High prevalence of hepatitis G viremia among kidney transplant patients in Thailand
Corresponding Author
Boonyos Raengsakulrach
Department of Virology, U.S. Army Medical Component, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
Department of Virology, USAMC-AFRIMS, APO AP 96546===Search for more papers by this authorLeena Ong-aj-yooth
Renal Unit, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Search for more papers by this authorThanarak Thaiprasert
Department of Biochemistry, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Search for more papers by this authorSanga Nilwarangkur
Renal Unit, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Search for more papers by this authorSompong Ong-aj-yooth
Department of Biochemistry, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Search for more papers by this authorSumitda Narupiti
Department of Virology, U.S. Army Medical Component, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
Search for more papers by this authorVipa Thirawuth
Department of Virology, U.S. Army Medical Component, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
Search for more papers by this authorChonticha Klungthong
Department of Virology, U.S. Army Medical Component, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
Search for more papers by this authorRapin Snitbhan
Department of Virology, U.S. Army Medical Component, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
Search for more papers by this authorDavid W. Vaughn
Department of Virology, U.S. Army Medical Component, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
Search for more papers by this authorCorresponding Author
Boonyos Raengsakulrach
Department of Virology, U.S. Army Medical Component, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
Department of Virology, USAMC-AFRIMS, APO AP 96546===Search for more papers by this authorLeena Ong-aj-yooth
Renal Unit, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Search for more papers by this authorThanarak Thaiprasert
Department of Biochemistry, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Search for more papers by this authorSanga Nilwarangkur
Renal Unit, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Search for more papers by this authorSompong Ong-aj-yooth
Department of Biochemistry, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Search for more papers by this authorSumitda Narupiti
Department of Virology, U.S. Army Medical Component, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
Search for more papers by this authorVipa Thirawuth
Department of Virology, U.S. Army Medical Component, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
Search for more papers by this authorChonticha Klungthong
Department of Virology, U.S. Army Medical Component, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
Search for more papers by this authorRapin Snitbhan
Department of Virology, U.S. Army Medical Component, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
Search for more papers by this authorDavid W. Vaughn
Department of Virology, U.S. Army Medical Component, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand
Search for more papers by this authorAbstract
Patients receiving kidney transplants (KT) are at high risk for blood borne viral infections. To determine the prevalence of a recently discovered hepatitis G virus (HGV) in this patient group, reverse transcription-polymerase chain reaction (RT-PCR) employing primers derived from the NS5 region of the viral genome was utilized. HGV RNA was detected in 40 of 94 KT patients (43%), as compared to 3 of 69 healthy subjects (4.3%). Cocirculation of HGV and hepatitis C virus (HCV) RNA was detected in 12 patients (13%). Comparison of patients with and without HGV revealed that the former had received hemodialysis before transplantation for a significantly longer duration than the latter (28 vs. 17 months, respectively; P < 0.05). The amount of blood transfused and mean levels of liver enzymes, including alkaline phosphatase, alanine transaminase, and aspartate transaminase, were the same in both groups. Sequence analysis of 275-base pair DNA clones obtained from 2 patients revealed approximately 92% sequence homology to the published HGV and GB virus C sequences. These results suggested that HGV infection among Thai KT patients was high and the role of HGV in causing liver disease remains to be determined. J. Med. Virol. 53:162–166, 1997. © 1997 Wiley-Liss, Inc.
References
- Aikawa T, Sugai Y, Okamoto H: (1996): Hepatitis G infection in drug abusers with chronic hepatitis C. New England Journal of Medicine 334: 195–196.
- Alter HJ, Bradley DW: (1995): Non-A, non-B hepatitis unrelated to the hepatitis C virus (non-ABC). Seminars in Liver Disease 15: 110–120.
- Alter MJ, Gallagher M, Morris TT, Moyer LA, Meeks EL, Krawczynski K, Kim JP, Margolis HS: (1997): Acute non-A-E hepatitis in the United States and the role of hepatitis G virus infection. New England Journal of Medicine 336: 741–746.
- Bowden DS, Moaven LD, Locarnini SA: (1996): New hepatitis viruses: Are there enough letters in the alphabet? Medical Journal of Australia 164: 87–89.
- Chomczynski P, Sacchi N: (1987): Single-step method of RNA isolation by acid guanidinium thiocyanate-phenol-chloroform extraction. Analytical Biochemistry 162: 156–159.
- Fiordalisi G, Zanella I, Mantero G, Bettinardi A, Stellini R, Paraninfo G, Cadeo G, Primi D: (1996): High prevalence of GB virus C infection in a group of Italian patients with hepatitis of unknown etiology. Journal of Infectious Diseases 174: 181–183.
