High prevalence of hepatitis G virus in bone marrow transplant recipients and patients treated for acute leukemia

Hepatitis G virus (HGV) is a newly described virus that has been implicated in transfusion-associated hepatitis. The prevalence of HGV in a group of multitransfused patients with hematological malignancy was studied using a reverse transcription polymerase chain reaction technique. Transfusion histo...

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Veröffentlicht in:Blood 1997-05, Vol.89 (10), p.3853-3856
Hauptverfasser: SKIDMORE, S. J, COLLINGHAM, K. E, HARRISON, P, NEILSON, J. R, PILLAY, D, MILLIGAN, D. W
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container_end_page 3856
container_issue 10
container_start_page 3853
container_title Blood
container_volume 89
creator SKIDMORE, S. J
COLLINGHAM, K. E
HARRISON, P
NEILSON, J. R
PILLAY, D
MILLIGAN, D. W
description Hepatitis G virus (HGV) is a newly described virus that has been implicated in transfusion-associated hepatitis. The prevalence of HGV in a group of multitransfused patients with hematological malignancy was studied using a reverse transcription polymerase chain reaction technique. Transfusion histories and serum aspartate aminotransferase (AST) levels were recorded. HGV was detected in 29 of 60 (48%) patients. There was no difference in HGV positivity rates between those with normal AST levels and those with raised AST levels. Analysis of patients by treatment type showed that 20 of 33 (61%) patients who received a bone marrow transplantation procedure were HGV positive compared with 9 of 27 (33%) treated with conventional combination chemotherapy (P = .036) despite similar transfusion histories. There was no significant difference in HGV positivity between patients treated before the introduction of United Kingdom blood donor screening for hepatitis C virus antibody:18 of 39 (46%) and those treated after the introduction of screening 11 of 21 (52%). HGV infection appears to be extremely common in these patients; however, the clinical significance of these findings with respect to liver dysfunction is not yet clear.
doi_str_mv 10.1182/blood.v89.10.3853
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J ; COLLINGHAM, K. E ; HARRISON, P ; NEILSON, J. R ; PILLAY, D ; MILLIGAN, D. W</creator><creatorcontrib>SKIDMORE, S. J ; COLLINGHAM, K. E ; HARRISON, P ; NEILSON, J. R ; PILLAY, D ; MILLIGAN, D. W</creatorcontrib><description>Hepatitis G virus (HGV) is a newly described virus that has been implicated in transfusion-associated hepatitis. The prevalence of HGV in a group of multitransfused patients with hematological malignancy was studied using a reverse transcription polymerase chain reaction technique. Transfusion histories and serum aspartate aminotransferase (AST) levels were recorded. HGV was detected in 29 of 60 (48%) patients. There was no difference in HGV positivity rates between those with normal AST levels and those with raised AST levels. Analysis of patients by treatment type showed that 20 of 33 (61%) patients who received a bone marrow transplantation procedure were HGV positive compared with 9 of 27 (33%) treated with conventional combination chemotherapy (P = .036) despite similar transfusion histories. There was no significant difference in HGV positivity between patients treated before the introduction of United Kingdom blood donor screening for hepatitis C virus antibody:18 of 39 (46%) and those treated after the introduction of screening 11 of 21 (52%). HGV infection appears to be extremely common in these patients; however, the clinical significance of these findings with respect to liver dysfunction is not yet clear.</description><identifier>ISSN: 0006-4971</identifier><identifier>EISSN: 1528-0020</identifier><identifier>DOI: 10.1182/blood.v89.10.3853</identifier><identifier>PMID: 9160693</identifier><language>eng</language><publisher>Washington, DC: The Americain Society of Hematology</publisher><subject>Acute Disease ; Adult ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Aspartate Aminotransferases - blood ; Biological and medical sciences ; Biomarkers ; Blood Donors ; Blood Transfusion - standards ; Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis ; Bone Marrow Transplantation - adverse effects ; Flaviviridae - isolation &amp; purification ; Hematologic Neoplasms - complications ; Hematologic Neoplasms - therapy ; Hematologic Neoplasms - virology ; Hepatitis C - blood ; Hepatitis C - diagnosis ; Hepatitis C - prevention &amp; control ; Hepatitis, Viral, Human - complications ; Hepatitis, Viral, Human - epidemiology ; Hepatitis, Viral, Human - transmission ; Humans ; Leukemia - complications ; Leukemia - therapy ; Leukemia - virology ; Mass Screening ; Medical sciences ; Prevalence ; Retrospective Studies ; RNA, Viral - blood ; RNA, Viral - isolation &amp; purification ; Tissue Donors ; Transfusion Reaction ; Transfusions. Complications. Transfusion reactions. 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There was no difference in HGV positivity rates between those with normal AST levels and those with raised AST levels. Analysis of patients by treatment type showed that 20 of 33 (61%) patients who received a bone marrow transplantation procedure were HGV positive compared with 9 of 27 (33%) treated with conventional combination chemotherapy (P = .036) despite similar transfusion histories. There was no significant difference in HGV positivity between patients treated before the introduction of United Kingdom blood donor screening for hepatitis C virus antibody:18 of 39 (46%) and those treated after the introduction of screening 11 of 21 (52%). 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subjects Acute Disease
Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Aspartate Aminotransferases - blood
Biological and medical sciences
Biomarkers
Blood Donors
Blood Transfusion - standards
Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis
Bone Marrow Transplantation - adverse effects
Flaviviridae - isolation & purification
Hematologic Neoplasms - complications
Hematologic Neoplasms - therapy
Hematologic Neoplasms - virology
Hepatitis C - blood
Hepatitis C - diagnosis
Hepatitis C - prevention & control
Hepatitis, Viral, Human - complications
Hepatitis, Viral, Human - epidemiology
Hepatitis, Viral, Human - transmission
Humans
Leukemia - complications
Leukemia - therapy
Leukemia - virology
Mass Screening
Medical sciences
Prevalence
Retrospective Studies
RNA, Viral - blood
RNA, Viral - isolation & purification
Tissue Donors
Transfusion Reaction
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
United Kingdom - epidemiology
title High prevalence of hepatitis G virus in bone marrow transplant recipients and patients treated for acute leukemia
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