Prevalence and Route of Transmission of Infection With a Novel DNA Virus (TTV), Hepatitis C Virus, and Hepatitis G Virus in Patients Infected With HIV
作者:
Francesc Puig-Basagoiti,
Marta Cabana,
Magda Guilera,
Mireia Giménez-Barcons,
Guillem Sirera,
Cristina Tural,
Bonaventura Clotet,
José-María Sánchez-Tapias,
Juan Rodés,
Juan-Carlos Saiz,
Miguel-Angel Martínez,
期刊:
JAIDS Journal of Acquired Immune Deficiency Syndromes
(OVID Available online 2000)
卷期:
Volume 23,
issue 1
页码: 89-94
ISSN:1525-4135
年代: 2000
出版商: OVID
关键词: Prevalence;Routes of transmission;Risk factors;HIV;TTV;HCV;HGV;ALT;CD4+
数据来源: OVID
摘要:
Objectives:To evaluate the prevalence, route of transmission and clinical significance that current co-infection with TT virus (TTV), hepatitis C virus (HCV), and hepatitis G virus (HGV) have in HIV-1–infected patients.Design:Presence of TTV, HCV, and HGV was analyzed in plasma samples from 160 HIV-1–infected patients with parenteral (38 intravenous drug users [IVDUs] and 41 patients with hemophilia) or sexual (39 homosexuals and 42 heterosexuals) risk of exposure, and in 168 volunteer blood donors. Alanine aminotransferase (ALT) levels and CD4+counts were also analyzed.Methods:HCV and HGV RNA were detected by specific reverse transcriptase (RT) nested polymerase chain reaction (PCR) and TTV DNA by specific heminested PCR.Results:TTV DNA was detected in 39% of the patients and in 14% of the volunteer blood donors. HCV and HGV infections were detected in 42% and in 14% of the patients, and in 0% and 3% of the blood donors, respectively. Prevalences of TTV and HCV infection were higher among patients with parenteral (62% and 68%) than in those with sexual (17% and 16%) risk of exposure. A higher prevalence of TTV infection (but not of HCV or HGV infection) was observed among patients with hemophilia (76%) than IVDUs (47%), and among homosexuals (26%) than among heterosexuals (10%). Abnormal ALT levels were related with the presence of HCV infection, independently of the detection of TTV DNA. TTV infection did not seem to alter the levels of CD4+T cells.Conclusions:Prevalence of current TTV infection is high among HIV-infected patients with parenteral risk of exposure, but TTV is also transmitted through sexual routes; detection of TTV does not seem to influence the clinical or immune status of HIV-infected patients.
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