Skip to main content
Erschienen in: Archives of Virology 1/2017

24.09.2016 | Original Article

Seronegative and occult hepatitis C virus infections in patients with hematological disorders

verfasst von: Ghada Fahmy Helaly, Amel Gaber Elsheredy, Adel Abd El Basset Mousa, Hayat Khalifa Fadlalla Ahmed, Abd El-Gaffar Sabry Oluyemi

Erschienen in: Archives of Virology | Ausgabe 1/2017

Einloggen, um Zugang zu erhalten

Abstract

Studies of the association between seronegative or occult (OCI) hepatitis C virus (HCV) infection, and hematological disorders have yielded controversial results. The aim of this study was to investigate seronegative and OCI HCV infections in among patients with different hematological disorders. This study included 90 anti-HCV-negative patients with either benign or malignant hematological disorders (group I), along with 20 age- and sex-matched apparently healthy subjects, who served as controls (group II). We tested for HCV RNA in sera and PBMCs by RT-nested PCR and for liver enzyme activity. Seronegativity and OCI were detected in 66.7 % and 20 % respectively, of the studied cases (group I). OCI was more evident in Hodgkin lymphoma and thalassemia. A significant increase in AST activity was observed in the seronegative and OCI groups and in ALT and AST in HCV-seronegative or OCI and negative HCV patients (p ≤ 0.05). Seronegativity and OCI are a significant clinical problem in patients with hematological disorders, warranting wider use of molecular tests combined with periodic evaluations of liver functions for diagnostic purposes.
Literatur
1.
Zurück zum Zitat Sievert W, Altraif I, Razavi HA, Abdo A, Ahmed EA, Alomair A, Amarapurkar D, Chen CH, Dou X, El Khayat H, Elshazly M, Esmat G, Guan R, Han KH, Koike K, Largen A, McCaughan G, Mogawer S, Monis A, Nawaz A, Piratvisuth T, Sanai FM, Sharara AI, Sibbel S, Sood A, Suh DJ, Wallace C, Young K, Negro F (2011) A systematic review of hepatitis C virus epidemiology in Asia, Australia and Egypt. Liver Int 31(Suppl 2):61–80CrossRefPubMed Sievert W, Altraif I, Razavi HA, Abdo A, Ahmed EA, Alomair A, Amarapurkar D, Chen CH, Dou X, El Khayat H, Elshazly M, Esmat G, Guan R, Han KH, Koike K, Largen A, McCaughan G, Mogawer S, Monis A, Nawaz A, Piratvisuth T, Sanai FM, Sharara AI, Sibbel S, Sood A, Suh DJ, Wallace C, Young K, Negro F (2011) A systematic review of hepatitis C virus epidemiology in Asia, Australia and Egypt. Liver Int 31(Suppl 2):61–80CrossRefPubMed
2.
Zurück zum Zitat Carreno V, Bartolome J, Castillo I, Quiroga JA (2012) New perspectives in occult hepatitis C virus infection. World J Gastroenterol 18:2887–2894CrossRefPubMedPubMedCentral Carreno V, Bartolome J, Castillo I, Quiroga JA (2012) New perspectives in occult hepatitis C virus infection. World J Gastroenterol 18:2887–2894CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Shepard CW, Finelli L, Alter MJ (2005) Global epidemiology of hepatitis C virus infection. Lancet Infect Dis 5:558–567CrossRefPubMed Shepard CW, Finelli L, Alter MJ (2005) Global epidemiology of hepatitis C virus infection. Lancet Infect Dis 5:558–567CrossRefPubMed
5.
Zurück zum Zitat Kaźmierczak J, Pawełczyk A, Cortes KC, Radkowski M (2014) Seronegative hepatitis C virus infection. Arch Immunol Ther Exp 62:145–151CrossRef Kaźmierczak J, Pawełczyk A, Cortes KC, Radkowski M (2014) Seronegative hepatitis C virus infection. Arch Immunol Ther Exp 62:145–151CrossRef
6.
