Naganuma Masako, Tominaga Norio, Miyamura Tsunetake, Soda Atsushi, Moriuchi Masako, Moriuchi Hiroyuki
Department of Molecular Microbiology and Immunology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Acta Paediatr. 2008 Dec;97(12):1686-90. doi: 10.1111/j.1651-2227.2008.00962.x. Epub 2008 Jul 30.
TT virus (TTV) is genetically variable and widespread without apparent pathogenicity; however, its epidemiological features in children were not fully understood, partly because blood sampling is often unacceptable for healthy children. We therefore used saliva specimens to investigate epidemiology of TTV infection in early childhood.
Saliva samples were collected from 83 1-month-old, 110 4-month-old and 49 42-month-old children. Peripheral blood mononuclear cells (PBMC) and saliva samples were obtained in pairs from 19 healthy adults aged 40 +/- 7 years. TTV DNA was detected and quantified by real-time PCR and classified into five genogroups (G1-G5) by a series of PCRs using genogroup-specific primer pairs.
TTV DNA was detected in 6, 34 and 90% of children aged 1, 4 and 42 months, respectively, and in 84% of adults. Comparable levels of TTV DNA were detected in pairs of saliva and PBMC. TTV loads in saliva were much higher in children than in adults. G3 was the most common genogroup in all age groups. The second most prevalent was G4 at 1-4 months of age and G1 thereafter.
The prevalence of TTV infection reached a plateau at or before 42 months; however, somehow different epidemiologic features were observed among genogroups.
TTV病毒(TTV)具有基因变异性且广泛传播,无明显致病性;然而,其在儿童中的流行病学特征尚未完全明确,部分原因是健康儿童通常难以接受采血。因此,我们使用唾液标本研究幼儿期TTV感染的流行病学。
收集了83名1月龄、110名4月龄和49名42月龄儿童的唾液样本。从19名年龄为40±7岁的健康成年人中配对获取外周血单个核细胞(PBMC)和唾液样本。通过实时PCR检测并定量TTV DNA,并使用基因型特异性引物对通过一系列PCR将其分为五个基因群(G1 - G5)。
在1月龄、4月龄和42月龄儿童中,TTV DNA的检出率分别为6%、34%和90%,在成年人中的检出率为84%。在配对的唾液和PBMC中检测到的TTV DNA水平相当。儿童唾液中的TTV载量远高于成年人。G3是所有年龄组中最常见的基因群。其次是G4,在1 - 4月龄时最为普遍,之后是G1。
TTV感染的患病率在儿童42月龄及之前达到稳定水平;然而,不同基因群之间观察到了不同的流行病学特征。