Mutlu Derya, Abacioğlu Hakan, Altunyurt Sebahattin
Akdeniz Universitesi Tip Fakültesi, Tibbi Mikrobiyoloji Anabilim Dali, Antalya.
Mikrobiyol Bul. 2007 Jan;41(1):71-7.
TT virus (TTV) is widespread throughout the world and can be detected in 50-95% of healthy individuals. However, in chronic hepatitis C virus (HCV) infected patients coinfected with TTV, histological activity indices were higher than patients with HCV infection alone. There are studies which indicate that TTV can cause aplastic anemia and thrombocytopenia. While TTV is known to be transmitted through blood transfusions and by fecal-oral route, published information on transplasental transmission is controversial. The aims of this study were to detect the frequency of TTV infection among healthy pregnant women and to search whether TTV is transmitted transplasentally during pregnancy. For this purpose, plasma samples collected from 54 women and their newborns were investigated by polymerase chain reaction (PCR), and viral loads were determined for infected newborns, and their respective mothers. Also, ten mothers whose newborns were tested negative for TTV-DNA were enrolled in viral load tests for comparison. TTV-DNA was detected in 49 (90.7%) of 54 women. Of 49 newborns whose mothers were infected with TTV, only 4 (8.2%) were found positive for TTV-DNA. There was no statistically significant difference in TTV-DNA loads between mothers who transmitted the virus and those who did not (Mann-Whitney U analysis Z=-0.071, P=0.944). As a result, transplasental transmission of TTV is possible but occurs in low frequency and independent of viral load.
TT病毒(TTV)在全球广泛传播,在50%至95%的健康个体中都能检测到。然而,在慢性丙型肝炎病毒(HCV)感染且合并TTV感染的患者中,组织学活动指数高于单纯HCV感染的患者。有研究表明,TTV可导致再生障碍性贫血和血小板减少。虽然已知TTV通过输血和粪-口途径传播,但关于经胎盘传播的已发表信息存在争议。本研究的目的是检测健康孕妇中TTV感染的频率,并探究孕期TTV是否经胎盘传播。为此,采用聚合酶链反应(PCR)对54名女性及其新生儿采集的血浆样本进行了检测,并对感染的新生儿及其各自的母亲测定了病毒载量。此外,将10名新生儿TTV-DNA检测为阴性的母亲纳入病毒载量检测以作比较。在54名女性中有49名(90.7%)检测到TTV-DNA。在母亲感染TTV的49名新生儿中,仅4名(8.2%)TTV-DNA检测呈阳性。病毒传播母亲与未传播母亲之间的TTV-DNA载量无统计学显著差异(曼-惠特尼U分析Z = -0.071,P = 0.944)。结果表明,TTV经胎盘传播是可能的,但发生率较低且与病毒载量无关。