WorldWideScience

Sample records for ctm48 hcv asr

  1. HCV

    Science.gov (United States)

    2011-01-01

    An inspection of the sequence similarity between the hepatitis C virus (HCV) polyprotein and human proteins revealed a high level of peptide sharing, with a limited number of motifs unique to the virus (i.e., with no counterpart in the human proteome). Using pentapeptide matching, only 214 motifs out of a total of 3,007 (7.11%) identified HCV as nonself compared to the Homo sapiens proteome. However, this virus-versus-human phenetic difference disappeared at the genetic level. Indeed, a BLAST analysis of pentadecameric oligodeoxynucleotide sequences corresponding to the 214 pentapeptides unique to HCV revealed that almost all of them are present in the human genome, located in the non-coding strand, introns, and/or pseudogenes, thus being, as such, untranslatable. The present data warn against using DNA-based vaccines to fight HCV infection and emphasize peptide uniqueness as the molecular basis for designing effective anti-HCV immunotherapeutic approaches. PMID:22299062

  2. Efficient data selection for ASR

    CSIR Research Space (South Africa)

    Kleynhans, NT

    2014-10-01

    Full Text Available Automatic speech recognition (ASR) technology has matured over the past few decades and has made significant impacts in a variety of fields, from assistive technologies to commercial products. However, ASR system development is a resource intensive...

  3. Severe ASR damaged concrete bridges

    DEFF Research Database (Denmark)

    Antonio Barbosa, Ricardo; Gustenhoff Hansen, Søren

    2015-01-01

    Technical University of Denmark (DTU) and University of Southern Denmark (SDU) have conducted several full-scale experiments with severe ASR deteriorated bridges. This paper presents few and preliminary results from both the shear tests and the measuring of the material properties. The shear test...... show that the shear capacity is almost unaffected of ASR despite significant reduction in compressive concrete strength. Furthermore, measurements show a significant tensile reinforcement strain developed due to ASR expansion....

  4. ASR and RE

    DEFF Research Database (Denmark)

    Jensen, Tim

    2016-01-01

    As a university discipline, the academic study of religions (ASR) has produced a critical approach to the study of religion which is (or ought be), I think, of fundamental importance for a modern secular and enlightened democratic state. However, the ”study-of-religions” approach has percolated......-confessional approaches, inculcation of moral values (not least those claimed to be Christian) and the promoting of religion as a resource for a more ”spiritual” approach to life. While these goals may be in line with the traditional use of the public school as the key instrument of the (nation-) state to try to confer...

  5. ASR and RE

    DEFF Research Database (Denmark)

    Jensen, Tim

    2016-01-01

    As a university discipline, the academic study of religions (ASR) has produced a critical approach to the study of religion which is (or ought be), I think, of fundamental importance for a modern secular and enlightened democratic state. However, the ”study-of-religions” approach has percolated...... with limited success into society at large as well as into the primary and secondary educational systems of Western democracies. Too often so-called religious education (RE) really is religious or confessional, and even so-called non-confessional RE is, mostly if not always, mixed with crypto......-confessional approaches, inculcation of moral values (not least those claimed to be Christian) and the promoting of religion as a resource for a more ”spiritual” approach to life. While these goals may be in line with the traditional use of the public school as the key instrument of the (nation-) state to try to confer...

  6. Experience of ASR in the Netherlands

    NARCIS (Netherlands)

    Nijland, T.G.; Larbi, J.A.; Siemes, A.J.M.

    2003-01-01

    An overview is given of experience of alkali-silica reaction, ASR, in the Netherlands, reflecting on concrete mixes and aggregates involved, and the assessment of ASR affected structures. Recently published guidelines to prevent concrete damage due to ASR are introduced. These rely on limiting the e

  7. Tomato ABSCISIC ACID STRESS RIPENING (ASR) gene family revisited.

    Science.gov (United States)

    Golan, Ido; Dominguez, Pia Guadalupe; Konrad, Zvia; Shkolnik-Inbar, Doron; Carrari, Fernando; Bar-Zvi, Dudy

    2014-01-01

    Tomato ABSCISIC ACID RIPENING 1 (ASR1) was the first cloned plant ASR gene. ASR orthologs were then cloned from a large number of monocot, dicot and gymnosperm plants, where they are mostly involved in response to abiotic (drought and salinity) stress and fruit ripening. The tomato genome encodes five ASR genes: ASR1, 2, 3 and 5 encode low-molecular-weight proteins (ca. 110 amino acid residues each), whereas ASR4 encodes a 297-residue polypeptide. Information on the expression of the tomato ASR gene family is scarce. We used quantitative RT-PCR to assay the expression of this gene family in plant development and in response to salt and osmotic stresses. ASR1 and ASR4 were the main expressed genes in all tested organs and conditions, whereas ASR2 and ASR3/5 expression was two to three orders of magnitude lower (with the exception of cotyledons). ASR1 is expressed in all plant tissues tested whereas ASR4 expression is limited to photosynthetic organs and stamens. Essentially, ASR1 accounted for most of ASR gene expression in roots, stems and fruits at all developmental stages, whereas ASR4 was the major gene expressed in cotyledons and young and fully developed leaves. Both ASR1 and ASR4 were expressed in flower organs, with ASR1 expression dominating in stamens and pistils, ASR4 in sepals and petals. Steady-state levels of ASR1 and ASR4 were upregulated in plant vegetative organs following exposure to salt stress, osmotic stress or the plant abiotic stress hormone abscisic acid (ABA). Tomato plants overexpressing ASR1 displayed enhanced survival rates under conditions of water stress, whereas ASR1-antisense plants displayed marginal hypersensitivity to water withholding.

  8. Tomato ABSCISIC ACID STRESS RIPENING (ASR gene family revisited.

    Directory of Open Access Journals (Sweden)

    Ido Golan

    Full Text Available Tomato ABSCISIC ACID RIPENING 1 (ASR1 was the first cloned plant ASR gene. ASR orthologs were then cloned from a large number of monocot, dicot and gymnosperm plants, where they are mostly involved in response to abiotic (drought and salinity stress and fruit ripening. The tomato genome encodes five ASR genes: ASR1, 2, 3 and 5 encode low-molecular-weight proteins (ca. 110 amino acid residues each, whereas ASR4 encodes a 297-residue polypeptide. Information on the expression of the tomato ASR gene family is scarce. We used quantitative RT-PCR to assay the expression of this gene family in plant development and in response to salt and osmotic stresses. ASR1 and ASR4 were the main expressed genes in all tested organs and conditions, whereas ASR2 and ASR3/5 expression was two to three orders of magnitude lower (with the exception of cotyledons. ASR1 is expressed in all plant tissues tested whereas ASR4 expression is limited to photosynthetic organs and stamens. Essentially, ASR1 accounted for most of ASR gene expression in roots, stems and fruits at all developmental stages, whereas ASR4 was the major gene expressed in cotyledons and young and fully developed leaves. Both ASR1 and ASR4 were expressed in flower organs, with ASR1 expression dominating in stamens and pistils, ASR4 in sepals and petals. Steady-state levels of ASR1 and ASR4 were upregulated in plant vegetative organs following exposure to salt stress, osmotic stress or the plant abiotic stress hormone abscisic acid (ABA. Tomato plants overexpressing ASR1 displayed enhanced survival rates under conditions of water stress, whereas ASR1-antisense plants displayed marginal hypersensitivity to water withholding.

  9. Acoustic modelling of Sepedi affricates for ASR

    CSIR Research Space (South Africa)

    Modipa, T

    2010-10-01

    Full Text Available Automatic speech recognition (ASR) systems are increasingly being developed for under-resourced languages, especially for use in multilingual spoken dialogue systems. We investigate different approaches to the acoustic modelling of Sepedi affricates...

  10. Gender Effect Canonicalization for Bangla ASR

    Directory of Open Access Journals (Sweden)

    B.K.M. Mizanur Rahman

    2012-12-01

    Full Text Available This paper presents a Bangla (widely used as Bengali automatic speech recognition system (ASR by suppressing gender effects. Gender characteristic plays an important role on the performance of ASR. If there is a suppression process that represses the decrease of differences in acoustic-likelihood among categories resulted from gender factors, a robust ASR system can be realized. In the proposed method, we have designed a new ASR incorporating the Local Features (LFs instead of standard mel frequency cepstral coefficients (MFCCs as an acoustic feature for Bangla by suppressing the gender effects, which embeds three HMM-based classifiers for corresponding male, female and geneder-independent (GI characteristics. In the experiments on Bangla speech database prepared by us, the proposed system has achieved a significant improvement of word correct rates (WCRs, word accuracies (WAs and sentence correct rates (SCRs in comparison with the method that incorporates Standard MFCCs.

  11. On the ASR and ASR thermal residues characterization of full scale treatment plant.

    Science.gov (United States)

    Mancini, G; Viotti, P; Luciano, A; Fino, D

    2014-02-01

    In order to obtain 85% recycling, several procedures on Automotive Shredder Residue (ASR) could be implemented, such as advanced metal and polymer recovery, mechanical recycling, pyrolysis, the direct use of ASR in the cement industry, and/or the direct use of ASR as a secondary raw material. However, many of these recovery options appear to be limited, due to the possible low acceptability of ASR based products on the market. The recovery of bottom ash and slag after an ASR thermal treatment is an option that is not usually considered in most countries (e.g. Italy) due to the excessive amount of contaminants, especially metals. The purpose of this paper is to provide information on the characteristics of ASR and its full-scale incineration residues. Experiments have been carried out, in two different experimental campaigns, in a full-scale tyre incineration plant specifically modified to treat ASR waste. Detailed analysis of ASR samples and combustion residues were carried out and compared with literature data. On the basis of the analytical results, the slag and bottom ash from the combustion process have been classified as non-hazardous wastes, according to the EU waste acceptance criteria (WAC), and therefore after further tests could be used in future in the construction industry. It has also been concluded that ASR bottom ash (EWC - European Waste Catalogue - code 19 01 12) could be landfilled in SNRHW (stabilized non-reactive hazardous waste) cells or used as raw material for road construction, with or without further treatment for the removal of heavy metals. In the case of fly ash from boiler or Air Pollution Control (APC) residues, it has been found that the Cd, Pb and Zn concentrations exceeded regulatory leaching test limits therefore their removal, or a stabilization process, would be essential prior to landfilling the use of these residues as construction material.

  12. ASR performance analysis of an experimental call routing system

    CSIR Research Space (South Africa)

    Modipa, T

    2009-11-01

    Full Text Available Call routing is an important application of Automatic Speech Recognition (ASR) technology. In this paper the authors discuss the main issues affecting the performance of a call routing system and describe the ASR component of the "Auto...

  13. Cross-bandwidth adaptation for ASR systems

    CSIR Research Space (South Africa)

    Kleynhans, N

    2013-12-01

    Full Text Available not be feasible for resource-scarce environments. Utilising limited amounts of in-domain data and a combination of feature normalisation and acoustic model adaptation techniques has therefore found wide use in ASR systems. Various approaches have been proposed...

  14. Local Feature based Gender Independent Bangla ASR

    Directory of Open Access Journals (Sweden)

    Bulbul Ahamed

    2012-11-01

    Full Text Available This paper presents an automatic speech recognition (ASR for Bangla (widely used as Bengali by suppressing the speaker gender types based on local features extracted from an input speech. Speaker-specific characteristics play an important role on the performance of Bangla automatic speech recognition (ASR. Gender factor shows adverse effect in the classifier while recognizing a speech by an opposite gender, such as, training a classifier by male but testing is done by female or vice-versa. To obtain a robust ASR system in practice it is necessary to invent a system that incorporates gender independent effect for particular gender. In this paper, we have proposed a Gender-Independent technique for ASR that focused on a gender factor. The proposed method trains the classifier with the both types of gender, male and female, and evaluates the classifier for the male and female. For the experiments, we have designed a medium size Bangla (widely known as Bengali speech corpus for both the male and female.The proposed system has showed a significant improvement of word correct rates, word accuracies and sentence correct rates in comparison with the method that suffers from gender effects using. Moreover, it provides the highest level recognition performance by taking a fewer mixture component in hidden Markov model (HMMs.

  15. 速腾车ASR/ESP指示灯常亮%Sagitar sedan ASR/ESP Lamp always working

    Institute of Scientific and Technical Information of China (English)

    张志勇

    2007-01-01

    @@ 一辆一汽大众速腾轿车,出现ASR/ESP(加速防滑装置/电子稳定控制程序)指示灯常亮的现象. 该车的变速杆前方装有ASR/ESP按钮开关,用以关闭或启用ASR/ESP系统,在正常情况下,当关闭ASR/ESP系统的工作时,ASR/ESP指示灯点亮,反之就熄灭.反复接通、断开ASR/ESP按钮开关,ASR/ESP指示灯均不熄灭,说明ASR/ESP ECU内储存故障代码.

  16. Extrahepatic manifestations of HCV.

    Science.gov (United States)

    Grignoli, R; Goossens, N; Negro, F

    2015-03-01

    The hepatic consequences of an infection with the hepatitis C virus (HCV) are well recognised, but extrahepatic manifestations of HCV may be just as severe. Here we have reviewed various extrahepatic manifestations of HCV such as mixed cryoglobulinemia, lymphoma, metabolic features and neurologic consequences and we discuss pathogenesis and management of these clinical problems. We concluded with important aspects of therapy with novel anti-HCV agents and its effects on extrahepatic manifestations.

  17. Tomato ABSCISIC ACID STRESS RIPENING (ASR) Gene Family Revisited: e107117

    National Research Council Canada - National Science Library

    Ido Golan; Pia Guadalupe Dominguez; Zvia Konrad; Doron Shkolnik-Inbar; Fernando Carrari; Dudy Bar-Zvi

    2014-01-01

      Tomato ABSCISIC ACID RIPENING 1 (ASR1) was the first cloned plant ASR gene. ASR orthologs were then cloned from a large number of monocot, dicot and gymnosperm plants, where they are mostly involved in response to abiotic...

  18. Tomato leaf spatial expression of stress-induced Asr genes.

    Science.gov (United States)

    Maskin, Laura; Maldonado, Sara; Iusem, Norberto D

    2008-12-01

    Asr1 and Asr2 are water stress-inducible genes belonging to the Asr gene family, which transcriptionally regulate a sugar transporter gene, at least in grape. Using an in situ RNA hybridization methodology, we determined that, in basal conditions, expression of Asr2 in tomato leaves is detected in the phloem tissue, particularly in companion phloem cells. When plants are exposed to water stress, Asr2 expression is contained in companion cells but expands occasionally to mesophyll cells. In contrast, Asr1 transcript localization seems to be sparse in leaf vascular tissue under both non-stress and stress conditions. The occurrence of Asr transcripts precisely in companion cells is in accordance with the cell type specificity reported for hexose-transporter protein molecules in grape encoded by the only Asr-target gene known to date. The results are discussed in light of the reported scarcity of plasmodesmata between companion cells and the rest of leaf tissue in the family Solanaceae.

  19. Early micromovement of the Articular Surface Replacement (ASR) femoral component

    DEFF Research Database (Denmark)

    Penny, J O; Ding, M; Varmarken, J E;

    2012-01-01

    Radiostereometric analysis (RSA) can detect early micromovement in unstable implant designs which are likely subsequently to have a high failure rate. In 2010, the Articular Surface Replacement (ASR) was withdrawn because of a high failure rate. In 19 ASR femoral components, the mean micromovemen...

  20. Correlation Analysis of HCV-RNA,HCV-Ab and HCV-cAg%HCV-RNA与 HCV-Ab,HCV-cAg相关性分析研究

    Institute of Scientific and Technical Information of China (English)

    李娅; 张赟; 皇海; 章迪; 苏明权; 郭旭昌

    2016-01-01

    Objective To investigate the correlation of HCV-RNA with detection indexes HCV-Ab and HCV-cAg in its clini-cal application effect among patients with hepatitis C.Methods HCV-cAg and HCV-Ab in 140 cases of HCV-RNA were detected by enzyme linked immunosorbent assay in cases of PCR,which were detected by real-time fluorescence quantitative PCR.Results 127 cases in 140 cases of HCV-RNA positive serum were HCV-cAg positive,in line with the rate of 90.71%,and the cases of 110 HCV-Ab positive,in line with the rate of 78.57%.The positive detection rate of HCV-cAg with different HCV-RNA concentration was increased with the increase of HCV virus content,and the serum of different HCV-RNA concentration had no significant changes in HCV-Ab detection results.Conclusion The detection results of HCV-cAg had a high coincidence rate with HCV-RNA.Therefore detection of HCV-cAg can be as a complementary detec-tion of HCV-Ab,as the window period of HCV infection and infection in immunocompromised persons screening provides a simple,inexpensive method.At the same time it provides rapid screening for HCV infection provide diagnostic basis for those basic medical units who do not have the conditions for detection of HCV-RNA.%目的:探讨丙型肝炎患者中 HCV-RNA与 HCV-Ab,HCV-cAg三种检测指标的相关性和临床应用效果。方法采用酶联免疫法分别检测实时荧光定量 PCR法检测阳性的140例 HCV患者血清中的 HCV-Ab和 HCV-cAg,以了解检测结果及符合率。结果在140例 HCV-RNA阳性血清中,HCV-cAg 阳性127例,符合率90.71%;HCV-Ab 阳性110例,符合率78.57%;对不同 HCV-RNA浓度的血清进行 HCV-cAg检测结果其阳性检出率随着 HCV病毒含量的升高而增高;不同 HCV-RNA浓度的血清进行 HCV-Ab检测结果无明显变化。结论通过对 HCV-RNA阳性患者中 HCV-Ag和 HCV-Ab的检测观察分析,HCV-cAg检测与 HCV-RNA的检测结果具有较高的符合率。因此 HCV-cAg检测可作为HCV

  1. Analysis of ASR Clogging Investigations at Three Australian ASR Sites in a Bayesian Context

    Directory of Open Access Journals (Sweden)

    Peter Dillon

    2016-10-01

    Full Text Available When evaluating uncertainties in developing an aquifer storage and recovery (ASR system, under normal budgetary constraints, a systematic approach is needed to prioritise investigations. Three case studies where field trials have been undertaken, and clogging evaluated, reveal the changing perceptions of viability of ASR from a clogging perspective as a result of the progress of investigations. Two stormwater and one recycled water ASR investigations in siliceous aquifers are described that involved different strategies to evaluate the potential for clogging. This paper reviews these sites, as well as earlier case studies and information relating water quality, to clogging in column studies. Two novel theoretical concepts are introduced in the paper. Bayesian analysis is applied to demonstrate the increase in expected net benefit in developing a new ASR operation by undertaking clogging experiments (that have an assumed known reliability for predicting viability for the injectant treatment options and aquifer material from the site. Results for an example situation demonstrate benefit cost ratios of experiments ranging from 1.5 to 6 and apply if decisions are based on experimental results whether success or failure are predicted. Additionally, a theoretical assessment of clogging rates characterised as acute and chronic is given, to explore their combined impact, for two operating parameters that define the onset of purging for recovery of reversible clogging and the onset of occasional advanced bore rehabilitation to address recovery of chronic clogging. These allow the assessment of net recharge and the proportion of water purged or redeveloped. Both analyses could inform economic decisions and help motivate an improved investigation methodology. It is expected that aquifer heterogeneity will result in differing injection rates among wells, so operational experience will ultimately be valuable in differentiating clogging behaviour under

  2. Anomaly Detection from ASRS Databases of Textual Reports

    Data.gov (United States)

    National Aeronautics and Space Administration — Our primary goal is to automatically analyze textual reports from the Aviation Safety Reporting System (ASRS) database to detect/discover the anomaly categories...

  3. HCV-Ab、HCV-cAg和HCV-RNA联合检测的临床价值

    Institute of Scientific and Technical Information of China (English)

    顾娟; 孙明忠

    2014-01-01

    目的:评价丙型肝炎病毒抗体(HCV-Ab)、丙型肝炎病毒核心抗原(HCV-cAg)以及HCV-RNA联合检测在HCV诊断中的应用价值。方法采用ELISA法对2023例输血和手术前住院患者的血液标本进行 HCV-Ab和 HCV-cAg的测定,并对阳性标本采用RT-PCR法进行HCV-RNA的测定。结果2023例筛查标本中 HCV-Ab(+)55例,其中 HCV-cAg (+)30例, HCV-RNA(+)40例;1968例HCV-Ab(-)的样本中检出 HCV-cAg(+)9例,其中 HCV-RNA (+)7例,HCV-cAg 与 HCV-RNA 符合率为83.0%(39/47)。结论 HCV-Ab检测结合HCV-cAg或者 HCV-RNA检测可以有效缩短 HCV的窗口期,降低漏检率。对于条件受限的基层医院 HCV-cAg 可以作为HCV-Ab常规检测的补充指标,提高检出率。

  4. Multiscale characterization of a heterogeneous aquifer using an ASR operation.

    Science.gov (United States)

    Pavelic, Paul; Dillon, Peter J; Simmons, Craig T

    2006-01-01

    Heterogeneity in the physical properties of an aquifer can significantly affect the viability of aquifer storage and recovery (ASR) by reducing the recoverable proportion of low-salinity water where the ambient ground water is brackish or saline. This study investigated the relationship between knowledge of heterogeneity and predictions of solute transport and recovery efficiency by combining permeability and ASR-based tracer testing with modeling. Multiscale permeability testing of a sandy limestone aquifer at an ASR trial site showed that small-scale core data give lower-bound estimates of aquifer hydraulic conductivity (K), intermediate-scale downhole flowmeter data offer valuable information on variations in K with depth, and large-scale pumping test data provide an integrated measure of the effective K that is useful to constrain ground water models. Chloride breakthrough and thermal profiling data measured during two cycles of ASR showed that the movement of injected water is predominantly within two stratigraphic layers identified from the flowmeter data. The behavior of the injectant was reasonably well simulated with a four-layer numerical model that required minimal calibration. Verification in the second cycle achieved acceptable results given the model's simplicity. Without accounting for the aquifer's layered structure, high precision could be achieved on either piezometer breakthrough or recovered water quality, but not both. This study demonstrates the merit of an integrated approach to characterizing aquifers targeted for ASR.

  5. Asr1, an alcohol-responsive factor of Saccharomyces cerevisiae, is dispensable for alcoholic fermentation.

    Science.gov (United States)

    Izawa, Shingo; Ikeda, Kayo; Kita, Takeomi; Inoue, Yoshiharu

    2006-09-01

    Yeast Asr1 is the first reported protein whose intracellular distribution changes specifically in response to alcohol (Betz et al. (2004) J Biol Chem 279:28174-28181). It was reported that Asr1 is required for tolerance to alcohol and plays an important role in the alcohol stress response. Therefore, Asr1 is of interest to brewers and winegrowers attempting to improve the techniques of alcoholic fermentation. We verified the importance of Asr1 in the alcohol stress response during alcoholic fermentation. Although we reconfirmed the alcohol-responsive changes in the intracellular localization of Asr1, we could not detect the effects of Asr1-deficiency on Japanese sake brewing or winemaking. In addition, we could not reconfirm the hypersensitivity of Asr1-deficient mutants to alcohol and sodium dodecyl sulfate. Instead, we conclude that Asr1 is not required and nor important for tolerance to alcohol stress.

  6. The ASRS-6 Has Two Latent Factors: Attention Deficit and Hyperactivity

    Science.gov (United States)

    Hesse, Morten

    2013-01-01

    Objective: To test whether the Adult Self-Report Scale for ADHD, six-items version (ASRS-6), measures inattentiveness and hyperactivity independently. Method: The ASRS-6 was completed by 234 university students and 157 outpatients treated for drug dependence. In both samples, the ASRS-6 was subjected to two confirmatory factor analyses, one…

  7. SNR-adaptive stream weighting for audio-MES ASR.

    Science.gov (United States)

    Lee, Ki-Seung

    2008-08-01

    Myoelectric signals (MESs) from the speaker's mouth region have been successfully shown to improve the noise robustness of automatic speech recognizers (ASRs), thus promising to extend their usability in implementing noise-robust ASR. In the recognition system presented herein, extracted audio and facial MES features were integrated by a decision fusion method, where the likelihood score of the audio-MES observation vector was given by a linear combination of class-conditional observation log-likelihoods of two classifiers, using appropriate weights. We developed a weighting process adaptive to SNRs. The main objective of the paper involves determining the optimal SNR classification boundaries and constructing a set of optimum stream weights for each SNR class. These two parameters were determined by a method based on a maximum mutual information criterion. Acoustic and facial MES data were collected from five subjects, using a 60-word vocabulary. Four types of acoustic noise including babble, car, aircraft, and white noise were acoustically added to clean speech signals with SNR ranging from -14 to 31 dB. The classification accuracy of the audio ASR was as low as 25.5%. Whereas, the classification accuracy of the MES ASR was 85.2%. The classification accuracy could be further improved by employing the proposed audio-MES weighting method, which was as high as 89.4% in the case of babble noise. A similar result was also found for the other types of noise.

  8. HCV Virus and Lymphoid Neoplasms

    Directory of Open Access Journals (Sweden)

    Yutaka Tsutsumi

    2011-01-01

    Full Text Available Hepatitis C virus (HCV is one of the viruses known to cause hepatic cancer. HCV is also believed to be involved in malignant lymphoma. In this paper, we investigated characteristics of malignant lymphoma cases that were anti-HCV antibody (HCV-Ab positive. We were able to perform pathological examinations on 13 out of 14 HCV-positive cases. Of these, lymphoid tissues of 10 stained positive for HCV-Ab. There was no significant correlation between the degree of HCV staining and the rate of recurrence or resistance to treatment. However, there did appear to be a consistent decrease in the amount of HCV-RNA between pre- and posttreatment among HCV-Ab-positive cases; that is, treatment-resistant cases that exhibited resistance from the first treatment and recurrent cases more frequently had a higher HCV level at treatment termination compared to the pretreatment level. This suggests that the HCV virus either accelerates oncogenesis by direct interaction with B cells or indirectly affects lymphoma prognosis.

  9. HCV and Lymphoproliferation

    Directory of Open Access Journals (Sweden)

    Anna Linda Zignego

    2012-01-01

    Full Text Available Hepatitis C virus (HCV infection is a serious public health problem because of its worldwide diffusion and sequelae. It is not only a hepatotropic but also a lymphotropic agent and is responsible not only for liver injury—potentially evolving to cirrhosis and hepatocellular carcinoma—but also for a series of sometimes severely disabling extrahepatic diseases and, in particular, B-cell lymphoproliferative disorders. These latter range from benign, but prelymphomatous conditions, like mixed cryoglobulinemia, to frank lymphomas. Analogously with Helicobacter pylori related lymphomagenesis, the study of the effects of viral eradication confirmed the etiopathogenetic role of HCV and showed it is an ideal model for better understanding of the molecular mechanisms involved. Concerning these latter, several hypotheses have been proposed over the past two decades which are not mutually exclusive. These hypotheses have variously emphasized the important role played by sustained stimulation of the immune system by HCV, infection of the lymphatic cells, viral proteins, chromosomal aberrations, cytokines, or microRNA molecules. In this paper we describe the main hypotheses that have been proposed with the corresponding principal supporting data.

  10. From HCV To HBV Cure.

    Science.gov (United States)

    Schinazi, Raymond F; Asselah, Tarik

    2017-01-01

    Approximately 170 million people are chronically infected with HCV and 350 million are chronically infected with HBV worldwide. It is estimated that more than one million patients die from complications related to chronic viral hepatitis, mainly HCC which is one of the most frequent cancers in many countries, especially Africa, the Middle East and Asia. HCV drug development has been impressive, and this revolution led to several direct-acting antiviral agents achieving an HCV cure after only 6-12 weeks. This progress could theorically lead to HCV global elimination making HCV and its consequences a rarity. HBV research and development programs can learn from the HCV experience, to achieve an HBV functional or sterilizing cure. This review will summarize key steps which have been realized for an HCV cure, and discuss the next steps to achieve for an HCV elimination. And also, how this HCV revolution has inspired scientists and clinicians to achieve the same for HBV.

  11. Modelling of an ASR countercurrent pyrolysis reactor with nonlinear kinetics

    Energy Technology Data Exchange (ETDEWEB)

    Chiarioni, A.; Reverberi, A.P.; Dovi, V.G. [Universita degli Studi di Genova (Italy). Dipartimento di Ingegneria Chimica e di Processo ' G.B. Bonino' ; El-Shaarawi, A.H. [National Water Research Institute, Burlington, Ont. (Canada)

    2003-10-01

    The main objective of this work is focused on the modelling of a steady-state reactor where an automotive shredder residue (ASR) is subject to pyrolysis. The gas and solid temperature inside the reactor and the relevant density profiles of both phases are simulated for fixed values of the geometry of the apparatus and a lumped kinetic model is adopted to take into account the high heterogeneity of the ASR material. The key elements for the simulation are the inlet solid temperature and the outlet gas temperature. The problem is modelled by a system of first-order boundary-value ordinary differential equations and it is solved by means of a relaxation technique owing to the nonlinearities contained in the chemical kinetic expression. (author)

  12. Cellular Activation and Intracellular HCV Load in Peripheral Blood Monocytes Isolated from HCV Monoinfected and HIV-HCV Coinfected Patients

    OpenAIRE

    Isabelle Dichamp; Wasim Abbas; Amit Kumar; Vincent Di Martino; Georges Herbein

    2014-01-01

    BACKGROUND: During HCV infection, the activation status of peripheral blood monocytes and its impact on HCV replication are poorly understood. We hypothesized that a modified activation of peripheral blood monocytes in HIV-HCV coinfected compared to HCV monoinfected patients may contribute to different monocytes reservoirs of HCV replication. METHODS: We performed a case-control analysis involving HCV-infected patients with and without HIV coinfection. In peripheral blood mononuclear cells (P...

  13. Automotive shredder residue (ASR) characterization for a valuable management.

    Science.gov (United States)

    Morselli, Luciano; Santini, Alessandro; Passarini, Fabrizio; Vassura, Ivano

    2010-11-01

    Car fluff is the waste produced after end-of-life-vehicles (ELVs) shredding and metal recovery. It is made of plastics, rubber, glass, textiles and residual metals and it accounts for almost one-third of a vehicle mass. Due to the approaching of Directive 2000/53/EC recycling targets, 85% recycling rate and 95% recovery rate in 2015, the implementation of automotive shredder residue (ASR) sorting and recycling technologies appears strategic. The present work deals with the characterization of the shredder residue coming from an industrial plant, representative of the Italian situation, as for annual fluxes and technologies involved. The aim of this study is to characterize ASR in order to study and develop a cost effective and environmentally sustainable recycling system. Results show that almost half of the residue is made of fines and the remaining part is mainly composed of polymers. Fine fraction is the most contaminated by mineral oils and heavy metals. This fraction produces also up to 40% ashes and its LHV is lower than the plastic-rich one. Foam rubber represents around half of the polymers share in car fluff. Moreover, some chemical-physical parameters exceed the limits of some parameters fixed by law to be considered refuse derived fuel (RDF). As a consequence, ASR needs to be pre-treated in order to follow the energy recovery route.