- Fukushi S, Kurihara C, Ishiyama N, Okamura H, Hoshino FB, Oya A, Katayama K: (1996): Nucleotide sequence of the 5′ noncoding region of hepatitis G virus isolated from Japanese patients: Comparison with reported isolates. Biochemical and Biophysical Research Communications 226: 314–318.
- Kao J, Chen P, Chen D: (1996): GBV-C in the aetiology of fulminant hepatitis. Lancet 347: 120.
- Kuroki T, Nishiguchi S, Tanaka M, Enomoto M, Kobayashi K: (1996): Does GBV-C cause fulminant hepatitis in Japan? Lancet 347: 908.
- Leary TP, Muerhoff AS, Simons JN, Pilot-Matias TJ, Erker JC, Chalmers ML, Schlauder GG, Dawson GJ, Desai SM, Mushahwar IK: (1996a): Consensus oligonucleotide primers for the detection of GB virus C in human cryptogenic hepatitis. Journal of Virological Methods 56: 119–121.
-
Leary TP,
Muerhoff AS,
Simons JN,
Pilot-Matias TJ,
Erker JC,
Chalmers ML,
Schlauder GG,
Dawson GJ,
Desai SM,
Mushahwar IK:
(1996b):
Sequence and genomic organization of GBV-C: A novel member of the Flaviviridae associated with human non-A-E hepatitis.
Journal of Medical Virology
48:
60–67.
10.1002/(SICI)1096-9071(199601)48:1<60::AID-JMV10>3.0.CO;2-A CAS PubMed Web of Science® Google Scholar
- Linnen J, Wages J, Zhang-Keck Z, Fry KE, Krawczynski KZ, Alter H, Koonin E, Gallagher M, Alter M, Hadziyannis S, Karayiannis P, Fung K, Nakatsuji Y, Shih JW, Young L, Piatak M, Hoover C, Fernandez J, Chen S, Zou J, Morris T, Hyams KC, Ismay S, Lifson JD, Hess G, Foung SKH, Thomas H, Bradley D, Margolis H, Kim JP: (1996): Molecular cloning and disease association of hepatitis G virus: A transfusion-transmissible agent. Science 271: 505–508.
- Luengrojanakul P, Vareesangthip K, Chainuvati T, Murata K, Tsuda F, Tokita H, Okamoto H, Miyakawa Y, Mayumi M: (1994): Hepatitis C virus infection in patients with chronic liver disease or chronic renal failure and blood donors in Thailand. Journal of Medical Virology 44: 287–292.
- Masuko K, Mitsui T, Iwano K, Yamazaki C, Okuda K, Meguro T, Murayama N, Inoue T, Tsuda F, Okamoto H, Miyakawa Y, Mayumi M: (1996): Infection with hepatitis GB virus C in patients on maintenance hemodialysis. New England Journal of Medicine 334: 1485–1490.
- Okamoto H, Okada S, Sugiyama Y, Tanaka T, Sugai Y, Akahane Y, Machida A, Misshiro S, Yoshizawa H, Miyakawa Y, Mayumi M: (1990): Detection of hepatitis C virus RNA by a two-stage poly-merase chain reaction with two pairs of primers deduced from the 5′-noncoding region. Japanese Journal of Experimental Medicine 60: 215–222.
- Panda SK, Panigrahi AK, Dasarathy S, Acharya SK: (1996): Hepatitis G Virus in India. Lancet 348: 1319.
- Pereira BJG, Milford EL, Kirkman RL, Quan S, Sayre KR, Johnson PJ, Wilber JC, Levey AS: (1992): Prevalence of hepatitis C virus RNA in organ donors positive for hepatitis C antibody and in the recipients of their organs. New England Journal of Medicine 327: 910–915.
- Schmidt B, Korn K, Fleckenstein B: (1996): Molecular evidence for transmission of hepatitis G virus by blood transfusion. Lancet 347: 909.
- Simons JN, Leary TP, Dawson GJ, Pilot-Matias TJ, Muerhoff AS, Schlauder GG, Desai SM, Mushahwar IK: (1995): Isolation of novel virus-like sequences associated with human hepatitis. Nature Medicine 1: 564–569.
-
Tsuda F,
Hadiwandowo S,
Sawada N,
Fukuda M,
Tanaka T,
Okamoto H,
Miyakawa Y,
Mayami M:
(1996):
Infection with GB virus C (GBV-C) in patients with chronic liver disease or on maintenance hemodialysis in Indonesia.
Journal of Medical Virology
49:
248–252.
10.1002/(SICI)1096-9071(199607)49:3<248::AID-JMV15>3.0.CO;2-8 CAS PubMed Web of Science® Google Scholar
- Yoshiba M, Okamoto H, Mishiro S: (1995) Detection of the GBV-C hepatitis virus genome in serum from patients with fulminant hepatitis of unknown aetiology. Lancet 346: 1131–1132.