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Co-infections with hepatitis G and TT virus in patients with chronic hepatitis C in Hungary
A Pár1, Mária Takács, Judit Brojnás
1First Department of Medicine, Medical Faculty, University of Pécs, Ifjúság ut 13, H-7624 Pécs, Hungary.
Insights
Co-infections with Hepatitis G virus (HGV) and TT virus (TTV) do not significantly alter chronic hepatitis C (HCV) progression. Interferon (IFN) treatment showed a potential antiviral effect on TTV in patients with sustained HCV remission.
Area of Science:
- Hepatology
- Virology
- Infectious Diseases
Background:
- The role of co-infections with Hepatitis G virus (GBV-C, HGV) and TT virus (TTV) in chronic hepatitis C (HCV) remains unclear.
- Understanding these co-infections is crucial for managing HCV patients.
Purpose of the Study:
- To determine the prevalence of HGV RNA and TTV DNA in chronic hepatitis C patients and asymptomatic HCV carriers.
- To assess the impact of HGV and TTV on the course of HCV infection.
- To investigate the influence of interferon (IFN) therapy on these co-infections.
Main Methods:
- Polymerase Chain Reaction (PCR) was used to detect HGV RNA and TTV DNA.
- Serum samples from 77 chronic hepatitis C patients (50 treated with IFN) and 33 asymptomatic HCV carriers were analyzed.
- Previous Hepatitis B virus (HBV) infection was assessed using HBsAg and aHBc testing.
Main Results:
- In the general population, HGV RNA prevalence was 8.0% and TTV DNA was 18.5%.
- In chronic hepatitis C patients, HGV RNA was found in 9.09% and TTV DNA in 40.25%.
- TTV DNA was less frequent (20%) in IFN-treated patients with sustained remission compared to non-responders (45.7%). Asymptomatic HCV carriers showed 9.09% HGV RNA and 75.7% TTV DNA.
Conclusions:
- Neither HGV RNA nor TTV DNA demonstrated a significant effect on the progression of HCV infection.
- The lower frequency of TTV in patients achieving sustained remission with IFN suggests a potential antiviral effect of IFN on TTV.
- Further research is needed to fully elucidate the clinical significance of these co-infections in chronic hepatitis C.
Abstract:
The significance of co-infections with novel hepatitis viruses Hepatitis G (GBV-C, HGV) and TT virus (TTV) in chronic hepatitis C is not clear. We determined the prevalence of HGV RNA and TTV DNA in chronic hepatitis C patients and in asymptomatic hepatitis C virus (HCV) carriers, and assessed the influence of these agents on the course of HCV infection. Seventy-seven patients with chronic hepatitis C--50 of them treated with interferon (IFN)--and 33 HCV carriers with normal alanine aminotransferase have been investigated. Previous HBV infection was detected by testing serum HBsAg and aHBc. HGV RNA and TTV DNA were detected by PCR. In the healthy population, the prevalence of anti-HCV was 0.3%, HGV RNA 8.0% and TTV DNA 18.5%. In chronic hepatitis C HGV RNA occurred in 9.09% and TTV DNA in 40.25% of cases. In IFN-treated patients with sustained remission, the frequency of TTV was 20% vs. 45.7% found in non-responders. Among asymptomatic HCV-carriers, the prevalence of HGV RNA was 9.09% and TTV DNA 75.7%. Neither HGV RNA nor TTV DNA had apparent effect on the HCV infection. TTV was detected with the lowest frequency in persons with sustained remission due to IFN, suggesting antiviral effect of IFN on TTV.
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