Hepatitis C virus genotypes and quantitation of serum hepatitis C virus RNA in liver transplant recipients: Relationship with severity of histological recurrence and implications in the pathogenesis of HCV infection

The reasons for the wide variation of incidence and severity of recurrent hepatitis C after liver transplantation are not clear. We have studied liver transplant recipients to assess the impact of hepatitis C virus (HCV) genotype and HCV RNA quantification on HCV recurrence after transplantation. Tw...

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Veröffentlicht in:Liver Transplantation and Surgery 1997-09, Vol.3 (5), p.501-505
Hauptverfasser: Pageaux, G P, Ducos, J, Mondain, A M, Costes, V, Picot, M C, Perrigault, P F, Domergue, J, Larrey, D, Michel, H
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container_end_page 505
container_issue 5
container_start_page 501
container_title Liver Transplantation and Surgery
container_volume 3
creator Pageaux, G P
Ducos, J
Mondain, A M
Costes, V
Picot, M C
Perrigault, P F
Domergue, J
Larrey, D
Michel, H
description The reasons for the wide variation of incidence and severity of recurrent hepatitis C after liver transplantation are not clear. We have studied liver transplant recipients to assess the impact of hepatitis C virus (HCV) genotype and HCV RNA quantification on HCV recurrence after transplantation. Twenty‐two patients received transplants for HCV cirrhosis and were followed up with virological and histological assessments. Mean follow‐up was 39 months. HCV genotype was determined with line probe assay (Inno‐Lipa). HCV RNA quantity was determined in serum samples by use of polymerase chain reaction nested assay. HCV genotype 1 was detected in 13 patients and other genotypes in 9. Histological recurrence rates were 69% in patients with genotype 1 and 66% in patients with other genotypes. All cases of severe histological injury (chronic active hepatitis or cirrhosis) were observed in patients with genotype 1. HCV RNA quantity was significantly higher in patients with genotype 1 (mean, 2.023 × 103 copies/mL) than in patients with other genotypes (mean, 27,403 copies/mL). In conclusion, the severity of histological recurrence after liver transplantation for HCV disease was higher in patients infected by HCV genotype 1 than in those infected with other genotypes. The levels of viral replication were higher in patients with HCV genotype 1 than in those with other genotypes.
doi_str_mv 10.1002/lt.500030504
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We have studied liver transplant recipients to assess the impact of hepatitis C virus (HCV) genotype and HCV RNA quantification on HCV recurrence after transplantation. Twenty‐two patients received transplants for HCV cirrhosis and were followed up with virological and histological assessments. Mean follow‐up was 39 months. HCV genotype was determined with line probe assay (Inno‐Lipa). HCV RNA quantity was determined in serum samples by use of polymerase chain reaction nested assay. HCV genotype 1 was detected in 13 patients and other genotypes in 9. Histological recurrence rates were 69% in patients with genotype 1 and 66% in patients with other genotypes. All cases of severe histological injury (chronic active hepatitis or cirrhosis) were observed in patients with genotype 1. HCV RNA quantity was significantly higher in patients with genotype 1 (mean, 2.023 × 103 copies/mL) than in patients with other genotypes (mean, 27,403 copies/mL). 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We have studied liver transplant recipients to assess the impact of hepatitis C virus (HCV) genotype and HCV RNA quantification on HCV recurrence after transplantation. Twenty‐two patients received transplants for HCV cirrhosis and were followed up with virological and histological assessments. Mean follow‐up was 39 months. HCV genotype was determined with line probe assay (Inno‐Lipa). HCV RNA quantity was determined in serum samples by use of polymerase chain reaction nested assay. HCV genotype 1 was detected in 13 patients and other genotypes in 9. Histological recurrence rates were 69% in patients with genotype 1 and 66% in patients with other genotypes. All cases of severe histological injury (chronic active hepatitis or cirrhosis) were observed in patients with genotype 1. HCV RNA quantity was significantly higher in patients with genotype 1 (mean, 2.023 × 103 copies/mL) than in patients with other genotypes (mean, 27,403 copies/mL). 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We have studied liver transplant recipients to assess the impact of hepatitis C virus (HCV) genotype and HCV RNA quantification on HCV recurrence after transplantation. Twenty‐two patients received transplants for HCV cirrhosis and were followed up with virological and histological assessments. Mean follow‐up was 39 months. HCV genotype was determined with line probe assay (Inno‐Lipa). HCV RNA quantity was determined in serum samples by use of polymerase chain reaction nested assay. HCV genotype 1 was detected in 13 patients and other genotypes in 9. Histological recurrence rates were 69% in patients with genotype 1 and 66% in patients with other genotypes. All cases of severe histological injury (chronic active hepatitis or cirrhosis) were observed in patients with genotype 1. HCV RNA quantity was significantly higher in patients with genotype 1 (mean, 2.023 × 103 copies/mL) than in patients with other genotypes (mean, 27,403 copies/mL). In conclusion, the severity of histological recurrence after liver transplantation for HCV disease was higher in patients infected by HCV genotype 1 than in those infected with other genotypes. The levels of viral replication were higher in patients with HCV genotype 1 than in those with other genotypes.</abstract><cop>Philadelphia, PA</cop><pub>W.B. Saunders</pub><pmid>9346792</pmid><doi>10.1002/lt.500030504</doi><tpages>5</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adult
Aged
Biopsy
Chronic active hepatitis
Cirrhosis
DNA probes
Female
Genotype
Genotypes
Graft Rejection - virology
Hepacivirus - genetics
Hepatitis C
Hepatitis C - complications
Hepatitis C - genetics
Hepatitis C - pathology
Hepatitis C Antibodies - blood
Hepatitis C virus
Humans
Injuries
Liver transplantation
Liver Transplantation - pathology
Male
Middle Aged
Polymerase chain reaction
Quantitation
Recurrence
Replication
RNA
RNA viruses
RNA, Viral - blood
title Hepatitis C virus genotypes and quantitation of serum hepatitis C virus RNA in liver transplant recipients: Relationship with severity of histological recurrence and implications in the pathogenesis of HCV infection
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