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1型人类免疫缺陷病毒血清阳性和血清阴性女性宫颈阴道分泌物中人类疱疹病毒8的检测及血清流行率

Detection of human herpesvirus 8 in cervicovaginal secretions and seroprevalence in human immunodeficiency virus type 1-seropositive and -seronegative women.

作者信息

Calabrò M L, Fiore J R, Favero A, Lepera A, Saracino A, Angarano G, Schulz T F, Chieco-Bianchi L

机构信息

Department of Oncology and Surgical Sciences, Oncology Section, University of Padova, I-35128 Padova, Italy.

出版信息

J Infect Dis. 1999 Jun;179(6):1534-7. doi: 10.1086/314765.

DOI:10.1086/314765
PMID:10228077
Abstract

Epidemiologic studies suggest that human herpesvirus 8 (HHV-8) may be sexually transmitted. To study the potential for HHV-8 transmission through cervicovaginal (CV) secretions, the presence of HHV-8 DNA was investigated by nested polymerase chain reaction in the cellular fraction of CV secretions from 36 human immunodeficiency virus type 1 (HIV-1)-seropositive and 29 HIV-1-seronegative women. The same patients were tested for antibodies to two defined HHV-8 antigens (latency-associated nuclear antigen and open-reading frame 65-encoded structural protein) and for HHV-8 DNA in their peripheral blood mononuclear cells (PBMC). The findings were compared with the rate of HHV-8 detection in semen samples of 20 HIV-1-infected men. HHV-8 DNA was detected in the CV samples from only 1 HHV-8-seropositive AIDS patient, in 3 PBMC samples (1/29 HIV-1-seronegative patients, 1/3 AIDS patients with Kaposi's sarcoma, and 1/19 AIDS patients), and in 1 of 20 semen samples. HHV-8 infection was more common in HIV-1-infected than uninfected women. Thus HHV-8 DNA is only rarely detectable in CV secretions and semen of HHV-8-infected individuals.

摘要

流行病学研究表明,人类疱疹病毒8型(HHV-8)可能通过性传播。为了研究HHV-8通过宫颈阴道(CV)分泌物传播的可能性,采用巢式聚合酶链反应检测了36例1型人类免疫缺陷病毒(HIV-1)血清阳性和29例HIV-1血清阴性女性CV分泌物细胞部分中的HHV-8 DNA。对相同患者检测了针对两种明确的HHV-8抗原(潜伏相关核抗原和开放阅读框65编码的结构蛋白)的抗体以及外周血单核细胞(PBMC)中的HHV-8 DNA。将这些结果与20例HIV-1感染男性精液样本中的HHV-8检测率进行了比较。仅在1例HHV-8血清阳性艾滋病患者的CV样本、3份PBMC样本(1/29例HIV-1血清阴性患者、1/3例患有卡波西肉瘤的艾滋病患者和1/19例艾滋病患者)以及20份精液样本中的1份中检测到HHV-8 DNA。HHV-8感染在HIV-1感染女性中比未感染女性更常见。因此,在HHV-8感染个体的CV分泌物和精液中很少能检测到HHV-8 DNA。

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