  14. Effect of combined siRNA of HCV E2 gene and HCV receptors against HCV

    Directory of Open Access Journals (Sweden)

    Ashfaq Usman Alli A

    2011-06-01

    Full Text Available Abstract Background/Aim Hepatitis C virus (HCV is a major threat as almost 3% of the world's population (350 million individual and 10% of the Pakistani population is chronically infected with this virus. RNA interference (RNAi, a sequence-specific degradation process of RNA, has potential to be used as a powerful alternative molecular therapeutic approach in spite of the current therapy of interferon-α and ribavirin against HCV which has limited efficiency. HCV structural gene E2 is mainly involved in viral cell entry via attachment with the host cell surface receptors i.e., CD81 tetraspanin, low density lipoprotein receptor (LDLR, scavenger receptor class B type 1 (SR-B1, and Claudin1 (CLDN1. Considering the importance of HCV E2 gene and cellular receptors in virus infection and silencing effects of RNAi, the current study was designed to target the cellular and viral factors as new therapeutic options in limiting HCV infection. Results In this study the potential of siRNAs to inhibit HCV-3a replication in serum-infected Huh-7 cells was investigated by combined treatment of siRNAs against the HCV E2 gene and HCV cellular receptors (CD81 and LDLR, which resulted in a significant decrease in HCV viral copy number. Conclusion From the current study it is concluded that the combined RNAi-mediated silencing of HCV E2 and HCV receptors is important for the development of effective siRNA-based therapeutic option against HCV-3a.

  15. HCV and Oxidative Stress: Implications for HCV Life Cycle and HCV-Associated Pathogenesis

    OpenAIRE

    Regina Medvedev; Daniela Ploen; Eberhard Hildt

    2016-01-01

    HCV (hepatitis C virus) is a member of the Flaviviridae family that contains a single-stranded positive-sense RNA genome of approximately 9600 bases. HCV is a major causative agent for chronic liver diseases such as steatosis, fibrosis, cirrhosis, and hepatocellular carcinoma which are caused by multifactorial processes. Elevated levels of reactive oxygen species (ROS) are considered as a major factor contributing to HCV-associated pathogenesis. This review summarizes the mechanisms involved ...

  16. Energy recovery from heavy ASR by co-incineration in a fluidized bed combustor

    Energy Technology Data Exchange (ETDEWEB)

    Vermeulen, Isabel; Caneghem, Jo van; Block, Chantal; Vandecasteele, Carlo [University of Leuven, Department of Chemical Engineering, Leuven (Belgium); Brecht, Andres van; Wauters, Guido [Indaver NV, Mechelen (Belgium)

    2012-10-15

    Automotive shredder residue (ASR) is a heterogeneous waste stream with varying particle size and elemental composition. Owing to its complexity and hazardous characteristics, landfilling of ASR is still a common practice. Nevertheless, incineration with energy recovery of certain ASR fractions (Waste-to-Energy, WtE) emerges as an interesting alternative. In a full scale experiment, a waste mix of 25 % heavy ASR, 25 % refuse derived fuel (RDF), and 50 % waste water treatment (WWT) sludge was incinerated in the SLECO fluidized bed combustor (FBC) at the Indaver site in Antwerp, Belgium. Input and output streams were sampled and analyzed to make an inventory of the most important pollutants and toxics. The inventory was further used to determine the environmental impact. Results are compared to those of two other scenarios: incineration of the usual waste feed (70 % RDF and 30 % WWT sludge) and co-incineration of 39 % ASR with 61 % WWT sludge. It can be concluded that co-incineration of heavy ASR in an existing FBC is a valid and clean technology to increase current reuse and recovery rates. In the considered FBC, 27 % of the energetic value of ASR can be recovered, while all emissions remain well below regulatory limits and only 12.6 % of the heavy ASR needs to be landfilled. The proportion of ASR in the input waste mix is however limited by the heavy metal concentration in the ASR and the generated ashes. (orig.)

  17. Silymarin for HCV infection.

    Science.gov (United States)

    Polyak, Stephen J; Oberlies, Nicholas H; Pécheur, Eve-Isabelle; Dahari, Harel; Ferenci, Peter; Pawlotsky, Jean-Michel

    2013-01-01

    Silymarin, an extract of milk thistle seeds, and silymarin-derived compounds have been considered hepatoprotective since the plant was first described in ancient times. Hepatoprotection is defined as several non-mutually exclusive biological activities including antiviral, antioxidant, anti-inflammatory and immunomodulatory functions. Despite clear evidence for silymarin-induced hepatoprotection in cell culture and animal models, evidence for beneficial effects in humans has been equivocal. This review will summarize the current state of knowledge on silymarin in the context of HCV infection. The information was collated from a recent workshop on silibinin in Germany.

  18. Microwave material characterization of alkali-silica reaction (ASR) gel in cementitious materials

    Science.gov (United States)

    Hashemi, Ashkan

    Since alkali-silica reaction (ASR) was recognized as a durability challenge in cement-based materials over 70 years ago, numerous methods have been utilized to prevent, detect, and mitigate this issue. However, quantifying the amount of produced ASR byproducts (i.e., ASR gel) in-service is still of great interest in the infrastructure industry. The overarching objective of this dissertation is to bring a new understanding to the fundamentals of ASR formation from a microwave dielectric property characterization point-of-view, and more importantly, to investigate the potential for devising a microwave nondestructive testing approach for ASR gel detection and evaluation. To this end, a comprehensive dielectric mixing model was developed with the potential for predicting the effective dielectric constant of mortar samples with and without the presence of ASR gel. To provide pertinent inputs to the model, critical factors on the influence of ASR gel formation on dielectric and reflection properties of several mortar samples were investigated at R, S, and X-band. Effects of humidity, alkali content, and long-term curing conditions on ASR-prone mortars were also investigated. Additionally, dielectric properties of chemically different synthetic ASR gel were also determined. All of these, collectively, served as critical inputs to the mixing model. The resulting developed dielectric mixing model has the potential to be further utilized to quantify the amount of produced ASR gel in cement-based materials. This methodology, once becomes more mature, will bring new insight to the ASR reaction, allowing for advancements in design, detection and mitigation of ASR, and eventually has the potential to become a method-of-choice for in-situ infrastructure health-monitoring of existing structures.

  19. 2010 Atmospheric System Research (ASR) Science Team Meeting Summary

    Energy Technology Data Exchange (ETDEWEB)

    Dupont, DL

    2011-05-04

    This document contains the summaries of papers presented in poster format at the March 2010 Atmospheric System Research Science Team Meeting held in Bethesda, Maryland. More than 260 posters were presented during the Science Team Meeting. Posters were sorted into the following subject areas: aerosol-cloud-radiation interactions, aerosol properties, atmospheric state and surface, cloud properties, field campaigns, infrastructure and outreach, instruments, modeling, and radiation. To put these posters in context, the status of ASR at the time of the meeting is provided here.

  20. Analytical and Biological Variables Influencing Quantitative Hepatitis C Virus (HCV) Measurement in HIV-HCV Coinfection

    OpenAIRE

    Curtis Cooper; Paul MacPherson; William Cameron

    2006-01-01

    The present review considers issues pertaining to the precision and variability of quantitative hepatitis C virus (HCV) measurement in general, outlines the characteristics of HCV RNA in HIV-HCV coinfection and evaluates those factors which may affect this measure. The clinical relevance of accurate HCV measurement in HIV-HCV coinfection is discussed.

  1. 丙肝患者HCV-Ab、HCV-RNA、HCV-Ag试剂盒联合检测体会

    Institute of Scientific and Technical Information of China (English)

    王沈莉

    2014-01-01

    目的 探讨HCV-Ab、HCV-RNA、HCV-Ag联合检测的意义.方法 用丙型肝炎抗体(HCV-Ab)、丙型肝炎病毒核酸(HCV-RNA)扩增(RNA)荧光定量及丙型肝核心抗原(HCV-Ag) 三种试剂盒分别检测血清中的HCV-Ab、HCV-RNA、HCV-Ag三种标志物.结果 根据丙型肝炎病毒在体内存在的时间,通过90例疑似丙型肝炎患者血清检测,HCV-Ab 87人阳性,HCV-RNA 67人阳性,HCV-Ag 55人阳性.结论 HCV-Ab、HCV-RNA、HCV-Ag联合检测有助于临床诊断、用药及疗效观察.

  2. HCV and HCC molecular epidemiology

    Directory of Open Access Journals (Sweden)

    Flor H. Pujol

    2007-02-01

    Full Text Available

    iHepatitis C virus (HCV is a member of the family Flaviviridae, responsible for the majority of the non-A non-B post-transfusion hepatitis before 1990. Around 170 millions persons in the world are thought to be infected with this virus. A high number of HCV-infected people develop cirrhosis and from these, a significant proportion progresses to hepatocellular carcinoma (HCC. Six HCV genotypes and a large number of subtypes in each genotype have been described. Infections with HCV genotype 1 are associated with the lowest therapeutic success. HCV genotypes 1, 2, and 3 have a worldwide distribution. HCV subtypes 1a and 1b are the most common genotypes in the United States and are also are predominant in Europe, while in Japan, subtype 1b is predominant. Although HCV subtypes 2a and 2b are relatively common in America, Europe, and Japan, subtype 2c is found commonly in northern Italy. HCV genotype 3a is frequent in intravenous drug abusers in Europe and the United States. HCV genotype 4 appears to be prevalent in Africa and the Middle East, and genotypes 5 and 6 seem to be confined to South Africa and Asia, respectively. HCC accounts for approximately 6% of all human cancers. Around 500,000 to 1 million cases occur annually worldwide, with HCC being the fifth common malignancy in men and the ninth in women. HCC is frequently a consequence of infection by HBV and HCV. The first line of evidences comes from epidemiologic studies. While HBV is the most frequent cause of HCC in many countries of Asia and South America, both HBV and HCV are found at similar frequencies, and eventually HCV at a higher frequency than HBV, among HCC patients in Europe, North America, and Japan. The cumulative appearance rate of HCC might be higher for HCV

  3. Hepatitis-C virus (HCV)

    OpenAIRE

    Suwarso, Suwarso

    2015-01-01

    A new problem on hepatitis for Indonesian is hepatitis-C virus (HCV). This infection is endemic, majority sub-clinic and progressive in chronic. Viral transmission is primarily via a parenteral route, while other routes are still in debate.Diagnostic approach should be focused on how this virus developed.KeyWords: hepatitis-C virus molecular biology Westem-blot-HCV blood transfusion epidemiology

  4. Primary and Secondary Contamination Mechanisms for Consideration in ASR Modeling and Practical Management

    Science.gov (United States)

    Aquifer storage and recovery (ASR) is a useful water resource management option for water storage and reuse. Its increased use is recognized in adaptation to the ever increasing problem of water availability, both in timing and flow. Challenges in the ASR process may arise from...

  5. Primary and Secondary Contamination Mechanisms in ASR Modeling and Design of Practical Management

    Science.gov (United States)

    Aquifer storage and recovery (ASR) is a useful water resource management option for water storage and reuse. Its increased use is recognized in adaptation to the ever increasing problem of water availability, both in timing and flow. Challenges in the ASR process may arise from...

  6. Hepatitis C virus (HCV)-specific in vitro antibody secretion by peripheral blood lymphocytes: correlation with progression of disease and HCV RNA in HCV antibody-positive patients.

    OpenAIRE

    Ducos, J.; Bianchi-Mondain, A M; Francois, M.; Boisset, M; Vendrell, J P; Barin, F; Serre, A; Larrey, D

    1994-01-01

    Hepatitis C virus-specific in vitro antibody production (HCV IVAP) by peripheral blood lymphocytes in 53 HCV antibody-positive patients was investigated in comparison with alanine aminotransferase (ALT) levels and HCV RNA in serum samples. All 29 HCV IVAP-positive patients were HCV RNA positive; 26 had elevated ALT levels. Among the 24 HCV IVAP-negative patients, 16 were HCV RNA negative, with 12 presenting normal ALT values. These data indicate that HCV IVAP results are highly correlated (P ...

  7. Rheumatoid Case with HCV Infection

    Directory of Open Access Journals (Sweden)

    Bita Behnava

    2005-03-01

    Full Text Available Case Presentation:A 46-year-old woman referred to our center due to abnormality in aminotransferase level during check up. She had a history of blood transfusion 12 years ago. Anti-HCV Ab by ELISA method and HCV RNA by RT-PCR were positive. HCV RNA by Amplicor HCV monitor test counted 800,000 IU/ml and the genotype was 3a by Specific Primer-Targeted Region Core method. Laboratory evaluation revealed: Hb 11.9 mg/dl, WBC 5000 /ml, platelet count 190,000/ ml, ALT 70 IU/ml, AST 65 IU/ml, Alk phosphatase 210, PT 13 second, total protein 7.2 g/dl, albumin 4 g/dl, gama globulin 1.6 g/dl, HBsAg negative and RF positive. She had a history of symmetrical polyarthritis of small joints of upper extremities and morning stiffness for 3 years ago and had been managed as rheumatoid arthritis (RA since then. She was managed with corticosteroids and methotrexate. Are there any relations between RA disease and HCV infection?HCV-related ArthritisRheumatologic complications of HCV infection are common and include mixedcryoglobulinemia, vasculitis, Sjogren’s syndrome, arthritis and fibromyalgia(1, 2. There is a welldefined picture of arthritis associated with the presence of mixed cryoglobulinemia that consists of an intermittent mono or oligoarticular,nondestructive arthritis affecting large and mediumsize joints(1. 2% to 20% of HCV-infected patients experience arthritis and as 50% experience arthralgia(3Clinical ManifestationsHCV-related arthritis (HCVra commonly presents as rheumatoid-like, symmetrical inflammatory polyarthritis involving mainly small joints or less commonly as mono- or oligoarthritis of large joints. The joints involved in HCV-related arthritis are similar to RA(4. In about two thirds of the affected individuals, morning stiffness may be severe, resolving after more than an hour(5. Clinical picture of arthritis associated with the presence of mixed cryoglobulinemia in patients with HCV infection consists of an intermittent, mono or

  8. Nonlinear Ultrasonic Diagnosis and Prognosis of ASR Damage in Dry Cask Storage

    Energy Technology Data Exchange (ETDEWEB)

    Qu, Jianmin [Northwestern Univ., Evanston, IL (United States); Bazant, Zdenek [Northwestern Univ., Evanston, IL (United States); Jacobs, Laurence [Georgia Inst. of Technology, Atlanta, GA (United States); Guimaraes, Maria [Electrical Power Research Institute, Palo Alto, CA (United States)

    2015-11-30

    Alkali-silica reaction (ASR) is a deleterious chemical process that may occur in cement-based materials such as mortars and concretes, where the hydroxyl ions in the highly alkaline pore solution attack the siloxane groups in the siliceous minerals in the aggregates. The reaction produces a cross-linked alkali-silica gel. The ASR gel swells in the presence of water. Expansion of the gel results in cracking when the swelling-induced stress exceeds the fracture toughness of the concrete. As the ASR continues, cracks may grow and eventually coalesce, which results in reduced service life and a decrease safety of concrete structures. Since concrete is widely used as a critical structural component in dry cask storage of used nuclear fuels, ASR damage poses a significant threat to the sustainability of long term dry cask storage systems. Therefore, techniques for effectively detecting, managing and mitigating ASR damage are needed. Currently, there are no nondestructive methods to accurately detect ASR damage in existing concrete structures. The only current way of accurately assessing ASR damage is to drill a core from an existing structure, and conduct microscopy on this drilled cylindrical core. Clearly, such a practice is not applicable to dry cask storage systems. To meet these needs, this research is aimed at developing (1) a suite of nonlinear ultrasonic quantitative nondestructive evaluation (QNDE) techniques to characterize ASR damage, and (2) a physics-based model for ASR damage evolution using the QNDE data. Outcomes of this research will provide a nondestructive diagnostic tool to evaluate the extent of the ASR damage, and a prognostic tool to estimate the future reliability and safety of the concrete structures in dry cask storage systems

  9. [Chronic hepatitis and occult HCV infection].

    Science.gov (United States)

    Kowala-Piaskowska, Arleta; Mozer-Lisewska, Iwona; Pham, Tram N Q; Michalak, Tomasz I

    2010-01-01

    Hepatitis C virus (HCV) was discovered in 1989. HCV is a positive single-strand RNA. We all have thought, that HCV can replicate only in liver tissue, but now we know, that HCV can replicate in extrahepatic tissue as well. In about 48-86% of HCV infected patients, chronic hepatitis C (CHC) has been noticed and eventually, after tens of years, liver insufficiency, cirrhosis or hepatocellular carcinoma. The current recommended treatment for CHC is a combination of pegylated-interferon alpha and Ribavirin. Presently it is known, that HCV infection can persist as an occult infection. RNA HCV can be detected in patients after successful treatment for CHC or spontaneous elimination. Persistent HCV replication in hepatocytes or lymphoid cells would likely lead to continuous antigenic stimulation of the immune system. This prolonged replication may contribute to the immune tolerance of HCV, impairment of immune response and even further virus persistence. This occult infection grows more important in transplantation.

  10. AS/RS based yard and yard planning

    Institute of Scientific and Technical Information of China (English)

    Ya-hong HU; Zheng-dong ZHU; Wen-jing HSU

    2008-01-01

    In this paper,we apply the split-platform automated storage/retrieval systems (SP-AS/RSs) (Hu et al.,2005) to store containers in the yard to improve the yard performance and to increase the utilization of the yard space.The layout of an SP-AS/RS based yard is described in detail.To achieve an efficient operation,we present a novel yard space allocation policy called the 'second-carrier-based allocation policy',which can help to alleviate the out-of-sequence problem of containers and the congestion of vehicles at the AS/RS racks.Different allocation policies are compared by an integrated container terminal simulation system.The simulation results show that the second-carrier-based policy is very efficient and has the potential to offer high terminal performance.

  11. The Usefulness of Automatic Speech Recognition (ASR Eyespeak Software in Improving Iraqi EFL Students’ Pronunciation

    Directory of Open Access Journals (Sweden)

    Lina Fathi Sidig Sidgi

    2017-02-01

    Full Text Available The present study focuses on determining whether automatic speech recognition (ASR technology is reliable for improving English pronunciation to Iraqi EFL students. Non-native learners of English are generally concerned about improving their pronunciation skills, and Iraqi students face difficulties in pronouncing English sounds that are not found in their native language (Arabic. This study is concerned with ASR and its effectiveness in overcoming this difficulty. The data were obtained from twenty participants randomly selected from first-year college students at Al-Turath University College from the Department of English in Baghdad-Iraq. The students had participated in a two month pronunciation instruction course using ASR Eyespeak software. At the end of the pronunciation instruction course using ASR Eyespeak software, the students completed a questionnaire to get their opinions about the usefulness of the ASR Eyespeak in improving their pronunciation. The findings of the study revealed that the students found ASR Eyespeak software very useful in improving their pronunciation and helping them realise their pronunciation mistakes. They also reported that learning pronunciation with ASR Eyespeak enjoyable.

  12. Cytoskeletal Requirements for Hepatitis C Virus (HCV) RNA Synthesis in the HCV Replicon Cell Culture System

    OpenAIRE

    Bost, Anne G.; Venable, Daryl; Liu, Lifei; Heinz, Beverly A.

    2003-01-01

    Hepatitis C virus (HCV) induces microtubule aggregates in infected hepatocytes. To determine if cytoskeletal elements are important for HCV RNA synthesis, we examined the effect of cytoskeleton inhibitors on HCV replicon transcription in Huh7 cells. The data demonstrate that HCV replication complex-mediated RNA synthesis requires microtubule and actin polymerization.

  13. Cytoskeletal requirements for hepatitis C virus (HCV) RNA synthesis in the HCV replicon cell culture system.

    Science.gov (United States)

    Bost, Anne G; Venable, Daryl; Liu, Lifei; Heinz, Beverly A

    2003-04-01

    Hepatitis C virus (HCV) induces microtubule aggregates in infected hepatocytes. To determine if cytoskeletal elements are important for HCV RNA synthesis, we examined the effect of cytoskeleton inhibitors on HCV replicon transcription in Huh7 cells. The data demonstrate that HCV replication complex-mediated RNA synthesis requires microtubule and actin polymerization.

  14. Interferon Response in Hepatitis C Virus (HCV) Infection: Lessons from Cell Culture Systems of HCV Infection.

    Science.gov (United States)

    Sung, Pil Soo; Shin, Eui-Cheol; Yoon, Seung Kew

    2015-01-01

    Hepatitis C virus (HCV) is a positive-stranded RNA virus that infects approximately 130-170 million people worldwide. In 2005, the first HCV infection system in cell culture was established using clone JFH-1, which was isolated from a Japanese patient with fulminant HCV infection. JFH-1 replicates efficiently in hepatoma cells and infectious virion particles are released into the culture supernatant. The development of cell culture-derived HCV (HCVcc) systems has allowed us to understand how hosts respond to HCV infection and how HCV evades host responses. Although the mechanisms underlying the different outcomes of HCV infection are not fully understood, innate immune responses seem to have a critical impact on the outcome of HCV infection, as demonstrated by the prognostic value of IFN-λ gene polymorphisms among patients with chronic HCV infection. Herein, we review recent research on interferon response in HCV infection, particularly studies using HCVcc infection systems.

  15. Direct anti-HCV agents

    Directory of Open Access Journals (Sweden)

    Xingquan Zhang

    2016-01-01

    Full Text Available Unlike human immunodeficiency virus (HIV and hepatitis B virus (HBV, hepatitis C virus (HCV infection is a curable disease. Current direct antiviral agent (DAA targets are focused on HCV NS3/4A protein (protease, NS5B protein (polymerase and NS5A protein. The first generation of DAAs includes boceprevir and telaprevir, which are protease inhibitors and were approved for clinical use in 2011. The cure rate for genotype 1 patients increased from 45% to 70% when boceprevir or telaprevir was added to standard PEG-IFN/ribavirin. More effective and less toxic second generation DAAs supplanted these drugs by 2013. The second generation of DAAs includes sofosbuvir (Sovaldi, simeprevir (Olysio, and fixed combination medicines Harvoni and Viekira Pak. These drugs increase cure rates to over 90% without the need for interferon and effectively treat all HCV genotypes. With these drugs the “cure HCV” goal has become a reality. Concerns remain about drug resistance mutations and the high cost of these drugs. The investigation of new HCV drugs is progressing rapidly; fixed dose combination medicines in phase III clinical trials include Viekirax, asunaprevir+daclatasvir+beclabuvir, grazoprevir+elbasvir and others.

  16. MULTI-LABEL ASRS DATASET CLASSIFICATION USING SEMI-SUPERVISED SUBSPACE CLUSTERING

    Data.gov (United States)

    National Aeronautics and Space Administration — MULTI-LABEL ASRS DATASET CLASSIFICATION USING SEMI-SUPERVISED SUBSPACE CLUSTERING MOHAMMAD SALIM AHMED, LATIFUR KHAN, NIKUNJ OZA, AND MANDAVA RAJESWARI Abstract....

  17. Nucleotide polymorphism in the drought responsive gene Asr2 in wild populations of tomato.

    Science.gov (United States)

    Giombini, Mariano I; Frankel, Nicolás; Iusem, Norberto D; Hasson, Esteban

    2009-05-01

    The Asr gene family (named after abscicic acid [ABA], stress, ripening), exclusively present in plant genomes, is involved in transcriptional regulation. Its members are up-regulated in roots and leaves of water- or salt-stressed plants. In previous work, evidence of adaptive evolution (as inferred from synonymous and nonsynonymous divergence rates) has been reported for Asr2 in Solanum chilense and S. arcanum, two species dwelling in habitats with different precipitation regimes. In this paper we investigate patterns of intraspecific nucleotide variation in Asr2 and the unlinked locus CT114 in S. chilense and S. arcanum. The extent of nucleotide diversity in Asr2 differed between species in more than one order of magnitude. In both species we detected evidence of non-neutral evolution, which may be ascribed to different selective regimes, potentially associated to unique climatic features, or, alternatively, to demographic events. The results are discussed in the light of demographic and selective hypotheses.

  18. Assesment of Severely ASR Damaged Bridges: From Diagnosis to Structural Effects

    DEFF Research Database (Denmark)

    Barbosa, Ricardo Antonio; Hansen, Søren Gustenhoff; Hansen, Kurt Kielsgaard;

    2016-01-01

    During the last decade an increasing number of bridges are becoming severely deteriorated due to alkali-silica reaction (ASR) in Denmark. Some bridges have already been demolished due to lack of knowledge on the residual load carrying capacity. The deterioration of concrete by ASR has been widely...... documented. The majority of the experimental data are based on relatively small scale laboratory specimens accelerated by various exposure conditions. Research on assessment and influence of severely ASR deterioration on the material properties and residual load carrying capacity of real-life structures...... is unfortunately limited. This paper presents an overview and discussion of the Danish experiences with assessment of the residual load carrying capacity of severely non-shear reinforced ASR damaged bridges. The discussion is supported by experimental data acquired from large scale in-situ tests of three severely...

  19. Separation of polyvinyl chloride (PVC) from automobile shredder residue (ASR) by froth flotation with ozonation

    Energy Technology Data Exchange (ETDEWEB)

    Reddy, Mallampati Srinivasa [Department of Chemical Engineering, Graduate School of Engineering, Hiroshima University, 1-4-1 Kagamiyama, Higashi-Hiroshima, Hiroshima 739-8527 (Japan)]. E-mail: srireddys@hiroshima-u.ac.jp; Kurose, Keisuke [Department of Chemical Engineering, Graduate School of Engineering, Hiroshima University, 1-4-1 Kagamiyama, Higashi-Hiroshima, Hiroshima 739-8527 (Japan); Okuda, Tetsuji [Environmental Research and Management Center, Hiroshima University, 1-5-3 Kagamiyama, Higashi-Hiroshima, Hiroshima 739-8513 (Japan); Nishijima, Wataru [Environmental Research and Management Center, Hiroshima University, 1-5-3 Kagamiyama, Higashi-Hiroshima, Hiroshima 739-8513 (Japan); Okada, Mitsumasa [Department of Chemical Engineering, Graduate School of Engineering, Hiroshima University, 1-4-1 Kagamiyama, Higashi-Hiroshima, Hiroshima 739-8527 (Japan)

    2007-08-25

    The purpose of this study is to develop froth flotation to separate polyvinyl chloride (PVC) from automobile shredder residue (ASR) plastic mixtures of variable composition. Some polymers in ASR polymer mixtures have similar density and hydrophobicity with PVC and thus selective flotation of PVC from ASR polymer mixtures cannot be achieved. The present study focused on the surface modification of PVC with ozonation, and then the modified PVC can be separated from other polymers by the following froth flotation. The results of this study indicate that the selective recovery of PVC from real ASR polyethylene tetra pethelate (PET), polymethyl methacrylate (PMMA), polybutyl methacralate (PBMA), ethyl acrylate (EA), polycarbonate (PC) and rubber mixtures can be accomplished in a three-step process involving a gravity separation, ozonation and froth flotation. The rubber was removed from other heavy ASR (PVC, PET, PMMA, PBMA, EA and PC) polymers by froth flotation without mixing. It was found that ozonation process produced the desired difference in contact angle required (from 89.5 to 73.0{sup o}) for separation of PVC from other heavy ASR polymers, whereas the contact angles of other polymers was slightly decreased. The most of the load ASR, i.e. about 72.4% is floated away and 27.6% was settled down. The highest component 96.7% of PVC was recovered in the settled fraction. As a result of this research effort, the surface modification of PVC with ozonation can be efficiently useful to separate the PVC from other similar density ASR mixed polymers.

  20. Relationship between HCV antibody IgM, IgG and HCV RNA and its clinical significance%抗-HCV IgM、抗-HCV IgG与HCV RNA的相关性及临床意义

    Institute of Scientific and Technical Information of China (English)

    檀玉芬; 闫惠平; 贾咏梅; 李伟华; 佟瑄

    2006-01-01

    [目的]研究丙型肝炎病毒(HCV)抗-HCV IgM、抗-HCV IgG与HCV RNA的相关性.[方法]收集236例HCV患者标本,用酶联免疫吸附法检测抗-HCV IgM、抗-HCV IgG、同时用逆转录-聚合酶链反应(RT-PCR)检测HCV RNA.[结果]168例HCV RNA(+)标本中,抗-HCV IgM阳性率为72.0%(121/168);抗-HCV IgG阳性率为85.1%(143/168),抗-HCVIgM、抗-HCV IgG与HCV RNA的关联系数均为r=1.抗-HCV IgM、抗-HCV IgG与HCV RNA的检出符合率分别为69.1%(163/236)、75.4%(178/236).随着抗-HCV IgG抗体光密度值(OD值)的增大,HCV RNA的检出率亦增加(x2=27.5 P<0.001).提示两者间存在相互关联性(r=0.93).[结论]HCV感染者血清抗-HCV抗体与HCV RNA的阳性检出率呈正相关,血清中抗-HCV的含量越高,HCV RNA的含量越多,其传染性越强.抗-HCV IgM与HCV病毒复制亦密切相关,可以做为HCV复制的补充指标.

  1. HCV management in resource-constrained countries.

    Science.gov (United States)

    Lim, Seng Gee

    2017-02-21

    With the arrival of all-oral directly acting antiviral (DAA) therapy with high cure rates, the promise of hepatitis C virus (HCV) eradication is within closer reach. The availability of generic DAAs has improved access to countries with constrained resources. However, therapy is only one component of the HCV care continuum, which is the framework for HCV management from identifying patients to cure. The large number of undiagnosed HCV cases is the biggest concern, and strategies to address this are needed, as risk factor screening is suboptimal, detecting HCV confirmation through either reflex HCV RNA screening or ideally a sensitive point of care test are needed. HCV notification (e.g., Australia) may improve diagnosis (proportion of HCV diagnosed is 75%) and may lead to benefits by increasing linkage to care, therapy and cure. Evaluations for cirrhosis using non-invasive markers are best done with a biological panel, but they are only moderately accurate. In resource-constrained settings, only generic HCV medications are available, and a combination of sofosbuvir, ribavirin, ledipasvir or daclatasvir provides sufficient efficacy for all genotypes, but this is likely to be replaced with pangenetypic regimens such as sofosbuvir/velpatasvir and glecaprevir/pibrentaasvir. In conclusion, HCV management in resource-constrained settings is challenging on multiple fronts because of the lack of infrastructure, facilities, trained manpower and equipment. However, it is still possible to make a significant impact towards HCV eradication through a concerted effort by individuals and national organisations with domain expertise in this area.

