目的:分析河南地区肿瘤、慢性丙型肝炎、白癜风患者HLA-A2的分布频率。方法:应用流式细胞术和聚合酶链反应/序列特异性引物( PCR-SSP)技术检测分析了72例健康人(正常对照)和438例肿瘤患者、110例慢性丙型肝炎患者、97例白癜风患者外周血中HLA-A2抗原的分布频率。结果:肿瘤、慢性丙型肝炎、白癜风患者中HLA-A2抗原的分布频率分别为49.1%、39.0%、47.4%,与正常对照组的48.6%比较,差异均无统计学意义(χ2=0.006,1.611,0.230,P均>0.05)。病例数超过50的肺癌(91例)、胃癌(56例)和食管癌(126例)患者中HLA-A2分布频率分别为42.9%、57.1%和38.0%,与正常对照比较,差异亦无统计学意义(χ2=0.537,0.919,2.081,P均>0.05)。结论:河南肿瘤、慢性丙型肝炎及白癜风患者HLA-A2的分布无特异性,因此HLA-A2限制性的生物细胞免疫治疗具有广泛的应用价值。
Aim:To investigate HLA-A2 frequencies in the patients either with cancer or chronic hepatitis C , or vitili-go in Henan Province .Methods:The frequencies of HLA-A2 in 72 healthy people , 438 patients with tumors , 110 patients with chronic hepatitis C , and 97 patients with vitiligo , were detected by flow cytometry and PCR sequence specific primer (PCR-SSP).Results:The frequencies of HLA-A2 in patients with tumors, chronic hepatitis C, and vitiligo were 49.1%, 39.0%, and 47.4%,respectively,which had no significant differences from that of 48.6% in the healthy people (χ2 =0.006,1.611,0.230,P〉0.05).The frequencies of HLA-A2 in patients with lung cancer(91 cases), gastric cancer(56 cases),and esophageal cancer (126 cases) were 42.9%,57.1%and 38.0%,which had no significant differences from that of the healthy people(χ2 =0.537,0.919,2.081,P〉0.05).Conclusion:HLA-A2 is widely expressed in Henan popula-tion and it is valuable of applying HLA-A2 restricted immunotherapy for Henan population .