文章摘要
彭劲松,周敦金,裴德恩,周玉,刘满清,唐力,许骏,吴雄文,霍文哲,周旺.武汉市美沙酮门诊治疗者丙型肝炎病毒基因分型[J].中华流行病学杂志,2007,28(12):1207-1210
武汉市美沙酮门诊治疗者丙型肝炎病毒基因分型
Study on the distribution of hepatitis C virus genotypes in patients visiting one methadone maintenance clinic in Wuhan
收稿日期:2007-07-05  出版日期:2014-09-12
DOI:
中文关键词: 丙型肝炎病毒;基因分型;美沙酮门诊
英文关键词: Hepatitis C virus;Genotype;Methadone maintenance clinic
基金项目:
作者单位E-mail
彭劲松 华中科技大学同济医学院, 武汉, 430030  
周敦金 武汉市疾病预防控制中心  
裴德恩 华中科技大学同济医学院, 武汉, 430030  
周玉 武汉市疾病预防控制中心  
刘满清 武汉市疾病预防控制中心  
唐力 武汉市疾病预防控制中心  
许骏 武汉市疾病预防控制中心  
吴雄文 华中科技大学同济医学院, 武汉, 430030  
霍文哲 Division of Allergy & Immunology,Joseph Stokes, Jr.Reserch Institute at The Children's hospital of Philadelphia,Department of Pediatries, University of Pennsylyania School of Medicine, Philadelphia, USA  
周旺 武汉市疾病预防控制中心 rising-up@hotmail.com 
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中文摘要:
      目的 探讨武汉市美沙酮门诊治疗者丙型肝炎病毒(HCV)及不同基因型感染状况.方法 用酶标记免疫(ELISA)法检测抗-HCV抗体,在86份抗-HCV抗体阳性的血清标本中,分别提取HCV RNA,通过逆转录巢式聚合酶链反应(RT-nested PCR)扩增C基因的羧基至E1基因的氨基端长度为474 bp的片段,测定其核苷酸序列,与GenBank中已知的HCV序列进行系谱分析,确定HCV基因型.结果 武汉市美沙酮门诊332名治疗者中抗-HCV IgG阳性率为94.3%;其中86份血清的HCV序列通过系谱显示6a型71例,占82.5%;3b 7例,占8.2%;1a 5例,占5.8%;1b 3例,占3.5%.结论 武汉市美沙酮门诊入组的吸毒者HCV感染以6a型为优势株,其次为3b,吸毒者中HCV感染率较高,且基因亚型呈现多样性.
英文摘要:
      ObjectiveTo study the prevalence of hepatitis C virus (HCV) infection and characteristics on molecular biology related to HCV among patients who were enrolled in a Methadone maintenance clinic in Wuhan.MethodsSerum samples from 332 injection drug users (IDUs) were obtained and anti-HCV IgG was detected by enzyme linked immunosorbrent assay(ELISA),together with 86 anti-HCV positive specimens genotyped.A reverse transcriptase-polymerase chain reaction (RT-nPCR) assay using conserved primers deduced from the core-envelopel (C-E1) region of the HCV genome was employed to amplify a 474 bp fragment.Phylogenetic analysis of the C-E1 sequences was conducted by direct sequencing of the RT-nPCR products and alignment with determined by nucleotide sequencing followed by composition of a phylogenetic tree.ResultsThere were 313 cases (94.3%) appeared positive anti-HCV IgG in the 332 patients from a Methadone maintenance clinic in Wuhan.It was demonstrated that there were four different subtypes of HCV in that clinic in Wuhan,including 6a--71 cases (82.5%), 3b--7 cases (8.2%),1a--5 cases (5.8%) and 1b--3 cases (3.5%).ConclusionInfection of 6a genotype HCV was predominant in patients from the Methadone maintenance clinic in Wuhan,followed by HCV 3b,1a and 1b
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