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[匈牙利儿童中人类疱疹病毒6型和7型抗体的存在情况]

[Presence of antibodies to human herpesvirus type 6 and 7 in Hungarian children].

作者信息

Ongrádi J, Csiszár A, Maródi C L, Sólyom J, Horváth A, Menezes J

机构信息

Országos Bör- és Nemikórtani Intézet, Budapest.

出版信息

Orv Hetil. 1999 Apr 25;140(17):935-40.

Abstract

Prevalence of antibodies to variants HHV-6A and B as well as HHV-7, the time of primary infections are not know in Hungarian children. Therefore, antibodies to these viruses were studied in 21 healthy children aged between 6 and 18 months. Lymphoid cultures were infected with standard virus strains for indirect immunofluorescence. IgM, IgG and high avidity IgG after 8M urea treatment were quantified in serial dilutions of sera. It was established that, three of 13 boys had low level (1:20) IgG or IgM antibodies to HHV-6A, but all girls were negative. With exception of one girl and one boy, all had antibodies to HHV-6B in different titres (1:20 to 1:640 by immunofluorescence), in 9 cases only IgM, in further 4 cases only low avidity IgG were detected. Children studied gradually acquired symptom-free HHV-6B infection between age of 8 and 18 months. Antibodies to HHV-7 were found in 3 boys and one girl before their age of 12 months, but the majority were infected after that age. Approximately three quarters of children acquired either HHV-6B or HHV-7 before age of 18 months. More than half of the children were infected with HHV-6B prior to HHV-7. Antibody level to HHV-6B was slightly higher in boys, while that to HHV-7 was higher in girls. In Hungary, childhood infection with HHV-6A seems to be a very rare event. Epidemiology of HHV-6B primary infection is similar to that of industrial countries, while that of HHV-7 resembles data of developing world: onset of antibodies occurs 1 or 2 years earlier than in the industrial nations.

摘要

在匈牙利儿童中,人疱疹病毒6型A和B亚型以及人疱疹病毒7型抗体的流行情况以及初次感染时间尚不清楚。因此,对21名6至18个月大的健康儿童进行了这些病毒抗体的研究。用标准病毒株感染淋巴细胞培养物进行间接免疫荧光检测。对血清系列稀释液中的IgM、IgG以及8M尿素处理后的高亲和力IgG进行定量。结果发现,13名男孩中有3名对人疱疹病毒6型A亚型有低水平(1:20)的IgG或IgM抗体,但所有女孩均为阴性。除一名女孩和一名男孩外,所有儿童均有不同滴度(免疫荧光法为1:20至1:640)的人疱疹病毒6型B亚型抗体,9例仅检测到IgM,另外4例仅检测到低亲和力IgG。所研究的儿童在8至18个月大时逐渐获得无症状的人疱疹病毒6型B亚型感染。3名男孩和1名女孩在12个月龄前就检测到了人疱疹病毒7型抗体,但大多数儿童是在12个月龄后感染的。大约四分之三的儿童在18个月龄前感染了人疱疹病毒6型B亚型或人疱疹病毒7型。超过一半的儿童在感染人疱疹病毒7型之前就感染了人疱疹病毒6型B亚型。男孩中人疱疹病毒6型B亚型的抗体水平略高些,而女孩中人疱疹病毒7型的抗体水平更高。在匈牙利,儿童感染人疱疹病毒6型A亚型似乎是非常罕见的事件。人疱疹病毒6型B亚型初次感染的流行病学情况与工业化国家相似,而人疱疹病毒7型的情况则类似于发展中国家的数据:抗体出现的时间比工业化国家早1或2年。

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