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土耳其慢性乙型、丙型和丁型肝炎感染中SEN-H病毒的流行情况及临床意义

Prevalence and clinical significance of SEN-H virus in chronic hepatitis B, C and delta infections in Turkey.

作者信息

Cakaloğlu Yilmaz, Akyüz Filiz, Bozaci Mürvet, Ibrişim Duygu, Pinarbaşi Binnur, Demir Kadir, Kaymakoğlu Sabahattin, Beşişik Fatih, Badur Selim, Okten Atilla

机构信息

Department of Gastroenterohepatology, Istanbul Medical Faculty, Istanbul, Turkey.

出版信息

Turk J Gastroenterol. 2008 Jun;19(2):104-8.

PMID:19110665
Abstract

BACKGROUND/AIMS: SEN viruses are transmitted parenterally and can cause post-transfusion hepatitis. The prevalence and clinical significance of SEN viruses have been investigated in patients with chronic hepatitis C and B but not in D. We aimed to determine the prevalence and clinical significance of SEN viruses- H in patients with chronic hepatitis C, B and delta in Turkey.

METHODS

SEN viruses-H was analyzed in 85 patients with chronic viral hepatitis (30 HCV, 30 HBV and 25 HDV) and 43 non-professional blood donors. HBV DNA, HCV RNA and HDV RNA were positive in patients with hepatitis B, C and D, respectively. SEN viruses-H DNA was detected by semi-nested polymerase chain reaction method (L2AS, C5S primer in first step, L2AS, D11 in second step) after extraction of DNA from sera (NucleoSpin blood; Macherey-Nagel GmbH & Co KG, Germany).

RESULTS

SEN viruses-H DNA was found to be positive in 7/30 (23.3%), 10/30 (33.3%), 6/25 (24%), and 7/43 (16.2%) of patients with chronic C, B, and D hepatitis and healthy blood donors, respectively. There was no significant difference in clinical features and treatment response between SEN viruses- H-positive and -negative patients with chronic viral hepatitis.

CONCLUSIONS

SEN viruses is more frequent in chronic hepatitis patients than in healthy blood donors. These results indicate that SEN viruses has no effect on the clinical course and treatment response of chronic viral hepatitis.

摘要

背景/目的:SEN病毒经肠道外传播,可导致输血后肝炎。已对慢性丙型肝炎和乙型肝炎患者中SEN病毒的流行情况及临床意义进行了研究,但未涉及丁型肝炎患者。我们旨在确定土耳其慢性丙型肝炎、乙型肝炎和丁型肝炎患者中SEN病毒-H的流行情况及临床意义。

方法

对85例慢性病毒性肝炎患者(30例丙型肝炎、30例乙型肝炎和25例丁型肝炎)和43名非职业献血者进行SEN病毒-H分析。乙型肝炎、丙型肝炎和丁型肝炎患者的HBV DNA、HCV RNA和HDV RNA分别呈阳性。从血清中提取DNA后,采用半巢式聚合酶链反应法(第一步用L2AS、C5S引物,第二步用L2AS、D11引物)检测SEN病毒-H DNA(NucleoSpin血液试剂盒;德国Macherey-Nagel GmbH & Co KG公司)。

结果

慢性丙型肝炎、乙型肝炎、丁型肝炎患者及健康献血者中,SEN病毒-H DNA阳性率分别为7/30(23.3%)、10/30(33.3%)、6/25(24%)和7/43(16.2%)。慢性病毒性肝炎SEN病毒-H阳性和阴性患者的临床特征及治疗反应无显著差异。

结论

慢性肝炎患者中SEN病毒的感染率高于健康献血者。这些结果表明,SEN病毒对慢性病毒性肝炎的临床病程和治疗反应无影响。

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