Detection of hepatitis C viral sequences in non-A, non-B hepatitis - PubMed (original) (raw)
Detection of hepatitis C viral sequences in non-A, non-B hepatitis
A J Weiner et al. Lancet. 1990.
Abstract
The role of hepatitis C virus (HCV) in post-transfusion non-A, non-B hepatitis (NANBH) was investigated by analysing clinical samples for both HCV RNA by cDNA/polymerase chain reaction and antibodies against C100-3 by radioimmunoassay. Of fifteen chronic NANBH patients and one patient with chronic cryptogenic liver disease, ten were positive for anti-C100-3 and seven of the ten had viral sequences in their livers. However, two patients negative for anti-C100-3 also had substantial levels of HCV RNA in their livers. In acute post-transfusion NANBH (one surgical patient and two experimentally infected chimpanzees), HCV RNA was detected in the absence of anti-C100-3. In addition, infectious plasma from a seronegative patient with acute post-transfusion NANBH and a seronegative pool of plasma from a chimpanzee with chronic post-transfusion NANBH had high levels of HCV. These findings show that anti-C100-3-positive patients with chronic post-transfusion NANBH are likely to be viraemic; confirm that antibodies to C100-3 are a marker for infectivity; and suggest that the prevalence of HCV infections may be underestimated from the frequency of antibodies to C100-3 alone.
Comment in
- Detection of serum hepatitis C virus RNA.
Kaneko S, Unoura M, Kobayashi K, Kuno K, Murakami S, Hattori N. Kaneko S, et al. Lancet. 1990 Apr 21;335(8695):976. doi: 10.1016/0140-6736(90)91042-9. Lancet. 1990. PMID: 1970049 No abstract available.
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