Zurück zum Zitat Stramer SL, Glynn SA, Kleinman SH, Strong DM, Caglioti S, Wright DJ, Dodd RY, Busch MP, National Heart, Lung, and Blood Institute Nucleic Acid Test Study Group (2004) Detection of HIV-1 and HCV infections among antibody-negative blood donors by nucleic acid-amplification testing. N Engl J Med. 351:760–768CrossRefPubMed Stramer SL, Glynn SA, Kleinman SH, Strong DM, Caglioti S, Wright DJ, Dodd RY, Busch MP, National Heart, Lung, and Blood Institute Nucleic Acid Test Study Group (2004) Detection of HIV-1 and HCV infections among antibody-negative blood donors by nucleic acid-amplification testing. N Engl J Med. 351:760–768CrossRefPubMed
7.
Zurück zum Zitat Tugwell BD, Patel PR, Williams IT, Hedberg K, Chai F, Nainan OV, Thomas AR, Woll JE, Bell BP, Cieslak PR (2005) Transmission of hepatitis C virus to several organ and tissue recipients from an antibody-negative donor. Ann Intern Med 143:648–654CrossRefPubMed Tugwell BD, Patel PR, Williams IT, Hedberg K, Chai F, Nainan OV, Thomas AR, Woll JE, Bell BP, Cieslak PR (2005) Transmission of hepatitis C virus to several organ and tissue recipients from an antibody-negative donor. Ann Intern Med 143:648–654CrossRefPubMed
8.
Zurück zum Zitat Thomson EC, Nastouli E, Main J, Karayiannis P, Eliahoo J, Muir D, McClure MO (2009) Delayed anti-HCV antibody response in HIV-positive men acutely infected with HCV. Aids 23:89–93CrossRefPubMedPubMedCentral Thomson EC, Nastouli E, Main J, Karayiannis P, Eliahoo J, Muir D, McClure MO (2009) Delayed anti-HCV antibody response in HIV-positive men acutely infected with HCV. Aids 23:89–93CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Castillo I, Rodriguez-Inigo E, Bartolome J, de Lucas S, Ortiz-Movilla N, Lopez-Alcorocho JM, Pardo M, Carreno V (2005) Hepatitis C virus replicates in peripheral blood mononuclear cells of patients with occult hepatitis C virus infection. Gut 54:682–685CrossRefPubMedPubMedCentral Castillo I, Rodriguez-Inigo E, Bartolome J, de Lucas S, Ortiz-Movilla N, Lopez-Alcorocho JM, Pardo M, Carreno V (2005) Hepatitis C virus replicates in peripheral blood mononuclear cells of patients with occult hepatitis C virus infection. Gut 54:682–685CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Castillo I, Rodrıguez-Inigo E, Lopez-Alcorocho JM, Pardo M, Bartolome J, Carreno V (2006) Hepatitis C virus replicates in the liver of patients who have a sustained response to antiviral treatment. Clin Infect Dis 43:1277–1283CrossRefPubMed Castillo I, Rodrıguez-Inigo E, Lopez-Alcorocho JM, Pardo M, Bartolome J, Carreno V (2006) Hepatitis C virus replicates in the liver of patients who have a sustained response to antiviral treatment. Clin Infect Dis 43:1277–1283CrossRefPubMed
11.
Zurück zum Zitat Radkowski M, Horban A, Gallegos-Orozco JF, Pawelczyk A, Jablonska J, Wilkinson J, Adair D, Laskus T (2005) Evidence for viral persistence in patients who test positive for anti-hepatitis C virus antibodies and have normal alanine aminotransferase levels. J Infect Dis 191:1730–1733CrossRefPubMed Radkowski M, Horban A, Gallegos-Orozco JF, Pawelczyk A, Jablonska J, Wilkinson J, Adair D, Laskus T (2005) Evidence for viral persistence in patients who test positive for anti-hepatitis C virus antibodies and have normal alanine aminotransferase levels. J Infect Dis 191:1730–1733CrossRefPubMed
12.