  2. Automatic speech recognition (ASR) based approach for speech therapy of aphasic patients: A review

    Science.gov (United States)

    Jamal, Norezmi; Shanta, Shahnoor; Mahmud, Farhanahani; Sha'abani, MNAH

    2017-09-01

    This paper reviews the state-of-the-art an automatic speech recognition (ASR) based approach for speech therapy of aphasic patients. Aphasia is a condition in which the affected person suffers from speech and language disorder resulting from a stroke or brain injury. Since there is a growing body of evidence indicating the possibility of improving the symptoms at an early stage, ASR based solutions are increasingly being researched for speech and language therapy. ASR is a technology that transfers human speech into transcript text by matching with the system's library. This is particularly useful in speech rehabilitation therapies as they provide accurate, real-time evaluation for speech input from an individual with speech disorder. ASR based approaches for speech therapy recognize the speech input from the aphasic patient and provide real-time feedback response to their mistakes. However, the accuracy of ASR is dependent on many factors such as, phoneme recognition, speech continuity, speaker and environmental differences as well as our depth of knowledge on human language understanding. Hence, the review examines recent development of ASR technologies and its performance for individuals with speech and language disorders.

  3. Inhibitory Effect of Waste Glass Powder on ASR Expansion Induced by Waste Glass Aggregate

    Directory of Open Access Journals (Sweden)

    Shuhua Liu

    2015-10-01

    Full Text Available Detailed research is carried out to ascertain the inhibitory effect of waste glass powder (WGP on alkali-silica reaction (ASR expansion induced by waste glass aggregate in this paper. The alkali reactivity of waste glass aggregate is examined by two methods in accordance with the China Test Code SL352-2006. The potential of WGP to control the ASR expansion is determined in terms of mean diameter, specific surface area, content of WGP and curing temperature. Two mathematical models are developed to estimate the inhibitory efficiency of WGP. These studies show that there is ASR risk with an ASR expansion rate over 0.2% when the sand contains more than 30% glass aggregate. However, WGP can effectively control the ASR expansion and inhibit the expansion rate induced by the glass aggregate to be under 0.1%. The two mathematical models have good simulation results, which can be used to evaluate the inhibitory effect of WGP on ASR risk.

  4. Beam filling loss adjustments for ASR-9 weather channel reflectivity estimates

    Science.gov (United States)

    Engholm, Cynthia D.; Troxel, Seth W.

    1990-10-01

    The FAA is deploying over 100 new airport surveillance radars (ASR-9) across the country. In contrast to earlier ASRs, the ASR-9 utilizes a separate digital weather processing channel to provide air traffic controllers with timely, calibrated displays of precipitation intensity. The ASR-9 utilizes dual selectable fan shaped elevation beams designed to track aircraft over a large volume. As a consequence, weather echoes received from these fan shaped beams represent vertically averaged quantities. If the precipitation only partially or nonuniformly fills the beam, then the vertically integrated reflectivity may underestimate the actual intensity of the storm. The ASR-9 weather channel corrects for this by adjusting the range dependent six level reflectivity thresholds. The appropriateness of the currently implemented correction has not been carefully examined and may require modification to take into account regional and morphological variability in storm structure. The method used to derive new beam filling loss adjustments is discussed. An extensive database of volumetric pencil beam radar data were used in conjunction with the ASR-9 simulation facility to derive adjustments aimed at calibrating the precipitation intensity reports to the maximum perceived hazard. Results from this calibration indicate that a single correction is appropriate for all sites and intensities. The new corrections yield substantially improved results over the current corrections in producing these reflectivity reports.

  5. Inhibitory Effect of Waste Glass Powder on ASR Expansion Induced by Waste Glass Aggregate

    Science.gov (United States)

    Liu, Shuhua; Wang, Shu; Tang, Wan; Hu, Ningning; Wei, Jianpeng

    2015-01-01

    Detailed research is carried out to ascertain the inhibitory effect of waste glass powder (WGP) on alkali-silica reaction (ASR) expansion induced by waste glass aggregate in this paper. The alkali reactivity of waste glass aggregate is examined by two methods in accordance with the China Test Code SL352-2006. The potential of WGP to control the ASR expansion is determined in terms of mean diameter, specific surface area, content of WGP and curing temperature. Two mathematical models are developed to estimate the inhibitory efficiency of WGP. These studies show that there is ASR risk with an ASR expansion rate over 0.2% when the sand contains more than 30% glass aggregate. However, WGP can effectively control the ASR expansion and inhibit the expansion rate induced by the glass aggregate to be under 0.1%. The two mathematical models have good simulation results, which can be used to evaluate the inhibitory effect of WGP on ASR risk. PMID:28793603

  6. Mechanism of Suppressing ASR Using Ground Reactive Sandstone Powders instead of Cement

    Institute of Scientific and Technical Information of China (English)

    LI Yang; HE Zhen; HU Shuguang

    2015-01-01

    In order to understand the effect of powders ground from reactive sandstone replacing cement on reducing or suppressing alkali-silica reaction (ASR), and to identify the mechanism of suppressing ASR by this powders, mortar and paste containing reactive sandstone powders of four replacement levels ranging from 10wt% to 40wt% and four specific surfaces areas ranging from 210 m2/kg to 860 m2/kg were studied. The experimental results showed that incorporation of 40wt%reactive sandstone powders could suppress ASR effectively except for mortar containing reactive sandstone powders with specific surface area of 610 m2/kg, which disagreed with the most results reported that the higher reactive powder specific surface area, the smaller ASR expansion. By means of flame photometry, Fourier transform infrared spectroscopy (FT-IR) and thermo gravimetric analysis (TG), the mechanism of reactive sandstone powders on reducing or suppressing ASR was soluble alkalis type of reactive sandstone powders and the competition of liberating and bonding alkali of cement paste containing reactive sandstone powders,when the ability of alkali bonding was greater than the ability of alkali liberation, ASR caused by reactive sandstone was supressed effectively.

  7. HCV Infection and B-Cell Lymphomagenesis

    Directory of Open Access Journals (Sweden)

    Masahiko Ito

    2011-01-01

    Full Text Available Hepatitis C virus (HCV has been recognized as a major cause of chronic liver diseases worldwide. It has been suggested that HCV infects not only hepatocytes but also mononuclear lymphocytes including B cells that express the CD81 molecule, a putative HCV receptor. HCV infection of B cells is the likely cause of B-cell dysregulation disorders such as mixed cryoglobulinemia, rheumatoid factor production, and B-cell lymphoproliferative disorders that may evolve into non-Hodgkin's lymphoma (NHL. Epidemiological data indicate an association between HCV chronic infection and the occurrence of B-cell NHL, suggesting that chronic HCV infection is associated at least in part with B-cell lymphomagenesis. In this paper, we aim to provide an overview of recent literature, including our own, to elucidate a possible role of HCV chronic infection in B-cell lymphomagenesis.

  8. Cure of HCV related liver disease.

    Science.gov (United States)

    Shiffman, Mitchell L; Benhamou, Yves

    2015-01-01

    Chronic hepatitis C virus (HCV) causes chronic liver injury and can lead to cirrhosis and hepatocellular carcinoma (HCC). HCV can also interact with the immune system to cause several HCV related disorders including essential mixed cryoglobulinemia, vasculitis, dermatitis, glomerulonephritis and lymphoma. A strong association between HCV and diabetes mellitus also exists. These extrahepatic features may lead to increased fatigue and a reduced quality of life. It is now possible to cure most patients with chronic HCV using oral antiviral therapy. Many of these HCV-related disorders and symptoms can be cured when HCV is eradicated. However, some patients may have irreversible injury to extrahepatic sites, cirrhosis that cannot resolve, an increased risk for HCC, persistent fatigue and a reduced quality of life, despite achieving sustained virological response.

  9. Effect of exposure conditions on the long-term dielectric properties of mortar samples containing ASR gel

    Science.gov (United States)

    Hashemi, A.; Donnell, K. M.; Zoughi, R.; Rashidi, M.; Kurtis, K. E.

    2017-02-01

    Alkali-silica reaction (ASR) is a chemical reaction between alkalis present in portland cement and amorphous or otherwise disordered siliceous minerals in particular aggregates. Through this reaction, reactive silica binds with hydroxyl and alkali ions and forms a gel, known as ASR gel. Recently, microwave materials characterization techniques have shown great potential for detecting ASR in mortar. However, the comprehensive understanding of variables that affect the extent of ASR in mortar and their interaction with microwave signals, in particular the effect of environmental exposure conditions requires more investigations. Therefore, parameters related to these conditions must be considered when using microwave techniques for ASR detection and evaluation. In this paper, the effect of exposure conditions on ASR gel formation and microwave dielectric properties of mortar samples is investigated. To this end, extended measurements of the complex dielectric constants of three different sets of mortar samples are presented at S-band (2.6 - 3.95 GHz). The samples were cast with potentially reactive ASR-aggregates and subjected to different environmental conditions. The results show slightly different permittivities for the differently stored samples, potentially indicating different amount of ASR gel. This observation was corroborated through UV fluorescence microscopy, where different amounts of ASR gel were observed in the samples. Moreover, the results indicate that ASR gel evolution may be better tracked through loss factor measurements, while pre-existing-gel may be better detected through permittivity measurements.

  10. HCV-RNA与HCV-cAg检测的相关性分析%Study on correlation analysis on serum HCV-RNA and HCV-cAg

    Institute of Scientific and Technical Information of China (English)

    苏明权; 杨柳; 王娟; 常亮; 肖凤静; 马越云; 郝晓柯

    2013-01-01

    目的 探讨丙型肝炎病毒核心抗原(HCV-cAg)与HCV-RNA检测的相关性及其在丙型肝炎病毒感染诊断中的价值.方法 采用双抗体夹心酶联免疫分析法(ELISA)检测HCV-cAg;采用实时荧光定量PCR法检测HCV-RNA,以了解两者检测方法的相关性.结果 在160例HCV-RNA阳性血清中,HCV-cAg阳性148例,阳性符合率92.5%;在60例HCV-cAg阳性血清中,HCV-RNA阳性59例,阳性符合率98.3%.结论 通过对HCV-RNA与HCV-cAg检测,说明HCV核心抗原与HCV-RNA检测可作为反映HCV复制的间接指标,预防窗口期感染.由于HCV-cAg在方法学上与HCV-RNA相比,具有方法简便、快速、价廉,所需设备简单,易于普及应用等优点,特别是在不具备HCV-RNA检测条件的基层医疗单位作为HCV感染检测的直接证据具有重要的意义.

  11. 抗-HCV(OD/CO)值与HCV-RNA阳性率及载量深析

    Institute of Scientific and Technical Information of China (English)

    罗娜

    2012-01-01

    目的 分析不同的抗-HCV( OD/CO)值与HCV-RNA阳性率及载量之间的相关性.方法 采用ELISA法和RT-PCR法对137例丙型肝炎患者的血清进行抗-HCV与HCV-RNA检测.结果 137例丙肝患者中抗-HCV( OD/CO)值≥1,HCV-RNA(+)有95例,阳性率为69.3%,HCV-RNA阳性率及载量随抗-HCV( OD/CO)值的增大而增高.结论 抗-HCV(OD/CO)值与HCV-RNA阳性率及载量呈正相关性,二者联合检测,可提高检出率.

  12. TLRs, Alcohol, HCV, and Tumorigenesis

    Directory of Open Access Journals (Sweden)

    Keigo Machida

    2010-01-01

    Full Text Available Chronic liver damage caused by viral infection, alcohol, or obesity can result in increased risk for hepatocellular carcinoma (HCC. Ample epidemiological evidence suggests that there is a strong synergism between hepatitis C virus (HCV and alcoholic liver diseases (ALD. The Toll-like receptor (TLR signaling pathway is upregulated in chronic liver diseases. Alcoholism is associated with endotoxemia that stimulates expression of proinflammatory cytokine expression and inflammation in the liver and fat tissues. Recent studies of HCC have centered on cancer-initiating stem cell (CSC, including detection of CSC in cancer, identification of CSC markers, and isolation of CSC from human HCC cell lines. Synergism between alcohol and HCV may lead to liver tumorigenesis through TLR signaling.

  13. Transport modeling and multivariate adaptive regression splines for evaluating performance of ASR systems in freshwater aquifers

    Science.gov (United States)

    Forghani, Ali; Peralta, Richard C.

    2017-10-01

    The study presents a procedure using solute transport and statistical models to evaluate the performance of aquifer storage and recovery (ASR) systems designed to earn additional water rights in freshwater aquifers. The recovery effectiveness (REN) index quantifies the performance of these ASR systems. REN is the proportion of the injected water that the same ASR well can recapture during subsequent extraction periods. To estimate REN for individual ASR wells, the presented procedure uses finely discretized groundwater flow and contaminant transport modeling. Then, the procedure uses multivariate adaptive regression splines (MARS) analysis to identify the significant variables affecting REN, and to identify the most recovery-effective wells. Achieving REN values close to 100% is the desire of the studied 14-well ASR system operator. This recovery is feasible for most of the ASR wells by extracting three times the injectate volume during the same year as injection. Most of the wells would achieve RENs below 75% if extracting merely the same volume as they injected. In other words, recovering almost all the same water molecules that are injected requires having a pre-existing water right to extract groundwater annually. MARS shows that REN most significantly correlates with groundwater flow velocity, or hydraulic conductivity and hydraulic gradient. MARS results also demonstrate that maximizing REN requires utilizing the wells located in areas with background Darcian groundwater velocities less than 0.03 m/d. The study also highlights the superiority of MARS over regular multiple linear regressions to identify the wells that can provide the maximum REN. This is the first reported application of MARS for evaluating performance of an ASR system in fresh water aquifers.

  14. Immune complexed (IC) hepatitis C virus (HCV) in chronically and acutely HCV-infected patients.

    Science.gov (United States)

    Riva, E; Maggi, F; Abbruzzese, F; Bellomi, F; Giannelli, G; Picardi, A; Scagnolari, C; Folgori, A; Spada, E; Piccolella, E; Dianzani, F; Antonelli, G

    2009-02-01

    In infected individuals, hepatitis C virus (HCV) exists in various forms of circulating particles which role in virus persistence and in HCV resistance to IFN therapy is still debated. Here, the proportion of HCV bound to immunoglobulin was determined in plasma of 107 chronically infected patients harbouring different HCV genotypes and, for comparison, of six patients with acute HCV infection. The results showed that, in spite of wide individual variability, chronically HCV-infected patients exhibited an extremely high proportion of immune complexed (IC) virus regardless of plasma HCV load and infecting genotype. Moreover, no significant association was found between baseline proportion of IC HCV and response to IFN treatment. Plasma samples collected within 2 weeks of treatment from 20 patients revealed a significant decline of mean IC HCV values relative to baseline that clearly paralleled the decay of total HCV load. In acutely infected patients, circulating HCV was not IC or IC at very low levels only in patients developing chronic HCV infection. Collectively, these findings strengthen the possibility that IC virus could play a critical role in the pathogenesis of HCV infection.

  15. HBV And HCV Molecular Evolution

    Directory of Open Access Journals (Sweden)

    Flor H. Pujol

    2007-02-01

    hepatitis C virus (HCV. Six genotypes and a large number of subtypes in each genotype have been described for this member of the Flaviviridae family. Infections with HCV genotype 1 are associated with the lowest therapeutic success. HCV genotype 1b has also been more frequently associated with a more severe liver disease. However, this association seems to be due to the fact that individuals infected with this genotype have a longer mean duration of infection. HCV genotypes 1, 2, and 3 have a worldwide distribution and display an apidemic pattern of distribution. HCV subtypes 1a and 1b are the most common genotypes in the United States and are also are predominant in Europe, while in Japan, subtype 1b is predominant. Although HCV subtypes 2a and 2b are relatively common in America, Europe, and Japan, subtype 2c is found commonly in northern Italy. HCV genotype 3a is frequent in intravenous drug abusers in Europe and the United States. HCV genotype 4 appears to be prevalent in Africa and theMiddle East, and genotypes 5 and 6 seem to be confined to South Africa and Asia, respectively. These last genotypes display an endemic pattern of distribution. In addition, a change in the frequency of the prevailing genotypes has been described in several countries: in general, HCV genotype 1b is being displaced by genotypes 3a and/or 2. Coalescent studies have allowed to describe the epidemic pattern of dissemination of some HCV subtypes in specific countries, generally around 100 years ago. The origin of this virus is still an open question, but several studies traces it diversification only around 1,000 years ago.

    The replication of HCV is dependent on a RNA-polymerase RNA dependent which lacks proofreading activity, which confers to this virus a high rate of variability. This virus circulates as a quasispecies. This population dynamic inside a single strain confers to this virus the ability to

  16. HCV Specific IL-21 Producing T Cells but Not IL-17A Producing T Cells Are Associated with HCV Viral Control in HIV/HCV Coinfection

    Science.gov (United States)

    MacParland, Sonya A.; Fadel, Saleh M.; Mihajlovic, Vesna; Fawaz, Ali; Kim, Connie; Rahman, A. K. M. Nur-ur; Liu, Jun; Kaul, Rupert; Kovacs, Colin; Grebely, Jason; Dore, Gregory J.; Wong, David K.; Ostrowski, Mario A.

    2016-01-01

    Background Decreased hepatitis C virus (HCV) clearance, faster cirrhosis progression and higher HCV RNA levels are associated with Human Immunodeficiency virus (HIV) coinfection. The CD4+ T helper cytokines interleukin (IL)-21 and IL-17A are associated with virus control and inflammation, respectively, both important in HCV and HIV disease progression. Here, we examined how antigen-specific production of these cytokines during HCV mono and HIV/HCV coinfection was associated with HCV virus control. Methods We measured HCV-specific IL-21 and IL-17A production by transwell cytokine secretion assay in PBMCs from monoinfected and coinfected individuals. Viral control was determined by plasma HCV RNA levels. Results In acutely infected individuals, those able to establish transient/complete HCV viral control tended to have stronger HCV-specific IL-21-production than non-controllers. HCV-specific IL-21 production also correlated with HCV viral decline in acute infection. Significantly stronger HCV-specific IL-21 production was detected in HAART-treated coinfected individuals. HCV-specific IL-17A production was not associated with lower plasma HCV RNA levels in acute or chronic HCV infection and responses were stronger in HIV coinfection. HCV-specific IL-21/ IL-17A responses did not correlate with microbial translocation or fibrosis. Exogenous IL-21 treatment of HCV-specific CD8+ T cells from monoinfected individuals enhanced their function although CD8+ T cells from coinfected individuals were somewhat refractory to the effects of IL-21. Conclusions These data show that HCV-specific IL-21 and IL-17A-producing T cells are induced in HIV/HCV coinfection. In early HIV/HCV coinfection, IL-21 may contribute to viral control, and may represent a novel tool to enhance acute HCV clearance in HIV/HCV coinfected individuals. PMID:27124305

  17. Improving ASR Recovery Efficiency by Partially-penetrating Wells in Brackish Aquifers

    Science.gov (United States)

    Chen, Y.

    2015-12-01

    Aquifer storage and recovery (ASR) is a proven cost-effective powerful technology for environmental protection and water resources optimization. The recovery efficiency (RE) is regarded as the key criteria for evaluating the ASR performance. In this study, a particular ASR scheme with the fully-penetrating well (FPW) for injection and the partially-penetrating well (PPW) for recovery is proposed to improve the RE for ASR schemes implemented in brackish aquifers. This design appreciates the tilting shape of the interface with underlying heavier salt water. For the FPW, recovery has to be terminated as soon as the interface toe reaches the well, while the toe can be pulled up to the PPW for recovery termination, resulting in later breakthrough of salt water into the pumping well, more recoverable water extracted from the shallow layers, and a higher RE. Key hydrogeological and operational parameters affecting the RE were investigated by numerical simulations. Results demonstrated the effectiveness and efficiency of the new ASR scheme and provided practical guidance for designing such a scheme in various hydrogeological conditions.

  18. ASR prevention — Effect of aluminum and lithium ions on the reaction products

    Energy Technology Data Exchange (ETDEWEB)

    Leemann, Andreas, E-mail: andreas.leemann@empa.ch [Laboratory for Concrete/Construction Chemistry, Empa, Swiss Federal Laboratories for Material Science and Technology, Überlandstr. 129, 8600 Dübendorf (Switzerland); Bernard, Laetitia [Laboratory for Nanoscale Materials Science, Empa, Swiss Federal Laboratories for Material Science and Technology, Überlandstr. 129, 8600 Dübendorf (Switzerland); Alahrache, Salaheddine; Winnefeld, Frank [Laboratory for Concrete/Construction Chemistry, Empa, Swiss Federal Laboratories for Material Science and Technology, Überlandstr. 129, 8600 Dübendorf (Switzerland)

    2015-10-15

    In spite of the recent progress in the understanding of the mechanisms enabling aluminum-containing SCM like metakaolin and added LiNO{sub 3} to limit the extent of ASR in mortar and concrete, some gaps still remain. They concern mainly the effect of aluminum-containing SCM on the formed ASR products and the influence of aggregate characteristics on the effectiveness of LiNO{sub 3}. In this study, a model system, concrete and mortar were investigated by pore solution analysis, TGA, XRD, NMR, SEM combined with EDX and ToF-SIMS to address these questions. The amount of aluminum present in the pore solution of concrete and mortar is only able to slow down SiO{sub 2} dissolution but not to alter morphology, structure and composition of the reaction products. LiNO{sub 3} can suppress ASR by forming dense products protecting reactive minerals from further reaction. But its effectiveness is decreasing with increasing specific surface area of the reactive minerals in aggregates. - Highlights: • Aluminum of SCM slows down SiO{sub 2} dissolution. • Aluminum of SCM does not alter morphology and structure of ASR product. • ASR suppressing effect of LiNO{sub 3} depends on specific surface area of the aggregates.

  19. Complementary role of HCV and HIV in T-cell activation and exhaustion in HIV/HCV coinfection

    NARCIS (Netherlands)

    Feuth, T.; Arends, J.E.; Fransen, J.H.; Nanlohy, N.M.; Erpecum, K.J. van; Siersema, P.D.; Hoepelman, A.I.; Baarle, D. van

    2013-01-01

    OBJECTIVES: To investigate whether T-cell activation and exhaustion is linked to HCV- and HIV disease parameters in HIV/HCV infected individuals, we studied T-cell characteristics in HIV/HCV coinfected patients and controls. METHODS: 14 HIV/HCV coinfected, 19 HCV monoinfected, 10 HIV monoinfected pa

  20. Inhibition of HCV 3a genotype entry through Host CD81 and HCV E2 antibodies

    Directory of Open Access Journals (Sweden)

    Ashfaq Usman A

    2011-11-01

    Full Text Available Abstract Background HCV causes acute and chronic hepatitis which can eventually lead to permanent liver damage hepatocellular carcinoma and death. HCV glycoproteins play an important role in HCV entry by binding with CD81 receptors. Hence inhibition of virus at entry step is an important target to identify antiviral drugs against HCV. Methods and result The present study elaborated the role of CD81 and HCV glycoprotein E2 in HCV entry using retroviral pseudo-particles of 3a local genotype. Our results demonstrated that HCV specific antibody E2 and host antibody CD81 showed dose- dependent inhibition of HCV entry. HCV E2 antibody showed 50% reduction at a concentration of 1.5 ± 1 μg while CD81 exhibited 50% reduction at a concentration of 0.8 ± 1 μg. In addition, data obtained with HCVpp were also confirmed with the infection of whole virus of HCV genotype 3a in liver cells. Conclusion Our data suggest that HCV specific E2 and host CD81 antibodies reduce HCVpp entry and full length viral particle and combination of host and HCV specific antibodies showed synergistic effect in reducing the viral titer.

  1. Evidence of occult HCV genotypes in haemophilic individuals with unapparent HCV mixed infections.

    Science.gov (United States)

    Parodi, C; Culasso, A; Aloisi, N; García, G; Bastón, M; Corti, M; Bianco, R P; Campos, R; Ares, B R; Baré, P

    2008-07-01

    Individuals with haemophilia who received non heat-treated factor concentrates were likely to undergo multiple exposures to the hepatitis C virus (HCV). Therefore, HCV mixed-genotype infections might be more frequent in these patients than in the general population. Their prevalence is extremely variable in similar groups of patients tested by different assays due to the fact that currently available genotyping techniques are not suitable to detect multiple HCV genotypes in a viral population. As an HCV viral reservoir, the peripheral blood mononuclear cell (PBMC) might harbor viral variants distinct from the genotypes detected in plasma. We investigated the presence of HCV genotypes in a group of chronically infected haemophilic patients in the PBMC compartment using a non-stimulated cell culture system that allows the detection of the HCV genome in culture supernatants. We compared them to the HCV genotypes found in plasma samples. Cell culture experiments performed with PBMC demonstrated the presence of additional HCV genotypes that were undetected in the corresponding plasma samples with the same genotyping technique. Although mixed infections at HCV genotype level became evident in 5.6% of the patients (16/288), the culture methodology increased the number of HCV infections with multiple genotypes to 62.5% (10/16) (P HCV viral reservoirs is emphasized. Considering minor strains could influence the outcome of treatment, detection of covert HCV mixed-genotype infections might be essential for choosing the adequate therapeutic regimen.

  2. Study on the diagnosis value of combination of HCV-cAg and anti-HCV in HCV infection%HCV-cAg和HCV-Ab联合检测对HCV感染诊断价值的研究

    Institute of Scientific and Technical Information of China (English)

    林俊填; 余晋林; 伍伟健; 陈展泽; 龚道元

    2015-01-01

    Objective To explore the clinical value of combination of HCV-cAg and anti-HCV detection in HCV infection. Methods The serum samples from outpatients and inpatients were detected for HCV-cAg,anti-HCV and HCV-RNA. The quanti-tative real-time PCR was applied to detect HCV-RNA,and enzyme-linked immunosorbent assay (ELISA) kits were utilized to test anti-HCV and HCV-cAg). Result The sensitivity and specificity of anti-HCV detection were 90.91% and 99.17% respectively, and that of HCV-cAg were 70.25%and 100%respectively. Notably,the sensitivity(99.17%) and specificity(99.17%) increased sig-nificantly in case of combinational detection method. In addition,no consistency between the results of anti-HCV and HCV-cAg was detected. Conclusion Combination detection of anti-HCV and HCV-cAg was recommended because of its remarkable advan-tage in screening and diagnosis of HIV infection.%目的:探讨HCV-cAg和HCV-Ab两个指标联合检测对HCV感染的临床价值。方法对门诊和住院患者血液标本进行HCV-cAg、HCV-Ab 及HCV-RNA联合检测,采用实时荧光定量 PCR 法检测 HCV-RNA,采用酶联免疫吸附法(ELISA)检测试剂盒检测HCV-Ab和HCV-cAg。结果 HCV-Ab检测的灵敏度和特异度分别为90.91%和99.17%;HCV-cAg检测的灵敏度和特异度分别为70.25%和100%,两者的特异度相近,但是HCV-Ab检测的灵敏度比HCV-cAg的要高。两者联合检测时灵敏度和特异度分别为99.17%和99.17%,灵敏度明显增加。此外,HCV-Ab和HCV-cAg两者之间的检测结果无一致性。结论 HCV-Ab和HCV-cAg检测相互间无法替代,将抗-HCV和HCV-cAg两种指标结合起来检测,对临床上提高HCV感染的筛查和诊断具有重要的价值。

  3. New Adaptive Approach for Road Condition Identification in ASR Control System

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    A novel tire-road adaptive model in longitude direction to formulate the dynamic characteristic between tire and road is proposed in this paper, based on this model, a new adaptive approach of road condition identification is presented to identify the model's parameters on-line in order to improve the performance of anti-slip regulation system(ASR). The optimal slip is determined by using the drive wheel's slip and longitude traction force in ASR before the slipping of the drive wheel. Co-simulation is done based on the model for JETTA GTX building with ADAMS/CAR and Matlab, and results show that the adaptive model accords with Pacejka model very well. This adaptive model has simpler form, less number of parameters and higher adaptability than usual, and the new identification approach has a small amounts of operation, which is very suitful for ASR.

  4. The ASRS-6 has two latent factors: attention deficit and hyper-activity

    DEFF Research Database (Denmark)

    Hesse, Morten

    2013-01-01

    Objective: To test whether the Adult Self-Report Scale for ADHD, 6-items version (ASRS-6), measures inattentiveness and hyperactivity independently. Methods: The ASRS-6 was completed by 234 university students and 157 outpatients treated for drug dependence. In both samples, the ASRS-6...... was subjected to two confirmatory factor analyses, one testing a one-factor model, and one testing a model with two correlated factors indicating inattentiveness and hyperactivity respectively. Test-retest reliability of the subscales was tested on a subset of the student sample (n=25). Results: In both samples......, a one-factor solution did not fit the data, but the two-factor solution fit the data better. Sub-scales differed in their correlates in ways that mirror the correlates of inattentiveness and hyperactivity in the published literature on ADHD. In the student sample, the test-retest reliability...

  5. Field Investigation of a New Recharge Approach for ASR Projects in Near-Surface Aquifers.

    Science.gov (United States)

    Liu, Gaisheng; Knobbe, Steven; Reboulet, Edward C; Whittemore, Donald O; Händel, Falk; Butler, James J

    2016-05-01

    Aquifer storage and recovery (ASR) is the artificial recharge and temporary storage of water in an aquifer when water is abundant, and recovery of all or a portion of that water when it is needed. One key limiting factor that still hinders the effectiveness of ASR is the high costs of constructing, maintaining, and operating the artificial recharge systems. Here we investigate a new recharge method for ASR in near-surface unconsolidated aquifers that uses small-diameter, low-cost wells installed with direct-push (DP) technology. The effectiveness of a DP well for ASR recharge is compared with that of a surface infiltration basin at a field site in north-central Kansas. The performance of the surface basin was poor at the site due to the presence of a shallow continuous clay layer, identified with DP profiling methods, that constrained the downward movement of infiltrated water and significantly reduced the basin recharge capacity. The DP well penetrated through this clay layer and was able to recharge water by gravity alone at a much higher rate. Most importantly, the costs of the DP well, including both the construction and land costs, were only a small fraction of those for the infiltration basin. This low-cost approach could significantly expand the applicability of ASR as a water resources management tool to entities with limited fiscal resources, such as many small municipalities and rural communities. The results of this investigation demonstrate the great potential of DP wells as a new recharge option for ASR projects in near-surface unconsolidated aquifers.

