Hepatitis C virus-specific markers in pediatric patients with chronic hepatitis C.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2025-02-01 Epub Date: 2021-12-03 DOI:10.23736/S2724-5276.21.06564-2
Lyudmila Nikolaeva, Elena Leybman, Evgeniy Samokhvalov, Karen Kyuregyan, Vera Kichatova, Olga Isaeva, Victor Kuprianov
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引用次数: 0

Abstract

Background: The study aimed to investigate hepatitis C virus (HCV) specific markers in chronically infected children. The main objective was to explore the patterns of marker variability.

Methods: HCV RNA, core antigen, anti-HCV IgM, and antibodies to individual viral proteins were detected using commercially available assays or experimental ELISA. RNA genotyping and recombination were performed by sequencing.

Results: HCV RNA and core antigen were detected in serum samples of all children (N.=100). Anti-HCV IgM, anti-NS4AB IgG, and anti-NS5A IgG were revealed less often than antibodies to core and NS3 proteins. To elucidate the cause of this finding, all subjects were divided into 4 groups differing in hepatitis duration. It was anti-NS4AB only whose detection depended on the infection duration. A trend was established that the longer the hepatitis duration, the more frequently anti-HCV IgM was observed. No significant impact of HCV RNA load and NS4A/NS4B amino acid substitutions on anti-NS4AB IgG detection was found. The increase HCV genotype 3 was observed among children infected after 2000. The earliest case of infection caused by HCV intergenotype recombinant RF1_2k/1b was identified in a child vertically infected in 1997.

Conclusions: HCV genotypes and subtypes were found to be variable virus specific markers in children infected in 1997-2015. Over the period, there has been a trend to change the dominant HCV subtype and appearance of recombinant RF1_2k/1b in children. Among humoral markers, anti-NS4AB revealing is depended on chronic hepatitis C duration, while for anti-HCV IgM, only a trend was established. The detection of anti-NS4AB can be helpful in assessing the duration of chronic hepatitis C.

慢性丙型肝炎儿科患者的丙型肝炎病毒特异性标记物。
研究背景该研究旨在调查慢性感染儿童的丙型肝炎病毒(HCV)特异性标记物。主要目的是探索标记物的变异模式。方法:使用市售检测方法或实验性 ELISA 检测 HCV RNA、核心抗原、抗 HCV IgM 和单个病毒蛋白抗体。通过测序对 RNA 进行基因分型和重组:结果:所有儿童(n=100)的血清样本中都检测到了 HCV RNA 和核心抗原。与核心蛋白和 NS3 蛋白抗体相比,抗 HCV IgM、抗 NS4AB IgG 和抗 NS5A IgG 的检出率较低。为了弄清这一发现的原因,所有受试者按肝炎持续时间的不同被分为四组。只有抗 NS4AB 的检测取决于感染持续时间。有一种趋势是,肝炎持续时间越长,抗 HCV IgM 的检出率越高。HCV RNA 负荷和 NS4A/NS4B 氨基酸置换对抗 NS4AB IgG 的检测没有明显影响。在 2000 年后感染的儿童中,HCV 基因型 3 的病例有所增加。最早由HCV基因型间重组RF1_2k/1b引起的感染病例是在1997年一名垂直感染的儿童身上发现的:结论:在 1997-2015 年感染的儿童中,HCV 基因型和亚型是可变的病毒特异性标记。在此期间,儿童的主要 HCV 亚型和重组 RF1_2k/1b 的出现呈变化趋势。在体液标记物中,抗 NS4AB 的显现取决于慢性丙型肝炎的持续时间,而抗 HCV IgM 的显现仅有一种趋势。抗 NS4AB 的检测有助于评估慢性丙型肝炎的病程。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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