High prevalence of hepatitis delta virus infection detectable by enzyme immunoassay among apparently healthy individuals in Mongolia

A previous study revealed a high prevalence of hepatitis B surface antigen (HBsAg) and hepatitis delta virus (HDV) RNA among 249 apparently healthy individuals (mean ± standard deviation age, 48.4 ± 13.9 years; 126 males and 123 females) in Ulaanbaatar, Mongolia. To investigate further the prevalenc...

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Veröffentlicht in:Journal of medical virology 2005-07, Vol.76 (3), p.333-340
Hauptverfasser: Inoue, Jun, Takahashi, Masaharu, Nishizawa, Tsutomu, Narantuya, Luvsanbasaryn, Sakuma, Mitsuru, Kagawa, Yasuo, Shimosegawa, Tooru, Okamoto, Hiroaki
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container_title Journal of medical virology
container_volume 76
creator Inoue, Jun
Takahashi, Masaharu
Nishizawa, Tsutomu
Narantuya, Luvsanbasaryn
Sakuma, Mitsuru
Kagawa, Yasuo
Shimosegawa, Tooru
Okamoto, Hiroaki
description A previous study revealed a high prevalence of hepatitis B surface antigen (HBsAg) and hepatitis delta virus (HDV) RNA among 249 apparently healthy individuals (mean ± standard deviation age, 48.4 ± 13.9 years; 126 males and 123 females) in Ulaanbaatar, Mongolia. To investigate further the prevalence of HDV infection there, the same serum samples obtained from the cohort were tested for the presence of immunoglobulin G (IgG) class antibody to HDV (anti‐HDV) by a newly developed enzyme‐linked immunosorbent assay using recombinant hepatitis delta antigen protein expressed in the pupae of silkworm as the antigen probe. Anti‐HDV was detected in 42 persons (16.9%), among whom 22 (52.4%) were positive for HBsAg and 20 (47.6%) had detectable HDV RNA. Among 170 persons with anti‐HBc in the absence of HBsAg, 20 (11.8%) tested positive for anti‐HDV, and 1 of the 20 subjects was positive for HDV RNA. Of note, none of 55 anti‐HBc‐negative persons had anti‐HDV, supporting the specificity of the anti‐HDV assay. The optical density (OD) value of anti‐HDV was significantly higher among HDV RNA‐positive subjects (n = 21) than among HDV RNA‐negative subjects (n = 21) (2.513 ± 0.514 vs. 0.836 ± 0.550, P 
doi_str_mv 10.1002/jmv.20363
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To investigate further the prevalence of HDV infection there, the same serum samples obtained from the cohort were tested for the presence of immunoglobulin G (IgG) class antibody to HDV (anti‐HDV) by a newly developed enzyme‐linked immunosorbent assay using recombinant hepatitis delta antigen protein expressed in the pupae of silkworm as the antigen probe. Anti‐HDV was detected in 42 persons (16.9%), among whom 22 (52.4%) were positive for HBsAg and 20 (47.6%) had detectable HDV RNA. Among 170 persons with anti‐HBc in the absence of HBsAg, 20 (11.8%) tested positive for anti‐HDV, and 1 of the 20 subjects was positive for HDV RNA. Of note, none of 55 anti‐HBc‐negative persons had anti‐HDV, supporting the specificity of the anti‐HDV assay. The optical density (OD) value of anti‐HDV was significantly higher among HDV RNA‐positive subjects (n = 21) than among HDV RNA‐negative subjects (n = 21) (2.513 ± 0.514 vs. 0.836 ± 0.550, P &lt; 0.0001). The present study confirmed the extremely high prevalence of HDV infection in Mongolia, and identified a person who was positive for both anti‐HDV and HDV RNA despite negativity for HBsAg and HBV DNA probably due to viral interference. The anti‐HDV assay may be useful for further epidemiological studies on HDV infection in larger cohorts in urban and rural areas of Mongolia, where elucidation of the transmission route of HDV is required urgently. J. Med. 