  6. Human monoclonal antibody HCV1 effectively prevents and treats HCV infection in chimpanzees.

    Directory of Open Access Journals (Sweden)

    Trevor J Morin

    Full Text Available Hepatitis C virus (HCV infection is a leading cause of liver transplantation and there is an urgent need to develop therapies to reduce rates of HCV infection of transplanted livers. Approved therapeutics for HCV are poorly tolerated and are of limited efficacy in this patient population. Human monoclonal antibody HCV1 recognizes a highly-conserved linear epitope of the HCV E2 envelope glycoprotein (amino acids 412-423 and neutralizes a broad range of HCV genotypes. In a chimpanzee model, a single dose of 250 mg/kg HCV1 delivered 30 minutes prior to infusion with genotype 1a H77 HCV provided complete protection from HCV infection, whereas a dose of 50 mg/kg HCV1 did not protect. In addition, an acutely-infected chimpanzee given 250 mg/kg HCV1 42 days following exposure to virus had a rapid reduction in viral load to below the limit of detection before rebounding 14 days later. The emergent virus displayed an E2 mutation (N415K/D conferring resistance to HCV1 neutralization. Finally, three chronically HCV-infected chimpanzees were treated with a single dose of 40 mg/kg HCV1 and viral load was reduced to below the limit of detection for 21 days in one chimpanzee with rebounding virus displaying a resistance mutation (N417S. The other two chimpanzees had 0.5-1.0 log(10 reductions in viral load without evidence of viral resistance to HCV1. In vitro testing using HCV pseudovirus (HCVpp demonstrated that the sera from the poorly-responding chimpanzees inhibited the ability of HCV1 to neutralize HCVpp. Measurement of antibody responses in the chronically-infected chimpanzees implicated endogenous antibody to E2 and interference with HCV1 neutralization although other factors may also be responsible. These data suggest that human monoclonal antibody HCV1 may be an effective therapeutic for the prevention of graft infection in HCV-infected patients undergoing liver transplantation.

  7. Optimization of Operational Route in AS/RS Based on Particle Swarm Algorithm

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Optimization of the operational route in the automated storage/retrieval system (AS/RS) is transformed into the traveling salesman problem. To make the moving distance of the storage/retrieval machine shortest, we carry out a group of tests where 20 goods locations are chosed. Using PSO for operational route of AS/RS, the operation time can be shortened by about 11%. The experiments indicate that under the same conditions, the more the goods locations are, the higher the operation efficiency of the storage/retrieval machine is.

  8. Acute stress responses: A review and synthesis of ASD, ASR, and CSR.

    Science.gov (United States)

    Isserlin, Leanna; Zerach, Gadi; Solomon, Zahava

    2008-10-01

    Toward the development of a unifying diagnosis for acute stress responses this article attempts to find a place for combat stress reaction (CSR) within the spectrum of other defined acute stress responses. This article critically compares the diagnostic criteria of acute stress disorder (ASD), acute stress reaction (ASR), and CSR. Prospective studies concerning the predictive value of ASD, ASR, and CSR are reviewed. Questions, recommendations, and implications for clinical practice are raised concerning the completeness of the current acute stress response diagnoses, the heterogeneity of different stressors, the scope of expected outcomes, and the importance of decline in function as an indicator of future psychological, psychiatric, and somatic distress.

  9. The history of hepatitis C virus (HCV)

    DEFF Research Database (Denmark)

    Bukh, Jens

    2016-01-01

    The discovery of hepatitis C virus (HCV) in 1989 permitted basic research to unravel critical components of a complex life cycle for this important human pathogen. HCV is a highly divergent group of viruses classified in 7 major genotypes and a great number of subtypes, and circulating in infected...

  10. Reactive transport impacts on recovered freshwater quality during multiple partially penetrating wells (MPPW-)ASR in a brackish heterogeneous aquifer

    NARCIS (Netherlands)

    Zuurbier, Koen G.; Hartog, Niels; Stuyfzand, Pieter J.

    2016-01-01

    The use of multiple partially penetrating wells (MPPW) during aquifer storage and recovery (ASR) in brackish aquifers can significantly improve the recovery efficiency (RE) of unmixed injected water. The water quality changes by reactive transport processes in a field MPPW-ASR system and their impac

  11. Molecular Signature in HCV-Positive Lymphomas

    Directory of Open Access Journals (Sweden)

    Valli De Re

    2012-01-01

    Full Text Available Hepatitis C virus (HCV is a positive, single-stranded RNA virus, which has been associated to different subtypes of B-cell non-Hodgkin lymphoma (B-NHL. Cumulative evidence suggests an HCV-related antigen driven process in the B-NHL development. The underlying molecular signature associated to HCV-related B-NHL has to date remained obscure. In this review, we discuss the recent developments in this field with a special mention to different sets of genes whose expression is associated with BCR coupled to Blys signaling which in turn was found to be linked to B-cell maturation stages and NF-κb transcription factor. Even if recent progress on HCV-B-NHL signature has been made, the precise relationship between HCV and lymphoma development and phenotype signature remain to be clarified.

  12. Molecular signature in HCV-positive lymphomas.

    Science.gov (United States)

    De Re, Valli; Caggiari, Laura; Garziera, Marica; De Zorzi, Mariangela; Repetto, Ombretta

    2012-01-01

    Hepatitis C virus (HCV) is a positive, single-stranded RNA virus, which has been associated to different subtypes of B-cell non-Hodgkin lymphoma (B-NHL). Cumulative evidence suggests an HCV-related antigen driven process in the B-NHL development. The underlying molecular signature associated to HCV-related B-NHL has to date remained obscure. In this review, we discuss the recent developments in this field with a special mention to different sets of genes whose expression is associated with BCR coupled to Blys signaling which in turn was found to be linked to B-cell maturation stages and NF-κb transcription factor. Even if recent progress on HCV-B-NHL signature has been made, the precise relationship between HCV and lymphoma development and phenotype signature remain to be clarified.

  13. Increasing risk of cataract in HCV patients receiving anti-HCV therapy: A nationwide cohort study

    Science.gov (United States)

    Lin, Shih-Yi; Lin, Cheng-Li; Ju, Shu-Woei; Wang, I-Kuan; Lin, Cheng-Chieh; Lin, Chih-Hsueh; Hsu, Wu-Huei

    2017-01-01

    Purpose Hepatitis C virus (HCV) infection is associated with increased systemic oxidative stress, which leads to cardiovascular events, diabetes, and chronic kidney disease. Similarly, cataract is also associated with increased oxidative stress. The association between HCV infection and increased risk of cataract remains unclear. Methods A total of 11,652 HCV-infected patients and 46,608 age- and sex-matched non-HCV infected patients were identified during 2003–2011. All patient data were tracked until a diagnosis of cataract, death, or the end of 2011. Cumulative incidences and hazard ratios (HRs) were calculated. Results The mean follow-up durations were 5.29 and 5.86 years for the HCV and non-HCV cohorts, respectively. The overall incidence density rate for cataract was 1.36 times higher in the HCV cohort than in the non-HCV cohort (1.86 and 1.37 per 100 person-y, respectively). After adjusting for age, sex, comorbidities of diabetes, hypertension, hyperlipidemia, asthma, chronic obstructive pulmonary disease, coronary artery disease, and anxiety, patients with HCV infection had an increased risk of cataract compared with those without HCV infection [adjusted HR = 1.23, 95% confidence interval (CI) = 1.14–1.32]. HCV-infected patients receiving interferon–ribavirin therapy had a 1.83 times higher (95% CI = 1.40–2.38) risk of cataract than non-HCV infected patients did. Conclusion HCV infection, even without the complication of cirrhosis, is associated with an increased risk of cataract, and this risk is higher in HCV-infected patients undergoing interferon–ribavirin therapy. PMID:28264004

  14. High rate of hepatitis C virus (HCV) recurrence in HIV-infected individuals with spontaneous HCV RNA clearance

    DEFF Research Database (Denmark)

    Peters, L; Mocroft, A; Soriano, V

    2014-01-01

    OBJECTIVES: Following resolution of hepatitis C virus (HCV) infection, recurrence has been shown to occur in some persons with repeated exposure to HCV. We aimed to investigate the rate and factors associated with HCV RNA recurrence among HIV-1-infected patients with prior spontaneous HCV RNA...... clearance in the EuroSIDA cohort. METHODS: All HIV-infected patients with documented prior spontaneous HCV clearance, and at least one subsequently collected plasma sample, were examined. The last sample was tested for HCV RNA and those with HCV RNA ≥ 615 IU/mL were defined as having HCV recurrence...

  15. Activation of fly ashes by the high temperature and high alkalinity in ASR tests

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    High temperature and high alkalinity are typical testing conditions to accelerate the appraisal process of the suppressing effect of fly ashes on alkali silica reaction(ASR),but the reaction mechanism of fly ashes would be quite different under such conditions compared to the normal condition of temperature and alkalinity.To make a reasonable analysis of the suppressing effect of fly ashes,13 types of fly ashes were tested in this paper by both the accelerated mortar bar test method and the 60°C accelerated concrete prism test method.The results showed that the effect of fly ashes would be magnified under the condition of high temperature and high alkalinity.The XRD analysis showed that all the phases of fly ash could react with the hot alkaline solution except for mullite and a small amount of quartz.Fly ash could be significantly activated by the 80°C 1 mol/L NaOH solution,and form mainly C-S-H phase and P type zeolite,but its effect on inhibiting ASR was exaggerated then.According to the mortar strength test and the ASR suppressing test results,C-S-H phase contributed to mortar strength,but its amount did not decide the ASR suppressing effect of fly ash.

  16. The pedagogical effectiveness of ASR-based computer assisted pronunciation training

    NARCIS (Netherlands)

    Neri, A.

    2007-01-01

    Computer Assisted Pronunciation Training (CAPT) systems with Automatic Speech Recognition (ASR) technology have become increasingly popular to train pronunciation in the second language (L2). The advantage of these systems is the provision of a self-paced, stress-free type of training with automatic

  17. Spoken Grammar Practice and Feedback in an ASR-Based CALL System

    Science.gov (United States)

    de Vries, Bart Penning; Cucchiarini, Catia; Bodnar, Stephen; Strik, Helmer; van Hout, Roeland

    2015-01-01

    Speaking practice is important for learners of a second language. Computer assisted language learning (CALL) systems can provide attractive opportunities for speaking practice when combined with automatic speech recognition (ASR) technology. In this paper, we present a CALL system that offers spoken practice of word order, an important aspect of…

  18. Material and energy recovery from Automotive Shredded Residues (ASR) via sequential gasification and combustion.

    Science.gov (United States)

    Viganò, F; Consonni, S; Grosso, M; Rigamonti, L

    2010-01-01

    Shredding is the common end-of-life treatment in Europe for dismantled car wrecks. It produces the so-called Automotive Shredded Residue (ASR), usually disposed of in landfill. This paper summarizes the outcome of a study carried out by Politecnico di Milano and LEAP with the support of Actelios SpA on the prospects of a technology based on sequential gasification and combustion of this specific waste stream. Its application to the treatment of ASR allows the recovery of large fractions of metals as non-oxidized, easily marketable secondary raw materials, the vitrification of most of the ash content and the production of power via a steam cycle. Results show that despite the unfavourable characteristics of ASR, the proposed technology can reach appealing energy performances. Three of four environmental impact indicators and the cumulative energy demand index are favourable, the main positive contributes being electricity production and metal recovery (mainly aluminium and copper). The only unfavourable indicator is the global warming index because, since most of the carbon in ASR comes from fossil sources, the carbon dioxide emissions at the stack of the thermal treatment plant are mainly non-renewable and, at the same time, the avoided biogas production from the alternative disposal route of landfilling is minor.

  19. INTEGRATION OF STORAGE CHARACTERISTIC WITH ON-LINE SERVICE CHARACTERISTIC OF AS/RS

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Directed at how to integrated storage characteristic with on-line service characteristic of AS/RS, a solution based on database design and programming method is proposed. The results show that this model is reasonable and applicable while using in some small or middle enterprises material handling system.

  20. Spoken Grammar Practice and Feedback in an ASR-Based CALL System

    Science.gov (United States)

    de Vries, Bart Penning; Cucchiarini, Catia; Bodnar, Stephen; Strik, Helmer; van Hout, Roeland

    2015-01-01

    Speaking practice is important for learners of a second language. Computer assisted language learning (CALL) systems can provide attractive opportunities for speaking practice when combined with automatic speech recognition (ASR) technology. In this paper, we present a CALL system that offers spoken practice of word order, an important aspect of…

  1. Optimal Storage Rack Design for a 3-dimensional Compact AS/RS

    NARCIS (Netherlands)

    T. Le-Duc (Tho); M.B.M. de Koster (René)

    2005-01-01

    textabstractIn this paper, we consider a newly-designed automated storage and retrieval system (AS/RS). The system consists of an automated crane taking care of movements in the horizontal and vertical direction. A gravity conveying mechanism takes care of the depth movement. The aim of the research

  2. Personnel and Training Requirements for the ASR-21 Rescue Control Center.

    Science.gov (United States)

    DeLuca, Joseph F.; Noble, John F.

    This report covers personnel and training requirements for Rescue Control Center (RCC) twin hull submarine rescue ships (ASRs). Skills and knowledge similar to those of a sonar technician (ST-0408) and a data system technician (DS-1666) are needed to operate the special sonar set and computer based system, but no suitable Navy training facility…

  3. The Usefulness of Automatic Speech Recognition (ASR) Eyespeak Software in Improving Iraqi EFL Students' Pronunciation

    Science.gov (United States)

    Sidgi, Lina Fathi Sidig; Shaari, Ahmad Jelani

    2017-01-01

    The present study focuses on determining whether automatic speech recognition (ASR) technology is reliable for improving English pronunciation to Iraqi EFL students. Non-native learners of English are generally concerned about improving their pronunciation skills, and Iraqi students face difficulties in pronouncing English sounds that are not…

  4. A smartphone-based ASR data collection tool for under-resourced languages

    CSIR Research Space (South Africa)

    De Vries, NJ

    2014-01-01

    Full Text Available project, during which almost 800 hours of ASR data was collected, often in remote, rural areas, and subsequently used to successfully build acoustic models for eleven languages. The on-device quality control mechanism (referred to as QC-on-the-go...

  5. Ageing Voices: The Effect of Changes in Voice Parameters on ASR Performance

    Directory of Open Access Journals (Sweden)

    Ravichander Vipperla

    2010-01-01

    Full Text Available With ageing, human voices undergo several changes which are typically characterized by increased hoarseness and changes in articulation patterns. In this study, we have examined the effect on Automatic Speech Recognition (ASR and found that the Word Error Rates (WER on older voices is 10% absolute higher compared to those of adult voices. Subsequently, we compared several voice source parameters including fundamental frequency, jitter, shimmer, harmonicity, and cepstral peak prominence of adult and older males. Several of these parameters show statistically significant difference for the two groups. However, artificially increasing jitter and shimmer measures do not effect the ASR accuracies significantly. Artificially lowering the fundamental frequency degrades the ASR performance marginally but this drop in performance can be overcome to some extent using Vocal Tract Length Normalisation (VTLN. Overall, we observe that the changes in the voice source parameters do not have a significant impact on ASR performance. Comparison of the likelihood scores of all the phonemes for the two age groups show that there is a systematic mismatch in the acoustic space of the two age groups. Comparison of the phoneme recognition rates show that mid vowels, nasals, and phonemes that depend on the ability to create constrictions with tongue tip for articulation are more affected by ageing than other phonemes.

  6. Effectiveness of Feedback for Enhancing English Pronunciation in an ASR-Based CALL System

    Science.gov (United States)

    Wang, Y.-H.; Young, S. S.-C.

    2015-01-01

    This paper presents a study on implementing the ASR-based CALL (computer-assisted language learning based upon automatic speech recognition) system embedded with both formative and summative feedback approaches and using implicit and explicit strategies to enhance adult and young learners' English pronunciation. Two groups of learners including 18…

  7. Optimal Storage Rack Design for a 3-dimensional Compact AS/RS

    NARCIS (Netherlands)

    T. Le-Duc (Tho); M.B.M. de Koster (René); Y. Yu (Yugang)

    2006-01-01

    textabstractIn this paper, we consider a newly-designed compact three-dimensional automated storage and retrieval system (AS/RS). The system consists of an automated crane taking care of movements in the horizontal and vertical direction. A gravity conveying mechanism takes care of the depth movemen

  8. Optimal Zone Boundaries for Two-class-based Compact 3D AS/RS

    NARCIS (Netherlands)

    Y. Yu (Yugang); M.B.M. de Koster (René)

    2007-01-01

    textabstractCompact, multi-deep (3D), Automated Storage and Retrieval Systems (AS/RS) are becoming more common, due to new technologies, lower investment costs, time efficiency and compact size. Decision-making research on these systems is still in its infancy. We study a particular compact system w

  9. Effectiveness of lithium-based products in concrete made with Canadian aggregates susceptible to ASR

    Energy Technology Data Exchange (ETDEWEB)

    Tremblay, C.; Berube, M.A. [Laval Univ., Quebec City, PQ (Canada). Dept. of Geology and Geological Engineering; Fournier, B. [Natural Resources Canada, Ottawa, ON (Canada). CANMET Materials Technology Lab; Thomas, M.D.A. [New Brunswick Univ., Fredericton, NB (Canada). Dept. of Civil Engineering

    2006-07-01

    The durability and service-life of concrete structures is affected by the alkali-silica reaction (ASR) that occurs in some siliceous aggregates. During ASR, a swelling gel is produced that causes the expansion and premature deterioration of the concrete elements. Studies have indicated that lithium-based products can suppress the ASR expansion when used at an adequate dosage. The efficacy of LiNO{sub 3} has been recognized because it is not susceptible to pessimum effects, and does not increasing the pH of the pore solution compared to some LiOH and other lithium salts. The alkali content of concrete is a critical parameter for the ASR and also impacts significantly on the efficacy of the lithium-based products. This paper presented the results of a 3 year study in which the feasibility of combining lithium admixture and supplementary cementing materials (SCMs) was investigated. In the study, 87 concrete mixtures were subjected to concrete prism expansion tests in humid air at 38 degrees C for 2 years and up to 9 months at 60 degrees C. The mixtures incorporated 12 different Canadian reactive aggregates and one non-reactive aggregate along with different amounts of lithium-based admixtures. The pore solution of these mixtures was extracted under high pressure at different times for chemical analysis. The combination of lithium admixture and SCMs proved to be beneficial in reducing ASR. The required dosage of LiNO{sub 3} was not related to the degree of reactivity of the aggregate to counteract expansion. 22 refs., 11 tabs., 7 figs.

  10. No requirement of HCV 5'NCR for HCV-like particles assembly in insect cells

    Institute of Scientific and Technical Information of China (English)

    Wei Zhao; Guo-Yang Liao; Yah-Jun Jiang; Shu-De Jiang

    2003-01-01

    AIM: To express all three HCV structural proteins in the presence or absence of HCV 5'NCR to investigate the requirement of 5'NCR for the assembly of HCV-like particles in insect cells.METHODS: HCV structural protein encoding sequences CE1E2 and 5'NCR-CE1E2 were amplified with PCR.Recombinant baculovirus were constructed with recombinant DNA techniques. HCV structural proteins expressed in insect cells were analyzed by immunofluorescence and SDS-PAGE.Immunoprecipitation experiment of insect cell lysates with anti-E2 monodonal antibody (Mab) was carried out and the immunoprecipitated proteins were subjected to SDS-PAGE and immunoblotting with anti-C, anti-E2 Mabs and HCV positive serum. The virus-like particles in insect cells were visualized by electron microscopy (EM). The HCV-like particles were purified by sucrose gradient centrifugation and identified by EM and immune aggregation EM.RESULTS: The recombinant baculovirus reBV/CE1E2containing HCV C, E1, E2 genes and reBV/CS containing the same structural protein genes plus 5'NCR were constructed. The insect cells infected with either reBV/CE1E2or reBV/CS expressed HCV C, E1 and E2 proteins with a molecular weight of 20 kD, 35 kD and 66 kD respectively.The results of immunoprecipitation and the immunoblotting revealed the coimmunoprecipitation of C, E1, and E2proteins, indicating the interaction of HCV structural proteins expressed in insect cells. Electron microscopy of insect cells infected with reBV/CE1E2 or reBV/CS demonstrated spherical particles (40 to 60 nm in diameter)similar to the HCV virions from sera or hepatic tissues of HCV infected humans. The HCV-like particles were partially purified by sucrose gradient centrifugation, and the purified VLPs showed immuno-reactivity with anti-HCV antibodies.CONCLUSION: HCV 5'NCR is not required for the assembly of HCV-like particles in insect cells, HCV core and envelope proteins are sufficient for viral particle formation.

  11. No evidence of occult hepatitis C virus (HCV) infection in serum of HCV antibody-positive HCV RNA-negative kidney-transplant patients.

    Science.gov (United States)

    Nicot, Florence; Kamar, Nassim; Mariamé, Bernard; Rostaing, Lionel; Pasquier, Christophe; Izopet, Jacques

    2010-06-01

    Persistence of hepatitis C virus (HCV) in patients who cleared HCV is still debated. Occult HCV infection is described as the presence of detectable HCV RNA in liver or peripheral blood mononuclear cells (PBMCs) of patients with undetectable plasma HCV-RNA by conventional PCR assays. We have assessed the persistence of HCV in 26 kidney-transplant patients, followed up for 10.5 years (range 2-16), after HCV elimination while on hemodialysis. If HCV really did persist, arising out of the loss of immune control caused by institution of the regimen of immunosuppressive drugs after kidney transplantation, HCV reactivation would have taken place. Their immunosuppression relied on calcineurin inhibitors (100%), and/or steroids (62%), and/or antimetabolites (94%). An induction therapy, given to 22 patients, relied on rabbit antithymocyte globulin (59%) or anti-IL2-receptor blockers (32%). All patients had undetectable HCV RNA as ascertained by several conventional tests. At the last follow-up, no residual HCV RNA was detected in the five liver biopsies, the 26 plasma, and in the 37 nonstimulated and 24 stimulated PBMCs tested with an ultrasensitive RT-PCR assay (detection limit, 2 IU/ml). No biochemical or virologic relapse was seen during follow-up. The absence of HCV relapse in formerly HCV-infected immunocompromised patients suggests the complete eradication of HCV after its elimination while on dialysis.

  12. Novel synthesis and applications of Thiomer solidification for heavy metals immobilization in hazardous ASR/ISW thermal residue.

    Science.gov (United States)

    Baek, Jin Woong; Mallampati, Srinivasa Reddy; Park, Hung Suck

    2016-03-01

    The present paper reports the novel synthesis and application of Thiomer solidification for heavy metal immobilization in hazardous automobile shredder residues and industrial solid waste (ASR/ISW) thermal residues. The word Thiomer is a combination of the prefix of a sulfur-containing compound "Thio" and the suffix of "Polymer" meaning a large molecule compound of many repeated subunits. To immobilize heavy metals, either ASR/ISW thermal residues (including bottom and fly ash) was mixed well with Thiomer and heated at 140°C. After Thiomer solidification, approximately 91-100% heavy metal immobilization was achieved. The morphology and mineral phases of the Thiomer-solidified ASR/ISW thermal residue were characterized by field emission-scanning electron microscopy, energy dispersive X-ray spectroscopy and X-ray diffraction (XRD), which indicated that the amounts of heavy metals detectable on the ASR/ISW thermal residue surface decreased and the sulfur mass percent increased. XRD indicated that the main fraction of the enclosed/bound materials on the ASR/ISW residue contained sulfur associated crystalline complexes. The Thiomer solidified process could convert the heavy metal compounds into highly insoluble metal sulfides and simultaneously encapsulate the ASR/ISW thermal residue. These results show that the proposed method can be applied to the immobilization of ASR/ISW hazardous ash involving heavy metals. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. Mitigation of ASR by the use of LiNO{sub 3}—Characterization of the reaction products

    Energy Technology Data Exchange (ETDEWEB)

    Leemann, Andreas, E-mail: andreas.leemann@empa.ch [Empa, Swiss Federal Laboratories for Materials Science and Technology, Überlandstr. 129, 8600 Dübendorf (Switzerland); Lörtscher, Luzia [Institute for Surface Science and Technology (D-MATL), ETH Zurich, Schafmattstr. 6, 8093 Zurich (Switzerland); Bernard, Laetitia; Le Saout, Gwenn; Lothenbach, Barbara [Empa, Swiss Federal Laboratories for Materials Science and Technology, Überlandstr. 129, 8600 Dübendorf (Switzerland); Espinosa-Marzal, Rosa M. [Institute for Surface Science and Technology (D-MATL), ETH Zurich, Schafmattstr. 6, 8093 Zurich (Switzerland)

    2014-05-01

    The influence of the LiNO{sub 3} on the ASR product was studied both in a model system and in mortars. In the model system, the addition of LiNO{sub 3} decreases the dissolution rate and the solubility of silica. Lithium changes the 2-dimensional cross-linked (Q{sub 3} dominated) network of the ASR product into a less structured, Q{sub 2} dominated product, likely by adopting the role of calcium. In the mortar samples the addition of LiNO{sub 3} decreases expansion and significantly influences the chemical composition and the morphology of the reaction product. Lithium decreases the calcium, sodium and potassium content and changes the relatively porous plate-like reaction product into a dense one without texture. The findings in the mortars indicate that the ASR-suppressing effect of lithium is caused by the lower potential of the reaction product to swell. Furthermore, it forms a protective barrier after an initial reaction slowing down ASR. - Highlights: • Detection of lithium in ASR product by ToF-SIMS • Relation between composition of pore solution and ASR product • Identification of ASR suppressing mechanisms of LiNO{sub 3}.

  14. The MaASR gene as a crucial component in multiple drought stress response pathways in Arabidopsis.

    Science.gov (United States)

    Zhang, Lili; Hu, Wei; Wang, Yuan; Feng, Renjun; Zhang, Yindong; Liu, Juhua; Jia, Caihong; Miao, Hongxia; Zhang, Jianbin; Xu, Biyu; Jin, Zhiqiang

    2015-03-01

    Abscisic acid (ABA)-, stress-, and ripening-induced (ASR) proteins are involved in abiotic stress responses. However, the exact molecular mechanism underlying their function remains unclear. In this study, we report that MaASR expression was induced by drought stress and MaASR overexpression in Arabidopsis strongly enhanced drought stress tolerance. Physiological analyses indicated that transgenic lines had higher plant survival rates, seed germination rates, and leaf proline content and lower water loss rates (WLR) and malondialdehyde (MDA) content. MaASR-overexpressing lines also showed smaller leaves and reduced sensitivity to ABA. Further, microarray and chromatin immunoprecipitation-based sequencing (ChIP-seq) analysis revealed that MaASR participates in regulating photosynthesis, respiration, carbohydrate and phytohormone metabolism, and signal transduction to confer plants with enhanced drought stress tolerance. Direct interactions of MaASR with promoters for the hexose transporter and Rho GTPase-activating protein (RhoGAP) genes were confirmed by electrophoresis mobility shift array (EMSA) analysis. Our results indicate that MaASR acts as a crucial regulator of photosynthesis, respiration, carbohydrate and phytohormone metabolism, and signal transduction to mediate drought stress tolerance.

  15. AsrR is an oxidative stress sensing regulator modulating Enterococcus faecium opportunistic traits, antimicrobial resistance, and pathogenicity.

    Directory of Open Access Journals (Sweden)

    François Lebreton

    Full Text Available Oxidative stress serves as an important host/environmental signal that triggers a wide range of responses in microorganisms. Here, we identified an oxidative stress sensor and response regulator in the important multidrug-resistant nosocomial pathogen Enterococcus faecium belonging to the MarR family and called AsrR (antibiotic and stress response regulator. The AsrR regulator used cysteine oxidation to sense the hydrogen peroxide which results in its dissociation to promoter DNA. Transcriptome analysis showed that the AsrR regulon was composed of 181 genes, including representing functionally diverse groups involved in pathogenesis, antibiotic and antimicrobial peptide resistance, oxidative stress, and adaptive responses. Consistent with the upregulated expression of the pbp5 gene, encoding a low-affinity penicillin-binding protein, the asrR null mutant was found to be more resistant to β-lactam antibiotics. Deletion of asrR markedly decreased the bactericidal activity of ampicillin and vancomycin, which are both commonly used to treat infections due to enterococci, and also led to over-expression of two major adhesins, acm and ecbA, which resulted in enhanced in vitro adhesion to human intestinal cells. Additional pathogenic traits were also reinforced in the asrR null mutant including greater capacity than the parental strain to form biofilm in vitro and greater persistance in Galleria mellonella colonization and mouse systemic infection models. Despite overexpression of oxidative stress-response genes, deletion of asrR was associated with a decreased oxidative stress resistance in vitro, which correlated with a reduced resistance to phagocytic killing by murine macrophages. Interestingly, both strains showed similar amounts of intracellular reactive oxygen species. Finally, we observed a mutator phenotype and enhanced DNA transfer frequencies in the asrR deleted strain. These data indicate that AsrR plays a major role in antimicrobial

  16. [Tailor-made strategy in HCV treatment].

    Science.gov (United States)

    Watanabe, Tsunamasa; Tanaka, Yasuhito

    2012-04-01

    Hepatitis C virus (HCV) infection is a global health problem and a leading cause of end-stage liver disease and hepatocellular carcinoma. Treatment of HCV infection with pegylated interferon-alpha and ribavirin can eradicate chronic HCV infection in approximately 50% of patients infected with high viremia of HCV genotype 1, and spontaneous viral clearance was observed in approximately 30% of individuals with acute infection. These findings were strongly expected to reflect variations of the host genome. Significant breakthrough by the genome-wide association study (GWAS) approach led to the discovery of genetic polymorphisms playing a major role in the evolution of infection, as well as on treatment response and adverse effects. Herein, we present current evidence with regard to the relationship between host variations and clinical outcome of hepatitis C, and focus on the potential clinical implications with respect to tailor-made therapy for chronic hepatitis C.

