Several lines of evidence have suggested that immune mechanisms are involved in the pathogenesis of hepatitis B virus (HBV)-and hepatitis C virus (HCV)-related hepatitis. Study of patients with dual HBV and HCV infection raises the question of which is etiologically more relevant in determining the
Dominant replication of either virus in dual infection with hepatitis viruses B and C
✍ Scribed by Kazuhiko Koike; Hiroshi Yotsuyanagi; Kyoji Moriya; Kiyoshi Kurokawa; Kiyomi Yasuda; Shiro Lino; Kunihiko Hino
- Publisher
- John Wiley and Sons
- Year
- 1995
- Tongue
- English
- Weight
- 332 KB
- Volume
- 45
- Category
- Article
- ISSN
- 0146-6615
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✦ Synopsis
Abstract
To characterize the state of dual infection with hepatitis B virus (HBV) and hepatitis C virus (HCV), HBV‐DNA and HCV‐RNA levels were determined by spot hybridization or polymerase chain reaction in the sera of patients who were positive for both hepatitis B surface antigen and HCV antibody. Among 27 patients who showed evidence of double infection, 21 (77.8%) had detectable levels of only either HBV or HCV genome in their sera, 2 (7.4%) showed none of the viral genomes, and 4 (14.8%) had both HBV‐DNA and HCV‐RNA. In the 4 patients with both HBV‐DNA and HCV‐RNA, the titers of HCV‐RNA or HBV‐DNA were lower than those in the patients with HCV‐RNA or HBV‐DNA alone. In some patients with chronic hepatitis, the viruses appeared to replicate in turn in the course of the disease. These results indicate that the viruses show alternating dominance in replication in most of the patients who have dual infection with HBV and HCV, probably due to interference of the viruses. © 1995 Wiley‐Liss, Inc.
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