Zurück zum Zitat Carreño V, Bartolomé J, Castillo I, Quiroga JA (2008) Occult hepatitis B virus and hepatitis C virus infections. Rev Med Virol 18:139–157CrossRefPubMed Carreño V, Bartolomé J, Castillo I, Quiroga JA (2008) Occult hepatitis B virus and hepatitis C virus infections. Rev Med Virol 18:139–157CrossRefPubMed
13.
Zurück zum Zitat Castillo I, Bartolomé J, Quiroga JA, Barril G, Carreño V (2010) Diagnosis of occult hepatitis C without the need for a liver biopsy. J Med Virol 82:1554–1559CrossRefPubMed Castillo I, Bartolomé J, Quiroga JA, Barril G, Carreño V (2010) Diagnosis of occult hepatitis C without the need for a liver biopsy. J Med Virol 82:1554–1559CrossRefPubMed
14.
Zurück zum Zitat Kisiel E, Radkowski M, Pawelczyk A, Horban A, Stanczak J, Bukowska-Ośko I, Caraballo Cortes K, Kaźmierczak J, Popiel M, Laskus T (2014) Seronegative hepatitis C virus infection in patients with lymphoproliferative disorders. J Viral Hepat. 21:424–429CrossRefPubMed Kisiel E, Radkowski M, Pawelczyk A, Horban A, Stanczak J, Bukowska-Ośko I, Caraballo Cortes K, Kaźmierczak J, Popiel M, Laskus T (2014) Seronegative hepatitis C virus infection in patients with lymphoproliferative disorders. J Viral Hepat. 21:424–429CrossRefPubMed
15.
Zurück zum Zitat Farahani M, Bokharaei-Salim F, Ghane M, Basi A, Meysami P, Keyvani H (2013) Prevalence of occult hepatitis C virus infection in Iranian patients with lymphoproliferative disorders. J Med Virol. 85:235–240CrossRefPubMed Farahani M, Bokharaei-Salim F, Ghane M, Basi A, Meysami P, Keyvani H (2013) Prevalence of occult hepatitis C virus infection in Iranian patients with lymphoproliferative disorders. J Med Virol. 85:235–240CrossRefPubMed
16.
Zurück zum Zitat Pawełczyk A, Polańska M, Kisiel E, Chmielewski M, Bukowska I, Fic M, Radkowski M (2009) Replication of HCV in bone marrow of patients with haematological disorders. Przegl Epidemiol 63:29–33PubMed Pawełczyk A, Polańska M, Kisiel E, Chmielewski M, Bukowska I, Fic M, Radkowski M (2009) Replication of HCV in bone marrow of patients with haematological disorders. Przegl Epidemiol 63:29–33PubMed
17.
Zurück zum Zitat Bastani MN, Bokharaei-Salim F, Keyvani H, Esghaei M, Monavari SH, Ebrahimi M, Garshasebi S, Fakhim S (2016) Prevalence of occult hepatitis C virus infection in Iranian patients with beta thalassemia major. Arch Virol 161:1899–1906CrossRefPubMed Bastani MN, Bokharaei-Salim F, Keyvani H, Esghaei M, Monavari SH, Ebrahimi M, Garshasebi S, Fakhim S (2016) Prevalence of occult hepatitis C virus infection in Iranian patients with beta thalassemia major. Arch Virol 161:1899–1906CrossRefPubMed
18.
Zurück zum Zitat Mizutani T, Kato N, Saito S, Ikeda M, Sugiyama K, Shimotohno K (1996) Characterization of hepatitis C virus replication in cloned cells obtained from a human T-cell leukemia virus type 1-infected cell line, MT-2. J Virol 70:7219–7223PubMedPubMedCentral Mizutani T, Kato N, Saito S, Ikeda M, Sugiyama K, Shimotohno K (1996) Characterization of hepatitis C virus replication in cloned cells obtained from a human T-cell leukemia virus type 1-infected cell line, MT-2. J Virol 70:7219–7223PubMedPubMedCentral
19.
