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低流行率人群三代中乙型肝炎病毒的围产期传播和家庭内传播

Perinatal and intrafamily transmission of hepatitis B virus in three generations of a low-prevalence population.

作者信息

Ordög Katalin, Szendrôi Andrea, Szarka Katalin, Kugler Zoltán, Csire Márta, Kapusinszky Beatrix, Xie Jiuru, Csizmadia Katalin, Brojnás Judit, Rusvai Erzsébet, Tempfli Agnes, Berencsi György

机构信息

Bács-Kiskun Regional Institute of the National Service of the Chief Medical Officer, Kecskemét, Budapest, Hungary.

出版信息

J Med Virol. 2003 Jun;70(2):194-204. doi: 10.1002/jmv.10378.


DOI:10.1002/jmv.10378
PMID:12696105
Abstract

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.

摘要

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。

相似文献

[1]
Perinatal and intrafamily transmission of hepatitis B virus in three generations of a low-prevalence population.

J Med Virol. 2003-6

[2]
[Selective transmission of hepatitis B virus variant with S gene mutation between HBV-carrier mothers and their infants].

Di Yi Jun Yi Da Xue Xue Bao. 2002-9

[3]
Genotype, phylogenetic analysis, and transmission pattern of occult hepatitis B virus (HBV) infection in families of asymptomatic HBsAg carriers.

J Med Virol. 2006-1

[4]
Intrafamilial transmission of hepatitis B in Tuzla region of Bosnia and Herzegovina.

Eur J Gastroenterol Hepatol. 2007-2

[5]
Persistent and transient hepatitis B virus (HBV) infections in children born to HBV-infected mothers despite active and passive vaccination.

J Viral Hepat. 2010-12

[6]
Surface gene mutants of hepatitis B virus in infants who develop acute or chronic infections despite immunoprophylaxis.

Hepatology. 1997-9

[7]
An investigation of perinatal hepatitis B virus infections among a high risk population: the delivery hospital as a safety net.

Pediatr Infect Dis J. 2009-7

[8]
[The relationship of serum hepatitis B virus DNA load in HBsAg positive pregnant women to the intrauterine infection of newborns].

Zhonghua Fu Chan Ke Za Zhi. 1999-3

[9]
Seroepidemiological study for HBV markers and anti-delta in Kenya.

East Afr Med J. 1991-7

[10]
Hepatitis B viral markers in Ghanaian pregnant women.

West Afr J Med. 1994

引用本文的文献

[1]
Prevalence and factors associated with hepatitis B virus infection among household members: a cross-sectional study in Beijing.

Hum Vaccin Immunother. 2021-6-3

[2]
Should chronic hepatitis B mothers breastfeed? a meta analysis.

BMC Public Health. 2011-6-27

[3]
Heterogeneous pathways of maternal-fetal transmission of human viruses (review).

Pathol Oncol Res. 2009-9

[4]
Comprehensive regression analysis of hepatitis B virus X antigen level and anti-HBx antibody titer in the sera of patients with HBV infection.

Pathol Oncol Res. 2006

[5]
Enhanced surveillance for childhood hepatitis B virus infection in Canada, 1999-2003.

Int J Med Sci. 2005

[6]
Intra-familial prevalence of hepatitis B virologic markers in HBsAg positive family members in Nahavand, Iran.

World J Gastroenterol. 2005-8-21

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