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目的:探讨丙型肝炎病人外周血单个核细胞(PBMC)对丙型肝炎病毒(HCV)特异性抗原增殖反应与干扰素(IFN)疗效关系。方法:用3H-TdR掺入法研究11例经IFN治疗与13例未经IFN治疗病人PBMC的增殖反应以及HCV-RNA阴转和丙氨酸转氨酶(ALT)复常指标。结果:11例经IFN治疗与13例未经IFN治疗病人PBMC对HCV合成肽CP9、NS4增殖反应相比,前者明显增强,差异有显著性意义(P<0.05),且血清HCV-RNA阴转和ALT复常分别达到36.36%(4/11)和55.55%(5/9),明显高于未经IFN治疗组。结论:IFN治疗丙型肝炎可提高PBMC对HCV抗原的增殖反应
Objective: To investigate the relationship between the proliferative response of hepatitis C virus (HCV) specific antigens and the efficacy of interferon (IFN) in peripheral blood mononuclear cells (PBMCs) of hepatitis C patients. Methods: The proliferative response and the indexes of HCV-RNA negative and alanine aminotransferase (ALT) in 11 patients with IFN and 13 without IFN were studied by 3H-TdR incorporation. Results: Compared with the proliferative responses of HCV synthetic peptides CP9 and NS4 in 11 patients treated with IFN and 13 patients without IFN, the former significantly increased (P <0.05), and the serum HCV-RNA 36.36% (4/11) and 55.55% (5/9) respectively were significantly higher than those without IFN treatment. Conclusion: IFN treatment of hepatitis C increases the proliferative response of PBMC to HCV antigens