检验医学 ›› 2018, Vol. 33 ›› Issue (10): 949-953.DOI: 10.3969/j.issn.1673-8640.2018.10.018

• 综述与讲座 • 上一篇    下一篇

乙型肝炎病毒Pre-S/S区基因突变对乙型肝炎病毒表面抗原检测的影响

何成山 综述1, 马晨芸2, 陆志成 审校2   

  1. 1.蚌埠医学院,安徽 蚌埠 233000
    2.上海中医药大学附属第七人民医院医学检验科,上海 200137
  • 收稿日期:2017-12-12 出版日期:2018-10-30 发布日期:2018-10-23
  • 作者简介:null
    作者简介:何成山,男,1993年生,学士,主要从事临床免疫学检验工作。
  • 基金资助:
    上海市卫生和计划生育委员会科研课题面上项目(201440353);上海市浦东新区卫生和计划生育委员会重要薄弱学科建设项目(PWZbr2017-01)

Influence of hepatitis B virus Pre-S/S region gene mutation on hepatitis B surface antigen determination

HE Chengshan1, MA Chenyun2, LU Zhicheng2   

  1. 1. Bengbu Medical University,Bengbu 233000,Anhui,China
    2. Department of Clinical Laboratory,the Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine,Shanghai 200137,China
  • Received:2017-12-12 Online:2018-10-30 Published:2018-10-23

摘要:

乙型肝炎表面抗原(HBsAg)是诊断乙型肝炎病毒(HBV)感染最常用的标志物。近年来,HBV基因组Pre-S/S区突变和氨基酸置换引起HBsAg漏检现象受到广泛关注。探讨中国地区流行性HBV突变株造成HBsAg漏检的原因对于乙型病毒性肝炎的预防、治疗监测及输血安全至关重要。文章就该方面的最新研究作一综述。

关键词: 乙型肝炎表面抗原, 乙型肝炎病毒, 基因突变

Abstract:

Hepatitis B surface antigen(HBsAg) is the most commonly used marker for the diagnosis of hepatitis B virus(HBV) infection. In recent years,the mutations in Pre-S/S region of HBV genome and amino acid replacement have received widespread attentions. This review summarizes the reasons for the missed determination of HBsAg for Chinese epidemic HBV-mutant strains,which is crucial for the prevention and surveillance of HBV infection and the safety of blood transfusion.

Key words: Hepatitis B surface antigen, Hepatitis B virus, Gene mutation

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