High prevalence of hepatitis G virus infection compared with hepatitis C virus infection in patients undergoing chronic hemodialysis

作者: L Sheng , A Widyastuti , H Kosala , J Donck , Y Vanrenterghem

DOI: 10.1053/AJKD.1998.V31.PM9469490

关键词:

摘要: A recently discovered non-A-E hepatitis virus has been designated as G (HGV) and identified a new member of the Flaviviridae family. Infection by this is thought to be associated with blood-borne usually in presence C or B (HBV) infection. In study, HGV-RNA serum plasma prevalence antibodies against an HGV envelope protein (E2) were investigated patients undergoing chronic hemodialysis using sensitive reverse-transcriptase polymerase chain reaction enzyme-linked immunosorbent assay, respectively. was detected 19 112 (17%) anti-E2 15 106 studied (14.2%). With exception two patients, appearance clearance HGV-RNA. The total current (HGV-RNA positivity) and/or past (anti-E2 infection patient population thus 28.6% (32 positive for antibodies). apparently healthy blood donors, four 358 individuals (1.12%) not 50 investigated. From positivity, nine coinfected other viruses (seven HBV; one HBV, [HCV], D virus; HBV cytomegalovirus). Thirteen positivity (10 only three also anti-HBc) had no detectable both concomitantly present (both HCV HBV). Of HGV-infected who showed elevated alanine aminotransferase levels. HCV-RNA anti-HCV five (4.5%) patients. these findings, we conclude that there high (28.6%) compared our hospital. However, approximately 50% spontaneously lost viremia developed anti-HGV-E2 antibodies. We confirm alone transaminases, accompanied contrast results previous majority infected are HCV, indicating capable independent transmission. It likely preferential acquisition unit. clinical significance long-term remains established.

参考文章(21)
Kodali Vp, McCray Dg, Gordon Sc, Silverman Al, Cryptogenic liver disease in the United States: further evidence for non-A, non-B, and non-C hepatitis. The American Journal of Gastroenterology. ,vol. 89, pp. 1836- 1839 ,(1994)
Li Sheng, Ann Soumillion, Kathelijne Peerlinck, Chris Verslype, Lan Lin, Jos van Pelt, Georg Hess, Jozef Vermylen, Sing Hiem Yap, Hepatitis G viral RNA in serum and in peripheral blood mononuclear cells and its relation to HCV-RNA in patients with clotting disorders. Thrombosis and Haemostasis. ,vol. 77, pp. 868- 872 ,(1997) , 10.1055/S-0038-1656069
Brian J.G. Pereira, Andrew S. Levey, Hepatitis C virus infection in dialysis and renal transplantation Kidney International. ,vol. 51, pp. 981- 999 ,(1997) , 10.1038/KI.1997.139
James G. Donahue, Alvaro Muñoz, Paul M. Ness, Donald E. Brown, David H. Yawn, Hugh A. McAllister, Bruce A. Reitz, Kenrad E. Nelson, The Declining Risk of Post-Transfusion Hepatitis C Virus Infection The New England Journal of Medicine. ,vol. 327, pp. 369- 373 ,(1992) , 10.1056/NEJM199208063270601
Stefan Heringlake, Sabine Osterkamp, Christian Trautwein, Hans L Tillmann, Klaus Böker, Scott Muerhoff, Isah K Mushahwar, Gerhard Hunsmann, Michael P Manns, Association between fulminant hepatic failure and a strain of GBV virus C The Lancet. ,vol. 348, pp. 1626- 1629 ,(1996) , 10.1016/S0140-6736(96)04413-3
Michael Houghton, Amy Weiner, Jang Han, George Kuo, Qui-Lim Choo, Molecular biology of the hepatitis C viruses: Implications for diagnosis, development and control of viral disease Hepatology. ,vol. 14, pp. 381- 388 ,(1991) , 10.1002/HEP.1840140227
Q. Choo, G Kuo, A. Weiner, L. Overby, D. Bradley, M Houghton, Isolation of a cDNA clone derived from a blood-borne non-A, non-B viral hepatitis genome Science. ,vol. 244, pp. 359- 362 ,(1989) , 10.1126/SCIENCE.2523562
Tatsuya Aikawa, Yoshiki Sugai, Hiroaki Okamoto, Hepatitis G infection in drug abusers with chronic hepatitis C. The New England Journal of Medicine. ,vol. 334, pp. 195- 196 ,(1996) , 10.1056/NEJM199601183340316
Maria Willems, G De Jong, H Moshage, L Verresen, Patrick Goubau, Jan Desmyter, Sing Hiem Yap, None, Surrogate markers are not useful for identification of HCV carriers in chronic hemodialysis patients. Journal of Medical Virology. ,vol. 35, pp. 303- 306 ,(1991) , 10.1002/JMV.1890350417