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[人群中具有社会意义的类别中B19细小病毒(细小病毒科、细小病毒亚科、红细胞细小病毒属、灵长类红细胞细小病毒1)的流行率及传播活动的研究结果]

[Results of a study of parvovirus B19 (Parvoviridae, Parvovirinae, Erythroparvovirus, Primate erythroparvovirus 1) prevalence and circulation activity in socially significant categories of the population].

作者信息

Nikishov O N, Kuzin A A, Zobov A E, Lavrentieva I N, Antipova A Yu, Ostankova Yu V, Khamitova I V, Nikishov S N

机构信息

S.M. Kirov Military Medical Academy.

Saint Petersburg Pasteur Institute.

出版信息

Vopr Virusol. 2020 Jul 21;65(3):143-149. doi: 10.36233/0507-4088-2020-65-3-143-149.

Abstract

UNLABELLED

Currently, along with the increasing need of medical organizations for blood preparations, algorithms for laboratory testing of blood donors are not available for all infections with hemo-contact mechanism of transmission. A representative example is infection caused by parvovirus В19.

PURPOSE OF THE STUDY

The article presents the results of the original study, the purpose of which was to study the prevalence of antibodies to parvovirus B19 and the activity of the circulation of this virus in socially important categories of the population.

MATERIAL AND METHODS

The materials of the study were blood samples from blood donors of Saint Petersburg, as well as parvovirus В19 sequences isolated from DNA-positive plasma samples.

RESULTS AND DISCUSSION

According to the results of the laboratory examination, a high proportion of carriers of virus-specific IgG antibodies was found in studied group of donors, which confirms the previous infection of parvovirus B19 in them and illustrates the high prevalence of infection in this socially significant group. Based on the results of the blood preparations testing, the presence of parvovirus DNA В19 in a significant number of samples was determined by polymerase chain reaction method. This indicates an current parvovirus infection in the examined donors and points to a high epidemiological risk of the blood products obtained from them. Sequencing and phylogenetic analysis of a fragment of the VP1 gene demonstrated that the studied isolates belonged to А1 genotype and its subtype 1А2, which correlates with the genotypes of parvovirus В19 circulating in the European Union and Asia. In addition, two previously unknown В19 parvovirus isolates were isolated, the nucleotide sequences of which were deposited into the international GenBank database.

CONCLUSION

Based on the results of the study, it is justified to include testing of blood samples for markers of В19 parvovirus infection in existing algorithms of laboratory examination of donors, which will ensure prevention of hemo-contact infection of blood recipients with parvovirus В19.

摘要

未标注

目前,随着医疗机构对血液制品需求的增加,针对所有通过血液接触传播机制感染的检测算法尚未完善。一个典型的例子是由细小病毒B19引起的感染。

研究目的

本文介绍了一项原创研究的结果,其目的是研究细小病毒B19抗体在社会重要人群中的流行情况以及该病毒的循环活性。

材料与方法

研究材料为圣彼得堡献血者的血液样本,以及从DNA阳性血浆样本中分离出的细小病毒B19序列。

结果与讨论

根据实验室检查结果,在研究的献血者群体中发现了高比例的病毒特异性IgG抗体携带者,这证实了他们之前感染过细小病毒B19,并表明该感染在这一具有社会意义的群体中具有高流行率。基于血液制品检测结果,通过聚合酶链反应法确定了大量样本中存在细小病毒B19 DNA。这表明被检测的献血者目前感染了细小病毒,并指出从他们那里获得的血液制品存在高流行病学风险。VP1基因片段的测序和系统发育分析表明,所研究的分离株属于A1基因型及其1A2亚型,这与在欧盟和亚洲流行的细小病毒B19基因型相关。此外,还分离出了两种先前未知的B19细小病毒分离株,其核苷酸序列已存入国际GenBank数据库。

结论

基于研究结果,在现有献血者实验室检查算法中纳入对血液样本进行B19细小病毒感染标志物检测是合理的,这将确保预防受血者通过血液接触感染细小病毒B19。

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