Liver Int:在埃塞俄比亚CHB患者中,HDV感染很少见,但与更严重的肝纤维化相关

2018-06-24 MedSci MedSci原创

研究表明,HDV感染在埃塞俄比亚很少见,但与更严重的肝纤维化相关。

研究背景:HDV感染与HBV患者临床不良结果相关。本研究的目的是在一大型CHB队列中,研究HDV感染的流行率、临床、生物以及病毒特征。

研究方法:采用ELISA检测方法,检测1267例HIV阴性的CHB患者是否存在HDV抗体。对于阳性样本,进一步采用商业化的实时RT-PCR检测HDV RNA。通过核苷酸测序和系统遗传分析,检测HDV基因型。根据HDV RNA的结果,记录并比较了患者的人口、临床和生物数据。

研究结果:研究表明,大多数患者(n = 748, 59.0%)为男性,中位年龄为31岁(四分位数范围:26-40)。19例患者(1.5%)被检测到抗HDV抗体,其中12例患者为HDV RNA阳性,病毒载量从<2到>8 log 10 IU/mL。所有菌株均为HDV基因1型。HDV RNA阳性的患者更容易发生明显的肝纤维化(63.6% vs 24.7%, P = .007)和肝硬化(45.5% vs 16.4%, P = .024)。

研究结论:研究表明,HDV感染在埃塞俄比亚很少见,但与更严重的肝纤维化相关。

原始出处:

Aberra H, Gordien E, Desalegn H, et al. Hepatitis delta virus infection in a large cohort of chronic hepatitis B patients in Ethiopia. Liver Int, 2018, 38(6), 1000-1009.

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    2018-06-24 1e1b8538m79(暂无匿称)

    不错的文章值得拥有哦

    0

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    2018-06-24 惠映实验室

    学习了.谢谢分享.

    0