HBsAg、HBsAb双阳性HBV感染者TCR β链CDR3克隆型分析
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  • 英文篇名:Analysis of TCR β chain CDR3 clonetype in HBV-infected patients with coexistence of HBsAg and HBsAb
  • 作者:常乐 ; 曾争 ; 王飒 ; 侯艳峰 ; 李志艳 ; 冯珍如
  • 英文作者:CHANG Le;ZENG Zheng;WANG Sa;HOU Yanfeng;LI Zhiyan;Feng Zhenru;Department of Clinical Laboratory,Peking University First Hospital;Department of Infectious Diseases,Peking University First Hospital;
  • 关键词:T细胞受体 ; 互补决定区3 ; 克隆型 ; 乙型肝炎病毒表面抗原 ; 乙型肝炎病毒表面抗体
  • 英文关键词:T-cell receptor;;complementarity-determining region 3;;clonotype;;HBsAg;;HBsAb
  • 中文刊名:LCJY
  • 英文刊名:Chinese Journal of Clinical Laboratory Science
  • 机构:北京大学第一医院检验科;北京大学第一医院感染疾病科;
  • 出版日期:2019-04-28
  • 出版单位:临床检验杂志
  • 年:2019
  • 期:v.37
  • 语种:中文;
  • 页:LCJY201904011
  • 页数:5
  • CN:04
  • ISSN:32-1204/R
  • 分类号:43-47
摘要
目的分析HBsAg和HBsAb双阳性乙型肝炎患者与其他HBV感染者间T细胞受体(TCR)组库β链互补决定区3(CDR3)克隆型差异性。方法以11例HBsAg和HBsAb双阳性乙型肝炎患者为病例组,10例自然痊愈(HBsAb~+)者为对照组1,10例HBsAg阳性但HBsAb阴性乙型肝炎患者为对照组2。用Illumina HiseqX10测序仪对全血DNA的CDR3序列进行高通量测序,建立CDR3免疫组库,并进行CDR3克隆型及多样性分析。结果病例组任意两样本CDR3克隆型重叠率为6.28%(0.25%,13.10%);对照组1为10.49%(6.20%,17.30%);对照组2为2.60%(0.13%,13.69%),病例组与对照组1相比差异有统计学意义(P=0.008),对照组1与对照组2组相比差异有统计学意义(P=0.001),病例组与对照组2相比差异无统计学意义。经过病例组与2个对照组分别比较得到:克隆型TRBV7-2/TRBD1/TRBJ2-1频率病例组高于对照组1(P=0.029),克隆型TRBV7-3/TRBD1/TRBJ2-7频率病例组低于对照组1(P=0.031)。病例组与对照组1相比,V基因型TRBV5-8频率差异有统计学意义(P=0.047);病例组与对照组2之间,有14种克隆型频率差异有统计学意义,V基因型TRBV28频率差异有统计学意义(P=0.028)。3组样本的TCRβ链CDR3多样性差异无统计学意义(P>0.05)。结论克隆型TRBV7-2/TRBD1/TRBJ2-1和TRBV7-3/TRBD1/TRBJ2-7,V基因型TRBV5-8可能与HBsAg和HBsAb双阳性相关,而TCRβ链CDR3多样性与HBsAg和HBsAb双阳性无明显关系。
        Objective To compare T-cell receptor(TCR) β chain complementarity-determining region 3(CDR3) in the patients with coexistence of HBsAg and HBsAb and other HBV infected patients. Methods The clonotype and diversity of CDR3 in blood of group cases(positive HBsAg and HBsAb)(n=11), control 1(negative HBsAg and positive HBsAb)(n=10) and control 2(positive HBsAg and negative HBsAb)(n=10) were analyzed by high-throughput TCR sequencing with Illumina HiseqX10. Results In the case group, the overlap rate of 6.28%(0.25%, 13.10%) was detected between any two samples, which was significantly lower than the overlap rate of 10.49%(6.20%,17.30%) seen in control 1 group(P=0.008). In control 2 group, the overlap rate of 2.60%(0.13%,13.69%) was significantly lower than control 1 group(P=0.001). There was no difference between case group and control 2 group. After pairwise comparison between the three groups, the frequency of clonotype TRBV7-2/TRBD1/TRBJ2-1 in case group was higher than that of control 1 group(P=0.029), the frequency of TRBV7-3/TRBD1/TRBJ2-7 in case group was lower than that of control 1 group(P=0.031). The difference of TRBV5-8 was significant in comparing case group with control 1 group(P=0.047). There were 14 clonotypes which had differences between case group and control 2 group in frequency. TRBV28 was significant in comparing case group with control 2 group(P=0.028). For diversity, there was no difference among the three groups. Conclusion Clonotype TRBV7-2/TRBD1/TRBJ2-1, TRBV7-3/TRBD1/TRBJ2-7 and TRBV5-8 were associated with coexistence of HBsAg and HBsAb, but the diversity was not associated with TCR β chain CDR3.
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