GB Virus C Infection: Clinical Significance

GB virus C (GBV-C) RNA positivity rates were examined in serum specimens from 231 patients with liver disease (23 patients with hepatitis B, 175 patients with hepatitis C, five patients with hepatitis B virus plus hepatitis C virus coinfection, and 28 patients with non-A, non-B, non-C hepatitis) to...

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Main Authors: Xiang Wei Meng, Masafumi Komatsu, Shigetoshi Ohshima, Kunio Nakane, Tomoo Fujii, Takashi Goto, Kazuo Yoneyama, Tomoyuki Kuramitsu, Motokazu Mukaide
Format: Article
Language:English
Published: Wiley 1999-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1999/430279
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author Xiang Wei Meng
Masafumi Komatsu
Shigetoshi Ohshima
Kunio Nakane
Tomoo Fujii
Takashi Goto
Kazuo Yoneyama
Tomoyuki Kuramitsu
Motokazu Mukaide
author_facet Xiang Wei Meng
Masafumi Komatsu
Shigetoshi Ohshima
Kunio Nakane
Tomoo Fujii
Takashi Goto
Kazuo Yoneyama
Tomoyuki Kuramitsu
Motokazu Mukaide
author_sort Xiang Wei Meng
collection DOAJ
description GB virus C (GBV-C) RNA positivity rates were examined in serum specimens from 231 patients with liver disease (23 patients with hepatitis B, 175 patients with hepatitis C, five patients with hepatitis B virus plus hepatitis C virus coinfection, and 28 patients with non-A, non-B, non-C hepatitis) to clarify the clinical significance of this virus. GBV-C RNA was detected in none of 12 patients with fulminant hepatitis, one of two patients with acute hepatitis positive for hepatitis B surface antigen and one of four patients with acute non-A, non-B, non-C hepatitis. Pathogenetic involvement of GBV-C was suspected in some patients in the latter group. Among patients with the non-B, non-C type of chronic disease, one of seven with cirrhosis (14%) and none with chronic hepatitis or hepatocellular carcinoma were GBV-C-positive. In chronic hepatitis C patients who had received interferon treatment, no difference was found in clinical findings, alanine aminotransferase (ALT) concentrations, histology or response to interferon between 11 patients who were GBV-C RNA-positive and 101 patients who were GBV-C RNA-negative. Moreover, changes in ALT after interferon therapy showed no relation to positivity for GBV-C RNA. On the basis of these findings, GBV-C appears to be an unlikely cause of initiation or progression of chronic hepatic diseases.
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spelling doaj-art-e8c3df52a1e94ff08e24ed977321bbf12025-02-03T01:01:49ZengWileyCanadian Journal of Gastroenterology0835-79001999-01-01131081481810.1155/1999/430279GB Virus C Infection: Clinical SignificanceXiang Wei Meng0Masafumi Komatsu1Shigetoshi Ohshima2Kunio Nakane3Tomoo Fujii4Takashi Goto5Kazuo Yoneyama6Tomoyuki Kuramitsu7Motokazu Mukaide8First Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita City, JapanFirst Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita City, JapanFirst Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita City, JapanFirst Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita City, JapanFirst Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita City, JapanFirst Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita City, JapanFirst Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita City, JapanFirst Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita City, JapanCenter for Molecular Biology and Cytogenetics, SRL Inc, Tokyo, JapanGB virus C (GBV-C) RNA positivity rates were examined in serum specimens from 231 patients with liver disease (23 patients with hepatitis B, 175 patients with hepatitis C, five patients with hepatitis B virus plus hepatitis C virus coinfection, and 28 patients with non-A, non-B, non-C hepatitis) to clarify the clinical significance of this virus. GBV-C RNA was detected in none of 12 patients with fulminant hepatitis, one of two patients with acute hepatitis positive for hepatitis B surface antigen and one of four patients with acute non-A, non-B, non-C hepatitis. Pathogenetic involvement of GBV-C was suspected in some patients in the latter group. Among patients with the non-B, non-C type of chronic disease, one of seven with cirrhosis (14%) and none with chronic hepatitis or hepatocellular carcinoma were GBV-C-positive. In chronic hepatitis C patients who had received interferon treatment, no difference was found in clinical findings, alanine aminotransferase (ALT) concentrations, histology or response to interferon between 11 patients who were GBV-C RNA-positive and 101 patients who were GBV-C RNA-negative. Moreover, changes in ALT after interferon therapy showed no relation to positivity for GBV-C RNA. On the basis of these findings, GBV-C appears to be an unlikely cause of initiation or progression of chronic hepatic diseases.http://dx.doi.org/10.1155/1999/430279
spellingShingle Xiang Wei Meng
Masafumi Komatsu
Shigetoshi Ohshima
Kunio Nakane
Tomoo Fujii
Takashi Goto
Kazuo Yoneyama
Tomoyuki Kuramitsu
Motokazu Mukaide
GB Virus C Infection: Clinical Significance
Canadian Journal of Gastroenterology
title GB Virus C Infection: Clinical Significance
title_full GB Virus C Infection: Clinical Significance
title_fullStr GB Virus C Infection: Clinical Significance
title_full_unstemmed GB Virus C Infection: Clinical Significance
title_short GB Virus C Infection: Clinical Significance
title_sort gb virus c infection clinical significance
url http://dx.doi.org/10.1155/1999/430279
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