Relationship between the characteristics of immunopathological expression of hepatitis C virus antigen and hepatocytic injury.
Biopsied liver tissues from 352 cases were tested for hepatitis C virus (HCVAg) with improved PAP immunohistologic chemical method. Furthermore, corresponding seroantibody to hepatitis C virus was also tested. The total HCVAg positive rate was 9.1%. The HCVAg positive rate in chronic persistent hepatitis (CPH) was 5%. The HCVAg positive rate in chronic active hepatitis (CAH) was 11.2%. The HCVAg positive rate raised gradually along with the severity of hepatocytic injury. HCVAg may be seen in necrotic liver cells exfoliating into the liver sinus, indicating a close relationship between HCVAg and hepatocytic injury. Expression of HCVAg was mostly of the nucleus type in CPH cases and was mostly of the plasma type in CAH cases. The periphery of nucleus type-expressed positive cells generally had no marked inflammatory cell infiltration. The periphery of plasma type-expressed positive cells had a certain amount of inflammatory cell infiltration. Along with the severity of hepatocytic injury, HCVAg expressed itself in a positive correlation according to the nucleus and plasma types. The HCVAg positive cells were located mostly in the lobular peripheral band and rarely located in the venoperipheral band. It was possible that this had some relation with the lobular microcirculation of blood and blood supply. In this study, there was no obvious correlation between the HCVAg positive rate in hepatic tissues and the anti-HCV positive rate in sera. Neither the patients with HCVAg positive liver tissues nor the patients with seropositive anti-HCV had any history of blood transfusion and the use of blood products.(ABSTRACT TRUNCATED AT 250 WORDS)
Sun
Y
Y
Department of Pathology, PLA 100th Hospital, Suzhou.
Gao
S L
SL
Hao
L J
LJ
Li
L
L
Gu
B
B
Ding
Q Y
QY
Lu
P J
PJ
Xiong
H Y
HY
Li
Y X
YX
D000293:Adolescent; D000328:Adult; D000956:Antigens, Viral / Q000032:analysis*; D002648:Child; D006526:Hepatitis C / Q000276:immunology* / Q000473:pathology*; D018936:Hepatitis C Antigens; D006521:Hepatitis, Chronic / Q000276:immunology / Q000473:pathology; D006801:Humans; D008099:Liver / Q000276:immunology* / Q000473:pathology; D008875:Middle Aged
D000956:Antigens, Viral; D018936:Hepatitis C Antigens