Abstract:
OBJECTIVE To analyze the correlation between serum hepatitis B virus-deoxyribonucleic acid(HBV-DNA) load and levels of heat shock protein 70(Hsp70), carcinoembryonic antigen(CEA) and alpha-fetoprotein(AFP) in 120 patients with hepatitis B cirrhosis.
METHODS A total of 120 patients with hepatitis B cirrhosis who were admitted to the Huanggang Central Hospital between May 2016 and May 2019 were accordance with the inclusion criteria and recruited as the research subjects. The HBV-DNA load, levels of HSP70, CEA and AFP were measured by fluorescent quantitative PCR and enzyme-linked immunosorbent assay(ELISA), respectively. Levels of serum HSP70, CEA and AFP in patients with hepatitis B cirrhosis and different HBV-DNA loads were compared. The effect of confounding factors was corrected by covariance analysis, and the correlation between serum HBV-DNA load and adjusted levels of HSP70, CEA and AFP were analyzed by Pearson correlation analysis.
RESULTS In the 120 patients with hepatitis B cirrhosis, HBV-DNA load was smaller than 5 log
10 copies/ml in 64 cases, with an average of(3.65±0.29) log
10 copies/ml. The load was bigger than 5 log
10 copies/ml or equal in 56 cases, with an average of(5.98±0.28) log
10 copies/ml. HSP70 levels in patients with HBV-DNA load <5 log
10 copies/ml were significantly lower than that in patients with HBV-DNA load ≥5 log
10 copies/ml, whereas CEA and AFP were higher than that in patients with HBV-DNA load ≥5 log
10 copies/ml. The Bonferroni test showed that there were significant differences in levels of HSP70, CEA and AFP between patients with different HBV-DNA loads after correction(
P<0.05). Pearson correlation analysis showed that there was an correlation between HBV-DNA load and HSP70, CEA and AFP(
r=-0.525, 0.637, 0.409, all
P<0.01).
CONCLUSION The serum HBV-DNA load in patients with hepatitis B cirrhosis was negatively correlated with HSP70, and positively correlated with CEA and AFP.