Public Health, 2002, 18(5): 535-537. DOI: 10.11847/zgggws2002-18-05-14

HBsAg与抗-HBs同时阳性者体内S基因序列分析

Analysis on S-gene Sequence of Patients with Positive HBsAg and Anti-HBs Simultaneously

  • 摘要: 目的报告乙型肝炎病毒(HBV)表面抗原(HBsAg)/表面抗体(抗-HBs)同时阳性患者血清中S区编码碱基序列及其氨基酸序列的变异特点.方法以adr亚型的HBV基因序列为依据,设计特异性多聚酶链反应(PCR)引物,自2例HBsAg/抗-HBs均阳性的患者体内扩增HBV全S基因片段,克隆入pGEMTasy质粒,DNA测序确定病毒的变异特点.结果测序结果发现双阳患者与HBsAg阳性患者血清中的HBV全S基因比较,核苷酸序列有4个核苷酸位点(0.3%)的替换突变,表面抗原氨基酸序列无特异性替换突变,但HBV多聚酶的间隔区氨基酸序列有3个位点的特异性替换突变.结论HBV长期携带者体内有HBV准种共存:HBsAg与抗-HBs同时阳性的原因不能归因于病毒的变异,应归结于患者免疫系统的个体化反应.

     

    Abstract: ObjectiveTo clarity the character istics of mutations in HBV Snucleotides and amino acid sequences from the patients with chronic HBV infection,whose serum were detected both HBsAg and anti-HBs positive.MethodsA set of specific primers were synthesized according to HBV DNA sequence of adr subtype,the whole S,gene was amplified from the serum of two patients and the PCR products were subcloned into pGEMT easy vectors.Sequence comparison was made between the target sequence from the HBsAg/anti-HBs positive serum and that from HBsAg positive serum.ResultsSequencing results proved the high consistency,with only 4 out of 1428 nt(0.3%)were different between the target sequence from the double positive serum and that from the HBsAg positive serum,but with no specific amino acid site difference in PreS1,PreS2 and major protein.There were 3 sites of difference in spacer region corresponding to HBV polymerase.Conclusion There were HBV quasispecies in the patients with chronic HBV infection.The phenomenon of both HBsAg and antiHBs positive could not be attributed to mutation in HBV genome.

     

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