自身免疫性1型肝炎,无G型肝炎病毒感染的证据

Tetsuya Ichijo , Yoshiyuki Nakatsuji , Eiji Tanaka , Harvey J. Alter , Kaname Yoshizawa , Haruhiko Imai , Takeshi Sodeyama , Kendo Kiyosawa
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引用次数: 8

摘要

采用反转录和聚合酶链反应的方法,对60例符合自身免疫性肝炎1型国际诊断标准的患者血清中G型肝炎病毒(HGV) RNA进行了测定。5例患者有输血史。在60例患者中,55例(92%)被证实患有人类白细胞抗原(HLA) DR4或DR2,这是日本人对自身免疫性肝炎易感性的遗传标记。60例患者中没有任何血清标志物提示乙型肝炎病毒感染,5例(8%)有持续丙型肝炎病毒感染的证据。无患者血清中有HGV RNA。该队列中没有活动性HGV感染,这表明HGV在日本自身免疫性肝炎的发展中不是偶然的。
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Autoimmune hepatitis type 1 without evidence of hepatitis G virus infection

Hepatitis G virus (HGV) RNA was measured in sera from 60 patients satisfying the international diagnostic criteria of definite autoimmune hepatitis type 1 using a reverse transcription and polymerase chain reaction with primers of the putative NS5 region of the HGV genome. Five patients had a history of blood transfusion. Of the 60 patients, 55 (92%) were confirmed as having human leukocyte antigen (HLA) DR4 or DR2 which are genetic markers for susceptibility to autoimmune hepatitis in Japanese. None of the 60 patients had any serum markers suggesting hepatitis B virus infection and 5 (8%) had evidence of on-going hepatitis C virus infection. No patients had HGV RNA in serum. The absence of active HGV infection in this cohort suggests that HGV does not play a casual role in the development of autoimmune hepatitis in Japan.

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