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Published on: November 22, 2011
HCV and HGV infection in Hodgkin's disease
Katalin Keresztes1, Mária Takács, Margit Horányi
13rd Department of Medicine, Medical and Health Science Center, University of Debrecen, Debrecen, H-4004, Hungary. katalin@iiibel.dote.hu
Insights
Hepatitis C virus (HCV) and hepatitis G virus (HGV) infections were more common in Hodgkin
Area of Science:
- Virology
- Oncology
- Epidemiology
Background:
- Malignant lymphomas, including Hodgkin's disease, are multifactorial in pathogenesis.
- Viruses are suspected as potential etiologic agents in Hodgkin's disease.
- Epstein-Barr virus is a known factor, but other viruses may also be involved.
Purpose of the Study:
- To investigate the prevalence of hepatitis C virus (HCV) and hepatitis G virus (HGV) in patients with Hodgkin's disease.
- To compare HCV and HGV infection rates in Hodgkin's disease patients with those in the general Hungarian blood donor population.
Main Methods:
- Polymerase chain reaction (PCR) was used to detect HCV and HGV in 111 randomly selected Hodgkin's disease patients.
- Infection rates were compared to data from the Hungarian blood bank using PCR.
Main Results:
- HCV was detected in 9% of patients and HGV in 8.1% of patients.
- HCV infection rates were 12-fold higher, and HGV rates were 1.5-fold higher in patients compared to blood donors.
- No significant differences were observed between hepatitis-positive and negative patients regarding age, sex, disease stage, histology, treatment, risk factors, or liver enzymes.
Conclusions:
- Hepatitis C virus positivity is significantly higher in Hodgkin's disease patients than in blood donors.
- The etiological role of HCV and HGV in Hodgkin's disease remains inconclusive.
- Further research is necessary to elucidate the viral contribution to Hodgkin's disease pathogenesis.
Abstract:
Numerous observations imply that the pathogenesis of malignant lymphomas is multifactorial and that viruses probably play an important etiologic role. Besides Epstein-Barr virus, there might be other viruses among the causes of Hodgkin's disease. A total of 111 randomly selected patients with Hodgkin's disease were included in this study, and hepatitis C and G viruses were tested with polymerase chain reaction. The results were compared to hepatitis C and G virus infection ratios assessed by polymerase chain reaction in the Hungarian blood bank. Hepatitis C virus was diagnosed in 10 (9%) patients, and hepatitis G virus in 9 (8,1%), which is a 12-fold and a 1,5-fold infection rate as compared to that of the Hungarian blood bank, respectively. There was no significant difference between hepatitis positive and negative patients concerning mean age at the time of diagnosis, sex, disease stage, histology type, treatment applied, risk factors in the history of the infection and liver enzymes. Hepatitis C virus positivity in patients with Hodgkin's disease differs significantly from that in blood donors. Based on these results and data in the literature, no definite statement can be made on the etiological role of viruses, but further studies are needed.
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