  17. The Adult ADHD Self-Report Scale (ASRS: utility in college students with attention-deficit/hyperactivity disorder

    Directory of Open Access Journals (Sweden)

    Sarah Gray

    2014-03-01

    Full Text Available Background. The number of students with Attention Deficit/Hyperactivity Disorder (ADHD enrolled in colleges and universities has increased markedly over the past few decades, giving rise to questions about how best to document symptoms and impairment in the post-secondary setting. The aim of the present study was to investigate the utility and psychometric properties of a widely-used rating scale for adults with ADHD, the Adult ADHD Self-Report Scale (ASRS-V1.1, in a sample of post-secondary students with ADHD.Methods. A total of 135 college students (mean age = 24, 42% males with ADHD were recruited from Student Disability Services in post-secondary institutions. We compared informant responses on the ASRS administered via different modalities. First, students’ self-report was ascertained using the ASRS Screener administered via telephone interview, in which they were asked to provide real-life examples of behavior for each of the six items. Next, students self-reported symptoms on the 18-item paper version of the ASRS Symptom Checklist administered about 1–2 weeks later, and a collateral report using an online version of the 18-item ASRS Symptom Checklist. Students also completed self-report measures of everyday cognitive failure (CFQ and executive functioning (BDEFS.Results. Results revealed moderate to good congruency between the 18-item ASRS-Self and ASRS-Collateral reports (correlation = .47, and between student self-report on the 6-item telephone-based and paper versions of the ASRS, with the paper version administered two weeks later (correlation = .66. The full ASRS self-report was related to impairment, such as in executive functioning (correlation = .63 and everyday cognitive failure (correlation = .74. Executive functioning was the only significant predictor of ASRS total scores.Discussion. Current findings suggest that the ASRS provides an easy-to-use, reliable, and cost-effective approach for gathering information about current

  18. The Adult ADHD Self-Report Scale (ASRS): utility in college students with attention-deficit/hyperactivity disorder.

    Science.gov (United States)

    Gray, Sarah; Woltering, Steven; Mawjee, Karizma; Tannock, Rosemary

    2014-01-01

    Background. The number of students with Attention Deficit/Hyperactivity Disorder (ADHD) enrolled in colleges and universities has increased markedly over the past few decades, giving rise to questions about how best to document symptoms and impairment in the post-secondary setting. The aim of the present study was to investigate the utility and psychometric properties of a widely-used rating scale for adults with ADHD, the Adult ADHD Self-Report Scale (ASRS-V1.1), in a sample of post-secondary students with ADHD. Methods. A total of 135 college students (mean age = 24, 42% males) with ADHD were recruited from Student Disability Services in post-secondary institutions. We compared informant responses on the ASRS administered via different modalities. First, students' self-report was ascertained using the ASRS Screener administered via telephone interview, in which they were asked to provide real-life examples of behavior for each of the six items. Next, students self-reported symptoms on the 18-item paper version of the ASRS Symptom Checklist administered about 1-2 weeks later, and a collateral report using an online version of the 18-item ASRS Symptom Checklist. Students also completed self-report measures of everyday cognitive failure (CFQ) and executive functioning (BDEFS). Results. Results revealed moderate to good congruency between the 18-item ASRS-Self and ASRS-Collateral reports (correlation = .47), and between student self-report on the 6-item telephone-based and paper versions of the ASRS, with the paper version administered two weeks later (correlation = .66). The full ASRS self-report was related to impairment, such as in executive functioning (correlation = .63) and everyday cognitive failure (correlation = .74). Executive functioning was the only significant predictor of ASRS total scores. Discussion. Current findings suggest that the ASRS provides an easy-to-use, reliable, and cost-effective approach for gathering information about current symptoms of

  19. ASR potential of quartz based on expansion values and microscopic characteristics of mortar bars

    Science.gov (United States)

    Stastna, Aneta; Sachlova, Sarka; Kuchynova, Marketa; Pertold, Zdenek; Prikryl, Richard

    2016-04-01

    The alkali-silica reaction (ASR) is one of the most damaging factors for concrete structures. Different analytical techniques are used to quantify ASR potential of aggregates. The accelerated mortar bar test (ASTM C1260) in combination with the petrographic examination of aggregates by microscopic techniques belongs to the frequently employed methods. Such a methodical approach enables quantification of the ASR potential, based on the expansion values of accelerated mortar bars; and also to identify deleterious components in aggregates. In this study, the accelerated mortar bar test (ASTM C1260) was modified and combined with the scanning electron microscopy of polished sections prepared from mortar bars. The standard 14-day test period of mortar bars was prolonged to 1-year. ASR potential of aggregates was assessed based on expansion values (both 14-day and 1-year) of mortar bars and microscopic analysis of ASR products (alkali silica gels, microcracks, dissolution gaps) detected in the sections. Different varieties of quartz-rich rocks including chert, quartz meta-greywacke, three types of quartzite and pegmatite were used as aggregate. Only quartz from pegmatite was assessed to be non reactive (14-day expansion of 0.08%, 1-year expansion of 1.25%). Aggregate sections exhibited minor ASR products even after 1-year of mortar bar immersion in 1 M NaOH. Expansion values of the rest of samples exceeded the limit of 0.10% after 14-day test period indicating aggregates as reactive. The highest ASR potential was detected in mortar bars containing chert (14-day expansion of 0.55%, 1-year expansion of 2.70%) and quartz meta-greywacke (14-day expansion of 0.46%, 1-year expansion of 2.41%). The high ASR potential was explained by presence of cryptocrystalline matrix in significant volumes (24 - 65 vol%). Influence of the lengths of the immersion in the alkaline solution was observed mainly in the microstructure of the cement paste and on the extension of ASR products. The

  20. Genome-wide identification and expression analysis of the apple ASR gene family in response to Alternaria alternata f. sp. mali.

    Science.gov (United States)

    Huang, Kaihui; Zhong, Yan; Li, Yingjun; Zheng, Dan; Cheng, Zong-Ming

    2016-10-01

    The ABA/water stress/ripening-induced (ASR) gene family exists universally in higher plants, and many ASR genes are up-regulated during periods of environmental stress and fruit ripening. Although a considerable amount of research has been performed investigating ASR gene response to abiotic stresses, relatively little is known about their roles in response to biotic stresses. In this report, we identified five ASR genes in apple (Malus × domestica) and explored their phylogenetic relationship, duplication events, and selective pressure. Five apple ASR genes (Md-ASR) were divided into two clades based on phylogenetic analysis. Species-specific duplication was detected in M. domestica ASR genes. Leaves of 'Golden delicious' and 'Starking' were infected with Alternaria alternata f. sp. mali, which causes apple blotch disease, and examined for the expression of the ASR genes in lesion areas during the first 72 h after inoculation. Md-ASR genes showed different expression patterns at different sampling times in 'Golden delicious' and 'Starking'. The activities of stress-related enzymes, peroxidase (POD), superoxide dismutase (SOD), catalase (CAT), phenylalanine ammonia lyase (PAL), and polyphenoloxidase (PPO), and the content of malondialdehyde (MDA) were also measured in different stages of disease development in two cultivars. The ASR gene expression patterns and theses physiological indexes for disease resistance suggested that Md-ASR genes are involved in biotic stress responses in apple.

  1. HCV-cAg、HCV-RNA及HCV-Ab联合检测降低丙型肝炎的误诊率%Joint detection of HCV-cAg,HCV-RNA and HCV-Ab in decreasing misdiagnosis rate of hepatitis C

    Institute of Scientific and Technical Information of China (English)

    严海燕; 欧阳颖; 刘晓强; 任燕飞; 罗晓红

    2012-01-01

    目的:探讨丙型肝炎病毒总核心抗原、丙型肝炎RNA及抗丙型肝炎病毒抗体联合检测在丙型肝炎诊断中的应用价值.方法:对62例丙型肝炎患者阳性和64例HCV-RNA阴性的健康对照组血液标本同时采用RT-PCR定量检测HCV-RNA,时间分辨免疫荧光分析法检测HCV-Ab,和ELISA法检测HCV-cAg.结果:HCV-cAg检测方法敏感性为32.25%,特异性为100%,HCV-Ab检测方法的敏感性是92.0%,特异性是68.8%,联合检测的敏感性是96.8%,特异性是68.8%.结论:联合运用HCV-Ab和HCV-cAg或HCV-Ab和HCV-RNA,能有效降低单独使用HCV-Ab检测的误诊率.%Objective :To explore the diagnostic value of HCV RNA, the core antigen of HCV, HCV antibody in serum of patients with hepatitis C. Methods: Serum from 62 HCV RNA positive and 64 HCV RNA negative outpatients and inpatients were collected to detect the HCV antibody, HCV - RNA and HCV - cAg by time - resolved im-muno - fluorometric assay, RT - PCR and ELISA respectively. Results-. The sensitivity and specificity of HCV -cAg detection were 32. 25% and 100% respectively, while those of HCV - Ab detection were 92. 0% and 68. 8% respectively, those of joint detection were 96. 8% and 68. 8% respectively. Conclusion: Combination of anti HCV with HCV -cAg, or anti HCV with HCV RNA could effectively reduce the miss diagnosis rate, as compared with detecting anti HCV alone. All these suggested that HCV - cAg detection can indicate HCV replication, and can be used as supplementary indicators in routine testing.

  2. Automatic speech recognition (ASR) and its use as a tool for assessment or therapy of voice, speech, and language disorders.

    Science.gov (United States)

    Kitzing, Peter; Maier, Andreas; Ahlander, Viveka Lyberg

    2009-01-01

    In general opinion computerized automatic speech recognition (ASR) seems to be regarded as a method only to accomplish transcriptions from spoken language to written text and as such quite insecure and rather cumbersome. However, due to great advances in computer technology and informatics methodology ASR has nowadays become quite dependable and easier to handle, and the number of applications has increased considerably. After some introductory background information on ASR a number of applications of great interest for professionals in voice, speech, and language therapy are pointed out. In the foreseeable future, the keyboard and mouse will by means of ASR technology be replaced in many functions by a microphone as the human-computer interface, and the computer will talk back via its loud-speaker. It seems important that professionals engaged in the care of oral communication disorders take part in this development so their clients may get the optimal benefit from this new technology.

  3. Workload management and geographic disorientation in aviation incidents: A review of the ASRS data base

    Science.gov (United States)

    Williams, Henry P.; Tham, Mingpo; Wickens, Christopher D.

    1993-01-01

    NASA's Aviation Safety Reporting System (ASRS) incident reports are reviewed in two related areas: pilots' failures to appropriately manage tasks, and breakdowns in geographic orientation. Examination of 51 relevant reports on task management breakdowns revealed that altitude busts and inappropriate runway usee were the most frequently reported consequences. Task management breakdowns appeared to occur at all levels of expertise, and prominent causal factors were related to breakdowns in crew communications, over-involvement with the flight management system and, for small (general aviation) aircraft, preoccupation with weather. Analysis of the 83 cases of geographic disorientation suggested that these too occurred at all levels of pilot experience. With regard to causal factors, a majority was related to poor cockpit resource management, in which inattention led to a loss of geographic awareness. Other leading causes were related to poor weather and poor decision making. The potential of the ASRS database for contributing to research and design issues is addressed.

  4. Development of Cloud and Precipitation Property Retrieval Algorithms and Measurement Simulators from ASR Data

    Energy Technology Data Exchange (ETDEWEB)

    Mace, Gerald G. [Univ. of Utah, Salt Lake City, UT (United States). Dept. of Atmospheric Sciences

    2016-02-10

    What has made the ASR program unique is the amount of information that is available. The suite of recently deployed instruments significantly expands the scope of the program (Mather and Voyles, 2013). The breadth of this information allows us to pose sophisticated process-level questions. Our ASR project, now entering its third year, has been about developing algorithms that use this information in ways that fully exploit the new capacity of the ARM data streams. Using optimal estimation (OE) and Markov Chain Monte Carlo (MCMC) inversion techniques, we have developed methodologies that allow us to use multiple radar frequency Doppler spectra along with lidar and passive constraints where data streams can be added or subtracted efficiently and algorithms can be reformulated for various combinations of hydrometeors by exchanging sets of empirical coefficients. These methodologies have been applied to boundary layer clouds, mixed phase snow cloud systems, and cirrus.

  5. Adaptive Noise Cancellation Method Used for Wheel Speed Signal of Integrate ABS/ASR System

    Institute of Scientific and Technical Information of China (English)

    MA Yue-feng; LIU Zhao-du; QI Zhi-quan; CUI Hai-feng

    2006-01-01

    A novel adaptive noise cancellation method for wheel speed signal of the anti-lock braking system/anti-slip regulation(ABS/ASR) control system is proposed. Based on the spectrum distribution of vehicle's wheel speed signal got from fast Fourier transform under various conditions, the high-pass filter is used to deal with original wheel speed signals sampled to get reference noise signal and the original wheel speed signals are used as adaptive filter's desired outputs. The difference between original signals and reference noise signals is used as the error signal for the adaptive FIR filter and also used as the whole adaptive noise cancellation system's final output. This method can obtain the noise signal on-line and is easy to use for real control system,which is useful to improve the performance of integrate system ABS/ASR.

  6. Hepatitis C virus (HCV) RNA profiles among chronic HIV/HCV-coinfected individuals in ESPRIT; spontaneous HCV RNA clearance observed in nine individuals

    DEFF Research Database (Denmark)

    Grint, D; Tedaldi, Ellen; Peters, L

    2017-01-01

    OBJECTIVES: Studies have shown that hepatitis C virus (HCV) RNA levels remain stable over time in HIV/HCV-coinfected individuals taking combination antiretroviral therapy (cART), while spontaneous clearance of HCV RNA during the persistent infection phase has been documented only rarely among tho...

  7. Numerical assessment of ASR recharge using small-diameter wells and surface basins

    Science.gov (United States)

    Händel, Falk; Liu, Gaisheng; Dietrich, Peter; Liedl, Rudolf; Butler, James J.

    2014-09-01

    Aquifer storage and recovery (ASR) methods are increasingly used to overcome the temporal imbalance between water demand and availability. Common ASR recharge methods utilize large-diameter injection wells or surface infiltration basins and trenches, and can be costly to implement. A new low-cost ASR recharge method is currently being developed. This approach is based on recharge via gravity in small-diameter wells installed with direct-push (DP) technology. Numerical modeling is used here to assess the potential of this new approach under conditions commonly faced in field settings. The primary objective is to investigate if a battery of small-diameter DP wells can serve as a viable alternative to a surface basin under typical field conditions, while the secondary objective is to assess which subsurface parameters have the greatest control on DP well performance. Simulation results indicate that gravity recharge via small-diameter wells appears to have a distinct advantage over recharge via surface infiltration basins. For example, two 0.05-m shallow vadose-zone wells with 9-m screens can recharge water at a greater rate than a 60 m2 basin. Also, results reveal that, contrary to an infiltration basin, the recharge rate in a DP well has a much stronger dependence on the horizontal component of hydraulic conductivity than on the vertical component. Moreover, near-surface layers of low hydraulic conductivity, which can significantly reduce the recharge capacity of a surface basin, have a relatively small impact on the recharge capacity of a well as long as a significant portion of the well screen is installed below those layers. Given that installation and operation costs can be low in comparison to common ASR recharge methods, this new approach appears to have great potential for recharging good quality water in shallow unconsolidated aquifers. A field investigation has recently been initiated to follow up the findings of this simulation assessment.

  8. Number pronunciation in a multilingual environment and implications for an ASR system

    CSIR Research Space (South Africa)

    Molapo, R

    2014-11-01

    Full Text Available . Mbogho, “Web-based corpus acquisition for Swahili language modelling,” in 3rd workshop on Spoken Languages Technolo- gies for Under-resourced languages, 2012, pp. 42–47. [8] T. Schlippe, C. Zhu, J. Gebhardt, and T. Schultz, “Text normalization based... multilingual environment and implications for an ASR system Raymond Molapo Human Language Technologies Research Group Meraka Institute CSIR, South Africa Multilingual Speech Technologies Group North-West University Vanderbijlpark South Africa Email: rmolapo...

  9. Severity-based adaptation with limited data for ASR to aid dysarthric speakers.

    Directory of Open Access Journals (Sweden)

    Mumtaz Begum Mustafa

    Full Text Available Automatic speech recognition (ASR is currently used in many assistive technologies, such as helping individuals with speech impairment in their communication ability. One challenge in ASR for speech-impaired individuals is the difficulty in obtaining a good speech database of impaired speakers for building an effective speech acoustic model. Because there are very few existing databases of impaired speech, which are also limited in size, the obvious solution to build a speech acoustic model of impaired speech is by employing adaptation techniques. However, issues that have not been addressed in existing studies in the area of adaptation for speech impairment are as follows: (1 identifying the most effective adaptation technique for impaired speech; and (2 the use of suitable source models to build an effective impaired-speech acoustic model. This research investigates the above-mentioned two issues on dysarthria, a type of speech impairment affecting millions of people. We applied both unimpaired and impaired speech as the source model with well-known adaptation techniques like the maximum likelihood linear regression (MLLR and the constrained-MLLR(C-MLLR. The recognition accuracy of each impaired speech acoustic model is measured in terms of word error rate (WER, with further assessments, including phoneme insertion, substitution and deletion rates. Unimpaired speech when combined with limited high-quality speech-impaired data improves performance of ASR systems in recognising severely impaired dysarthric speech. The C-MLLR adaptation technique was also found to be better than MLLR in recognising mildly and moderately impaired speech based on the statistical analysis of the WER. It was found that phoneme substitution was the biggest contributing factor in WER in dysarthric speech for all levels of severity. The results show that the speech acoustic models derived from suitable adaptation techniques improve the performance of ASR systems in

  10. Linear Array Ultrasonic Test Results from Alkali-Silica Reaction (ASR) Specimens

    Energy Technology Data Exchange (ETDEWEB)

    Clayton, Dwight A [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Khazanovich, Dr. Lev [Univ. of Minnesota, Minneapolis, MN (United States); Salles, Lucio [Univ. of Minnesota, Minneapolis, MN (United States)

    2016-04-01

    The purpose of the U.S. Department of Energy Office of Nuclear Energy’s Light Water Reactor Sustainability (LWRS) Program is to develop technologies and other solutions that can improve the reliability, sustain the safety, and extend the operating lifetimes of nuclear power plants (NPPs) beyond 60 years. Since many important safety structures in an NPP are constructed of concrete, inspection techniques must be developed and tested to evaluate the internal condition. In-service containment structures generally do not allow for the destructive measures necessary to validate the accuracy of these inspection techniques. This creates a need for comparative testing of the various nondestructive evaluation (NDE) measurement techniques on concrete specimens with known material properties, voids, internal microstructure flaws, and reinforcement locations.This report presents results of the ultrasound evaluation of four concrete slabs with varying levels of ASR damage present. This included an investigation of the experimental results, as well as a supplemental simulation considering the effect of ASR damage by elasto-dynamic wave propagation using a finite integration technique method. It was found that the Hilbert Transform Indicator (HTI), developed for quantification of freeze/thaw damage in concrete structures, could also be successfully utilized for quantification of ASR damage. internal microstructure flaws, and reinforcement locations.

  11. Assessing the durability of concrete regarding ASR[ACI SP-234-15

    Energy Technology Data Exchange (ETDEWEB)

    Stark, J.; Giebson, C. [Bauhaus Univ., Weimar (Germany). F.A. Finger-Inst. for Building Materials Sciences

    2006-07-01

    Damages on concrete structures caused by alkali-aggregate reaction (AAR) were discussed. In Germany, the first damage caused by the alkali-silica reaction (ASR) occurred on a bridge that was built in 1964 and which had to be demolished in 1968 due to the loss of structural stability. As a result of intensive research into the cause of damage, the first Alkali-Guideline was published in 1974 by the German Committee for Reinforced Concrete. The guideline made it possible to classify alkali-reactive aggregates which contained opaline sandstone and flint. In order to prevent deleterious ASR, the guidelines proposed clear measures for moisture, external alkali supply and cement content. The guidelines were revised many times over the past decades to include other rock type aggregates that also posed problems. The guideline is going to be revised one more time to include testing methods that assess the influence of an external alkali supply, such as de-icing solutions, for pavement concretes. The cyclic climate storage was used and proved as an appropriate method. It was concluded that the new mortar bar test and cyclic climate storage represent more opportunities to assess the durability of concretes regarding ASR due to alkali-reactive slow/late aggregates. 17 refs., 2 tabs., 11 figs.

  12. Lysosomotropic agents as HCV entry inhibitors

    Directory of Open Access Journals (Sweden)

    Nawaz Zafar

    2011-04-01

    Full Text Available Abstract HCV has two envelop proteins named as E1 and E2 which play an important role in cell entry through two main pathways: direct fusion at the plasma membrane and receptor-mediated endocytosis. Fusion of the HCV envelope proteins is triggered by low pH within the endosome. Lysosomotropic agents (LA such as Chloroquine and Ammonium chloride (NH4Cl are the weak bases and penetrate in lysosome as protonated form and increase the intracellular pH. To investigate the antiviral effect of LA (Chloroquine and NH4Cl on pH dependent endocytosis, HCV pseudoparticles (HCVpp of 1a and 3a genotype were produced and used to infect liver cells. The toxicological effects of Chloroquine and NH4Cl were tested in liver cells through MTT cell proliferation assay. For antiviral screening of Chloroquine and NH4Cl, liver cells were infected with HCVpp of 3a and 1a genotype in the presence or absence of different concentrations of Chloroquine and NH4Cl and there luciferase activity was determined by using a luminometer. The results demonstrated that Chloroquine and NH4Cl showed more than 50% reduction of virus infectivity at 50 μM and 10 mM concentrations respectively. These results suggest that inhibition of HCV at fusion step by increasing the lysosomal pH will be better option to treat chronic HCV.

  13. 抗-HCV与HCV-RNA检测结果不一致原因分析%Analysis of Reason That is Anti-HCV Accord with HCV-RNA

    Institute of Scientific and Technical Information of China (English)

    文汉成; 安社刚; 张红芳

    2004-01-01

    目的:探讨抗-HCV和HCV-RNA结果不一致的原因.方法:应用ELISA法和FQ-PCR法同步检测380例患者血清中抗-HCV和HCV-RNA.结果:在280例抗-HCV阳性中有106例HCV-RNA为阴性,有3例抗-HCV阴性患者HCV-RNA却为阳性.结论:同步检测抗-HCV和HCV-RNA可提高肝病患者HCV感染的检出率,为其诊断和治疗提供指导.

  14. Detection of HCV core antigen and its diagnostic significance

    Directory of Open Access Journals (Sweden)

    YANG Jie

    2013-02-01

    Full Text Available ObjectiveTo compare the abilities of the hepatitis C virus (HCV core antigen (cAg test and the HCV RNA assay for confirming anti-HCV presence in order to determine the clinical utility of the HCV-cAg as an alternative or confirmatory diagnostic tool. MethodsSerum samples collected from 158 patients diagnosed with HCV infection were subjected to the enzyme-linked immunosorbent assay-based HCV-cAg test. The optical density (OD measured values were used to calculate the ratio of specimen absorbance to the cutoff value (S/CO. Simultaneously, the serum samples were subjected to PCR-based nucleic acid amplification quantitative fluorescence detection of HCV RNA. ResultsNone of the serum samples had a S/CO value <1 for the HCV-cAg test (100% negative, but all of the samples had a S/CO value >5 (100% positive. The HCV-cAg test sensitivity was 87.05%, specificity was 76.67%, positive predictive value was 9653%, and negative predictive value was 44.23%. As the S/CO value gradually increased, the significantly higher positive coincident rate of the HCV RNA test decreased. The HCV RNA negative coincident rate was significantly higher than that of the HCV-cAg test. HCV-cAg S/CO values between 1 and 2 corresponded to an HCV RNA values between 1.0×103 copies/ml and 1.0×104 copies/ml. The highest S/CO value obtained was 1.992. ConclusionThe HCV-cAg test is comparable to the HCV RNA assay for diagnosing HCV infection.

  15. New Insights in Recurrent HCV Infection after Liver Transplantation

    Directory of Open Access Journals (Sweden)

    Shih-Hsien Hsu

    2013-01-01

    Full Text Available Hepatitis C virus (HCV is a small-enveloped RNA virus belonging to the Flaviviridae family. Since first identified in 1989, HCV has been estimated to infect 170 million people worldwide. Mostly chronic hepatitis C virus has a uniform natural history, from liver cirrhosis to the development of hepatocellular carcinoma. The current therapy for HCV infection consists of a combination of Pegylated interferon and ribavirin. On the other hand, HCV-related liver disease is also the leading indication for liver transplantation. However, posttransplant HCV re-infection of the graft has been reported to be universal. Furthermore, the graft after HCV re-infection often results in accelerated progression to liver failure. In addition, treatment of recurrent HCV infection after liver transplantation is often compromised by enhanced adverse effects and limited efficacy of interferon-based therapies. Taken together, poor outcome after HCV re-infection, regardless of grafts or recipients, poses a major issue for the hepatologists and transplant surgeons. The aim of this paper is to review several specific aspects regarding HCV re-infection after transplant: risk factors, current therapeutics for HCV in different stages of liver transplantation, cellular function of HCV proteins, and molecular mechanisms of HCV entry. Hopefully, this paper will inspire new strategies and novel inhibitors against recurrent HCV infection after liver transplantation and greatly improve its overall outcome.

  16. Extrahepatic manifestations and insulin resistance in an HCV hyperendemic area.

    Science.gov (United States)

    Nagao, Yumiko; Kawaguchi, Takumi; Tanaka, Kazuo; Kumashiro, Ryukichi; Sata, Michio

    2005-08-01

    Hepatitis C virus (HCV) causes extrahepatic manifestations as well as liver diseases, and contributes to insulin resistance and type 2 diabetes mellitus. The purpose of the present study was to evaluate the relationship of extrahepatic manifestations and insulin resistance in an HCV hyperendemic area. We investigated the incidence of extrahepatic manifestations among 139 inhabitants living in an HCV hyperendemic area in 2002 and compared it to 1999 data for the same inhabitants. Insulin resistance was tested for some non-HCV or HCV-infected inhabitants we had identified during mass screenings in 1999 and 2002. For some of the inhabitants in 2002, we examined records on the prevalence of insulin resistance seven years earlier. The prevalence of extrahepatic manifestations among individuals with positivity for anti-HCV antibodies was higher than among those without HCV in both 1999 and 2002. The prevalence of each extrahepatic manifestation which we identified in 2002 was higher than in 1999. Moreover, in some non-HCV or HCV-infected inhabitants, insulin resistance in 2002 was significantly higher than in 1999. Among inhabitants who had HCV infection with extrahepatic manifestations, fasting insulin levels or HOMA-IR findings seven years prior was significantly higher than for inhabitants who had neither HCV infection nor extrahepatic manifestations (p = 0.03, p = 0.01, respectively). Insulin resistance induces HCV infection, which causes an increase in the incidence of extrahepatic manifestations in HCV-infected individuals.

  17. Sex hormones and HCV: an unresolved mystery.

    Science.gov (United States)

    Mekky, Radwa Y; Abdelaziz, Ahmed I

    2013-01-01

    The biological differences between males and females advocate the ultimate need for gender-specific medicine. The variation in response to viral infection as well as therapy among different genders makes it very intriguing to reveal the responsible factors for causing this discrepancy. HCV is one of the most noxious infectious diseases, however the impact of gender on the response to HCV has received negligible attention in the literature. The controversial studies concerning the effect of gender on the outcome of interferon-based therapy urge a need to judge the gender discrepancy in host factors responsible for both interferon release and action. The main aim of this review is to disentangle the interplay between sex hormones and several viral and host factors responsible for viral clearance in an attempt to clarify the role of gender in modulating the response to HCV as well as interferon-based therapy.

  18. Immunological HCV-Associated Thrombocytopenia: Short Review

    Directory of Open Access Journals (Sweden)

    Dimitrios Dimitroulis

    2012-01-01

    Full Text Available Infection with Hepatitis C virus (HCV is affecting about 3% of the world's population, leading to liver damage, end-stage liver disease, and development of hepatocellular carcinoma, being thus the first indication for liver transplantation in the USA. Apart from the cirrhotic-liver-derived clinical signs and symptoms several conditions with immunological origin can also arise, such as, glomerulonephritis, pulmonary fibrosis, and thrombocytopenia. HCV-related autoimmune thrombocytopenia shows specific pathogenetic characteristics as well as symptoms and signs that differ in severity and frequency from symptoms in patients that are not HCV infected. Aim of this short paper is to estimate the epidemiological characteristics of the disease, to investigate the pathogenesis and clinical manifestation, and to propose treatment strategies according to the pertinent literature.

  19. HCV/HIV共感染

    Institute of Scientific and Technical Information of China (English)

    施光峰

    2004-01-01

    由于共同的传播途径 ,HCV感染在HIV感染者中比较常见。这些人在开始有效抗逆转录病毒治疗(HARRT)后可能经历与HCV相关的逐渐升高的发病率和病死率。HIV感染对丙型肝炎的发展有不利影响 ,引起感染后增强的病毒抵抗和高水平的病毒血症 ,加速HCV相关肝病的发展。同样 ,丙型肝炎也可以影响HIV感染的病程和处理。美国有 15万到 30万人同时感染了HIV和HCV ,占所有HIV感染者的 15 %~ 30 %和所有HCV感染者的 5 %~ 10 %。过去认为 ,HCV感染是HIV感染者中的一个相对次要的医学问题 ,HAART的应用使大多数机会性疾病的发生率大大降低 ,丙型肝炎随之日益成为这些患者致病和死亡的一个重要原因。一、流行病学全球HCV的感染率约为 3% ,即 1.7亿人左右 ,我国HCV的感染率约为 2 .2 % ,美国的HCV感染率估计在 1.8%左右 ,即相当于 390万人。在这些人中 ,大约 2 70万为慢性HCV感染 ,其中有 30万人同时感染HIV ,这一数字占所有HIV感染者的近 30 %和所有HCV感染者的 10 %。HIV和HCV有共同的传播途径 ,即静脉传播、性接触传播和垂直传播。这...