Zurück zum Zitat Quiroga JA, Castillo I, Pardo M, Rodriguez-Inigo E, Carreno V (2006) Combined hepatitis C virus (HCV) antigen-antibody detection assay does not improve diagnosis for seronegative individuals with occult HCV infection. J Clin Microbiol 44:4559–4560CrossRefPubMedPubMedCentral Quiroga JA, Castillo I, Pardo M, Rodriguez-Inigo E, Carreno V (2006) Combined hepatitis C virus (HCV) antigen-antibody detection assay does not improve diagnosis for seronegative individuals with occult HCV infection. J Clin Microbiol 44:4559–4560CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Zayed RA, Rushdy E, Saleh DA (2010) Detection of HCV RNA in the peripheral blood mononuclear cells of serum HCV RNA-negative Egyptian patients under interferon treatment. Am J Med Sci 340:435–438CrossRefPubMed Zayed RA, Rushdy E, Saleh DA (2010) Detection of HCV RNA in the peripheral blood mononuclear cells of serum HCV RNA-negative Egyptian patients under interferon treatment. Am J Med Sci 340:435–438CrossRefPubMed
22.
Zurück zum Zitat Post JJ, Pan Y, Freeman AJ, Harvey CE, White PA, Palladinetti P, Haber PS, Marinos G, Levy MH, Kaldor JM, Dolan KA, Ffrench RA, Lloyd AR, Rawlinson WD, Hepatitis C Incidence and Transmission in Prisons Study (HITS) Group (2004) Clearance of hepatitis C viremia associated with cellular immunity in the absence of seroconversion in the hepatitis C incidence and transmission in prisons study cohort. J Infect Dis 189:1846–1855CrossRefPubMed Post JJ, Pan Y, Freeman AJ, Harvey CE, White PA, Palladinetti P, Haber PS, Marinos G, Levy MH, Kaldor JM, Dolan KA, Ffrench RA, Lloyd AR, Rawlinson WD, Hepatitis C Incidence and Transmission in Prisons Study (HITS) Group (2004) Clearance of hepatitis C viremia associated with cellular immunity in the absence of seroconversion in the hepatitis C incidence and transmission in prisons study cohort. J Infect Dis 189:1846–1855CrossRefPubMed
23.
Zurück zum Zitat Larouche A, Gaetan G, El-Bilali N, Quesnel-Vallieres M, Martin SR, Alvarez F, Shoukry NH, Soudeyns H (2012) Seronegative hepatitis C virus infection in a child infected via mother-to-child transmission. J Clin Microbiol 50:2515–2519CrossRefPubMedPubMedCentral Larouche A, Gaetan G, El-Bilali N, Quesnel-Vallieres M, Martin SR, Alvarez F, Shoukry NH, Soudeyns H (2012) Seronegative hepatitis C virus infection in a child infected via mother-to-child transmission. J Clin Microbiol 50:2515–2519CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Alnaqy A, Al-Harthy S, Kaminski G, Al-Dhahry S (2006) Detection of serum antibodies to hepatitis C virus in ‘false-seronegative’ blood donors in Oman. Med Princ Pract 15:111–113CrossRefPubMed Alnaqy A, Al-Harthy S, Kaminski G, Al-Dhahry S (2006) Detection of serum antibodies to hepatitis C virus in ‘false-seronegative’ blood donors in Oman. Med Princ Pract 15:111–113CrossRefPubMed
25.
26.
