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Cerumen as a potential risk for transmission of Hepatitis B virus
Elaheh Gholami-Parizad1, Morovat Taherikalani, Noor-Amir Mozaffar-Sabet
1Department of Microbiology, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran.
Insights
Hepatitis B virus (HBV) DNA was detected in the earwax (cerumen) of most chronic Hepatitis B patients. This finding suggests cerumen may be a potential transmission route for HBV, indicating a high-risk factor.
Area of Science:
- Virology
- Hepatology
- Infectious Diseases
Background:
- Hepatitis B virus (HBV) is primarily transmitted through blood and body fluids.
- The role of cerumen (earwax) in HBV transmission is not well-documented in existing literature.
Purpose of the Study:
- To investigate the presence of HBV DNA in cerumen samples from Hepatitis B patients.
- To assess the potential of cerumen as a route for HBV transmission.
Main Methods:
- Cerumen and blood samples were collected from 70 HBV-infected patients and 70 healthy controls.
- Enzyme-Linked Immunosorbent Assay (ELISA) and Real-time Polymerase Chain Reaction (PCR) were used for sample analysis.
Main Results:
- HBV DNA was detected in 82.1% of cerumen samples from HBV patients and 7% of controls.
- In three patients, HBV DNA levels in cerumen exceeded those in serum.
- Higher rates of HBV DNA in serum and cerumen were observed in patients positive for Hepatitis B e-antigen (HBeAg).
Conclusions:
- Cerumen can harbor HBV DNA, suggesting it as a potential transmission factor.
- The level of HBV DNA in cerumen may indicate a high risk of transmission in chronic Hepatitis B patients.
Abstract:
Hepatitis B virus (HBV) transmission via blood and other body fluids from infected individuals to healthy people has been largely demonstrated. However, in the current literature, there is little information available on the potential role of cerumen in HBV transmission. Cerumen and blood were collected from 70 patients infected with HBV and 70 volunteer healthy people were selected as the control group, and the samples were evaluated by ELISA and Real-time PCR. All the patients proved positive for HBsAg and anti HBc total. Sixty-one of the 70 cerumen samples of cases (82.1%) and 5 (7%) of controls were positive for HBV DNA with ranges from 1.53 × 102 to 2.9 × 108 and 1.3 × 102-2.6 × 105/ml, respectively. In three patients, the level of HBV DNA in cerumen was higher than that in the serums. The patients who were positive for HBeAg showed a higher rate of HBVDNA in the serum and cerumen.The results of this study showed the level of HBV DNA as a probably indicator of high risk transmission factor, which was present in the cerumen of chronic hepatitis B patients in west of Iran.
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