  20. Prevalence of mixed hepatitis C virus (HCV genotypes among recently diagnosed dialysis patients with HCV infection

    Directory of Open Access Journals (Sweden)

    Mohammed A Al Balwi

    2011-01-01

    Full Text Available Hepatitis C virus (HCV infection is considered a major health problem recognized globally. HCV is a major cause of chronic liver disease that may lead to cirrhosis and hepatocellular carcinoma. The aim of this study was to investigate the prevalence of multiple (mixed HCV genotypes in Saudi patients recently diagnosed with HCV infection and their association with various clinical risk factors. We examined a total of 1,292 newly diagnosed HCV-positive cases between January 2006 and July 2009 at the Molecular Pathology Laboratory, King Abdulaziz Medical City, Riyadh. The clinical and laboratory data of the study patients were collected. The HCV-RNA viral load and its genotyping were carried out with RT-PCR technology to assist in the follow-up and management of HCV-infected patients undergoing antiviral therapy. Twenty-two patients (1.7% were found to have mixed HCV genotypes; of them, mixed genotypes associated with genotype-4 were seen in 19 patients (86%, mixed genotypes associated with genotype-1 were found in 68.4%, with genotype-3 in 26.3% and with genotype-2 in 5.3%. Additionally, mixed genotypes associated with genotype-1 were seen in three cases (13.6%; they were associated with genotype-2 in two (66.7% and with genotype-5 in one patient (33.3%. In conclusion, the prevalence rate of mixed HCV genotypes in the cohort of the newly infected Saudi patients was 1.7%, with genotype-4 being the most frequent genotype encountered.

  1. Hepatitis C virus (HCV): ever in reliable partnerships?

    African Journals Online (AJOL)

    GRACE

    2006-06-16

    Jun 16, 2006 ... The analysis of three cases of HCV-infected recipients, who received ... study conducted in HCV-positive transplant recipients of liver from a ...... Cacciola I, Pollicino T, Squadrito G, Cerenzia G, Orlando ME,. Raimondo G ...

  2. HCV-Related Nervous System Disorders

    Directory of Open Access Journals (Sweden)

    Salvatore Monaco

    2012-01-01

    Full Text Available Chronic infection with hepatitis C virus (HCV is associated with a wide spectrum of extrahepatic manifestations, affecting different organ systems. Neurological complications occur in a large number of patients and range from peripheral neuropathy to cognitive impairment. Pathogenetic mechanisms responsible for nervous system dysfunction are mainly related to the upregulation of the host immune response with production of autoantibodies, immune complexes, and cryoglobulins. Alternative mechanisms include possible extrahepatic replication of HCV in neural tissues and the effects of circulating inflammatory cytokines and chemokines.

  3. Structure, allelic diversity and selection of Asr genes, candidate for drought tolerance, in Oryza sativa L. and wild relatives.

    Science.gov (United States)

    Philippe, Romain; Courtois, Brigitte; McNally, Kenneth L; Mournet, Pierre; El-Malki, Redouane; Le Paslier, Marie Christine; Fabre, Denis; Billot, Claire; Brunel, Dominique; Glaszmann, Jean-Christophe; This, Dominique

    2010-08-01

    Asr (ABA, stress, ripening) genes represent a small gene family potentially involved in drought tolerance in several plant species. To analyze their interest for rice breeding for water-limited environments, this gene family was characterized further. Genomic organization of the gene family reveals six members located on four different chromosomes and with the same exon-intron structure. The maintenance of six members of the Asr gene family, which are the result of combination between tandem duplication and whole genome duplication, and their differential regulation under water stress, involves probably some sub-functionalization. The polymorphism of four members was studied in a worldwide collection of 204 accessions of Oryza sativa L. and 14 accessions of wild relatives (O. rufipogon and O. nivara). The nucleotide diversity of the Asr genes was globally low, but contrasted for the different genes, leading to different shapes of haplotype networks. Statistical tests for neutrality were used and compared to their distribution in a set of 111 reference genes spread across the genome, derived from another published study. Asr3 diversity exhibited a pattern concordant with a balancing selection at the species level and with a directional selection in the tropical japonica sub-group. This study provides a thorough description of the organization of the Asr family, and the nucleotide and haplotype diversity of four Asr in Oryza sativa species. Asr3 stood out as the best potential candidate. The polymorphism detected here represents a first step towards an association study between genetic polymorphisms of this gene family and variation in drought tolerance traits.

  4. Role of apoptotic hepatocytes in HCV dissemination: regulation by acetaldehyde.

    Science.gov (United States)

    Ganesan, Murali; Natarajan, Sathish Kumar; Zhang, Jinjin; Mott, Justin L; Poluektova, Larisa I; McVicker, Benita L; Kharbanda, Kusum K; Tuma, Dean J; Osna, Natalia A

    2016-06-01

    Alcohol consumption exacerbates hepatitis C virus (HCV) pathogenesis and promotes disease progression, although the mechanisms are not quite clear. We have previously observed that acetaldehyde (Ach) continuously produced by the acetaldehyde-generating system (AGS), temporarily enhanced HCV RNA levels, followed by a decrease to normal or lower levels, which corresponded to apoptosis induction. Here, we studied whether Ach-induced apoptosis caused depletion of HCV-infected cells and what role apoptotic bodies (AB) play in HCV-alcohol crosstalk. In liver cells exposed to AGS, we observed the induction of miR-122 and miR-34a. As miR-34a has been associated with apoptotic signaling and miR-122 with HCV replication, these findings may suggest that cells with intensive viral replication undergo apoptosis. Furthermore, when AGS-induced apoptosis was blocked by a pan-caspase inhibitor, the expression of HCV RNA was not changed. AB from HCV-infected cells contained HCV core protein and the assembled HCV particle that infect intact hepatocytes, thereby promoting the spread of infection. In addition, AB are captured by macrophages to switch their cytokine profile to the proinflammatory one. Macrophages exposed to HCV(+) AB expressed more IL-1β, IL-18, IL-6, and IL-10 mRNAs compared with those exposed to HCV(-) AB. The generation of AB from AGS-treated HCV-infected cells even enhanced the induction of aforementioned cytokines. We conclude that HCV and alcohol metabolites trigger the formation of AB containing HCV particles. The consequent spread of HCV to neighboring hepatocytes via infected AB, as well as the induction of liver inflammation by AB-mediated macrophage activation potentially exacerbate the HCV infection course by alcohol and worsen disease progression.

  5. Packaging of HCV-RNA into lentiviral vector

    Energy Technology Data Exchange (ETDEWEB)

    Caval, Vincent [INSERM U966, Universite Francois Rabelais de Tours, Faculte de Medecine, 10 Bd. Tonnelle, 37000 Tours (France); Piver, Eric [INSERM U966, Universite Francois Rabelais de Tours, Faculte de Medecine, 10 Bd. Tonnelle, 37000 Tours (France); Service de Biochimie et Biologie Moleculaire, CHRU de Tours (France); Ivanyi-Nagy, Roland; Darlix, Jean-Luc [LaboRetro, ENS-Lyon INSERM, U758, 46 Allee d' Italie, 69364 Lyon (France); Pages, Jean-Christophe, E-mail: jean-christophe.pages@univ-tours.fr [INSERM U966, Universite Francois Rabelais de Tours, Faculte de Medecine, 10 Bd. Tonnelle, 37000 Tours (France); Service de Biochimie et Biologie Moleculaire, CHRU de Tours (France)

    2011-11-04

    Highlights: Black-Right-Pointing-Pointer Description of HCV-RNA Core-D1 interactions. Black-Right-Pointing-Pointer In vivo evaluation of the packaging of HCV genome. Black-Right-Pointing-Pointer Determination of the role of the three basic sub-domains of D1. Black-Right-Pointing-Pointer Heterologous system involving HIV-1 vector particles to mobilise HCV genome. Black-Right-Pointing-Pointer Full length mobilisation of HCV genome and HCV-receptor-independent entry. -- Abstract: The advent of infectious molecular clones of Hepatitis C virus (HCV) has unlocked the understanding of HCV life cycle. However, packaging of the genomic RNA, which is crucial to generate infectious viral particles, remains poorly understood. Molecular interactions of the domain 1 (D1) of HCV Core protein and HCV RNA have been described in vitro. Since compaction of genetic information within HCV genome has hampered conventional mutational approach to study packaging in vivo, we developed a novel heterologous system to evaluate the interactions between HCV RNA and Core D1. For this, we took advantage of the recruitment of Vpr fusion-proteins into HIV-1 particles. By fusing HCV Core D1 to Vpr we were able to package and transfer a HCV subgenomic replicon into a HIV-1 based lentiviral vector. We next examined how deletion mutants of basic sub-domains of Core D1 influenced HCV RNA recruitment. The results emphasized the crucial role of the first and third basic regions of D1 in packaging. Interestingly, the system described here allowed us to mobilise full-length JFH1 genome in CD81 defective cells, which are normally refractory to HCV infection. This finding paves the way to an evaluation of the replication capability of HCV in various cell types.

  6. Molecular cloning and characterization of drought stress responsive abscisic acid-stress-ripening (Asr 1) gene from wild jujube, Ziziphus nummularia (Burm.f.) Wight & Arn.

    Science.gov (United States)

    Padaria, Jasdeep Chatrath; Yadav, Radha; Tarafdar, Avijit; Lone, Showkat Ahmad; Kumar, Kanika; Sivalingam, Palaiyur Nanjappan

    2016-08-01

    Drought is a calamitous abiotic stress hampering agricultural productivity all over the world and its severity is likely to increase further. Abscisic acid-stress-ripening proteins (ASR), are a group of small hydrophilic proteins which are induced by abscisic acid, stress and ripening in many plants. In the present study, ZnAsr 1 gene was fully characterized for the first time from Ziziphus nummularia, which is one of the most low water forbearing plant. Full length ZnAsr 1 gene was characterised and in silico analysis of ZnASR1 protein was done for predicting its phylogeny and physiochemical properties. To validate transcriptional pattern of ZnAsr 1 in response to drought stress, expression profiling in polyethylene glycol (PEG) induced Z. nummularia seedlings was studied by RT-qPCR analysis and heterologous expression of the recombinant ZnAsr1 in Escherichia coli. The nucleotide sequence analysis revealed that the complete open reading frame of ZnAsr 1 is 819 bp long encoding a protein of 273 amino acid residues, consisting of a histidine rich N terminus with an abscisic acid/water deficit stress domain and a nuclear targeting signal at the C terminus. In expression studies, ZnAsr 1 gene was found to be highly upregulated under drought stress and recombinant clones of E. coli cells expressing ZnASR1 protein showed better survival in PEG containing media. ZnAsr1 was proven to enhance drought stress tolerance in the recombinant E.coli cells expressing ZnASR1. The cloned ZnAsr1 after proper validation in a plant system, can be used to develop drought tolerant transgenic crops.

  7. 抗-HCV和HCV-RNA检测及其与ALT的相关性分析%Quantitative analysis of serum anti-HCV, HCV-RNA and ALT

    Institute of Scientific and Technical Information of China (English)

    贾珉; 邵芳

    2012-01-01

    目的 探讨化学免疫发光法(CLIA)定量检测抗-HCV和FQ-PCR法检测HCV-RNA含量与丙氨酸氨基转移酶(ALT)水平的相关性.方法 用CLIA定量筛选抗-HCV阳性的100例病人标本,以荧光定量PCR法检测HCV-RNA含量和酶速率法检测ALT浓度水平,并对所得数据进行统计分析.结果 在100份抗-HCV阳性标本中,检出HCV-RNA阳性者76例,阳性率为76%.随着抗-HCV的S/CO值增高,HCV-RNA检出率增高较明显;ALT水平与HCV-RNA含量无显著相关性(P>0.05),但ALT异常率与HCV-RNA含量呈正相关.结论 在HCV诊断与疗效观察中,血清抗HCV、HCV-RNA和ALT指标各有利弊,3者有机结合能正确诊断和预测肝脏损伤及评价疗效.%Objective To analyze the correlation among the quantitative detection of serum anti-HCV by chemiluminescene immunoassay(CLIA), the content of HCV-RNA and alanine aminotransferase (ALT) levels. Methods The sera from 100 patients with CLIA positive results were used in this study. The level of serum HCV-RNA and ALT was detected by real-lime fluorescent quantitative assay (FQ-PCR) and enzyme-rate method, respectively. The data were analyzed by statistical method. Results 76 patients were found HCV-RNA positive, with a positive rate of 76%. The HCV-RNA positive rate was positively correlated with the anti-HCV S/CO result. There was no correlation between the level of ALT and the content of HCV-RNA (P>0.05), but the content of HCV-RNA was correlated with the ALT. Conclusion The level of anti-HCV antibody,HCV-RNA and ALT should all be used in the diagnosis of HCV. An appropriate combination of these indexes has important clinical significance in the diagnosis, prediction of liver injury and early treatment.

  8. 联合检测血清HCV RNA载量、HCV cAg和HCV Ab在HCV感染诊断中的临床意义

    Institute of Scientific and Technical Information of China (English)

    毛小红

    2015-01-01

    目的:探讨HCV RNA载量、HCV cAg和HCV Ab的联合检测在HCV感染早期诊断中的临床意义。方法采用荧光定量聚合酶链反应(FQ-PCR)技术检测HCV-RNA含量,并用ELISA对标本进行HCV cAg和HCV Ab的检测。比较108例丙型肝炎患者 HCV RNA 载量、HCV cAg和 HCV Ab 的检出率。结果HCV-RNA的阳性检出率为91.75%,显著高于HCV cAg的71.42%(χ2=25.042,P<0.01)和 HCV Ab 的69.78%(χ2=28.299,P<0.01)。3例HCVcAg阳性而HCV RNA和HCV Ab均阴性;6例HCV Ab 阴性而HCV-RNA和HCV cAg检测结果均阳性;8例HCV-RNA阳性而HCV Ab和HCV cAg检测结果均阴性;不同HCV RNA载量间HCVcAg和HCV Ab检测阳性率差异均无统计学意义(χ2=0.016、0.046,均 P>0.05)。结论联合检测HCV RNA、HCV cAg和HCV Ab对HCV感染的早期准确诊断具有重要意义和价值。

  9. HCV and HIV binding lectin, DC-SIGNR, is expressed at all stages of HCV induced liver disease.

    Science.gov (United States)

    Cole, G; Coleman, N; Soilleux, E

    2004-01-01

    The process by which hepatitis C virus (HCV) enters cells and the reason for its hepatotropism remain obscure. Recently, the human immunodeficiency virus (HIV) binding lectins, DC-SIGN and DC-SIGNR, were shown to bind HCV. This article reports the expression of DC-SIGN and DC-SIGNR in HCV related liver disease and discusses whether these lectins, in particular DC-SIGNR, are responsible for HCV hepatotropism.

  10. DC-SIGN:Binding receptor for HCV?

    Institute of Scientific and Technical Information of China (English)

    Zhi-Hua Feng; Quan-Chu Wang; Qing-He Nie; Zhan-Sheng Jia; Yong-Xin Zhou

    2004-01-01

    DC-SIGN, a dendritic Cell-specific adhesion receptor and a type Ⅱ transmembrane mannose-binding C-type lectin, is very important in the function of DC, both in mediating naive T cell interactions through ICAM-3 and as a rolling receptor that mediates the DC-specific ICAM-2-dependent migration processes. It can be used by viral and bacterial pathogens including Human Immunodeficiency Virus (HIV), HCV, Ebola Virus, CMV and Mycobacterium tuberculosis to facilitate infection. Both DC-SIGN and DC-SIGNR can act either in cis,by concentrating virus on target cells, or in trans, by transmission of bound virus to a target cell expressing appropropriate entry receptors. Recent work showed that DC-SIGN are highaffinity binding receptors for HCV. Besides playing a role in entry into DC, HCV E2 interaction with DC-SIGN might also be detrimental for the interaction of DC with T cells during antigen presentation. The clinical strategies that target DCSIGN may be successful in restricting HCV dissemination and pathogenesis as well as directing the migration of DCs to manipulate appropriate immune responses in autoimmunity and tumorigenic situations.

  11. Correlates of HCV seropositivity among familial contacts of HCV positive patients

    Directory of Open Access Journals (Sweden)

    Matera Antonio

    2006-09-01

    Full Text Available Abstract Background Determinants of intrafamilial HCV transmission are still being debated. The aim of this study is to investigate the correlates of HCV seropositivity among familial contacts of HCV positive patients in Italy. Methods A cross-sectional study was conducted with 175 HCV positive patients (index cases, recruited from Policlinico Gemelli in Rome as well as other hospitals in Central Italy between 1995 and 2000 (40% female, mean age 57 ± 15.2 years, and 259 familial contacts. Differences in proportions of qualitative variables were tested with non-parametric tests (χ2, Yates correction, Fisher exact test, and a p value Results Seropositivity for HCV was found in 8.9% of the contacts. From the univariate analysis, risk factors significantly associated to HCV positivity in the contacts were: intravenous drug addiction (p = 0.004 and intercourse with drug addicts (p = 0.005. The only variables associated significantly and independently to HCV seropositivity in patients' contacts were intercourse with drug addicts (OR = 19.28; 95% CI: 2.01 – 184.94, the retirement status from work (OR = 3.76; 95% CI: 1.17 – 11.98, the time of the relationship (OR = 1.06; 95% CI: 1.00 – 1.11 and tattoos (OR = 7.68; 95% CI: 1.00 – 60.20. Conclusion The present study confirms that having intercourse with a drug addict is the most significant risk factor for intrafamilial HCV transmission. The association with retirement status from work could be related to both a long-term relationship with an index case and past exposure to common risk factors.

  12. HCV/HTLV coinfection: Does HTLV-1 interfere in the natural history of HCV-related diseases?

    Science.gov (United States)

    Silva, Marcelo Costa; Silva, Carolina Alves Costa; Machado, Gustavo Uzêda; Atta, Ajax; M Freire, Songeli; Carvalho, Edgar; Schinoni, Maria Isabel; Paraná, Raymundo

    2016-11-01

    Hepatitis C virus (HCV) and human T-lymphotropic virus type 1 (HTLV-1) coinfection occurs in many regions. However, few studies have focused on the natural history of HCV-induced liver disease in coinfected patients. To describe the clinical, epidemiological, and histopathological aspects of HTLV-1/HCV coinfection in Brazil. A cross-sectional study with 23 patients coinfected with HCV/HTLV. The control groups consisted of 21 patients monoinfected with HCV and 20 patients monoinfected with HTLV-1. The cytokine profiles (Th1 and Th2 cell responses), clinical, laboratory features, and histopathological aspects were examined. The control group for cytokine analysis validation consisted of patients monoinfected with HTLV, and a fourth group consisted of healthy blood donors. No anthropometric differences present between the three infected groups. We observed higher serum concentrations of IFN-γ in patients coinfected with HCV/HTLV-1 than those in HCV monoinfected patients. The HCV/HTLV-1 coinfected group also exhibited a higher degree of liver steatosis than the HCV monoinfected patients. Results suggest that HCV/HTLV-1 coinfection may result in a different pattern of HCV infection due to the immunologic disorders likely associated with HTLV-1, but there is no clear evidence of the HTLV role in the natural history of HCV infection. J. Med. Virol. 88:1967-1972, 2016. © 2016 Wiley Periodicals, Inc.

  13. The unipolar ASR : Viable option in unsalvageable femoral head conditions in the young patient

    Directory of Open Access Journals (Sweden)

    Marya SKS

    2006-01-01

    Full Text Available Background: The management of unsalvageable femoral head conditions in the young patient has remained an unresolved dilemma. Articular surface replacement of the hip has recently made some headway in terms of providing near-normal hip joint mechanics and function. However, this surgery has been limited to early stages of arthritis only with reasonable maintenance of head-neck congruity and morphology. Femoral neck fractures, osteonecrosis with large segment collapse, advanced arthritis with femoral incongruity, etc are traditional contraindications to the resurfacing technique. Methods: We present here a report on our series of 20 cases of unsalvageable femoral heads in young patients (age range, 27 to 52yrs, over a twelve month period (Aug 2004 to Jul 2005, treated with the unipolar ASR prosthesis. Fifteen patients (two had bilateral hip pathology had primary or secondary arthritis (degenerative, post-traumatic, ankylosing spondylitis and post-avascular necrosis while three had old operated femoral neck fractures. All patients underwent hip replacement surgery using the Unipolar ASR prosthesis. Results: Clinical and radiological results at 6-month follow up have been very encouraging and warrant further study. At an average of 4 months post-operatively, patients were able to squat, sit on the ground and perform light sporting activities. Conclusions: The Unipolar ASR prosthesis is an extension of the articular resurfacing technique employing similar principles (large size bearings, metal-on-metal interfaces, and has incorporated the advantages of the uncemented technique. We propose that this technique be more frequently used so as to brighten the prognosis of the young active patient with unsalvageable hip conditions, especially in the Asian scenario.

  14. A new operational paradigm for small-scale ASR in saline aquifers.

    Science.gov (United States)

    van Ginkel, Marloes; Olsthoorn, Theo N; Bakker, Mark

    2014-01-01

    A new operational paradigm is presented for small-scale aquifer storage and recovery systems (ASR) in saline aquifers. Regular ASR is often not feasible for small-scale storage in saline aquifers because fresh water floats to the top of the aquifer where it is unrecoverable. In the new paradigm, fresh water storage is combined with salt water extraction from below the fresh water cone. The salt water extraction counteracts the buoyancy due to the density difference between fresh water and salt water, thus preventing the fresh water from floating up. The proposed approach is applied to assess the feasibility of ASR for the seasonal storage of fresh water produced by desalination plants in tourist resorts along the Egyptian Red Sea coast. In these situations, the continuous extraction of salt water can be used for desalination purposes. An analytical Dupuit solution is presented for the steady flow of salt water toward a well with a volume of fresh water floating on top of the cone of depression. The required salt water discharge for the storage of a given volume of fresh water can be computed with the analytical solution. Numerical modeling is applied to determine how the stored fresh water can be recovered. Three recovery approaches are examined. Fresh water recovery rates on the order of 70% are achievable when salt water is extracted in high volumes, subsurface impermeable barriers are constructed at a distance from the well, or several fresh water recovery drains are used. The effect of ambient flow and interruptions of salt water pumping on the recovery efficiency are reported.

  15. Separation of non-ferrous metals from ASR by corona electrostatic separation

    Science.gov (United States)

    Kim, Yang-soo; Choi, Jin-Young; Jeon, Ho-Seok; Han, Oh-Hyung; Park, Chul-Hyun

    2016-04-01

    Automotive shredder residue (ASR), the residual fraction of approximate 25% obtained after dismantling and shredding from waste car, consists of polymers (plastics and rubber), metals (ferrous and non-ferrous), wood, glass and fluff (textile and fiber). ASR cannot be effectively separated due to its heterogeneous materials and coated or laminated complexes and then largely deposited in land-fill sites as waste. Thus reducing a pollutant release before disposal, techniques that can improve the liberation of coated (or laminated) complexes and the recovery of valuable metals from the shredder residue are needed. ASR may be separated by a series of physical processing operations such as comminution, air, magnetic and electrostatic separations. The work deals with the characterization of the shredder residue coming from an industrial plant in korea and focuses on estimating the optimal conditions of corona electrostatic separation for improving the separation efficiency of valuable non-ferrous metals such as aluminum, copper and etc. From the results of test, the maximum separation achievable for non-ferrous metals using a corona electrostatic separation has been shown to be recovery of 92.5% at a grade of 75.8%. The recommended values of the process variables, particle size, electrode potential, drum speed, splitter position and relative humidity are -6mm, 50 kV, 35rpm, 20° and less 40%, respectively. Acknowledgments This study was supported by the R&D Center for Valuable Recycling (Global-Top R&BD Program) of the Ministry of Environment. (Project No. GT-11-C-01-170-0)

  16. The Effectiveness of High Quality Supplementary Cementitious Materials for Mitigating ASR Expansion in Concrete with High Alkali Content

    Directory of Open Access Journals (Sweden)

    I. Prasetia

    2015-10-01

    Full Text Available Alkali silica reaction (ASR is influenced by external factors such as the surrounding environment of high alkalinity. Countries with cold climate have a high probability to be exposed to high concentrations of NaCl solution by the deicing salt. This condition will lead to serious ASR problems in concrete, if the aggregates contain reactive silica. The main research work in this paper is to investigate the effect of 15% replacement ratio of high quality fine fly ash (FA15% and 42% replacement ratio of blast furnace slag (BFS42% on the ASR mitigation in concrete with different alkali amount inside the pore solution. The experiments were conducted according to the accelerated mortar bars experiment following the JIS A1146 mortar bar test method. In addition, post-analysis such as observation of ASR gel formation by the Uranyl Acetate Fluorescence Method and observation of thin sections using a Polarizing Microscope were also conducted. The mortar bar tests show a very good mitigation effect of supplementary cementitious materials (SCMs. The results show that only small ASR expansions, which can be categorized as “innocuous”, occurred for specimens with 1.2% Na2Oeq using FA15% and BFS42%. However, larger alkali amount inside the system will require more SCMs amount.

  17. HCV RNA检测与HCV/HBV共感染相关分析

    Institute of Scientific and Technical Information of China (English)

    谢放; 黄艳翔; 靳海英; 郭向华

    2010-01-01

    目的 探讨丙型肝炎病毒(HCV)RNA检测在HCV单独感染和 HCV、乙型肝炎病毒( HBV) 合并感染中的临床意义.方法 对96例HCV感染者分别分为CH和LC组,HCV和HCV+HBV组,检测抗- HCV、 HCV RNA .结果 96例HCV感染患者中肝硬化组HCV RNA阳性率较慢性肝炎组差异无统计学意义.乙肝和丙肝二重感染者HCV RNA阳性率显著高于单纯HCV感染(χ2 = 5.65,P= 0.017 ).单纯HCV感染者和乙肝及丙肝二重感染者血清丙肝病毒含量差异有统计学意义 (χ2=5.134,P= 0.023) .结论 在 HCV RNA检测的同时结合HBV DNA的检测,对 HCV感染的临床诊治有重要的指导意义.

  18. Optimal Scheduling for Retrieval Jobs in Double-Deep AS/RS by Evolutionary Algorithms

    Directory of Open Access Journals (Sweden)

    Kuo-Yang Wu

    2013-01-01

    Full Text Available We investigate the optimal scheduling of retrieval jobs for double-deep type Automated Storage and Retrieval Systems (AS/RS in the Flexible Manufacturing System (FMS used in modern industrial production. Three types of evolutionary algorithms, the Genetic Algorithm (GA, the Immune Genetic Algorithm (IGA, and the Particle Swarm Optimization (PSO algorithm, are implemented to obtain the optimal assignments. The objective is to minimize the working distance, that is, the shortest retrieval time travelled by the Storage and Retrieval (S/R machine. Simulation results and comparisons show the advantages and feasibility of the proposed methods.

  19. Aquifer Storage Recovery (ASR) of chlorinated municipal drinking water in a confined aquifer

    Science.gov (United States)

    Izbicki, John A.; Petersen, Christen E.; Glotzbach, Kenneth J.; Metzger, Loren F.; Christensen, Allen H.; Smith, Gregory A.; O'Leary, David R.; Fram, Miranda S.; Joseph, Trevor; Shannon, Heather

    2010-01-01

    About 1.02 x 106 m3 of chlorinated municipal drinking water was injected into a confined aquifer, 94-137 m below Roseville, California, between December 2005 and April 2006. The water was stored in the aquifer for 438 days, and 2.64 x 106 m3 of water were extracted between July 2007 and February 2008. On the basis of Cl data, 35% of the injected water was recovered and 65% of the injected water and associated disinfection by-products (DBPs) remained in the aquifer at the end of extraction. About 46.3 kg of total trihalomethanes (TTHM) entered the aquifer with the injected water and 37.6 kg of TTHM were extracted. As much as 44 kg of TTHMs remained in the aquifer at the end of extraction because of incomplete recovery of injected water and formation of THMs within the aquifer by reactions with freechlorine in the injected water. Well-bore velocity log data collected from the Aquifer Storage Recovery (ASR) well show as much as 60% of the injected water entered the aquifer through a 9 m thick, high-permeability layer within the confined aquifer near the top of the screened interval. Model simulations of ground-water flow near the ASR well indicate that (1) aquifer heterogeneity allowed injected water to move rapidly through the aquifer to nearby monitoring wells, (2) aquifer heterogeneity caused injected water to move further than expected assuming uniform aquifer properties, and (3) physical clogging of high-permeability layers is the probable cause for the observed change in the distribution of borehole flow. Aquifer heterogeneity also enhanced mixing of native anoxic ground water with oxic injected water, promoting removal of THMs primarily through sorption. A 3 to 4-fold reduction in TTHM concentrations was observed in the furthest monitoring well 427 m downgradient from the ASR well, and similar magnitude reductions were observed in depth-dependent water samples collected from the upper part of the screened interval in the ASR well near the end of the extraction

  20. Novel shear capacity testing of ASR damaged full scale concrete bridge

    DEFF Research Database (Denmark)

    Schmidt, Jacob Wittrup; Hansen, Søren Gustenhoff; Barbosa, Ricardo Antonio

    2014-01-01

    A large number of concrete bridges in Denmark have to undergo wide-ranging maintenance work to prevent deterioration due to aggressive Alkali Silica Reaction (ASR). This destructive mechanism results in extensive cracking which is believed to affect the load carrying capacity of the structure...... be moved between the slab test specimens, was constructed and the test areas were made in a way which enabled simple repair of the damaged areas after testing. In general, the novel test method worked very well since it provided an on site test method, which efficiently provides an evaluation of the load...

  1. Molecular Virology of Hepatitis C Virus (HCV: 2006 Update

    Directory of Open Access Journals (Sweden)

    2006-04-01

    Full Text Available Fascinating progress in the understanding of the molecular biology of hepatitis C virus (HCV was achieved recently. The replicon system revolutionized the investigation of HCV RNA replication and facilitated drug discovery. Novel systems for functional analyses of the HCV glycoproteins allowed the validation of HCV receptor candidates and the investigation of cell entry mechanisms. Most recently, recombinant infectious HCV could be produced in cell culture, rendering all steps of the viral life cycle, including entry and release of viral particles, amenable to systematic analysis. In this review, we summarize recent advances and discuss future research directions.

  2. Seroprevalence of HCV among Cairo University students in Egypt.

    Science.gov (United States)

    Esmat, Gamal; Raziky, Maissa El; Nabeel, Mohammed M; Maher, Rabab; Zakaria, Zeinab

    2016-08-01

    Hepatitis C virus (HCV) is highly prevalent in Egypt. This work aimed at determining the seroprevalence of HCV among Cairo University students. The present study included 3,000 students from Cairo University, Egypt. Blood sample was obtained from each participant to be tested for HCV seromarker. HCV RNA detection by polymerase chain reaction (PCR) was carried out for those with positive anti-HCV. Overall prevalence rate of HCV antibody (anti-HCV) was 4.6%. It showed that the prevalence was relatively higher among females (86/1660; 5.2%) while males (51/1340; 3.8%) with no significant difference. PCR for HCV RNA was detected in 31.4% of the HCV antibody positive subjects (43/137). Which showed statistical significant difference between males (29/51) and females (14/86) at P = 0.001. Despite the prevalence rate reported in the present study was similar to anti-HCV prevalence among persons in the same age group, confirmed that HCV infection is detected among Cairo University students. J. Med. Virol. 88:1384-1387, 2016. © 2016 Wiley Periodicals, Inc.