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Psychology ; HDV RNA ; Hepatitis Antibodies - blood ; Hepatitis B - epidemiology ; Hepatitis B Antibodies - blood ; Hepatitis B Core Antigens - immunology ; Hepatitis B Surface Antigens - blood ; Hepatitis D - epidemiology ; Hepatitis D - immunology ; Hepatitis delta Antigens - immunology ; Hepatitis delta Antigens - isolation &amp; purification ; hepatitis delta virus ; Hepatitis Delta Virus - genetics ; Hepatitis Delta Virus - immunology ; Hepatitis Delta Virus - isolation &amp; purification ; Human viral diseases ; Humans ; Infectious diseases ; Male ; Medical sciences ; Microbiology ; Middle Aged ; Miscellaneous ; Molecular Sequence Data ; Mongolia ; Mongolia - epidemiology ; Phylogeny ; Prevalence ; Recombinant Proteins - immunology ; Recombinant Proteins - isolation &amp; purification ; RNA, Viral - blood ; Spectrophotometry ; Viral diseases ; Viral hepatitis ; Virology</subject><ispartof>Journal of medical virology, 2005-07, Vol.76 (3), p.333-340</ispartof><rights>Copyright © 2003 Wiley‐Liss, Inc.</rights><rights>2006 INIST-CNRS</rights><rights>Copyright (c) 2005 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4883-e12333174376b69b9e35a0791fac195c13c6f9cb8f77646d76e314c9948857323</citedby><cites>FETCH-LOGICAL-c4883-e12333174376b69b9e35a0791fac195c13c6f9cb8f77646d76e314c9948857323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmv.20363$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmv.20363$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=16855327$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15902700$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Inoue, Jun</creatorcontrib><creatorcontrib>Takahashi, Masaharu</creatorcontrib><creatorcontrib>Nishizawa, Tsutomu</creatorcontrib><creatorcontrib>Narantuya, Luvsanbasaryn</creatorcontrib><creatorcontrib>Sakuma, Mitsuru</creatorcontrib><creatorcontrib>Kagawa, Yasuo</creatorcontrib><creatorcontrib>Shimosegawa, Tooru</creatorcontrib><creatorcontrib>Okamoto, Hiroaki</creatorcontrib><title>High prevalence of hepatitis delta virus infection detectable by enzyme immunoassay among apparently healthy individuals in Mongolia</title><title>Journal of medical virology</title><addtitle>J. Med. Virol</addtitle><description>A previous study revealed a high prevalence of hepatitis B surface antigen (HBsAg) and hepatitis delta virus (HDV) RNA among 249 apparently healthy individuals (mean ± standard deviation age, 48.4 ± 13.9 years; 126 males and 123 females) in Ulaanbaatar, Mongolia. To investigate further the prevalence of HDV infection there, the same serum samples obtained from the cohort were tested for the presence of immunoglobulin G (IgG) class antibody to HDV (anti‐HDV) by a newly developed enzyme‐linked immunosorbent assay using recombinant hepatitis delta antigen protein expressed in the pupae of silkworm as the antigen probe. Anti‐HDV was detected in 42 persons (16.9%), among whom 22 (52.4%) were positive for HBsAg and 20 (47.6%) had detectable HDV RNA. Among 170 persons with anti‐HBc in the absence of HBsAg, 20 (11.8%) tested positive for anti‐HDV, and 1 of the 20 subjects was positive for HDV RNA. Of note, none of 55 anti‐HBc‐negative persons had anti‐HDV, supporting the specificity of the anti‐HDV assay. The optical density (OD) value of anti‐HDV was significantly higher among HDV RNA‐positive subjects (n = 21) than among HDV RNA‐negative subjects (n = 21) (2.513 ± 0.514 vs. 0.836 ± 0.550, P &lt; 0.0001). The present study confirmed the extremely high prevalence of HDV infection in Mongolia, and identified a person who was positive for both anti‐HDV and HDV RNA despite negativity for HBsAg and HBV DNA probably due to viral interference. The anti‐HDV assay may be useful for further epidemiological studies on HDV infection in larger cohorts in urban and rural areas of Mongolia, where elucidation of the transmission route of HDV is required urgently. J. Med. Virol. 76:333–340, 2005. © 2005 Wiley‐Liss, Inc.</description><subject>Adult</subject><subject>anti-HDV antibodies</subject><subject>Base Sequence</subject><subject>Biological and medical sciences</subject><subject>Carrier State - epidemiology</subject><subject>Carrier State - virology</subject><subject>DNA, Viral - chemistry</subject><subject>ELISA</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>HDV RNA</subject><subject>Hepatitis Antibodies - blood</subject><subject>Hepatitis B - epidemiology</subject><subject>Hepatitis B Antibodies - blood</subject><subject>Hepatitis B Core Antigens - immunology</subject><subject>Hepatitis B Surface Antigens - blood</subject><subject>Hepatitis D - epidemiology</subject><subject>Hepatitis D - immunology</subject><subject>Hepatitis delta Antigens - immunology</subject><subject>Hepatitis delta Antigens - isolation &amp; purification</subject><subject>hepatitis delta virus</subject><subject>Hepatitis Delta Virus - genetics</subject><subject>Hepatitis Delta Virus - immunology</subject><subject>Hepatitis Delta Virus - isolation &amp; purification</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microbiology</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Molecular Sequence Data</subject><subject>Mongolia</subject><subject>Mongolia - epidemiology</subject><subject>Phylogeny</subject><subject>Prevalence</subject><subject>Recombinant Proteins - immunology</subject><subject>Recombinant Proteins - isolation &amp; purification</subject><subject>RNA, Viral - blood</subject><subject>Spectrophotometry</subject><subject>Viral diseases</subject><subject>Viral hepatitis</subject><subject>Virology</subject><issn>0146-6615</issn><issn>1096-9071</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhi0EokvhwB9AvoDEIa0dJ3Z8RC20VFugEl83a-KddF2cD-xkIZz54XjZhZ4QJ1uj531Go5eQx5wdccby45t2c5QzIcUdsuBMy0wzxe-SBeOFzKTk5QF5EOMNY6zSeX6fHPBSs1wxtiA_z931mg4BN-Cxs0j7hq5xgNGNLtIV-hHoxoUpUtc1aEfXd2k6ph_UHmk9U-x-zC1S17ZT10OMMFNo--6awjBAwG70czKCH9dzcqzcxq0m8FsfvUxY7x08JPeaNMJH-_eQfHj18v3JebZ8e_b65MUys0VViQx5LoTgqhBK1lLXGkUJTGnegOW6tFxY2WhbV41SspArJVHwwmqd0qUSuTgkz3beIfRfJ4yjaV206D102E_RSFVJWWn9X5ArKaRWW_D5DrShjzFgY4bgWgiz4cxsuzGpG_O7m8Q-2UunusXVLbkvIwFP9wBEC74J0FkXbzlZlaXIVeKOd9w353H-90Zzcfnxz-psl3BxxO9_ExC-pJuFKs2nN2dmefr5nTy9ujIX4hfZ2LZz</recordid><startdate>200507</startdate><enddate>200507</enddate><creator>Inoue, Jun</creator><creator>Takahashi, Masaharu</creator><creator>Nishizawa, Tsutomu</creator><creator>Narantuya, Luvsanbasaryn</creator><creator>Sakuma, Mitsuru</creator><creator>Kagawa, Yasuo</creator><creator>Shimosegawa, Tooru</creator><creator>Okamoto, Hiroaki</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>200507</creationdate><title>High prevalence of hepatitis delta virus infection detectable by enzyme immunoassay among apparently healthy individuals in Mongolia</title><author>Inoue, Jun ; Takahashi, Masaharu ; Nishizawa, Tsutomu ; Narantuya, Luvsanbasaryn ; Sakuma, Mitsuru ; Kagawa, Yasuo ; Shimosegawa, Tooru ; Okamoto, Hiroaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4883-e12333174376b69b9e35a0791fac195c13c6f9cb8f77646d76e314c9948857323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>anti-HDV antibodies</topic><topic>Base Sequence</topic><topic>Biological and medical sciences</topic><topic>Carrier State - epidemiology</topic><topic>Carrier State - virology</topic><topic>DNA, Viral - chemistry</topic><topic>ELISA</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>HDV RNA</topic><topic>Hepatitis Antibodies - blood</topic><topic>Hepatitis B - epidemiology</topic><topic>Hepatitis B Antibodies - blood</topic><topic>Hepatitis B Core Antigens - immunology</topic><topic>Hepatitis B Surface Antigens - blood</topic><topic>Hepatitis D - epidemiology</topic><topic>Hepatitis D - immunology</topic><topic>Hepatitis delta Antigens - immunology</topic><topic>Hepatitis delta Antigens - isolation &amp; purification</topic><topic>hepatitis delta virus</topic><topic>Hepatitis Delta Virus - genetics</topic><topic>Hepatitis Delta Virus - immunology</topic><topic>Hepatitis Delta Virus - isolation &amp; purification</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microbiology</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Molecular Sequence Data</topic><topic>Mongolia</topic><topic>Mongolia - epidemiology</topic><topic>Phylogeny</topic><topic>Prevalence</topic><topic>Recombinant Proteins - immunology</topic><topic>Recombinant Proteins - isolation &amp; purification</topic><topic>RNA, Viral - blood</topic><topic>Spectrophotometry</topic><topic>Viral diseases</topic><topic>Viral hepatitis</topic><topic>Virology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Inoue, Jun</creatorcontrib><creatorcontrib>Takahashi, Masaharu</creatorcontrib><creatorcontrib>Nishizawa, Tsutomu</creatorcontrib><creatorcontrib>Narantuya, Luvsanbasaryn</creatorcontrib><creatorcontrib>Sakuma, Mitsuru</creatorcontrib><creatorcontrib>Kagawa, Yasuo</creatorcontrib><creatorcontrib>Shimosegawa, Tooru</creatorcontrib><creatorcontrib>Okamoto, Hiroaki</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of