高级搜索
HBeAg与原发性肝癌和病毒相关因素的分析[J]. 肿瘤防治研究, 2010, 37(12): 1391-1393. DOI: 10.3971/j.issn.1000-8578.2010.12.015
引用本文: HBeAg与原发性肝癌和病毒相关因素的分析[J]. 肿瘤防治研究, 2010, 37(12): 1391-1393. DOI: 10.3971/j.issn.1000-8578.2010.12.015
Analysis of Virological Characteristics on HBeAg Positive Primary Hepatic Carcinoma[J]. Cancer Research on Prevention and Treatment, 2010, 37(12): 1391-1393. DOI: 10.3971/j.issn.1000-8578.2010.12.015
Citation: Analysis of Virological Characteristics on HBeAg Positive Primary Hepatic Carcinoma[J]. Cancer Research on Prevention and Treatment, 2010, 37(12): 1391-1393. DOI: 10.3971/j.issn.1000-8578.2010.12.015

HBeAg与原发性肝癌和病毒相关因素的分析

Analysis of Virological Characteristics on HBeAg Positive Primary Hepatic Carcinoma

  • 摘要: 目的 研究HBeAg阴性与HBeAg阳性的原发性肝癌患者临床特点和病毒相关因素的差异,并探讨其临床意义。方法 对1 028例原发性肝癌患者的住院病历进行回顾性调查,将患者分为HBeAg阳性组和阴性组。分析两组门脉癌栓、AFP水平、HBV DNA定量、Child-Paugh分级及肝组织病理学指标的差异。结果 HBeAg阴性原发性肝癌895例,占总数的87.1%;HBeAg阳性原发性肝癌133例,占总数的12.9%;HBeAg阳性组合并门脉癌栓的比例为 18.6%,显著高于HBeAg阴性组的11.8%(χ2=4.46,P=0.035)。HBeAg阳性组HBV DNA定量对数均值显著高于HBeAg阴性组(χ2=12.81,P=0.00);HBeAg阳性组Child-Paugh分级为B级和C级的分别为18.3%和15.0%,明显高于HBeAg阴性组的12.9%和1.0%;HBeAg阳性组肝纤维化分期为4期的比例为35.5%,明显高于HBeAg阴性组的24.5%(χ2=4.98,P=0.026)。两组在AFP等指标上无统计学差异。结论 同HBeAg阴性原发性肝癌相比,HBeAg阳性肝癌患者肝组织学损害程度较重,合并门脉癌栓、肝硬化更为常见,预后更差。

     

    Abstract: Abstract: Objective To study the effect of rotary magnetic field (RMF) combining 5-Fu on the cycle and apoptosis of mouse cell line SP2/0 in vitro. Methods SP2/0 cells were randomly divided into four groups: control group (N), 5-Fu group (C), magnetic group (M) and magnetic combining 5-Fu group (M+C).The M and M+C groups were treated with a RMF for two hours once a day.On day 4, the C and M+C groups were treated with 5-Fu 20 μg/ml.On day 5, cell cycle and apoptosis were measured by the flow cytometric (FCM). Results The S phase proportion of the M group and the G1 phase proportion of the C group were higher than that of the other three groups(P<0.05).The S phase proportion of the M+C group decreased and lower than that of the M group,but was still higher than that of the N and C groups(P<0.05).There was no significant difference in apoptosis rates between the N and M groups(P>0.05).The apoptosis rates of the C and M+C groups were remarkedly higher than those of the N and M groups and the M+C group had the highest apoptosis rate. Conclusion The RMF can't induce the apoptosis.But it can enhance the cytotoxicity of 5-Fu and promote the cell apoptosis.The mechanism of the apoptosis may be related to SP2/0 cell line arrested at S phase.Objective To evaluate the relationship between positivity of HBeAg and the development of primary hepatic cancer. Methods A total of 1028 in-patient PHC cases were retrospectively analyzed.Portal vein tumor thrombus,serum AFP values, HBV DNA levels Child-Paugh Grading and histologic alterations were analyzed in both HBeAg-positive group and HBeAg-negative group. Results Of the 1028 cases, 895(87.1%) were HBeAg-negative and 133(12.9%) were HBeAg-positive.Compared with HBeAg-negative group, HBeAg-positive group had a significantly higher Portal vein tumor thrombus rate(χ2=4.46,P=0.035), significantly higher DNA levels(χ2=12.81,P=0.00).Compared with HBeAg-negative group, HBeAg-positive group had a significantly higher Child-Paugh Grading B and C(χ2=82.97,P=0.00).And the cases of hepatic fibrosis stage 4 had also higher in the HBeAg-positive group than in the HBeAg-negative group.No obvious difference in AFP levels was observed between these two groups. Conclusion There was more serious hepatic tissue injury in the HBeAg-positive group than in the HBeAg-negative group, and HBeAg-positive group had greater tendency of developing Portal vein tumor thrombus and liver cirrhosis with poor prognosis.

     

/

返回文章
返回