首页|黄芪甲苷对人外周血单个核细胞内HBV表达的影响

黄芪甲苷对人外周血单个核细胞内HBV表达的影响

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目的:探索黄芪甲苷对乙肝后肝硬化患者外周血单个核细胞(PBMC)内HBV表达的影响.方法:选取2019年2月—2022 年 2 月于江西省人民医院就诊的 20 例乙肝后肝硬化患者,分离并培养外周血单个核细胞,依据培养液所含药物类型分为对照组、拉米夫定组、黄芪甲苷组.拉米夫定组和黄芪甲苷组又根据药物终浓度各分为低、中、高浓度3个亚组.培养1周后,分别检测各组HBsAg、HBeAg、HBV-DNA、HBV-cccDNA表达.结果:与对照组相比,黄芪甲苷各浓度组HBsAg表达量均显著降低,差异具有统计学意义(P<0.05);黄芪甲苷各浓度组HBeAg表达量无统计学差异(P>0.05),黄芪甲苷低浓度组HBV-DNA表达量无统计学差异(P>0.05),黄芪甲苷中、高浓度组HBV-DNA表达量显著降低,差异具有统计学意义(P<0.05),黄芪甲苷各浓度组HBV-cccDNA表达量无统计学差异(P>0.05).与对照组相比,拉米夫定各浓度组HBsAg、HBeAg、HBV-DNA表达量均显著降低,差异具有统计学意义(P<0.05);拉米夫定低浓度组HBV-cccDNA表达量无统计学差异(P>0.05),拉米夫定中、高浓度组HBV-cccDNA表达量显著降低,差异具有统计学意义(P<0.05).Spearman检验分析提示黄芪甲苷浓度与HBsAg、HBeAg、HBV-DNA、HBV-cccDNA表达量呈线性负相关,其中与HBsAg、HBV-DNA的负相关性有统计学意义(P<0.05).结论:黄芪甲苷能够在一定程度上抑制乙肝后肝硬化患者PBMC中HBV的复制,能为解决肝移植术后HBV复发提供新的治疗思路.
Effect of Astragaloside Ⅳ on HBV Expression in Human Peripheral Blood Mononuclear Cell
Objective:To explore the effect of astragaloside Ⅳ on the expression of HBV in peripheral blood mononuclear cell(PBMC)of patients with post-hepatitis B cirrhosis.Methods:Twenty patients with post-hepatitis B cirrhosis who were treated in jiangxi provincial people's hospital from February 2019 to February 2022 were selected.PBMCs were isolated and cultured,and then divided into control group,lamivudine group and astragaloside Ⅳ group according to the type of drugs contained in the culture medium.The lamivudine group and astragaloside Ⅳ group were further divided into three subgroups with low,medium and high concentration according to the final concentration of the drug.After culturing for 1 week,the expressions of HBsAg,HBeAg,HBV-DNA and HBV-cccDNA were detected in each group.Results:Compared with the control group,the expression of HBsAg in each concentration group of astragaloside Ⅳ was significantly decreased,and the difference was statistically significant(P<0.05),while the expression of HBeAg in each concentration group of astragaloside Ⅳ had no statistical difference(P>0.05).There was no significant difference in the expression of HBV-DNA in the low concentration group of astragaloside Ⅳ(P>0.05).The expression of HBV-DNA in the middle and high concentration groups of astragaloside Ⅳ decreased significantly,and the difference was statistically significant(P<0.05).There was no significant difference in the expression of HBV-cccDNA in each concentration group of astragaloside Ⅳ(P>0.05).Compared with the control group,the expressions of HBsAg,HBeAg,and HBV-DNA in each concentration group of lamivudine were significantly decreased,and the difference was statistically significant(P<0.05).There was no significant difference in the expression of HBV-cccDNA in the lamivudine low concentration group(P>0.05).The expression of HBV-cccDNA in the middle and high concentration groups of lamivudine was significantly decreased,and the difference was statistically significant(P<0.05).Spearman test analysis indicated that the concentration of astragaloside Ⅳ was linearly and negatively correlated with the expression levels of HBsAg,HBeAg,HBV-DNA,and HBV-cccDNA,and the negative correlation with HBsAg and HBV-DNA was statistically significant(P<0.05).Conclusion:Astragaloside Ⅳ can inhibit HBV replication in PBMC of patients with post-hepatitis B cirrhosis to a certain extent,which can provide a new therapeutic idea to address HBV relapse after liver transplant.

Astragaloside IVHepatitis B VirusPost-hepatitis B CirrhosisPeripheral Blood Mononuclear Cells

张友福、罗来邦、杨锦然、杨华、李新长、罗文峰、龙成美

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江西省人民医院/南昌医学院第一附属医院器官移植科 南昌 330006

黄芪甲苷 乙肝病毒 乙肝后肝硬化 外周血单个核细胞

江西省中医药局研究项目

2019A199

2024

江西中医药大学学报
江西中医学院

江西中医药大学学报

影响因子:0.575
ISSN:2095-7785
年,卷(期):2024.36(3)
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