实用肝脏病杂志 ›› 2010, Vol. 13 ›› Issue (2): 109-111.doi: 10.3969/j.issn.1672-5069.2010.02.010

• 论著 • 上一篇    下一篇

太原地区丙型肝炎病毒基因分型及其临床意义

王琰, 朱新宇, 王霞, 王东   

  1. 030012 山西省太原市传染病医院(王琰,王霞,王东)山西医科大学第一附属医院感染病科(朱新宇)
  • 收稿日期:2009-11-05 出版日期:2010-04-10 发布日期:2016-04-18
  • 通讯作者: 朱新宇,E-mail:zxy6608056@163.com
  • 作者简介:王琰 女,30岁,硕士研究生,医师。主要从事病毒性肝炎的诊疗工作。

Genetypes and its clinical significance of hepatitis C virus in Taiyuan region

WANG Yan, ZHU Xinyu, WANG Xia, et al.   

  1. Infectious Disease Hospital. Taiyuan 030012,Shanxi Province,China
  • Received:2009-11-05 Online:2010-04-10 Published:2016-04-18

摘要: 目的 了解本地区HCV基因型分布,探讨HCV基因分型的临床意义。方法 用RT-nested-PCR方法扩增62例丙型肝炎患者血清HCV 5’UTR区,限制性内切酶HaeⅢ、Bsh1236Ⅰ进行双酶切得到不同长度基因片段,分析结果,确定基因型。结果 62例丙型肝炎患者中,其中1b型43例,2a型9例,1b/2a混合型5例,1a型1例,3a型1例,未分型3例。基因1b型患者肝功能、肝脏脂肪变性均较非1b型严重。结论 本地区丙型肝炎以基因1b型为主,且该型患者临床病情较其它型严重。

关键词: 丙型肝炎病毒, 基因分型, 基因亚型, 限制性片段长度多态性分析法

Abstract: Objective To explore genotype distribution and clinical significance of HCV in Taiyuan region. Methods To amplify 5’ UTR of HCV RNA in 62 patients using RT-nested-PCR,to cut 5’UTR fragment into different length clips by using incision enzyme HaeⅢ and Bsh1236Ⅰ. Results In 62 patients with hepatitis C,43 cases were infected with genotype 1b,9 cases were infected with genotype 2a,5 cases was 1b/2a mixed-type,1 case was type 1a,1 case was type 3a,and 3 cases were not tested. The patients with 1b genotype were more serious than the patients with non-genotype 1b in the hepatic function and liver fatty degeneration. Conclusion In this locality hepatitis C were dominated by genotype 1b,and the pathogenetic condition of genotype 1b patients more serious than non-genotype 1b patients. HCV genotypes 1b accounted for 69.4% of HCV infections in patients from this geographical region. HCV genotype 1b was associated with more serious clinical performance.

Key words: hepatitis C virus, Genotype, RFLP