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Hepatitis G virus infection in hemodialysis patients and its relationship with hepatitis C virus infection
J L Fernandez1, R Valtuille, A Hidalgo
1Department of Clinical Research, Bio Sidus, Buenos Aires, Argentina. j.fernandez@biosidus.co.ar
Insights
Hepatitis G virus (HGV) infection is common in hemodialysis patients, often linked to transfusions. HGV does not appear to cause chronic hepatitis or elevated ALAT levels in this population.
Area of Science:
- Hepatology
- Virology
- Nephrology
Background:
- Hepatitis G virus (HGV) is a significant concern in hemodialysis (HD) patients.
- Understanding HGV infection characteristics in HD populations is crucial for patient management.
Purpose of the Study:
- To investigate the prevalence and clinical features of Hepatitis G virus (HGV) infection among hemodialysis (HD) patients.
- To determine the relationship between HGV infection, Hepatitis C virus (HCV) coinfection, transfusion history, and ALAT levels in HD patients.
Main Methods:
- HGV RNA and HCV RNA detection using Polymerase Chain Reaction (PCR) in 108 HD patients.
- Patient categorization into four groups based on HGV and HCV RNA status.
- Analysis of demographic data, transfusion history, and chronic ALAT elevation.
Main Results:
- HGV RNA was detected in 17.6% of HD patients (19/108), with higher prevalence in unit A.
- Hepatitis C virus (HCV) RNA was also found in 17.6% of patients, significantly more in unit A than unit B.
- HGV infection was associated with a history of transfusion and did not correlate with chronic ALAT elevation, suggesting it's not a primary cause of hepatitis in this cohort.
Conclusions:
- Hepatitis G virus (HGV) infection is prevalent in hemodialysis (HD) patients.
- HGV infection in HD patients is associated with transfusion history and occurs independently of HCV prevalence.
- HGV infection itself does not appear to be a cause of chronic hepatitis or elevated ALAT levels in hemodialysis patients.
Abstract:
Our aim was to study the characteristics of hepatitis G virus (HGV) infection in hemodialysis (HD) patients. We evaluated 108 patients from two different units (A: 67 patients; B: 41 patients). HGV RNA and HCV RNA were detected by PCR. Nineteen patients (17.6%) were HGV RNA positive (20.9% in unit A and 12.2% in unit B (NS)). HCV RNA was positive in 19 patients (17.6%) (28.4% in unit A and 0 in unit B (p < 0.01)). Eight patients were HGV RNA and HCV RNA positive (group I), 11 HGV RNA positive (group II), 11 HCV RNA positive (group III), and 78 negative for both viruses (group IV). Time on HD was 51.3 +/- 37.0 months for group I, 36.0 +/- 27.9 months for group II, 63.5 +/- 40.2 months for group III, and 26.4 +/- 27.1 months for group IV (p < 0.01 for I and III). Seven patients (87.5%) from group I, 9 (81.8%) from group II, 10 (90.9%) from group III, and 44 (56.4%) from group IV had a history of transfusion (p < 0.03 for I, II and III). Two patients (25%) from group I, none from group II, 5 (45.4%) from group III, and 6 (7.7%) from group IV had chronic ALAT elevation (p < 0.01 for I and III). We conclude that HGV infection was frequent in our HD patients, related to transfusions and independent of HCV prevalence, and that HGV infection itself was not a cause of ALAT elevation suggesting chronic hepatitis.
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