medical virology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Inoue, Jun</au><au>Takahashi, Masaharu</au><au>Nishizawa, Tsutomu</au><au>Narantuya, Luvsanbasaryn</au><au>Sakuma, Mitsuru</au><au>Kagawa, Yasuo</au><au>Shimosegawa, Tooru</au><au>Okamoto, Hiroaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High prevalence of hepatitis delta virus infection detectable by enzyme immunoassay among apparently healthy individuals in Mongolia</atitle><jtitle>Journal of medical virology</jtitle><addtitle>J. Med. Virol</addtitle><date>2005-07</date><risdate>2005</risdate><volume>76</volume><issue>3</issue><spage>333</spage><epage>340</epage><pages>333-340</pages><issn>0146-6615</issn><eissn>1096-9071</eissn><coden>JMVIDB</coden><abstract>A previous study revealed a high prevalence of hepatitis B surface antigen (HBsAg) and hepatitis delta virus (HDV) RNA among 249 apparently healthy individuals (mean ± standard deviation age, 48.4 ± 13.9 years; 126 males and 123 females) in Ulaanbaatar, Mongolia. To investigate further the prevalence of HDV infection there, the same serum samples obtained from the cohort were tested for the presence of immunoglobulin G (IgG) class antibody to HDV (anti‐HDV) by a newly developed enzyme‐linked immunosorbent assay using recombinant hepatitis delta antigen protein expressed in the pupae of silkworm as the antigen probe. Anti‐HDV was detected in 42 persons (16.9%), among whom 22 (52.4%) were positive for HBsAg and 20 (47.6%) had detectable HDV RNA. Among 170 persons with anti‐HBc in the absence of HBsAg, 20 (11.8%) tested positive for anti‐HDV, and 1 of the 20 subjects was positive for HDV RNA. Of note, none of 55 anti‐HBc‐negative persons had anti‐HDV, supporting the specificity of the anti‐HDV assay. The optical density (OD) value of anti‐HDV was significantly higher among HDV RNA‐positive subjects (n = 21) than among HDV RNA‐negative subjects (n = 21) (2.513 ± 0.514 vs. 0.836 ± 0.550, P &lt; 0.0001). The present study confirmed the extremely high prevalence of HDV infection in Mongolia, and identified a person who was positive for both anti‐HDV and HDV RNA despite negativity for HBsAg and HBV DNA probably due to viral interference. The anti‐HDV assay may be useful for further epidemiological studies on HDV infection in larger cohorts in urban and rural areas of Mongolia, where elucidation of the transmission route of HDV is required urgently. J. Med. Virol. 76:333–340, 2005. © 2005 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>15902700</pmid><doi>10.1002/jmv.20363</doi><tpages>8</tpages></addata></record>
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source MEDLINE; Access via Wiley Online Library
subjects Adult
anti-HDV antibodies
Base Sequence
Biological and medical sciences
Carrier State - epidemiology
Carrier State - virology
DNA, Viral - chemistry
ELISA
Enzyme-Linked Immunosorbent Assay
Epidemiology
Female
Fundamental and applied biological sciences. Psychology
HDV RNA
Hepatitis Antibodies - blood
Hepatitis B - epidemiology
Hepatitis B Antibodies - blood
Hepatitis B Core Antigens - immunology
Hepatitis B Surface Antigens - blood
Hepatitis D - epidemiology
Hepatitis D - immunology
Hepatitis delta Antigens - immunology
Hepatitis delta Antigens - isolation & purification
hepatitis delta virus
Hepatitis Delta Virus - genetics
Hepatitis Delta Virus - immunology
Hepatitis Delta Virus - isolation & purification
Human viral diseases
Humans
Infectious diseases
Male
Medical sciences
Microbiology
Middle Aged
Miscellaneous
Molecular Sequence Data
Mongolia
Mongolia - epidemiology
Phylogeny
Prevalence
Recombinant Proteins - immunology
Recombinant Proteins - isolation & purification
RNA, Viral - blood
Spectrophotometry
Viral diseases
Viral hepatitis
Virology
title High prevalence of hepatitis delta virus infection detectable by enzyme immunoassay among apparently healthy individuals in Mongolia
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