目的了解Toll样受体(TLR3)在正常和HBsAg阳性孕妇胎盘各层细胞中的分布,探索TLR3在胎盘HBV感染中的作用。方法免疫组织化学(SABC)法检测19例正常孕妇胎盘和102例HBsAg阳性孕妇胎盘组织中TLR3和HBsAg。结果TLR3在正常孕妇胎盘阳性率100.00%(19/19),HBsAg阳性孕妇胎盘阳性率74.51%(76/102);102例HBsAg阳性孕妇胎盘发生乙型肝炎病毒(HBV)感染为33例;TLR3在正常孕妇胎盘和HBsAg阳性孕妇胎盘上的分布差异有统计学意义(X^2=6.17,P=0.012);TLR3与胎盘HBV感染的关系差异有统计学意义(X^2=13.581,P=0.0001)。结论TLR3可能是HBsAg阳性孕妇胎盘发生HBV感染的一个保护因素(OR=0.180.95%CI=0.069-0.469)。
Objective To investigate the presence and distribution of toll-like receptors 3(TLR3) in term human placenta from normal and HBsAg-positive pregnant women and to explore the role of TLR3 in placenta HBV infection. Methods TLR3 and HBsAg in placentas of 19 normal and 102 HBsAg-positive pregnant women were detected by immunohistochemistry SABC. Results The positive rate of TLR3 in normal pregnant women was 100.00 % (19/19) and 74.51% (76/102) in HBsAg-positive pregnant women;33 of 102 placentas were infected by HBsAg; There was statistical difference in distribution of TLR3 between placentas of normal and HBsAg-positive pregnant women(X^2 = 6.17, P = 0. 012) ; the relationship between TLR3 and HBV infection was significant(X^2 = 13. 581, P 〈 0. 000 1 ). Conclusion TLR3 is a protect factor of HBV infection in placentas( OR = 0. 180, 0. 069-0. 469).