Zurück zum Zitat Bokharaei-Salim F, Keyvani H, Monavari SH, Alavian SM, Madjd Z, Toosi MN, Mohammad Alizadeh AH (2011) Occult hepatitis C virus infection in Iranian patients with cryptogenic liver disease. J Med Virol 83:989–995CrossRefPubMed Bokharaei-Salim F, Keyvani H, Monavari SH, Alavian SM, Madjd Z, Toosi MN, Mohammad Alizadeh AH (2011) Occult hepatitis C virus infection in Iranian patients with cryptogenic liver disease. J Med Virol 83:989–995CrossRefPubMed
27.
Zurück zum Zitat Coppola N, Pisaturo M, Guastafierro S, Tonziello G, Sica A, Iodice V, Sagnelli C, Ferrara MG, Sagnelli E (2012) Increased hepatitis C viral load and reactivation of liver disease in HCV RNA-positive patients with onco-haematological disease undergoing chemotherapy. Dig Liver Dis 44:49–54CrossRefPubMed Coppola N, Pisaturo M, Guastafierro S, Tonziello G, Sica A, Iodice V, Sagnelli C, Ferrara MG, Sagnelli E (2012) Increased hepatitis C viral load and reactivation of liver disease in HCV RNA-positive patients with onco-haematological disease undergoing chemotherapy. Dig Liver Dis 44:49–54CrossRefPubMed
28.
Zurück zum Zitat Sagnelli E, Pisaturo M, Sagnelli C, Coppola N (2012) Rituximab-based treatment, HCV replication and hepatic flares. Clin Dev Immunol 2012 (article ID 945950). doi:10.1155/2012/945950 Sagnelli E, Pisaturo M, Sagnelli C, Coppola N (2012) Rituximab-based treatment, HCV replication and hepatic flares. Clin Dev Immunol 2012 (article ID 945950). doi:10.​1155/​2012/​945950
29.
Zurück zum Zitat Pisaturo M, Guastafierro S, Filippini P, Tonziello G, Sica A, Di Martino F, Sagnelli C, Ferrara MG, Martini S, Cozzolino D, Sagnelli E, Coppola N (2013) Absence of occult HCV infection in patients experiencing an immunodepression condition. Infez Med 21:296–301PubMed Pisaturo M, Guastafierro S, Filippini P, Tonziello G, Sica A, Di Martino F, Sagnelli C, Ferrara MG, Martini S, Cozzolino D, Sagnelli E, Coppola N (2013) Absence of occult HCV infection in patients experiencing an immunodepression condition. Infez Med 21:296–301PubMed
30.
Zurück zum Zitat Merat S, Rezvan H, Nouraie M, Jafari E, Abolghasemi H, Radmard AR, Zaer-rezaii H, Amini-Kafiabad S, Maghsudlu M, Pourshams A, Malekzadeh R, Esmaili S (2010) Seroprevalence of hepatitis C virus: the first population-based study from Iran. Int J Infect Dis 14(Suppl 3):e113–e116CrossRefPubMed Merat S, Rezvan H, Nouraie M, Jafari E, Abolghasemi H, Radmard AR, Zaer-rezaii H, Amini-Kafiabad S, Maghsudlu M, Pourshams A, Malekzadeh R, Esmaili S (2010) Seroprevalence of hepatitis C virus: the first population-based study from Iran. Int J Infect Dis 14(Suppl 3):e113–e116CrossRefPubMed
31.
Zurück zum Zitat Shaker O, Ahmed A, Abdel Satar I, El Ahl H, Shousha W, Doss W (2012) Occult hepatitis B in Egyptian thalassemic children. J Infect Dev Ctries 6:340–346CrossRefPubMed Shaker O, Ahmed A, Abdel Satar I, El Ahl H, Shousha W, Doss W (2012) Occult hepatitis B in Egyptian thalassemic children. J Infect Dev Ctries 6:340–346CrossRefPubMed
32.
33.
Zurück zum Zitat Mansour AK, Zaki MES (2014) Non Hodgkin lymphoma and hepatitis C virus in Egyptian children: one centre study. J Hematol Res 1:69–74CrossRef Mansour AK, Zaki MES (2014) Non Hodgkin lymphoma and hepatitis C virus in Egyptian children: one centre study. J Hematol Res 1:69–74CrossRef
35.
