Prevalence of parvovirus B19 in liver tissue: no association with fulminant hepatitis or hepatitis-associated aplastic anemia

J Infect Dis. 2003 May 15;187(10):1581-6. doi: 10.1086/374781. Epub 2003 Apr 23.

Abstract

Parvovirus B19 has been proposed as the etiological agent of fulminant hepatitis (FH) or hepatitis-associated aplastic anemia (HAA). We studied the prevalence of parvovirus B19 in liver-tissue samples from patients with FH and HAA and from control subjects. In the first study, parvovirus B19 DNA was detected by nested polymerase chain reaction (PCR) in 4 of 15 livers from patients with FH and in 3 of 22 livers from patients with nonviral hepatic disease. In a second confirmatory study, livers were tested for parvovirus B19 and its variant erythroviruses, V9 and A6. Tissues were also tested by reverse-transcriptase PCR for the presence of parvovirus B19 transcripts as a marker of viral replication. There was no significant difference in the prevalence of parvovirus B19 DNA in livers from patients with FH or HAA, compared with liver-tissue samples from patients with hepatitis B virus (HBV) or hepatitis C virus (HCV) infection; parvovirus B19 transcripts were not detected. There was a significant increase (P<.1) in the prevalence of variant erythrovirus sequences in livers of patients with HBV or HCV hepatitis, the reason for which is currently unknown.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Anemia, Aplastic / complications
  • Anemia, Aplastic / virology*
  • Base Sequence
  • DNA, Viral / genetics
  • Hepatitis, Viral, Human / complications
  • Hepatitis, Viral, Human / virology*
  • Humans
  • Liver / virology*
  • Molecular Sequence Data
  • Parvoviridae Infections / complications*
  • Parvoviridae Infections / virology
  • Parvovirus B19, Human / genetics
  • Parvovirus B19, Human / isolation & purification*
  • Phylogeny
  • Sequence Alignment

Substances

  • DNA, Viral