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魏俊妮, 王素萍, 冯永亮, 宋秀霞, 李淑珍, 李小燕, 双杰玉. 母血HBV DNA含量与新生儿HBV感染关系[J]. 中国公共卫生, 2010, 26(1): 98-99. DOI: 10.11847/zgggws2010-26-01-53
引用本文: 魏俊妮, 王素萍, 冯永亮, 宋秀霞, 李淑珍, 李小燕, 双杰玉. 母血HBV DNA含量与新生儿HBV感染关系[J]. 中国公共卫生, 2010, 26(1): 98-99. DOI: 10.11847/zgggws2010-26-01-53
WEI Jun-ni, WANG Su-ping, FENG Yong-liang, . Relationship between HBV DNA content in mother and HBV infection in newborn[J]. Chinese Journal of Public Health, 2010, 26(1): 98-99. DOI: 10.11847/zgggws2010-26-01-53
Citation: WEI Jun-ni, WANG Su-ping, FENG Yong-liang, . Relationship between HBV DNA content in mother and HBV infection in newborn[J]. Chinese Journal of Public Health, 2010, 26(1): 98-99. DOI: 10.11847/zgggws2010-26-01-53

母血HBV DNA含量与新生儿HBV感染关系

Relationship between HBV DNA content in mother and HBV infection in newborn

  • 摘要: 目的 探讨HBsAg阳性孕妇外周血乙型肝炎病毒(HBV)DNA含量及细胞转运与新生儿HBV感染的关系。方法 用荧光定量PCR方法定量检测HBsAg阳性孕妇血清HBV DNA;用等位基因特异性PCR及半巢式PCR技术扩增HBsAg阳性孕妇新生儿外周血中母亲DNA,通过检测谷胱甘肽-S-转移酶(GSTM1)、血管紧张素转换酶(ACE)等位基因确定母-胎细胞转运;用巢式PCR检测新生儿血清、外周血单个核细胞(PBMC)中HBV DNA。结果 随着孕妇血清HBV DNA含量的增加,新生儿HBV DNA阳性的危险性呈现增高趋势(总χ2=13.16,P<0.05,趋势χ2=12.42,P<0.05),而孕妇血清HBV DNA含量与新生儿PBMC HBV DNA阳性无关(总χ2=2.41,P>0.05,趋势χ2=0.35,P>0.05);孕妇血清HBV DNA含量与母-胎细胞转运无关(总χ2=4.14,P>0.05,趋势χ2=0.001,P>0.05);母-胎细胞转运与新生儿外周血PBMC HBV DNA阳性有关(χ2=10.26,P(0.05),而与新生儿外周血HBV DNA阳性无关(χ2=0.49,P>0.05)。结论 HBsAg阳性孕妇血清HBV DNA含量、母-胎细胞转运与新生儿HBV感染有关,分别是新生儿血清、PBMC HBV感染的重要危险因素。

     

    Abstract: Objective To study the relationship between hepatitis B virus(HBV),DNA content in pregnant mother,mother-fetus cell transportion and HBV in fection in newborn.Methods HBV DNA contents in blood of pregnant women were detected by real-tmie fluorescence quantitative PCR.DNA in mother and infetus was amplified by allele-specific PCR and hem inested PCR.The cell transportion of mother-fetus was determined by detecting GSTM 1 and ACE.HBV DNA in newborns.peripheral blood serum and peripheral blood monouc lear cells(PBMC)was determined by nested PCR.Results The risk of HBV DN A positive in the newborn increased with the increment of serum HBV DNA of the mother(total χ2=13.16,P<0.05,tendency χ2=12.42,P<0.05).But serum HBV DNA content of the mother was not retaled to peripheral blood mononuclear cell(PBMC)HBV DNA positive in the newborn(total χ2=2.41,P>0.05,tendency χ2=0.35,P>0.05)and to the mothe-rfetus cell transportion(total χ2=4.14,P>0.05,tendency χ2=0.001,P>0.05).Mother-fetus cell transportion was related to PBMC HBV DNA positive in the newborn(χ2=10.26,P<0.05),but not related to HBV DNA positive in the new born(χ2=0.49,P>0.05).Conclusion There are associations between HBV DNA content in HBsAg positive mother,mother-fetus cell transportion and HBV infection in newborn.The HBsAg positive mother's HBV DNA content is the risk factor of HBV infection of the newborn and mothe-rfetus cell transportion is the risk factor of PBMC HBV infection of the newborn.

     

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