原儿茶酸与拉米夫定体外联合抗HBV药效学研究

为观察拉米夫定(3TC)与原儿茶酸(PA)联合应用抗乙型肝炎病毒(HBV)的作用,在HepG2.2.15细胞培养液中分别加入适当浓度的3TC、PA、3TC+ PA溶液,每4d换用含相同药物浓度的新鲜培养液,第8天末取上清液,用酶联免疫吸附测定法(ELISA)检测上清液中HbsAg和HbeAg的量,用荧光定量PCR( F...     

反向线性探针杂交技术检测慢性乙型肝炎病毒拉米夫定耐药研究

目的:建立起简单、快速、灵敏、准确的慢性乙型肝炎病毒拉米夫定耐药位点的反向线性探针(reverse line probe,RLP)检测方法.方法:根据HBV野生及耐药基因序列设计通用探针、3'、5'对称加有poly-C的特异性探针和5'标记生物素的扩增引物.将探针线性固定在硝酸纤维膜上,使HBV PCR扩增产物与探针进行杂交.通过优化杂交条件,建立RLP检测方法.利用该方法对重庆地区86个慢性乙肝病人进行检测,同时与直接测序结果比较.结果:半巢式PCR可对103拷贝/ml的血清样本进行有效特异扩增,新建的RLP检测方法可对PCR扩增产物在1 ng/ml以上,或血清样本中突变型DNA占野生型DNA比例为5％以上的均可有效检测,86例临床的检测灵敏度为100％,野生型和耐药型的检测准确性分别为98.09％(103/105)、100％ (43/43),与直接测序法比,RLP检测野生与耐药混合型准确性更好.结论:反向线性探针杂交检测方法检测HBV拉米夫定耐药位点方便、灵敏、准确,是HBV拉米夫定治疗有效的监控工具,该方法适合临床应用.     

Preparation and cellular uptake of PLGA particles loaded with lamivudine

Poly(D,L-lactide-co-glycolide) (PLGA) nanoparticles loaded with lamivudine and coated with bovine serum albumin (BSA) were prepared via a double emulsion method. The influences of experiments parameters such as volume of inner aqueous phase, concentration of organic phase and ultrasonication time on the particle size and drug entrapment efficiency were investigated, obtaining PLGA particles with a diameter of ~260 nm and drug entrapment efficiency of ~35%. The particles were observed by scanning electron microscopy and transmittance electron microscopy, showing a core-shell structure. BCA assay found that 58 mg BSA was present on/in 1 g LPB particles. The loaded lamivudine showed a burst release at beginning and sustained release until 24 h in physiological conditions. Low pH could accelerate the release of lamivudine from PLGA particles, making the PLGA particles potential intelligent intracellular drug carriers. The PLGA particles were readily internalized into the human liver cells within a short time and increased gradually with the prolongation of incubation time regardless of the loading of lamivudine. The particles either resided within lysosomes or transferred to cytoplasm, but could not enter into the cell nucleus. The cell viability was not significantly influenced in the presence of the particles regardless of lamivudine encapsulation, suggesting that this kind of particles may be a good candidate for the intracellular anti-hepatitis B drug delivery.     

齐墩果酸、鞣花酸与拉米夫定体外联合抗HBV作用研究

为了观察拉米夫定（3TC）分别与齐墩果酸（OA）、鞣花酸（EA）联合应用抗乙型肝炎病毒（HBV）的作用,在HepG2．2．15细胞培养液中分别加入适当浓度的3TC、OA、EA、3TC＋OA、3TC＋EA含药培养液,每4d换用含同等药物浓度的新鲜培养液,第8d末取上清液,用ELISA法检测上清液中HbsAg和HbeAg的量,计算各药对HepG2．2．15细胞分泌HbsAg和HbeAg的抑制率,并用金正均Q值法分析联合用药的抗HBV效果．结果表明,3TC与OA合用,对HbeAg的抑制表现为拮抗作用,在低浓度时对HbsAg的抑制为协同作用,其它浓度时均为相加作用．3TC与EA合用,对HbeAg、HbsAg的抑制均呈相加作用,但对HbeAg的相加作用在所取浓度范围内比较稳定（Q值在0．85-0．90之间）,对HbsAg的相加作用则随药物作用浓度的增大而逐渐减弱．     

拉米夫定联合免疫汤治疗慢性乙型肝炎疗效分析

目的比较拉米夫定联合免疫汤和单用拉米夫定治疗慢性乙型肝炎的疗效。方法选择慢性乙肝患者84例,随机分为拉米夫定联合免疫汤组与单用拉米夫定组,每组42例,每组口服用药6个月即停药,停药后继续观察6个月。以谷丙转氨酶（ALT）、总胆红素（SB）、乙肝病毒标志物（HBsAg,HBeAg,HBV—DNA）为观察指标,比较不同治疗方案对指标的影响。结果拉米夫定联合免疫汤组与单用拉米夫定组比较,能有效地提高HBsAg、HBeAg及HBV—DNA阴转率（P〈0．05）。结论拉米夫定联合免疫汤治疗慢性乙肝疗效相对于单用拉米夫定治疗慢性乙肝疗效有更多的临床价值。