Detection of GBV-C RNA in patients with non-A-E fulminant hepatitis by reverse-transcription polymerase chain reaction

被引:66
作者
Kanda, T
Yokosuka, O
Ehata, T
Maru, Y
Imazeki, F
Saisho, H
Shiratori, Y
Omata, M
机构
[1] CHIBA UNIV, SCH MED, DEPT MED 1, CHUO KU, CHIBA 260, JAPAN
[2] UNIV TOKYO, DEPT MED 2, TOKYO, JAPAN
关键词
D O I
10.1002/hep.510250534
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
GBV-C might be a causative agent of fulminant hepatitis of unknown etiology, Fulminant hepatitis is an indication for liver transplantation. However, in Japan, because of the legal difficulties associated with cadaveric donation, patients with fulminant hepatitis are still treated by plasmapheresis and multiple transfusions of fresh frozen plasma, So, the possibility that GBV-C might be transmitted by transfusions after the onset of fulminant hepatitis is real, Therefore, we have examined the possible role of GBV-C in non-A-E fulminant hepatitis, Nine patients with non-A-E fulminant hepatitis and one with non-A-E late onset hepatic failure were examined, Sera were obtained from the patients at admission before any blood or blood products were given, and again after transfusions. GBV-C RNA was detected by nested reverse transcription polymerase chain reaction with primers based on the reported sequence, GBV-C RNA was negative in all 10 pretransfusion patients with non-A-E fulminant hepatitis or late onset hepatic failure, Then, fresh frozen plasma was transfused to these patients, and four of them became seropositive, GBV-C is unlikely to be a major etiologic agent for non-A-E fulminant hepatitis in Japan.
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页码:1261 / 1265
页数:5
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