乙型肝炎患者睾丸和附睾组织HBV DNA检测

    Detection of hepatitis B virus DNA in testis and epididymis in patients with hepatitis B

    • 摘要: 目的:研究乙型肝炎病毒(hepatitis B virus,HBV)DNA在HBsAg、HBeAg阳性患者睾丸和附睾组织中的检出及细胞学定位。方法:选取22例HBsAg、HBeAg阳性患者的睾丸和附睾组织,以18例HBsAg、HBeAg阴性者睾丸和附睾组织作为对照,应用巢式聚合酶链反应(nest-PCR)技术和荧光原位杂交(FISH)技术检测并定位睾丸和附睾组织中的HBV DNA。结果:22例乙肝患者睾丸和附睾组织中,18例组织检出HBV DNA,阳性率81.8%,对照组未检测到HBV DNA,两组差异有统计学意义(P<0.001);HBV DNA在睾丸组织中主要集中在生精小管的生精上皮和基底部。结论:乙型肝炎患者睾丸和附睾组织中存在HBV DNA,且定位于各级生精细胞内,为HBV的垂直传播提供了形态学依据。

       

      Abstract: Objective: To detect existence and cytological location of hepatitis B virus(HBV) DNA in testis and epididymis of patients with positive HBsAg and HBeAg.Methods: The testis and epididymis tissues form 22 male patients with positive HBsAg and HBeAg and 18 normal male subjects were collected,and HBV DNA was detected from the tissues by nest PCR,fluorescence in situ hybridization(FISH) was used to identify the localization of HBV DNA.Results: HBV DNA were detected in the testis and epididymis tissues of 18 male patients with positive HBsAg and HBeAg,and the positive rate was 81.8%,whereas in normal group there was no HBV DNA detected,there was significant difference between two groups(P<0.001).HBV DNA mostly located in the spermatogenic epithelium and sertoli cells of testis and epididymis tissues.Conclusions: There were HBV DNA in testis and epididymis tissues of human with HBV and HBV DNA located in all levels of spermatogenic cells.These results in this study provide morphologic evidence for HBV vertical transmission.

       

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