  3. Regulación epigenética de la familia de genes Asr en tomate (Solanum lycopersicum)

    OpenAIRE

    González, Rodrigo Matías

    2012-01-01

    En el presente trabajo, se estudió la epigenética asociada al estrés por falta de agua en dos genes de tomate (Asr1 y Asr2), que pertenecen a una familia génica involucrada en la tolerancia a distintos estreses abióticos. Se analizó la región codificante del gen Asr1 en hojas y se detectó la presencia de metilación en todos los contextos: CG, CNG y CNN. Al someter las plantas a estrés hídrico, se observó un ligero aumento de la metilación en contexto CG y una marcada disminución en la metilac...

  4. 抗-HCV与HCV-RNA和ALT之间的关系探讨%Discussion on the Relationship of Anti-HCV, HCV-RNA and ALT

    Institute of Scientific and Technical Information of China (English)

    甸子芩; 沈云松

    2012-01-01

      目的探讨丙型肝炎病毒感染者丙型肝炎病毒抗体(抗-HCV)与丙型肝炎病毒核酸(HCV-RNA)和丙氨酸转氨酶(ALT)之间的关系.方法 对抗-HCV阳性样本441例,采用荧光定量聚合酶链反应(RT-PCR)检测HCV-RNA含量和其ALT水平.结果 441例抗-HCV阳性的血清中HCV-RNA阳性的有295例,阳性率67%,HCV-RNA阳性率随抗-HCV的S/CO值升高而升高.ALT异常的有269例,阳性率61%,ALT的含量及阳性率随HCV-RNA的含量升高而升高.结论 HCV-RNA的阳性率与抗-HCV的S/CO值存在正相关,ALT的阳性率及含量与HCV-RNA呈正相关,因此,可根据抗-HCV检测的S/CO值及ALT的含量辅助临床了解丙型肝炎病毒在体内的复制情况,以指导治疗.%  Objective To investigate the relationship of hepatitis C virus antibody (anti-HCV), hepatitis C virus RNA (HCV-RNA) and alanine amino transferase (ALT) in hepatitis C virus infection. Methods Using fluorescence quantitative polymerase chain reaction (RT-PCR) detecting HCV-RNA content and testing ALT levels in 441 cases of anti-HCV positive samples. Results In 441 cases of anti-HCV positive serum, HCV-RNA positive 295 cases, the positive rate of HCV-RNA was 67%, and the positive rate increased with the anti-HCV S/CO ratio increased. Abnormal ALT 269 cases, the positive rate of ALT was 61%, the content and the positive rate of ALT increased with HCV-RNA levels increased. Conclusion The positive rate of HCV-RNA has positive correlation with anti-HCV S/CO ratio, the positive rate and content of ALT has positive correlation with HCV-RNA, therefore, according to the anti-HCV S/CO ratio and the content of ALT assisted clinical understand the replication of hepatitis C virus in the body, to guide treatment.

  5. PML tumor suppressor protein is required for HCV production

    Energy Technology Data Exchange (ETDEWEB)

    Kuroki, Misao [Department of Tumor Virology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1, Shikata-cho, Okayama 700-8558 (Japan); Research Fellow of the Japan Society for the Promotion of Science (Japan); Center for AIDS Research, Kumamoto University, Kumamoto 860-0811 (Japan); Ariumi, Yasuo, E-mail: ariumi@kumamoto-u.ac.jp [Department of Tumor Virology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1, Shikata-cho, Okayama 700-8558 (Japan); Center for AIDS Research, Kumamoto University, Kumamoto 860-0811 (Japan); Hijikata, Makoto [Department of Viral Oncology, Institute for Virus Research, Kyoto University, Kyoto 606-8507 (Japan); Ikeda, Masanori; Dansako, Hiromichi [Department of Tumor Virology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1, Shikata-cho, Okayama 700-8558 (Japan); Wakita, Takaji [Department of Virology II, National Institute of Infectious Diseases, Tokyo 162-8640 (Japan); Shimotohno, Kunitada [Research Center for Hepatitis and Immunology, National Center for Global Health and Medicine, Ichikawa, Chiba 272-8516 (Japan); Kato, Nobuyuki [Department of Tumor Virology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1, Shikata-cho, Okayama 700-8558 (Japan)

    2013-01-11

    Highlights: Black-Right-Pointing-Pointer PML tumor suppressor protein is required for HCV production. Black-Right-Pointing-Pointer PML is dispensable for HCV RNA replication. Black-Right-Pointing-Pointer HCV could not alter formation of PML-NBs. Black-Right-Pointing-Pointer INI1 and DDX5, PML-related proteins, are involved in HCV life cycle. -- Abstract: PML tumor suppressor protein, which forms discrete nuclear structures termed PML-nuclear bodies, has been associated with several cellular functions, including cell proliferation, apoptosis and antiviral defense. Recently, it was reported that the HCV core protein colocalizes with PML in PML-NBs and abrogates the PML function through interaction with PML. However, role(s) of PML in HCV life cycle is unknown. To test whether or not PML affects HCV life cycle, we examined the level of secreted HCV core and the infectivity of HCV in the culture supernatants as well as the level of HCV RNA in HuH-7-derived RSc cells, in which HCV-JFH1 can infect and efficiently replicate, stably expressing short hairpin RNA targeted to PML. In this context, the level of secreted HCV core and the infectivity in the supernatants from PML knockdown cells was remarkably reduced, whereas the level of HCV RNA in the PML knockdown cells was not significantly affected in spite of very effective knockdown of PML. In fact, we showed that PML is unrelated to HCV RNA replication using the subgenomic HCV-JFH1 replicon RNA, JRN/3-5B. Furthermore, the infectivity of HCV-like particle in the culture supernatants was significantly reduced in PML knockdown JRN/3-5B cells expressing core to NS2 coding region of HCV-JFH1 genome using the trans-packaging system. Finally, we also demonstrated that INI1 and DDX5, the PML-related proteins, are involved in HCV production. Taken together, these findings suggest that PML is required for HCV production.

  6. HCV抗原检测与HCV-RNA和HCV抗体检测的比较研究%Comparative Study on the Detection of HCV-Antigen, HCV-RNA and HCV-Antibody Detection

    Institute of Scientific and Technical Information of China (English)

    李妙羡; 王香玲; 吴晓康; 卢洁; 王小利; 尹佳峰; 孟昊

    2012-01-01

    Objective To study the value of measurement of HCV antigen, HCV antibody and HCV-RNA in the clinical diagnosis of Hepatitis. Methods HCV antigen would adopt double antibody sandwiched method; HCV-RNA would employ the real-time fluorescence quantitative PCR technique, HCV antibody would use the technology of Enzyme-Linked Immunosor-bent Assay (ELISA) ,44 specimens of positive HCV antibody would be detected with HCV antigen and HCV-RNA measurement. Results Among the specimens of positive HCV antibody, the rate of positive HCV antigen was measured as 43. 2%;the rate of positive HCV-RNA was measured as 82. 5%. Among the specimens of positive HCV-RNA,the rate of positive HCV antigen was measured as 45. 5%. Conclusion In the three kinds of Hepatitis markers,it was the most reliable method to judge whether infected with Hepatitis by using the real-time fluorescence quantitative PCR technique to measure HCV-RNA. If HCV antigen was used to diagnose Hepatitis, there was still 54. 5% rate of missed detection. Hence,there exists a long distance from the application in the clinical practice. In the hospitals where it was impossible to employ the realtime fluorescence quantitative PCR technique to measure HCV-RNA,when confirming the specimens of positive HCV antibody with HCV antigen and judging past exposure or present exposure to HCV,index of liver function and clinical manifestation should be combined to make a clear and definite diagnosis.%目的 评价丙型肝炎病毒核心抗原(HCV抗原)、丙型肝炎病毒抗体(HCV抗体)及丙型肝炎病毒RNA(HCV-RNA)三种检测方法在丙型肝炎实验室诊断中的作用.方法 HCV抗原采用双抗体夹心法;HCV-RNA采用实时荧光定量PCR技术(RT-PCR),HCV抗体采用酶联免疫技术(间接法),对44例HCV抗体阳性标本进行HCV抗原和HCV-RNA检测.结果 在HCV抗体阳性标本中,HCV抗原阳性检出率为43.2%,HCV-RNA阳性检出率为82.5%;在HCV-RNA阳性标本中,HCV抗原阳性检出率为45

  7. VCR and ASR technology for profile and flatness control in hot strip mills

    Institute of Scientific and Technical Information of China (English)

    CAO Jian-guo; WEI Gang-cheng; ZHANG Jie; CHEN Xian-lin; ZHOU Yi-zhong

    2008-01-01

    The roll contour pattern and variety of work and backup roils in service and its effect on profile and flatness control performance in 1 700 mm hot strip mill at Wuhan Iron and Steel (Group) Corporation were tested and analyzed by the developed finite element models of different typical roll contours configurations. A rather smooth local work roll contour near strip edges and an increase in rolled length can be obtained by application of long stroke work roll shifting system with conventional work roll contours that is incapable of the crown control. In comparison with the conventional backup and work roll contours configuration, the crown control range by the roll bending force enhances by 12.79% and the roll gap stiffness increases by 25.26% with the developed asymmetry self-compensating work rolls(ASR) and varying contact backup rolls(VCR). A better strip profile and flatness quality, an increase in coil numbers within the rolling campaign and a significant alleviated effect of severe work roll wear contours on performance of edge drop control are achieved by the application of ASR with crown control and wear control ability in downstream stand F5 and VCR in all stands of 1 700 mm hot strip mill.

  8. CD8+ T cells of chronic HCV-infected patients express multiple negative immune checkpoints following stimulation with HCV peptides.

    Science.gov (United States)

    Barathan, Muttiah; Mohamed, Rosmawati; Vadivelu, Jamuna; Chang, Li Yen; Vignesh, Ramachandran; Krishnan, Jayalakshmi; Sigamani, Panneer; Saeidi, Alireza; Ram, M Ravishankar; Velu, Vijayakumar; Larsson, Marie; Shankar, Esaki M

    2017-03-01

    Hepatitis C virus (HCV)-specific CD4+ and CD8+ T cells are key to successful viral clearance in HCV disease. Accumulation of exhausted HCV-specific T cells during chronic infection results in considerable loss of protective functional immune responses. The role of T-cell exhaustion in chronic HCV disease remains poorly understood. Here, we studied the frequency of HCV peptide-stimulated T cells expressing negative immune checkpoints (PD-1, CTLA-4, TRAIL, TIM-3 and BTLA) by flow cytometry, and measured the levels of Th1/Th2/Th17 cytokines secreted by T cells by a commercial Multi-Analyte ELISArray™ following in vitro stimulation of T cells using HCV peptides and phytohemagglutinin (PHA). HCV peptide-stimulated CD4+ and CD8+ T cells of chronic HCV (CHC) patients showed significant increase of CTLA-4. Furthermore, HCV peptide-stimulated CD4+ T cells of CHC patients also displayed relatively higher levels of PD-1 and TRAIL, whereas TIM-3 was up-regulated on HCV peptide-stimulated CD8+ T cells. Whereas the levels of IL-10 and TGF-β1 were significantly increased, the levels of pro-inflammatory cytokines IL-2, TNF-α, IL-17A and IL-6 were markedly decreased in the T cell cultures of CHC patients. Chronic HCV infection results in functional exhaustion of CD4+ and CD8+ T cells likely contributing to viral persistence.

  9. Development and Commercialization of Analyte Specific Reagents (ASRs )for the Diagnosis of Selected Arthropod-Borne Viruses on FDA-Cleared Real-time PCR Platforms

    Science.gov (United States)

    2012-10-01

    Analyte Specific Reagents (ASRs )for the Diagnosis of Selected Arthropod-Borne Viruses on FDA-Cleared Real - time PCR Platforms PRINCIPAL...of Analyte Specific Reagents (ASRs) for the Diagnosis of Selected Arthropod-Borne Viruses on FDA-Cleared Real - time PCR Platforms 5c. PROGRAM ELEMENT

  10. 不同HCV相关疾病患者血清抗HCV和HCV RNA检测的比较研究%Comparative Study on Detection of Serum anti-HCV and HCV RNA in HCV Related Diseases

    Institute of Scientific and Technical Information of China (English)

    刘伟平; 殷明刚

    2013-01-01

    目的::探讨不同HCV感染疾病患者血清抗HCV和HCV RNA的阳性率,以指导临床诊治相应疾病。方法:收集我院HCV感染患者血清标本共165例,采用ELISA法检测血清抗HCV,利用实时荧光定量PCR技术检测HCV RNA。结果:165例HCV感染患者血清抗HCV总阳性率为97.6%,高于HCV RNA阳性率(72.7%)(P<0.05)。肝硬化组和肝癌组HCV RNA阳性率分别为80.9%和82.9%,高于慢性丙型肝炎组阳性率(63.9%)(P<0.05)。结论:联合检测抗HCV和HCV RNA,有助于HCV感染相关疾病的临床诊断、疗效观察及预后判断。%Objective:The significance of testing serum anti-HCV and HCV RNA in HCV infection patients was discussed for guiding diagnosis and treatment of diseases.Methods:165 cases were collected from HCV infection patients.ELISA was used for assaying anti-HCV and real-time quantitative PCR was employed for determination of HCV RNA.Results:The total positive rate of serum anti-HCV(n=165) was 97.6%,which was higher than that of HCV RNA(72.7%).The positive rate of HCV RNA in liver cirrhosis and liver cancer group were 80.9%and 82.9%,respectively,higher than the one in chronic hepatitis C group 63.9%(P<0.05).Conclusion:The combination testing of anti-HCV and HCV RNA is helpful to the clinical diagnosis,observation of curative effect and prognosis judgment of HCV related diseases.

  11. Immune biomarker differences and changes comparing HCV mono-infected, HIV/HCV co-infected, and HCV spontaneously cleared patients.

    Directory of Open Access Journals (Sweden)

    Lauren E Kushner

    Full Text Available BACKGROUND: Immune biomarkers are implicated in HCV treatment response, fibrosis, and accelerated pathogenesis of comorbidities, though only D-dimer and C-reactive protein have been consistently studied. Few studies have evaluated HIV/HCV co-infection, and little longitudinal data exists describing a broader antiviral cytokine response. METHODS: Fifty immune biomarkers were analyzed at baseline (BL and HCV end of treatment follow-up(FU time point using the Luminex 50-plex assay in plasma samples from 15 HCV-cleared, 24 HCV mono- and 49 HIV/HCV co-infected patients receiving antiretroviral treatment, who either did or did not receive pegylated-interferon/ribavirin HCV treatment. Biomarker levels were compared among spontaneous clearance patients, mono- and co-infected, untreated and HCV-treated, and sustained virologic responders (SVR and non-responders (NR at BL and FU using nonparametric analyses. A Bonferroni correction, adjusting for tests of 50 biomarkers, was used to reduce Type I error. RESULTS: Compared to HCV patients at BL, HIV/HCV patients had 22 significantly higher and 4 significantly lower biomarker levels, following correction for multiple testing. There were no significantly different BL levels when comparing SVR and NR in mono- or co-infected patients; however, FU levels changed considerably in co-infected patients, with seven becoming significantly higher and eight becoming significantly lower in SVR patients. Longitudinally between BL and FU, 13 markers significantly changed in co-infected SVR patients, while none significantly changed in co-infected NR patients. There were also no significant changes in longitudinal analyses of mono-infected patients achieving SVR or mono-infected and co-infected groups deferring treatment. CONCLUSIONS: Clear differences exist in pattern and quantity of plasma immune biomarkers among HCV mono-infected, HIV/HCV co-infected, and HCV-cleared patients; and with SVR in co-infected patients treated

  12. Cytokines and HCV-Related Disorders

    Directory of Open Access Journals (Sweden)

    Poupak Fallahi

    2012-01-01

    However, HCV interferes with cytokines at various levels and escapes immune response by inducing a T-helper (Th2/T cytotoxic 2 cytokine profile. Inability to control infection leads to the recruitment of inflammatory infiltrates into the liver parenchyma by interferon (IFN-gamma-inducible CXC chemokine ligand (CXCL-9, -10, and -11 chemokines, which results in sustained liver damage and eventually in liver cirrhosis. The most important systemic HCV-related extrahepatic diseases—mixed cryoglobulinemia, lymphoproliferative disorders, thyroid autoimmune disorders, and type 2 diabetes—are associated with a complex dysregulation of the cytokine/chemokine network, involving proinflammatory and Th1 chemokines. The therapeutical administration of cytokines such as IFN-alpha may result in viral clearance during persistent infection and reverts this process.

  13. 丙肝患者血清HCV-Ab、HCV-cAg、HCV-RNA检测的比较及肝功能的相关性研究%Comparison of hepatitis C patients in serum HCV-Ab, HCV-cAg,HCV-RNA detection and relationship to liver function

    Institute of Scientific and Technical Information of China (English)

    王中东; 黄麦华

    2014-01-01

    目的 探讨HCV-Ab、HCV-cAg、HCV-RNA及ALT、AST、γ-GT的相关性及临床应用价值.方法 ELISA方法检测HCV-Ab、HCV-cAg,PCR-荧光探针法检测HCV-RNA,全自动生化分析仪检测ALT、AST、γ-GT.结果 检测HCV感染者186例,其中HCV-Ab、HCV-cAg的阳性率分别为95.7%、25.3%、82.7%.ALT、AST、γ-GT水平与HCV病毒载量呈正相关(P<0.01).结论 同时检测HCV-Ab、HCV-cAg、HCV-RNA可充分掌握丙肝患者病毒感染情况,以及检测ALT、AST、γ-GT对抗病毒治疗的疗效评价及治疗时间有重要意义.

  14. Stability of hepatitis C virus (HCV) RNA levels among interferon-naïve HIV/HCV-coinfected individuals treated with combination antiretroviral therapy

    DEFF Research Database (Denmark)

    Grint, D; Peters, Lars; Reekie, J;

    2013-01-01

    Infection with hepatitis C virus (HCV) is a major cause of chronic liver disease. High HCV RNA levels have been associated with poor treatment response. This study aimed to examine the natural history of HCV RNA in chronically HCV/HIV-coinfected individuals.......Infection with hepatitis C virus (HCV) is a major cause of chronic liver disease. High HCV RNA levels have been associated with poor treatment response. This study aimed to examine the natural history of HCV RNA in chronically HCV/HIV-coinfected individuals....

  15. [Comparison of eight screening tests for ant-HCV antibody].

    Science.gov (United States)

    Deguchi, Matsuo; Kagita, Masanori; Yamashita, Naoko; Nakano, Takasi; Tahara, Kazuko; Asari, Seishi; Iwatani, Yoshinori

    2002-09-01

    We compared eight HCV screening tests for detection of anti-HCV antibody; Ortho Quick Chaser HCV Ab (QC), Ortho HCV Ab ELISA III (ELISA), Ortho HVC Ab PA test III (PA), Lumipulse II Ortho HCV (LUMI), IMx HCV.DAINAPACKII (IMx), ARCHITECT HCV (ARCH), Immucheck.F-HCV C50 Ab (Immu), RANREAM HCV Ab Ex II (RAN). Sera from six hundred patients were examined by these eight screening tests. The positive rates of the eight screening tests were from 9.0% to 13.2%. Forty-five sera showed discrepant results between the eight screening tests, and about half of them showed weak positive reaction and/or false positive. Twenty-five of the forty-five sera were negative for ant-HCV antibody in the CHIRON RIBA III confirmatory test, and forty-four of them were negative for HCV-RNA in the PCR method. The agreement rates between the two reagents were from 95.5% to 99.2%, but were not always high between the two reagents that used similar antigen. The specificities and sensitivities evaluated by using the RIBA III confirmatory test were excellent in ELISA, LUMI, IMx, ARCH and Immu. Three BBI seroconversion panels were used to compare the positive readings in the initial stage of HCV infection by eight screening tests. ELISA and ARCH showed the earliest positive readings, and then IMx, LUMI = RAN, PA, QC and Immu in this order. These findings indicate that ELISA and ARCH were the most excellent in the sensitivity, specificity and early diagnosis of HCV infection. However, we must pay attention to the weak positive reaction in the screening tests, because there is a possibility of "false positive".

  16. Successful implementation of ASR in basalt-hosted aquifers in the Pacific Northwest of the United States

    Energy Technology Data Exchange (ETDEWEB)

    Eatom, L.; Melady, J.; Tolan, T.

    2009-07-01

    Despite the Pacific Northwest's reputation for being wet, many cities west and east of the Cascade Range in the United States of America find it increasingly difficult to meet peak water supply demand during the dry summer months. Aquifers in the east side of Oregon and Washington are the primary water supply sources for a vast agriculture industry, and they have experienced significant declines prompting regulatory restrictions. For these reasons, municipalities west and east of the Cascade Range, as well as agricultural interests have opted to implement aquifer storage and recovery (ASR) projects as a unique water management technique to help meet peak summer water demands. Unique to the Pacific Northwest are the Miocene-age continental flood-basalt flows of the Columbia River Basalt Group (CRBG), which consists of a thick, a really extensive series of extraordinarily huge lava flows. The CRBG plays host to an extensive regional aquifer system in eastern Washington, eastern Oregon, and western Oregon. The two ASR projects discussed in this paper, the City of Beaverton and Madison Farms, use CRBG aquifers to host their ASR projects. Since 1999, the City of Beaverton (City), Oregon, population 85,500, has installed three ASR wells hosted in the CRBG aquifer. Currently, the City stores approximately 1,703,000 cubic meters of treated drinking water annually with its ASR wells. The three wells can provide up to about 22,700 cubic meters per day of peaking capacity, which is equivalent to 35 percent of the City's summer peak day demand. Favorable hydrogeologic response and significant economic savings have made the City's ASR system immensely successful. Since 2006, Madison Farms, a 71-square-kilometer farm near Echo, Oregon, has been using ASR to increase summer pumping capacity from the CRBG. Unlike the City of Beaverton, which uses treated river water to recharge the CRBG aquifer, Madison Farms uses untreated shallow alluvial groundwater to recharge

  17. Aktuelles Management der HIV/HCV-Koinfektion

    Directory of Open Access Journals (Sweden)

    Payer BA

    2012-01-01

    Full Text Available Die HIV/HCV-Koinfektion findet sich sehr häufig bei HIV-Patienten mit intravenösem Drogenabusus. In dieser Patientengruppe stellt die HCV-assoziierte chronische Lebererkrankung heute auch die wichtigste Todesursache dar, da die HIV-Infektion meist sehr gut kontrolliert werden kann, die Hepatitis C aber oft nicht behandelt wird. Dabei sind die Therapieprinzipien sowohl für die HIV- als auch für die HCV-Infektion in der Zwischenzeit gut etabliert und auch allgemein akzeptiert: Eine retrovirale Therapie (cART sollte bei Koinfektion immer und unabhängig vom Immunstatus durchgeführt werden, da dies die Progression der Lebererkrankung positiv beeinflusst. Und die Hepatitis C sollte durch Standardtherapie mit Peginterferon plus Ribavirin therapiert werden, wobei in absehbarer Zeit auch bei Koinfektion die Dreifachtherapie mit den Proteaseinhibitoren Boceprevir und Telaprevir zum Einsatz kommen wird. Die Beachtung von Medikamenteninteraktionen wird dabei allerdings eine große Rolle spielen.

  18. [Usefulness of Anti-HCV ELISA Test and HCV Reverse Transcriptase-PCR for the Diagnosis of Hepatits C Viral Infection.].

    Science.gov (United States)

    Kim, Myeong Hee; Lee, Hee Joo; Park, Su Yon; Lee, Youn Sik; Suh, Jin Tae

    2006-12-01

    The diagnosis of hepatitis C virus (HCV) infection is screened by anti-HCV enzymelinked immunosorbant assay (ELISA) and confirmed by recombinant immunoblotting assay (RIBA) or HCV RT-PCR. We attempted to evaluate the results between anti-HCV ELISA and a qualitative HCV RT-PCR. Four hundred and twenty patients who were tested with anti-HCV ELISA and HCV RTPCR, simultaneously, from January 2002 to June 2005 were enrolled in this study. Anti-HCV ELISA was performed by AxSYM HCV version 3.0 (Abbott Laboratories, USA). HCV RT-PCR was performed using in-house RT-nested PCR methods from January 2002 to October 2004 and HCV Genotype Amplification Kit (LiPA) (Bayer Healthcare, USA) from November 2004 to June 2005. Of the 420 patients tested, 321 were positive for anti-HCV ELISA, and 204 were positive for RT-PCR. The positive predictability of anti-HCV ELISA was 63.6%. Among anti-HCV positive patients, RT-PCR was positive in 7.3% of the patients with sample/cut-off (S/CO)/=6. Among the 117 patients with positive anti-HCV, but with negative HCV RT-PCR, 64 had liver diseases such as chronic hepatitis C, chronic hepatitis B, or hepatocellular carcinoma. Twelve patients showed positive HCV RT-PCR, but negative anti-HCV results; of these 9 had hepatic dysfunction. In the patients who were positive for anti-HCV ELISA with a low S/CO, HCV RT-PCR positivity was shown in a low proportion. Therefore, in such cases, the results should be confirmed by RIBA or HCV RT-PCR. The liver function test showed increased levels of hepatic enzymes in patients with positive HCV RT-PCR, but negative anti-HCV. Such findings correlate to an early phase of chronic hepatitis C, suggesting the necessity of continuous follow up.

  19. Decision Support System for Aquifer Recharge (AR) and Aquifer Storage and Recovery (ASR) Planning, Design, and Evaluation Decision Support System for Aquifer Recharge (AR) and Aquifer Storage and Recovery (ASR) Planning, Design, and Evaluation – Principles and Technical Basis

    Science.gov (United States)

    Aquifer recharge (AR) is a technical method being utilized to enhance groundwater resources through man-made replenishment means, such as infiltration basins and injections wells. Aquifer storage and recovery (ASR) furthers the AR techniques by withdrawal of stored groundwater at...

  20. Activation of extrinsic apoptosis pathway in HCV monoinfected and HIV-HCV coinfected patients, irrespective of liver disease severity.

    Science.gov (United States)

    Feuth, Thijs; Van Baarle, Debbie; Hoepelman, Andy I M; Van Erpecum, Karel J; Siersema, Peter D; Arends, Joop E

    2014-07-01

    Chronic hepatitis C virus (HCV) infection is associated with increased levels of peripheral T cell apoptosis. We aimed to study whether T cell apoptosis markers indicate pathways that may contribute to clinical progression in HCV monoinfected and HIV-HCV coinfected patients. Activation of the extrinsic apoptosis pathways was measured by levels of death receptor Fas, initiator caspase 8 and effector caspases 3 and 7 activity and Annexin V binding on peripheral CD4 and CD8 T cells of HCV monoinfected and HIV/HCV coinfected patients, as well as healthy controls and HIV-infected, hepatitis B virus-infected and primary biliary cirrhosis disease controls. Association with liver fibrosis was assessed by biopsy or by transient elastography. HCV monoinfected and HIV-HCV coinfected patients displayed enhanced peripheral CD4 and CD8 T cell apoptosis. Caspase 8 activity was highest in HIV-HCV coinfection, without enhanced downstream activity of caspases 3 and 7. Level of peripheral T cell apoptosis was independent of liver fibrosis or other disease parameters in all disease groups. The extrinsic apoptosis pathway is upregulated in HCV monoinfection and HIV-HCV coinfection, but this is independent of liver disease severity.

  1. Disparate detection outcomes for anti-HCV IgG and HCV RNA in dried blood spots.

    Science.gov (United States)

    Tejada-Strop, Alexandra; Drobeniuc, Jan; Mixson-Hayden, Tonya; Forbi, Joseph C; Le, Ngoc-Thao; Li, Lixia; Mei, Joanne; Terrault, Norah; Kamili, Saleem

    2015-02-01

    Dried blood spots (DBS) expedite the collection, storage and shipping of blood samples, thereby facilitating large-scale serologic studies. We evaluated the sensitivity of anti-HCV IgG testing and HCV-RNA quantitation using freshly prepared and stored DBS derived from HCV-infected patients. Protocols for elution were optimized using DBS prepared from plasma of 52 HCV-infected persons and 51 uninfected persons (control DBS), then applied to DBS from 33 chronic hepatitis C patients that had been stored at -20°C for 5 years (stored DBS). Control and stored DBS, and their corresponding plasma, were processed for anti-HCV IgG testing using the VITROS chemiluminescence assay (CIA) and the HCV 3.0 enzyme immunoassay (EIA) (Ortho-Clinical Diagnostics), and for HCV RNA quantitation by quantitative (q) RT-PCR. HCV genotyping was conducted by nucleotide sequencing. The sensitivity of CIA and EIA in control DBS was 92% and 90%, respectively, compared to 100% and 97%, respectively, in stored DBS. The sensitivity of HCV RNA detection was 88% in control DBS, compared to 36% in stored DBS. Specificity was 100% for all the assays in both control and stored DBS. Genotypes 1, 2 and 3 were detected in 16 (62%), 6 (23.1%), and 4 (15.3%) samples, respectively. Sequences generated from DBS and their corresponding plasma samples were identical. Whereas the sensitivity of anti-HCV IgG detection in stored DBS was equivalent to that in recently prepared DBS, the sensitivity of HCV RNA detection was markedly lower in stored DBS compared to recently prepared DBS. Stored DBS may be reliably used for anti-HCV detection but for HCV-RNA-based testing freshly prepared DBS is preferable to stored DBS.

  2. Prevalence of hepatitis C virus (HCV infection and HCV genotypes of hemodialysis patients in Salvador, Northeastern Brazil

    Directory of Open Access Journals (Sweden)

    Silva L.K.

