X-REGION DELETION VARIANTS OF HEPATITIS-B VIRUS IN SURFACE ANTIGEN-NEGATIVE INFECTIONS AND NON-A, NON-B-HEPATITIS

被引:32
作者
FEITELSON, MA
DUAN, LX
GUO, J
SUN, B
WOO, J
STEENSMA, K
HORIIKE, N
BLUMBERG, BS
机构
[1] THOMAS JEFFERSON UNIV,DEPT MED,DIV INFECT DIS,PHILADELPHIA,PA 19107
[2] FOX CHASE CANC CTR,DIV POPULAT SCI,PHILADELPHIA,PA
[3] NICHHD,BETHESDA,MD
[4] EHIME UNIV,SCH MED,DEPT INTERNAL MED 3,MATSUYAMA,EHIME 790,JAPAN
关键词
D O I
10.1093/infdis/172.3.713
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The etiology of non-A, non-B hepatitis (NANBH) in renal dialysis patients was determined. Hepatitis C virus was present in many, but its appearance did not correlate with elevated alanine aminotransaminase. When sera from these patients were tested for antibodies against hepatitis B virus (HBV) X antigen and polymerase, 70% were positive. HBV infection was confirmed by polymerase chain reaction using several HBV-specific primer pairs. However, amplification with X region primers failed to yield products in many patients. Cloning and sequencing of these products demonstrated deletions within the X region. Hence, X-deletion variants of HBV are strongly associated with NANBH in renal dialysis patients.
引用
收藏
页码:713 / 722
页数:10
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