Ordög Katalin, Szendrôi Andrea, Szarka Katalin, Kugler Zoltán, Csire Márta, Kapusinszky Beatrix, Xie Jiuru, Csizmadia Katalin, Brojnás Judit, Rusvai Erzsébet, Tempfli Agnes, Berencsi György
Bács-Kiskun Regional Institute of the National Service of the Chief Medical Officer, Kecskemét, Budapest, Hungary.
J Med Virol. 2003 Jun;70(2):194-204. doi: 10.1002/jmv.10378.
Family members of 47 hepatitis B virus (HBV)-carrier pregnant women were tested for the presence of hepatitis B surface antigen (HBsAg), other markers of HBV infection, and hepatitis A virus (HAV) antibodies. Eleven members of six families were found to be HBV DNA positive. Five of the anti-HBe-positive persons were found to be HBV DNA carriers, too. The mean age of the HBV DNA carriers was found to be lower than that of Hbe carriers; therefore, it is suggested that seroconversion to HBe occurs before the resolution of HBV DNA carrier state. Superinfection with hepatitis A virus was not found to influence the elimination of HBV-carrier state, as there was no correlation found between the hepatitis A exposure and the hepatitis B virus markers in the families. The low HBV prevalence in the population (0.3%) was in contrast to the high prevalence of the families of the HBV-carrier mothers (27.1%) and family members with HBV markers (50.4%). Significant positive correlation was found in the proportion of HBV-positive children, and the HBV history of their parents. When fathers were shown to be seronegative, the probability of HBV transmission was reduced by a factor of 6 (12.5% instead of 75%) probably due to reduced viral load and possibly by other factors. Several results indicate, that the noncytocidal hepatitis B virus clearing mechanism suggested by Guidotti et al. [1996, 1999] was effective also in the HBV-carrier human population.
对47名乙型肝炎病毒(HBV)携带者孕妇的家庭成员进行了乙型肝炎表面抗原(HBsAg)、其他HBV感染标志物以及甲型肝炎病毒(HAV)抗体检测。发现6个家庭的11名成员HBV DNA呈阳性。5名抗-HBe阳性者也被发现是HBV DNA携带者。发现HBV DNA携带者的平均年龄低于HBe携带者;因此,提示向HBe的血清学转换发生在HBV DNA携带者状态消除之前。未发现甲型肝炎病毒重叠感染会影响HBV携带者状态的消除,因为在这些家庭中未发现甲型肝炎暴露与乙型肝炎病毒标志物之间存在相关性。人群中HBV低流行率(0.3%)与HBV携带者母亲家庭的高流行率(27.1%)以及有HBV标志物的家庭成员的高流行率(50.4%)形成对比。在HBV阳性儿童比例与其父母的HBV病史之间发现显著正相关。当父亲血清学阴性时,HBV传播概率降低了6倍(从75%降至12.5%),这可能是由于病毒载量降低以及可能的其他因素。多项结果表明,Guidotti等人[于1996年、1999年]提出的非细胞毒性乙型肝炎病毒清除机制在HBV携带者人群中也有效。
Di Yi Jun Yi Da Xue Xue Bao. 2002-9
Eur J Gastroenterol Hepatol. 2007-2
Zhonghua Fu Chan Ke Za Zhi. 1999-3
East Afr Med J. 1991-7
West Afr J Med. 1994
BMC Public Health. 2011-6-27
Pathol Oncol Res. 2009-9
World J Gastroenterol. 2005-8-21