Asano Y
Department of Pediatrics, Fujita Health University School of Medicine, Toyoake.
Rinsho Byori. 1996 Sep;44(9):825-31.
By new methods for propagating cells of the immune system and for detecting infectious agents in disease tissue, 4 human herpesviruses have been discovered during the past decade: human herpesvirus 6 variants A and B (HHV-6A and HHV-6B), human herpesvirus 7 (HHV-7), and human herpesvirus 8 (HHV-8). Only HHV-8 has been linked to a disease that might be described as new, that is AIDS-associated Kaposi's sarcoma. No disease has been clearly linked to HHV-6A infection, HHV-6B is the major etiologic agent of exanthem subitum, and HHV-7 infection is associated with febrile exanthem which mimics exanthem subitum cases and occurs somewhat later than primary HHV-6B infection. Over 90% of the population has been infected with either or both HHV-6A and HHV-6B and over 85% with HHV-7. Both history and biology suggest that these viruses have a broad clinical spectrum and that they are each linked with significant and specific clinical entities. The clinical, epidemiological, and viral information has been obtained by new technologies such as virus isolation method, antigen and antibody assays, and molecular virology techniques including polymerase chain reaction amplification and in situ hybridization. However, since the viruses are ubiquitous, special attention will be required for evaluating an association between the results and disease condition.
通过免疫系统细胞增殖和疾病组织中感染因子检测的新方法,在过去十年中发现了4种人类疱疹病毒:人类疱疹病毒6型A和B变体(HHV - 6A和HHV - 6B)、人类疱疹病毒7型(HHV - 7)和人类疱疹病毒8型(HHV - 8)。只有HHV - 8与一种可称为新型疾病的病症相关,即与艾滋病相关的卡波西肉瘤。尚无疾病与HHV - 6A感染明确相关,HHV - 6B是幼儿急疹的主要病原体,HHV - 7感染与发热性皮疹相关,该皮疹类似于幼儿急疹病例,且比原发性HHV - 6B感染出现得稍晚。超过90%的人群感染过HHV - 6A和HHV - 6B中的一种或两种,超过85%的人群感染过HHV - 7。历史和生物学研究均表明,这些病毒具有广泛的临床谱,且它们各自与重要且特定的临床实体相关。临床、流行病学和病毒学信息是通过病毒分离方法、抗原和抗体检测以及包括聚合酶链反应扩增和原位杂交在内的分子病毒学技术等新技术获得的。然而,由于这些病毒无处不在,在评估结果与疾病状况之间的关联时需要特别关注。