这是日本首例输血传播的乙型肝炎病毒I型基因组病例
Naoji Yamagishi1, Naoko Ando1, Takashi Yoshimasa1
1Central Blood Institute, Blood Service Headquarters, Japanese Red Cross Society, Tokyo, Japan.
Transfusion
|March 3, 2025
概括
最近的一起病例凸显了日本输血传播的乙型肝炎病毒 (TT-HBV) 的风险. 奇特的HBV菌株,即使在当地感染的捐赠者中,尽管进行核酸放大测试 (NAT),但仍构成重大威胁.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 病毒学 病毒学
- 公共卫生 公共卫生
背景情况:
- 2014年实施的个人捐赠核酸放大测试 (ID-NAT) 在日本降低了输血传播的乙型肝炎病毒 (TT-HBV) 风险.
- 尽管进行查,但TT-HBV仍然令人担忧,特别是在非本土HBV菌株的出现.
研究的目的:
- 在日本报告一个TT-HBV感染病例.
- 分析涉及的乙型肝炎病毒 (HBV) 菌株的特征.
- 评估日本持续存在的TT-HBV风险.
主要方法:
- 一个献血者检测出HBVDNA和HBsAg.阳性的病例报告.
- 从捐赠者和接受者身上对HBV的基因组测序.
- 对捐赠者的旅行史和HBV亚基因型的分析.
主要成果:
- 输血导致接受者感染TT-HBV.
- 感染HBV菌株是亚基因型I1,对日本来说异国情调,与肝细胞癌相关的突变.
- 捐赠者很可能在日本境内感染了这种异国菌株,而不是在国外.
结论:
- 自ID-NAT实施以来,日本已检测到9例TT-HBV病例.
- 大多数这些病例涉及异国 HBV 亚基因型.
- 日本异国 HBV 菌株的传播对 TT-HBV 传播存在持续的风险.
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