高级搜索

HCV核心抗原、NS3抗原在肝癌及癌旁肝组织的表达及意义

Expression and significance of HCV core、NS3 antigen in hepatocellular carcinoma and its peri-cancerous tissues

  • 摘要: 采用SP法(链菌素抗生物素蛋白—过氧化酶连结法)检测46例肝细胞癌及其38例癌旁肝组织中HCV核心抗原、NS3抗原和HBsAg。结果在癌组织中的检出率分别为21.7%、23.9%和19.6%,癌旁组织中的检出率分别36.8%、39.5%和78.9%,核心抗原、NS3抗原伴HBsAg者分别为23.9%和19.6%,不伴HBsAg者分别为10.9%和13%;HBsAg不伴HCV核心抗原、NS3抗原者分别为47.8%和50%。两种HCV抗原均定位于肝细胞和肝癌细胞的胞浆内,在癌旁组织中均有围核分布的特点,其阳性染色细胞呈弥漫、灶状和散在分布。本研究结果提示HCV核心抗原、NS3抗原的检测有可能作为HCV感染的新标志物;HCV和HBV与肝细胞癌的发生可能密切相关,部分患者与HBV和HCV的双重感染可能有关;HCV核心抗原、NS3抗原在肝癌发生中的真正作用,尚待研究。

     

    Abstract: Specimens of 46 cases of the hepatocellular carcinoma and 38 cases of their pericancerous liver tissues were obtained from the pothologic laboratory of Southwest Hospital.Formalin-fixed and paraffinembedded sections were stained for HCV core, NS3 antigen and HBsAg by SP method (Streptavidin Peroxdase Conjugataed Method).Of the 46 cases of the HCC,21.7%for HCV core antigen、23·9%for HCV NS3 antigen and 19·6% for HBsAg were detected in HCC cells,of the 38 cases of their pericancerous liver tissues,36·8% for HCV core antigen,39·5%for HCV NS3 antigen and 78. 9%for HBsAg were detected in liver cells·HCV core antigen、 NS3 antigen associated with HBsAg were 23.9 % and 19. 6 0 o,respectively. HBsAg without HCV core antigen, NS3 antigen were 47.8%and 5000,respectively. Both of two antigens were situated in the cytoplasm of the hepatocytes and HCC cells,whilst some of the antigen were located in the peri-nucleus portion in the peri-can-cerous tissues.The cells with antigen were distributed diffusely.focally and sporadically.It is suggested from the above findings that HCV core、NS3 antigen could be regarded as an additional new diagnostic markers for HCV infection.HCV and HBV might play a quite important role in the development of HCC,particularly,some patients were associated with concurrent infection of HBV and HCV. The role of the concurrent infection of HBV and HCV in the pathogenesis of the HCC is to be further investigated.

     

/

返回文章
返回