HEPATOCELLULAR-CARCINOMA IN JAPAN AND ITS LINKAGE TO INFECTION WITH HEPATITIS-C VIRUS

被引:26
作者
SHIMOTOHNO, K
机构
[1] Virology Division, National Cancer Center Research Institute, Chuo-ku, Tokyo, 104
来源
SEMINARS IN VIROLOGY | 1993年 / 4卷 / 05期
关键词
HEPATITIS-C VIRUS; HEPATOCELLULAR CARCINOMA; GENETIC DIVERSITY; HEPATITIS; HYPER-VARIABILITY; PERSISTENT INFECTION;
D O I
10.1006/smvy.1993.1027
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Hepatitis B and C viruses are closely related to the development of liver cirrhosis and hepatocellular carcinoma. Recently these two viral agents were found to be the major causative agents of hepatocellular carcinoma in Japan. An increase in the number of HCV antibody-positive patients, but a decrease in the number of HBs antigen-positive patients with hepato cellular carcinoma has been noted over the last 15 years. In the late 1980s about 70% of the patients with hepatocellular carcinoma were found to be positive for HCV antibody and 24% for HBs antigen. Presence of several subtypes of HCV was reported. Hypervariable region (HVR) in a putative envelope, gp70, was detected within the same subtype. Variability of HVR seemed to be the result of spontaneous mutation caused after infection. Such changes with time in the sequence of the HCV genome in the blood of patients with type C hepatitis are likely to be due to immunological surveillance by the host. © 1993 Academic Press. All rights reserved.
引用
收藏
页码:305 / 312
页数:8
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