Inapparent "wild-type" and "e-minus variant" HBV infection in patients with HCV-related chronic hepatitis.

Liver Pub Date : 1994-10-01
M A Sardo, G Rodinò, S Brancatelli, M Pernice, S Campo, G Squadrito, F Russo, G Raimondo
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Abstract

We analysed DNA extracted from liver biopsy specimens and serum samples from 42 HCV-RNA-positive/HBsAg-negative subjects with chronic hepatitis. Twenty-eight of them were anti-HBs/anti-HBc-positive (group A), while 14 were negative for all HBV markers (group B). HBV sequences were found in hepatic DNA of 12 cases (11 of group A, one of group B), but in the serum of only two cases of group A. Sequencing analysis of pre-core region of HBV-DNA showed the presence of wild-type HBV in three cases, HBeAg-defective HBV in three cases, and the coexistence of both viral populations in six cases. These results indicate that HBV and HCV infection may coexist in HBsAg-negative chronic hepatitis, particularly in anti-HBs/anti-HBc-positive patients. However, HBV replication appears suppressed in these cases, and this state of latency may involve both wild and HBeAg-defective HBV types.

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hcv相关慢性肝炎患者的“野生型”和“e-变体”HBV感染不明显。
我们分析了从42例hcv - rna阳性/ hbsag阴性慢性肝炎患者的肝活检标本和血清样本中提取的DNA。28人anti-HBs / anti-HBc-positive (A组),在14 -所有乙型肝炎病毒标志物(B组)。乙肝病毒的DNA序列中发现肝12例(11组,B组之一),但在只有两例的血清组A病毒DNA测序分析核前地区显示,3例野生型乙肝病毒的存在,在3例HBeAg-defective乙肝病毒,病毒的共存6例。这些结果表明HBV和HCV感染可能在hbsag阴性的慢性肝炎中共存,特别是在抗hbs /抗HCV阳性的患者中。然而,在这些病例中,HBV复制似乎受到抑制,这种潜伏状态可能涉及野生型和hbeag缺陷型HBV。
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