Hepatitis G virus (HGV)--association with graft failure after hematopoietic stem cell transplantation?

K Korn, B Schmidt, J Greil, J Beck, B Fleckenstein
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Abstract

A group of 28 children was investigated after hematopoietic stem cell transplantation for evidence of hepatitis G virus (HGV) infection. HGV RNA was detected in 14 of the 28 patients (50%) and persisted in 9 of 11 patients with follow-up samples for up to 32 months. Whereas thrombopoiesis was delayed in 2 of the 14 HGV-RNA-negative patients (14.3%), 6 out of 14 (42.9%) patients in the HGV-RNA-positive group had a delayed thrombopoiesis and 2 of the latter group had to be retransplanted because of complete graft failure. These were the only cases with hepatitis C virus (HCV) coinfection. Significant liver diseases were also found only in these 2 patients with HGV and HCV coinfection. These results suggest that HGV infection may significantly influence the engraftment in patients after hematopoietic stem cell transplantation, particularly if coinfection with HCV occurs.

G型肝炎病毒(HGV)——与造血干细胞移植后移植物衰竭有关?
一组28名儿童在造血干细胞移植后进行了G型肝炎病毒(HGV)感染的调查。28例患者中有14例(50%)检测到HGV RNA, 11例患者中有9例随访时间长达32个月。14例hgv - rna阴性患者中有2例(14.3%)的血小板生成延迟,14例hgv - rna阳性组中有6例(42.9%)的血小板生成延迟,后一组中有2例由于移植完全失败而不得不再次移植。这是唯一同时感染丙型肝炎病毒(HCV)的病例。仅在这2例HGV和HCV合并感染的患者中发现了显著的肝脏疾病。这些结果表明,HGV感染可能会显著影响造血干细胞移植后患者的移植,特别是当合并HCV感染时。
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