重访乙型肝炎病毒感染肾脏的意义

朱冬2; 杨橙2; 童舒平1; 刘少军3; 王勇翔1

doi:10.3969/j.issn.1673-6184.2019.04.006

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微生物与感染 ›› 2019, Vol. 14 ›› Issue (4) : 230-237. DOI: 10.3969/j.issn.1673-6184.2019.04.006

综述

重访乙型肝炎病毒感染肾脏的意义

朱冬²，杨橙²，童舒平¹，刘少军³，王勇翔¹

作者信息 +

Revisit the implications of kidney infection by hepatitis B virus

ZHU Dong², YANG Cheng², TONG Shuping¹, LIU Shaojun³, WANG Yongxiang¹

Author information +

文章历史 +

摘要

乙型肝炎病毒(hepatitis B virus，HBV)嗜肝性主要由病毒与受体作用的特异性、支持共价闭合环状DNA(covalently closed circular DNA，cccDNA)形成的宿主因子和促进病毒RNA转录的核因子3种因素决定。人的肾脏很可能也提供这些要素，且许多研究发现HBV感染标记存在于慢性乙型肝炎患者的肾脏细胞中。本文探讨了HBV感染肾脏的可能性。由于目前血清乙型肝炎表面抗原(hepatitis B surface antigen，HBsAg)消失是功能性治愈慢性乙型肝炎的关键指标，如果肾脏也是HBV感染、表达和复制的另一靶器官，则肾脏在功能性治愈慢性乙型肝炎中的作用不可忽视。

Abstract

Hepatotropism of hepatitis B virus (HBV) infection depends on the specificity of interaction between the virus and its receptors, host factors required for covalently closed circular DNA (cccDNA) formation, and nuclear factors promoting viral RNA transcription. Such requirement for HBV infection most likely are met in human kidney. Furthermore, multiple studies have identified many, if not all, markers of HBV infection in kidney cells. This review discusses the possibility that HBV does establish infection in human kidney. Recently, loss of serum hepatitis B surface antigen (HBsAg) has become a key indicator of functional cure of chronic hepatitis B (CHB). Given that human kidney is another potential target organ supporting HBV infection, antigen expression, and genome replication, the roles of kidney in the functional cure of CHB should be taken into consideration.

导出引用

朱冬2，杨橙2，童舒平1，刘少军3，王勇翔1. 重访乙型肝炎病毒感染肾脏的意义[J]. 微生物与感染. 2019, 14(4): 230-237 https://doi.org/10.3969/j.issn.1673-6184.2019.04.006

ZHU Dong2, YANG Cheng2, TONG Shuping1, LIU Shaojun3, WANG Yongxiang1. Revisit the implications of kidney infection by hepatitis B virus[J]. Journal of Microbes and Infections. 2019, 14(4): 230-237 https://doi.org/10.3969/j.issn.1673-6184.2019.04.006