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猫乙型肝炎病毒相关性猫肝病:一项回顾性研究。

Domestic cat hepadnavirus associated with hepatopathy in cats: A retrospective study.

机构信息

Department of Pathology, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand.

Animal Virome and Diagnostic Development Research Group, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand.

出版信息

J Vet Intern Med. 2022 Sep;36(5):1648-1659. doi: 10.1111/jvim.16525. Epub 2022 Aug 24.

Abstract

BACKGROUND

Whether domestic cat hepadnavirus (DCH) infection is associated with clinical disease remains to be determined.

OBJECTIVES

To determine the relationship between DCH detection, hematology, serum bichemistry and liver histology in DCH-positive cats.

ANIMALS

One thousand twenty-two cats in Thailand without concurrent diseases and not undergoing treatments adversely affecting the liver.

METHODS

Retrospective cross-sectional study. Samples derived from cats with concurrent virus detection were excluded. DCH detection was determined in blood and fresh-frozen liver by quantitative polymerase chain reaction (qPCR) and further investigated in liver sections showing histological parenchymal disorders (HPD) and normal liver (HNL) using in situ hybridization (ISH). Proliferative/apoptotic activities were determined using immunohistochemistry and ISH panels. Biochemical variables and risk factors for DCH infection were investigated.

RESULTS

Six hundred sixty-one (557 blood and 119 liver samples) cats were included. DCH was detected in 18.50% (103/557), 13.85% (9/65), and 3.70% (2/54) of the blood, HPD, and HNL groups, respectively. Cats with DCH revealed abnormally high activity of aspartate aminotransferase (AST) (P = .001) and alanine aminotransferase (ALT) (P < .001). Among DCH-positive HPD case 2/9 an 7/9 were acute and chronic hepatitis, of which 4/7 had hepatitis. Log viral copy number (LVCN) was positively correlated with ALT (P < .001), triglyceride (P < .001), and gamma-glutamyl transpeptidase (GGT) (P = .022). The LVCN also had a positive association with degree of hepatitis (P < .05). There was hepatocyte proliferation activity in DHC positive cats.

CONCLUSION AND CLINICAL IMPORTANCE

Domestic cat hepadnavirus infection was associated with high serum activity of liver enzymes and chronic lymphoplasmacytic hepatitis (LPH).

摘要

背景

国内猫乙型肝炎病毒(DCH)感染是否与临床疾病有关尚不确定。

目的

确定 DCH 阳性猫中 DCH 检测、血液学、血清生物化学和肝脏组织学之间的关系。

动物

1022 只泰国猫,无并发疾病,未接受可能影响肝脏的治疗。

方法

回顾性横断面研究。排除了同时存在病毒检测的样本。通过定量聚合酶链反应(qPCR)在血液和新鲜冷冻肝脏中检测 DCH,并在显示组织学实质障碍(HPD)和正常肝脏(HNL)的肝脏切片中使用原位杂交(ISH)进一步研究。通过免疫组织化学和 ISH 面板确定增殖/凋亡活性。调查了 DCH 感染的生化变量和危险因素。

结果

纳入了 661 只(557 只血液和 119 只肝脏样本)猫。DCH 在血液、HPD 和 HNL 组中的检出率分别为 18.50%(103/557)、13.85%(9/65)和 3.70%(2/54)。DCH 阳性猫的天冬氨酸转氨酶(AST)(P=0.001)和丙氨酸转氨酶(ALT)(P<0.001)活性异常升高。在 9 例 DCH 阳性 HPD 病例中,2/9 例和 7/9 例为急性和慢性肝炎,其中 4/7 例为肝炎。病毒拷贝数(LVCN)与 ALT(P<0.001)、甘油三酯(P<0.001)和γ-谷氨酰转肽酶(GGT)(P=0.022)呈正相关。LVCN 与肝炎程度也呈正相关(P<0.05)。DHC 阳性猫有肝细胞增殖活性。

结论和临床意义

国内猫乙型肝炎病毒感染与血清肝酶活性升高和慢性淋巴细胞浆细胞性肝炎(LPH)有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15a1/9511090/3c3d1482220e/JVIM-36-1648-g001.jpg

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