Effective detection of active HCV infection: HCV RNA carrier state in a context free of hepatitis symptoms

HCV immunological assays have limited specificity due to considerable variability of genomic coding sequences. Accordingly, PCR RNA detection also shows variable incidence of HCV in a non-A, non-B (NANB) hepatitis context. We used in-house designed nested PCR applying primers from the 5′ untranslate...

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Veröffentlicht in:Clinica chimica acta 1997-02, Vol.258 (1), p.91-104
Hauptverfasser: Arapinis, Calliope, Kostaridou, Stavroula, Kattamis, Christos
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container_title Clinica chimica acta
container_volume 258
creator Arapinis, Calliope
Kostaridou, Stavroula
Kattamis, Christos
description HCV immunological assays have limited specificity due to considerable variability of genomic coding sequences. Accordingly, PCR RNA detection also shows variable incidence of HCV in a non-A, non-B (NANB) hepatitis context. We used in-house designed nested PCR applying primers from the 5′ untranslated region in 150 thalassemic patients classified in four groups according to anti-HCV screening and glutamic-pyruvate transaminase (GPT) levels. Group A: anti-HCV +/high GPT levels; group B: anti-HCV +/normal GPT levels; group C: anti-HCV −/high GPT levels; group D: anti-HCV −/normal GPT levels. Viral incidence and concentration, both high in group A, decreased towards group D. Group C RNA incidence was unexpectedly high and, moreover, one control case proved HCV-RNA +. Compared with the Amplicor kit our primers were considerably more sensitive.
doi_str_mv 10.1016/S0009-8981(96)06448-0
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subjects Adolescent
Adult
Asymptomatic, anti-HCV − HCV carrier
Carrier State - diagnosis
Carrier State - virology
Child
Female
Hepacivirus - genetics
Hepatitis C - diagnosis
Hepatitis C - etiology
Hepatitis C - virology
Hepatitis C virus (HCV)
Humans
Male
Non-A, non-B hepatitis (NANB)
Polymerase Chain Reaction
RNA, Viral - analysis
Thalassemia - complications
title Effective detection of active HCV infection: HCV RNA carrier state in a context free of hepatitis symptoms
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