Zurück zum Zitat Esaki T, Suzuki N, Yokoyama K, Iwata K, Irie M, Anan A, Nakane H, Yoshikane M, Nishizawa S, Ueda S, Sohda T, Watanabe H, Sakisaka S (2004) Hepatocellular carcinoma in a patient with liver cirrhosis associated with negative serum HCV tests but positive liver tissue HCV RNA. Intern Med 43:279–282CrossRefPubMed Esaki T, Suzuki N, Yokoyama K, Iwata K, Irie M, Anan A, Nakane H, Yoshikane M, Nishizawa S, Ueda S, Sohda T, Watanabe H, Sakisaka S (2004) Hepatocellular carcinoma in a patient with liver cirrhosis associated with negative serum HCV tests but positive liver tissue HCV RNA. Intern Med 43:279–282CrossRefPubMed
36.
Zurück zum Zitat Comar M, Dal Molin G, D’Agaro P, Croce SL, Tiribelli C, Campello C (2006) HBV, HCV, and TTV detection by in situ polymerase chain reaction could reveal occult infection in hepatocellular carcinoma: comparison with blood markers. J Clin Pathol 59:526–529CrossRefPubMedPubMedCentral Comar M, Dal Molin G, D’Agaro P, Croce SL, Tiribelli C, Campello C (2006) HBV, HCV, and TTV detection by in situ polymerase chain reaction could reveal occult infection in hepatocellular carcinoma: comparison with blood markers. J Clin Pathol 59:526–529CrossRefPubMedPubMedCentral
37.
Zurück zum Zitat Cortés-Mancera FM, Restrepo JC, Osorio G, Hoyos S, Correa G, Navas MC (2010) Occult hepatitis C virus infection in a re-transplanted patient with liver failure of unknown etiology. Rev Colomb Gastroenterol 25:76–85 Cortés-Mancera FM, Restrepo JC, Osorio G, Hoyos S, Correa G, Navas MC (2010) Occult hepatitis C virus infection in a re-transplanted patient with liver failure of unknown etiology. Rev Colomb Gastroenterol 25:76–85
38.
Zurück zum Zitat Zaghloul H, El-Sherbiny W (2010) Detection of occult hepatitis C and hepatitis B virus infections from peripheral blood mononuclear cells. Immunol Invest 39:284–291CrossRefPubMed Zaghloul H, El-Sherbiny W (2010) Detection of occult hepatitis C and hepatitis B virus infections from peripheral blood mononuclear cells. Immunol Invest 39:284–291CrossRefPubMed
39.
Zurück zum Zitat Idrees M, Lal A, Malik FA, Hussain A, Rehman I, Akbar H, Butt S, Ali M, Ali L, Malik FA (2011) Occult hepatitis C virus infection and associated predictive factors: the Pakistan experience. Infect Genet Evol 11:442–445CrossRefPubMed Idrees M, Lal A, Malik FA, Hussain A, Rehman I, Akbar H, Butt S, Ali M, Ali L, Malik FA (2011) Occult hepatitis C virus infection and associated predictive factors: the Pakistan experience. Infect Genet Evol 11:442–445CrossRefPubMed
Metadaten
Titel
Seronegative and occult hepatitis C virus infections in patients with hematological disorders
verfasst von
Ghada Fahmy Helaly
Amel Gaber Elsheredy
Adel Abd El Basset Mousa
Hayat Khalifa Fadlalla Ahmed
Abd El-Gaffar Sabry Oluyemi
Publikationsdatum
24.09.2016
Verlag
Springer Vienna
Erschienen in
Archives of Virology / Ausgabe 1/2017
Print ISSN: 0304-8608
Elektronische ISSN: 1432-8798
DOI
https://doi.org/10.1007/s00705-016-3049-7

Weitere Artikel der Ausgabe 1/2017

Archives of Virology 1/2017 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.