Yap S H, Hellings J A, Rijntjes P J, van Loon A M, Duermeyer W, Stute R
J Med Virol. 1985 Apr;15(4):343-50. doi: 10.1002/jmv.1890150404.
The risk of hepatitis B infections has been reduced by screening of blood donors for hepatitis B surface antigen (HBsAg). However, recipients remain at significant risk of developing post-transfusion hepatitis. Studies have shown that non-A, non-B hepatitis virus(es) are responsible for the majority of post-transfusion hepatitis infections. In spite of many efforts, these non-A, non-B hepatitis viruses have not yet been identified. Epidemiological studies, however, suggest that non-A, non-B hepatitis shares many features with hepatitis B. Recently, Wands et al [1982] showed, in chimpanzees infected with non-A, non-B hepatitis agents, the presence of antigenemia or viremia by radioimmunoassay with monoclonal antibodies directed toward distinct determinants of HBsAg and by molecular hybridization analysis. They suggested that non-A, non-B hepatitis agents may be related, but distinct variant(s) of hepatitis B virus (HBV). In this study, five chimpanzees were inoculated with three different agents that have been shown to transmit non-A, non-B hepatitis. The following inocula were used (I) a factor VIII preparation kindly provided by D.W. Bradley, (II) acute phase serum from a chimpanzee infected with the F strain kindly provided by A.J. Zuckerman, and (III) a DS-antigen serum previously shown by us to transmit non-A, non-B hepatitis [Duermeyer et al, 1983]. All chimpanzees developed a rise in transaminase levels between 8 and 10 weeks after inoculation. None of the chimpanzees was positive for any markers of HBV infection. No evidence was obtained of infection with hepatitis A, cytomegalovirus, or Epstein-Barr virus. One chimpanzee developed chronic liver disease.(ABSTRACT TRUNCATED AT 250 WORDS)
通过对献血者进行乙肝表面抗原(HBsAg)筛查,乙肝感染风险已有所降低。然而,受血者仍面临发生输血后肝炎的重大风险。研究表明,非甲非乙型肝炎病毒是输血后肝炎感染的主要病因。尽管付出诸多努力,但这些非甲非乙型肝炎病毒仍未被识别。不过,流行病学研究提示,非甲非乙型肝炎与乙型肝炎有许多共同特征。最近,万兹等人[1982年]发现,在感染非甲非乙型肝炎病原体的黑猩猩中,通过使用针对HBsAg不同决定簇的单克隆抗体进行放射免疫测定以及分子杂交分析,存在抗原血症或病毒血症。他们认为,非甲非乙型肝炎病原体可能与乙型肝炎病毒(HBV)相关,但属于不同变体。在本研究中,对五只黑猩猩接种了三种已证实可传播非甲非乙型肝炎的不同病原体。使用了以下接种物:(I)由D.W.布拉德利慷慨提供的一种凝血因子VIII制剂;(II)由A.J.朱克曼提供的感染F株的黑猩猩急性期血清;(III)先前我们已证实可传播非甲非乙型肝炎的一种DS抗原血清[杜尔迈耶等人,1983年]。所有黑猩猩在接种后8至10周转氨酶水平均升高。没有一只黑猩猩的HBV感染标志物呈阳性。未获得感染甲型肝炎、巨细胞病毒或爱泼斯坦 - 巴尔病毒的证据。一只黑猩猩发展为慢性肝病。(摘要截短于250字)