    2006-01-01

    Full Text Available Hepatitis C virus (HCV infection has been identified as the major cause of chronic liver disease among patients on chronic hemodialysis (HD, despite the important reduction in risks obtained by testing candidate blood donors for anti-HCV antibodies and the use of recombinant erythropoietin to treat anemia. A cross-sectional study was performed to estimate the prevalence of HCV infection and genotypes among HD patients in Salvador, Northeastern Brazil. Anti-HCV seroprevalence was determined by ELISA in 1243 HD patients from all ten different dialysis centers of the city. HCV infection was confirmed by RT-PCR and genotyping was performed by restriction fragment length polymorphism. Anti-HCV seroprevalence among HD patients was 10.5% (95% CI: 8.8-12.3 (Murex anti-HCV, Abbott Murex, Chicago, IL, USA. Blood samples for qualitative HCV detection and genotyping were collected from 125/130 seropositive HD patients (96.2%. HCV-RNA was detected in 92/125 (73.6% of the anti-HCV-positive patients. HCV genotype 1 (77.9% was the most prevalent, followed by genotype 3 (10.5% and genotype 2 (4.6%. Mixed infections of genotypes 1 and 3 were found in 7.0% of the total number of patients. The present results indicate a significant decrease in anti-HCV prevalence from 23.8% detected in a study carried out in 1994 to 10.5% in the present study. The HCV genotype distribution was closely similar to that observed in other hemodialysis populations in Brazil, in local candidate blood donors and in other groups at risk of transfusion-transmitted infection.

  3. Strategies for the enhancement of automobile shredder residues (ASRs) recycling: results and cost assessment.

    Science.gov (United States)

    Ruffino, Barbara; Fiore, Silvia; Zanetti, Maria Chiara

    2014-01-01

    With reference to the European regulation about the management of End-of-Life Vehicles (ELVs), Directive 2000/53/EC imposes the achievement of a recycling target of 85%, and 95% of total recovery by 2015. Over the last few years many efforts have been made to find solutions to properly manage the waste coming from ELVs with the aim of complying with the targets fixed by the Directive. This paper focuses on the economical evaluation of a treatment process, that includes physical (size and density), magnetic and electrical separations, performed on the light fraction of the automobile shredder residue (ASR) with the aim of reducing the amount of waste to dispose of in a landfill and enhancing the recovery of valuable fractions as stated by the EU Directive. The afore mentioned process is able to enhance the recovery of ferrous and non-ferrous metals of an amount equal to about 1% b.w. (by weight) of the ELV weight, and to separate a high energetic-content product suitable for thermal valorization for an amount close to (but not higher than) 10% b.w. of the ELV weight. The results of the economical assessment led to annual operating costs of the treatment ranging from 300,000 €/y to 350,000 €/y. Since the considered plant treats about 13,500 metrictons of ASR per year, this would correspond to an operating cost of approximately 20-25 €/t. Taking into account the amount and the selling price of the scrap iron and of the non magnetic metal recovered by the process, thus leading to a gain of about 30 €/t per ton of light ASR treated, the cost of the recovery process is balanced by the profit from the selling of the recovered metals. On the other hand, the proposed treatment is able to achieve the fulfillment of the targets stated by Directive 2000/53/EC concerning thermal valorization and reduce the amount of waste generated from ELV shredding to landfill.

  4. Psychometric properties of the Japanese version of the Adult Attention-deficit hyperactivity disorder (ADHD) Self-Report Scale (ASRS-J) and its short scale in accordance with DSM-5 diagnostic criteria.

    Science.gov (United States)

    Takeda, Toshinobu; Tsuji, Yui; Kurita, Hiroshi

    2017-04-01

    We developed the Japanese version of the Adult ADHD Self-Report Scale (ASRS-J) and report its psychometric properties. The ASRS-J and other questionnaires were administered to 48 adults with ADHD, 46 adults with non-ADHD psychiatric disorders, 96 non-clinical adults, and 894 university students. ADHD diagnoses were made using the Japanese semi-structured diagnostic interview for adult ADHD, which is compatible with the DSM-5. The ASRS-J, its subscales, and the short form, all had Cronbach's α values of around 0.80. Total scores on the ASRS-J and the ASRS-J-6 were highly correlated with readministration after a two-week interval. The total and 18 individual item scores in the ASRS-J were significantly higher in the ADHD group than the other three groups. ASRS-J scores were correlated with scores on the Japanese version of Conners' Adult ADHD Rating Scales-Self Report subscales (0.59≤r≤0.77), with one exception. ASRS-J scores were also correlated (albeit more weakly; r=0.38) with Beck Depression Inventory-II total scores. Employing optimal cut-offs, sensitivity, specificity, and positive and negative predictive values of the ASRS-J and ASRS-J-6 are all above 0.69. The ASRS-J and ASRS-J-6 showed acceptable psychometric properties, although further study is necessary.

  5. Ddetection of HCV RNA in ELISA anti-HCV negative donors%ELISA抗-HCV阴性献血者HCV RNA的检测

    Institute of Scientific and Technical Information of China (English)

    纪勇平; 雷永良; 吴丽雅; 任振唤

    2002-01-01

    @@ 自酶联免疫法(ELISA)检测丙型肝炎病毒抗体(抗-HCV)试剂应用于血液HCV 的初筛以来,血液HCV的传播风险大为降低,但是仍有少数患者输血后感染HCV,原因是由于ELISA本身的局限性而使部分"窗口期"的HCV感染者未能被检出.为了解本市ELISA筛查合格献血者血液HCV RNA 的流行率,笔者对部分经ELISA双份试剂检测阴性的标本进行HCV RNA 检测,现报告如下.

  6. ALT与HCV核心抗原及HCV-RNA相关性研究%Study on correlation of ALT, HCV core antigen and HCV-RNA

    Institute of Scientific and Technical Information of China (English)

    王锐; 曹培义

    2013-01-01

    目的 研究ALT与HCV核心抗原、HCV-RNA间关系.方法 对81例HCV-RNA阳性标本检测HCV核心抗原和ALT水平.结果 81例HCV-RNA阳性标本检出HCV核心抗原阳性32例,灰区26例,ALT水平超过临床参考值56例,ALT检测水平与HCV核心抗原阳性程度呈正相关性.结论 HCV-cAg仅与HCV-RNA复制密切相关,与复制水平无关.HCV核心抗原可联合HCV抗体检测提高血液标本HCV感染检出率,结合ALT可以评测感染状态.

  7. Virological Mechanisms in the Coinfection between HIV and HCV

    Directory of Open Access Journals (Sweden)

    Maria Carla Liberto

    2015-01-01

    Full Text Available Due to shared transmission routes, coinfection with Hepatitis C Virus (HCV is common in patients infected by Human Immunodeficiency Virus (HIV. The immune-pathogenesis of liver disease in HIV/HCV coinfected patients is a multifactorial process. Several studies demonstrated that HIV worsens the course of HCV infection, increasing the risk of cirrhosis and hepatocellular carcinoma. Also, HCV might increase immunological defects due to HIV and risk of comorbidities. A specific cross-talk among HIV and HCV proteins in coinfected patients modulates the natural history, the immune responses, and the life cycle of both viruses. These effects are mediated by immune mechanisms and by a cross-talk between the two viruses which could interfere with host defense mechanisms. In this review, we focus on some virological/immunological mechanisms of the pathogenetic interactions between HIV and HCV in the human host.

  8. Lymphocytes as liver damage mirror of HCV related adipogenesis deregulation.

    Directory of Open Access Journals (Sweden)

    Antonella Minutolo

    Full Text Available Hepatitis C virus infection leads to a wide spectrum of liver diseases ranging from mild chronic hepatitis to end-stage cirrhosis and hepatocellular carcinoma. An intriguing aspect of the HCV infection is its close connection with lipid metabolism playing an important role in the HCV life cycle and in its pathogenesis. HCV is known to be a hepatotropic virus; however, it can also infect peripheral blood mononuclear cells (PBMCs. The goal of the current investigation is to compare the adipogenesis profile of liver tissues to lymphocytes of HCV infected patients, in order to understand if PBMCs may reflect the alterations of intracellular pathways occurring during HCV-related liver steatosis. Using the Human Adipogenesis PCR Array, gene expression was analyzed in liver samples and PBMCs of chronic HCV+, HBV+ and Healthy Donors (HDs patients. We observed a similar modulation of lipid metabolism in HCV+ and HBV+liver tissues and lymphoid, cells suggesting that PBMCs reflect the liver adipogenesis deregulation related to infection, even if the two viruses have a different impact in the regulation of the adipogenesis mechanisms. In particular, some genes involved in lipid metabolism and inflammation, as well as in cell transformation, were up-regulated, in a similar way, in both HCV models analyzed. Interestingly, these genes were positively correlated to virological and hepatic functional parameters of HCV+ patients. On the contrary, HBV+ patients displayed a completely different profile. PBMCs of HCV+ patients seem to be useful model to study how HCV-related lipid metabolism deregulation occurs in liver. The obtained data suggest some molecules as new possible biomarkers of HCV-related liver damage progression.

  9. Shear Capacity of Large-Scale RC Beams Affected by ASR

    DEFF Research Database (Denmark)

    Gustenhoff Hansen, Søren; Barbosa, Ricardo Antonio; Hoang, Linh Cao;

    2016-01-01

    This paper deals with the influence of alkali-silica reaction (ASR) on the shear capacity for concrete slabs without shear reinforcement. An experimental full-scale in-situ program consisting of four slabs from a bridge (Vosnæsvej) has been carried out and the results have been published in ref. [1......] with the principal author of this paper as co-author. After the experiments, a detailed measurement of the test specimens was conducted. Based on these measurements a thorough analysis of the experimental results was carried out and evaluated by a plastic model for shear capacity, Crack Sliding Model (CSM......) and Eurocode 2 (EN 1992-1-1). The analysis shows that three experiments were highly affected by the preparation of the experimental setup. Only one experiment contained useful information about the shear capacity. The analysis of this experiment shows that the shear capacity is not reduced as much...

  10. Performances of HCV Ag or HCV RNA kits for screening of HCV-infected samples%HCV Ag或HCV RNA试剂用于筛查丙型肝炎病毒感染样本的性能比较

    Institute of Scientific and Technical Information of China (English)

    谷金莲; 于洋; 梁争论

    2014-01-01

    目的 比较丙型肝炎病毒(hepatitis C virus,HCV)抗原(HCV Ag)与HCV RNA试剂检测HCV感染的性能.方法 应用ABBOTT ARCHITECT HCV Ag和Abbott RealTime HCV RNA试剂分别检测经Ortho和DiaSorin公司抗HCV EIA试剂以及CHIRON公司RIBA HCV 3.0 SIA和MP Biomedicals Asia Pacific Pte公司确证试剂检测的304份血浆样本(抗-HCV阳性139份,抗-HCV阴性165份).结果 139份抗-HCV阳性样本中,HCV RNA和HCV Ag试剂的阳性检出率分别为54.0%(75/139)和27.3%(38/139),HCV RNA试剂敏感性明显高于HCV Ag试剂(P<0.01);检测165份抗-H CV阴性样本中,HCV RNA和HCV Ag试剂检测均为阳性的样本有5份,分别检出7份和2份单独阳性样本,特异性分别为7.3%(12/165)和4.2%(7/165),差异无统计学意义(P>0.05);应用HCV Ab+HCVRNA或HCV Ab+ HCV Ag筛查HCV感染,阳性检出率分别为49.7%(151/304)和48.0%(146/304),差异无统计学意义(P>0.05).在94份HCV Ag和HCV RNA阳性样本检测中,HCV Ag试剂阳性率随样本HCV RNA载量的升高而增加,HCV RNA载量与检测HCV Ag阳性率呈正相关.结论 HCV Ag或HCV RNA作为HCV筛查的补充试验方法,可有效降低HCV Ab窗口期的漏检率.

  11. Is autoimmune chronic active hepatitis a HCV-related disease?

    Science.gov (United States)

    Magrin, S; Craxì, A; Fiorentino, G; Fabiano, C; Provenzano, G; Pinzello, G B; Palazzo, U; Almasio, P; Pagliaro, L

    1991-07-01

    We evaluated the specificity and clinical relevance of anti-hepatitis C virus antibody positivity in 22 HBsAg-negative patients with autoimmune (anti-nuclear, anti-actin or anti-liver-kidney microsomal antibody positive) chronic active hepatitis. An ELISA anti-HCV test and a recombinant immunoblot assay (RIBA-HCV) were used. Thirteen patients (59%) were anti-HCV positive and five (23%) anti-HCV negative by both ELISA and RIBA-HCV tests. Four patients (18%) were borderline positive by ELISA (OD less than 1.0), and three of them (all with severe disease) were negative by RIBA. Histologic necroinflammation, AST/ALT and gamma-globulins levels were higher and response to prednisolone treatment was better in RIBA anti-HCV-negative than in anti-HCV-positive cases. We confirmed with both RIBA and ELISA tests the high prevalence of anti-HCV already reported by ELISA in anti-nuclear and anti-liver-kidney microsomal antibody positive chronic active hepatitis. False positive for anti-HCV (i.e., a positive ELISA test not confirmed by RIBA) occurred only among patients with severe disease. Since RIBA-negative subjects showed the best response to corticosteroid, they might represent the only subset of cases of 'true' autoimmune chronic active hepatitis.

  12. HCV replication in PBMC and its influence on interferon therapy

    Institute of Scientific and Technical Information of China (English)

    Guo-Zhong Gong; Li-Ying Lai; Yong-Fang Jiang; Yan He; Xian-Shi Su

    2003-01-01

    AIM: To study hepatic virus C (HCV) RNA and HCV proteinexpression in peripheral blood mononuclear cells (PBMCs)of patients with HCV infection, and explore the relationshipbetween the HCV RNA in the PBMCs and response tointerferon (IFN) therapy.METHODS: Type-specific primers were designed and RT-nested PCR was used to detect the plus- and minus- strandsof HCV RNA in PBMCs of 54 patients with HCV infection;Indirect immunofluorescence assay was applied to identifyHCVNS5 protein expression in PBMCs; 6 month-, 3 MU-IFNregiment was administrated to observe the responses toIFN in 35 chronic hepatitis C patients with different HCVRNA status in PBMCs.RESULTS: HCV plus strand RNA was found in 10 of 19(52.6 %) acute hepatitis C patients and 22 of 35 (62.9 %)chronic hepatitis C patients. HCV minus strand RNA wasdetected in 14 of 35 (40.0 %) chronic hepatitis C patients,but only one patient (5.3 %) with acute HCV infection wasfound to be minus HCV RNA positive. Though no HCV NS5protein expression was found in the examined 10 cases ofacute HCV infection, it was positive in 17 of 20 (85.0 %)chronic hepatitis C patients by indirect immunofluoresenceassay. There are significant differences of positive rate of theminus-strand and HCVNS5 protein between acute and chronichepatitis C groups(u=2.07, P<0.05and u=4.43, P<0.01respectively). The patients with minus-strand HCV RNAshowed a significantly lower 6-month sustained response (SR-6) to IFN compared to those without minus-strand HCVRNAin PBMCs (biologically 14.3 % vs 42.8 %, X2=4.12, P<0.05and virologically 7.1% vs23.9 %, X2=4.24, P<0.05).CONCLUSION: HCV is capable of infecting and replicatingin PBMCs, and HCVNS5 protein was expressed in PBMCs.The patients with minus strand HCV RNA in PBMCs showeda significantly lower 6-month sustained response to IFN,suggesting that minus-strand HCV RNA in PBMCs may beone of the factors influencing response to IFN therapy.

  13. Evaluation of Vali Asr (aj hospital effluent for irrigation of the green

    Directory of Open Access Journals (Sweden)

    Taher Shahryari

    2012-05-01

    Full Text Available Background and Aim: Recycling of sewage in our country can be one of the ways to overcome the problem of water shortage. The aim of this paper is Evaluation of Valli-e-asr hospital effluent for irrigation of the green. Materials and Methods: During the 12 months of the project since January 2009, twelve samples of the hospital water were selected. 35 samples were taken both from raw sewage and refined effluent with the average frequency of two samples every month. Various physical, chemical, and biological factors were measured on the basis of the standard method book (AWWA. The gathered data was statistically analyzed using SPSS software (version 15 and paired T test at the significant level . Results: The percentages of separating some parameters such as BOD, TSS, COD, and MPS in the exiting effluent were 63.56%, 44.9%, 42.9%, and 89.97% respectively and those of the parameters PH, Mg, SO4, and SAR were 7.52mg/l, 66.82 mg/l, 382.14 mg/l, and 0.54 mg/l respectively. The amount of parameters BOD, COD, TSS, MPN, EC, CL, TDS, and NA% were 165.14mg/l, 887.657mg/l, 784.4286mg/l, 1856857 MPN, 4137.97µs/cm, 999mg/l, 2866.57mg/l, and 75.11% respectively. Conclusion: The sewage refinery of Valli-e-asr hospital does not produce a favorable outcome and some of the parameters of the effluent such as PH, Mg, SO4, and SAR are in accord with the standards of reusing in agriculture and irrigation but many of the necessary parameters do not correspond with the necessary standards for this task.

  14. Identification of critical residues in loop E in the 5-HT3ASR binding site

    Directory of Open Access Journals (Sweden)

    Muthalagi Mani

    2002-06-01

    Full Text Available Abstract Background The serotonin type 3 receptor (5-HT3R is a member of a superfamily of ligand gated ion channels. All members of this family share a large degree of sequence homology and presumably significant structural similarity. A large number of studies have explored the structure-function relationships of members of this family, particularly the nicotinic and GABA receptors. This information can be utilized to gain additional insights into specific structural and functional features of other receptors in this family. Results Thirteen amino acids in the mouse 5-HT3ASR that correspond to the putative E binding loop of the nicotinic α7 receptor were chosen for mutagenesis. Due to the presence of a highly conserved glycine in this region, it has been suggested that this binding loop is comprised of a hairpin turn and may form a portion of the ligand-binding site in this ion channel family. Mutation of the conserved glycine (G147 to alanine eliminated binding of the 5-HT3R antagonist [3H]granisetron. Three tyrosine residues (Y140, Y142 and Y152 also significantly altered the binding of 5-HT3R ligands. Mutations in neighboring residues had little or no effect on binding of these ligands to the 5-HT3ASR. Conclusion Our data supports a role for the putative E-loop region of the 5-HT3R in the binding of 5-HT, mCPBG, d-tc and lerisetron. 5-HT and mCPBG interact with Y142, d-tc with Y140 and lerisetron with both Y142 and Y152. Our data also provides support for the hypothesis that this region of the receptor is present in a loop structure.

  15. Benchmarking, Research, Development, and Support for ORNL Automated Image and Signature Retrieval (AIR/ASR) Technologies

    Energy Technology Data Exchange (ETDEWEB)

    Tobin, K.W.

    2004-06-01

    This report describes the results of a Cooperative Research and Development Agreement (CRADA) with Applied Materials, Inc. (AMAT) of Santa Clara, California. This project encompassed the continued development and integration of the ORNL Automated Image Retrieval (AIR) technology, and an extension of the technology denoted Automated Signature Retrieval (ASR), and other related technologies with the Defect Source Identification (DSI) software system that was under development by AMAT at the time this work was performed. In the semiconductor manufacturing environment, defect imagery is used to diagnose problems in the manufacturing line, train yield management engineers, and examine historical data for trends. Image management in semiconductor data systems is a growing cause of concern in the industry as fabricators are now collecting up to 20,000 images each week. In response to this concern, researchers at the Oak Ridge National Laboratory (ORNL) developed a semiconductor-specific content-based image retrieval method and system, also known as AIR. The system uses an image-based query-by-example method to locate and retrieve similar imagery from a database of digital imagery using visual image characteristics. The query method is based on a unique architecture that takes advantage of the statistical, morphological, and structural characteristics of image data, generated by inspection equipment in industrial applications. The system improves the manufacturing process by allowing rapid access to historical records of similar events so that errant process equipment can be isolated and corrective actions can be quickly taken to improve yield. The combined ORNL and AMAT technology is referred to hereafter as DSI-AIR and DSI-ASR.

  16. Use of DOE SGP Radars in Support of ASR Modeling Activities

    Energy Technology Data Exchange (ETDEWEB)

    Rutledge, Steven A. [Colorado State Univ., Fort Collins, CO (United States)

    2015-12-13

    The objective of this work was to use the DOE Southern Great Plains (SGP) precipitation radars to investigate physical characteristics of clouds and precipitation, and use this knowledge in support of DOE ASR modeling efforts. The goal was to develop an integrated data set based on the SGP instrumentation to yield statistically robust fields to aid in the task of verifying simulated cloud dynamical and microphysical fields. For this effort we relied heavily on the ARM scanning precipitation radars, X-SAPR’s and C-SAPR, and also incorporating data from wind profilers, surface disdrometers and the nearby WSR-88D radar, KVNX. Initially we lent our expertise to quality controlling the data from the newly installed ARM radars, particularly the X-band polarimetric data, and additionally assessed automatic radial velocity unfolding algorithms developed by other ASR researchers. We focused our efforts on four cases from the MC3E field campaign in 2011 and developed a dataset including microphysical information derived from hydrometeor identification and kinematic analysis using multiple-Doppler retrieval techniques. This dataset became a PI product and was released to the community in 2014. This analysis was used to investigate the source of big drops (> 5 mm) observed with disdrometers at the surface. It was found that the big drops were coincident with the strongest updrafts, suggesting they resulted from the melting of large precipitation ice, likely hail. We teamed up with W-K Tao and T. Matsui to statistically compare radar-derived observational kinematics and microphysics to WRF model output for the 25 April 2011. Comparisons highlighted some areas where the model may need improvement, such as generating too much hail and big drops, as well as overly-strong updrafts and overly-weak of downdrafts.

  17. Detection and analysis of HCV-RNA in banked blood%库血HCV-RNA的检测分析

    Institute of Scientific and Technical Information of China (English)

    姚萍; 伍继新; 胡兆平; 陶良军; 叶冬青; 黄芬

    2001-01-01

    目的为探索提高库血丙型肝炎病毒(HCV)的检出率.方法采用逆转录套式聚合酶链反应(RT-PCR)技术,检测4 530份抗-HCV阴性的库血HCV-RNA.结果 4 530份库血中HCV-RNA阳性55份,阳性率1.21%,其中个体献血者血液2 110份,HCV-RNA阳性40份,阳性率1.90%;无偿献血者血液2 420份,HCV-RNA阳性15份,阳性率0.62%.结论 RT-PCR可用于检测库血HCV-RNA,以减少因输血造成HCV感染.

  18. Animal models for HCV and HBV studies

    Directory of Open Access Journals (Sweden)

    Isabelle Chemin

    2007-02-01

    Full Text Available

    The narrow host range of infection and lack of suitable tissue culture systems for the propagation of hepatitis B and C viruses are limitations that have prevented a more thorough understanding of persistent infection and the pathogenesis of chronic liver disease.

    Despite decades of intensive research and significant progresses in understanding of viral hepatitis, many basic questions and clinical problems still await to be resolved. For example, the HBV cellular receptor and related mechanisms of viral entry have not yet been identified. Little is also known about the function of certain non-structural viral products, such as the hepatitis B e antigen and the X protein, or about the role of excess hepadnavirus subviral particles circulating in the blood stream during infection. Furthermore, the molecular mechanisms involved in the development of hepatocellular carcinoma and the role of the immune system in determining the fate of infection are not fully understood.

    The reason for these drawbacks is essentially due to the lack of reliable cell-based in vitro infection systems and, most importantly, convenient animal models.

    This lack of knowledge has been partially overcome for hepatitis B virus (HBV, by the discovery and characterization of HBV-like viruses in wild animals while for hepatitis C virus (HCV, related flaviviruses have been used as surrogate systems.

    Other laboratories have developed transgenic mice that express virus gene products and/or support virus replication. Some HBV transgenic mouse models

  19. Hydrometallurgical recovery of heavy metals from low grade automobile shredder residue (ASR): An application of advanced Fenton process (AFP).

    Science.gov (United States)

    Singh, Jiwan; Lee, Byeong-Kyu

    2015-09-15

    To investigate the leaching and recovery of heavy metals from low-grade automobile shredder residue (ASR), the effects of nitric acid (HNO3) and hydrogen peroxide (H2O2) concentrations, liquid/solid (L/S) ratio, leaching temperature and ASR particle size fractions on the heavy metal leaching rate were determined. The heavy metals were recovered by fractional precipitation and advanced Fenton process (AFP) at different pHs. The toxicity characteristic leaching procedure (TCLP) test was also performed in the residue remaining after heavy metal leaching to evaluate the potential toxicity of ASR. The heavy metal leaching efficiency was increased with increasing HNO3 and H2O2 concentrations, L/S ratio and temperature. The heavy metal leaching efficiencies were maximized in the lowest ASR size fraction at 303 K and L/S ratio of 100 mL/g. The kinetic study showed that the metal leaching was best represented by a second-order reaction model, with a value of R(2) > 0.99 for all selected heavy metals. The determined activation energy (kJ/mol) was 21.61, 17.10, 12.15, 34.50, 13.07 and 11.45 for Zn, Fe, Ni, Pb, Cd and Cr, respectively. In the final residue, the concentrations of Cd, Cr and Pb were under their threshold limits in all ASR size fractions. Hydrometallurgical metal recovery was greatly increased by AFP up to 99.96% for Zn, 99.97% for Fe, 95.62% for Ni, 99.62% for Pb, 94.11% for Cd and 96.79% for Cr. AFP is highly recommended for the recovery of leached metals from solution even at low concentrations.

  20. Hepatitis C virus (HCV genotype 1 subtype identification in new HCV drug development and future clinical practice.

    Directory of Open Access Journals (Sweden)

    Stéphane Chevaliez

    Full Text Available BACKGROUND: With the development of new specific inhibitors of hepatitis C virus (HCV enzymes and functions that may yield different antiviral responses and resistance profiles according to the HCV subtype, correct HCV genotype 1 subtype identification is mandatory in clinical trials for stratification and interpretation purposes and will likely become necessary in future clinical practice. The goal of this study was to identify the appropriate molecular tool(s for accurate HCV genotype 1 subtype determination. METHODOLOGY/PRINCIPAL FINDINGS: A large cohort of 500 treatment-naïve patients eligible for HCV drug trials and infected with either subtype 1a or 1b was studied. Methods based on the sole analysis of the 5' non-coding region (5'NCR by sequence analysis or reverse hybridization failed to correctly identify HCV subtype 1a in 22.8%-29.5% of cases, and HCV subtype 1b in 9.5%-8.7% of cases. Natural polymorphisms at positions 107, 204 and/or 243 were responsible for mis-subtyping with these methods. A real-time PCR method using genotype- and subtype-specific primers and probes located in both the 5'NCR and the NS5B-coding region failed to correctly identify HCV genotype 1 subtype in approximately 10% of cases. The second-generation line probe assay, a reverse hybridization assay that uses probes targeting both the 5'NCR and core-coding region, correctly identified HCV subtypes 1a and 1b in more than 99% of cases. CONCLUSIONS/SIGNIFICANCE: In the context of new HCV drug development, HCV genotyping methods based on the exclusive analysis of the 5'NCR should be avoided. The second-generation line probe assay is currently the best commercial assay for determination of HCV genotype 1 subtypes 1a and 1b in clinical trials and practice.

  1. Soluble egg antigen of Schistosoma Haematobium induces HCV replication in PBMC from patients with chronic HCV infection

    OpenAIRE

    2006-01-01

    Abstract Background This study was conducted to examine, in vitro , the effect of soluble egg antigen (SEA) of S. haematobium on intracellular HCV RNA load in peripheral mononuclear cells (PBMC) as well as on cell proliferation in patients with chronic HCV infection. Methods PBMC from 26 patients with chronic HCV infection were cultured for 72 hours in presence and absence of 50 μg SEA/ml medium. Intracellular HCV RNA quantification of plus and minus strands was assessed before and after stim...

  2. Superior outcomes in HIV-positive kidney transplant patients compared with HCV-infected or HIV/HCV-coinfected recipients.

    Science.gov (United States)

    Sawinski, Deirdre; Forde, Kimberly A; Eddinger, Kevin; Troxel, Andrea B; Blumberg, Emily; Tebas, Pablo; Abt, Peter L; Bloom, Roy D

    2015-08-01

    The prerequisite for an 'undetectable' HIV viral load has restricted access to transplantation for HIV-infected kidney recipients. However, HCV-infected recipients, owing to the historic limitations of HCV therapy in patients with renal disease, are commonly viremic at transplant and have universal access. To compare the effect of HIV, HCV, and HIV/HCV coinfection on kidney transplant patient and allograft outcomes, we performed a retrospective study of kidney recipients transplanted from January 1996 through December 2013. In multivariable analysis, patient (hazard ratio 0.90, 95% confidence interval 0.66-1.24) and allograft survival (0.60, 40-0.88) in 492 HIV patients did not differ significantly from the 117,791 patient-uninfected reference group. This was superior to outcomes in both the 5605 patient HCV group for death (1.44, 1.33-1.56) and graft loss (1.43, 1.31-1.56), as well as the 147 patient HIV/HCV coinfected group for death (2.26, 1.45-3.52) and graft loss (2.59, 1.60-4.19). HIV infection did not adversely affect recipient or allograft survival and was associated with superior outcomes compared with both HCV infection and HIV/HCV coinfection in this population. Thus, pretransplant viral eradication and/or immediate posttransplant eradication should be studied as potential strategies to improve posttransplant outcomes in HCV-infected kidney recipients.

  3. Molecular epidemiology of HCV monoinfection and HIV/HCV coinfection in injection drug users in Liuzhou, Southern China.

    Directory of Open Access Journals (Sweden)

    Yi Tan

    Full Text Available BACKGROUND: Hepatitis C virus (HCV mono-infection and HCV/HIV (human immunodeficiency virus co-infection are growing problems in injection drug users (IDU. Their prevalence and genotypic patterns vary with geographic locations. Access to harm reduction measures is opening up opportunities for improving the HIV/HCV profiling of IDU in China, where IDUs account for a significant proportion of the two infections especially in the southern part of the country. METHODOLOGY/PRINCIPAL FINDINGS: A cross sectional study was conducted. Through the Liuzhou Methadone Clinic, a total of 117 injection drug users (IDUs were recruited from Guangxi, Southern China. A majority of the IDUs (96% were HCV antibody positive, of which 21% were HIV infected. Unlike HCV monoinfection, there was spatial heterogeneity in the distribution of HIV/HCV coinfection, the latter also characterized by a higher prevalence of needle-sharing. Phylogenetic analysis revealed that genotype 6a was predominant in the study population. There were shorter genetic distances among the 6a sequences compared to the other HCV subtypes-1a, 3a, and 3b. CONCLUSION/SIGNIFICANCE: The results suggested that HIV and HCV were introduced at around the same time to the IDU populations in Southern China, followed by their differential spread as determined by the biologic characteristics of the virus and the intensity of behavioural risk. This pattern is different from that in other South East Asian countries where HCV infections have probably predated HIV.

  4. Modeling HCV Disease in Animals: Virology, Immunology and Pathogenesis of HCV and GBV-B Infections

    Directory of Open Access Journals (Sweden)

    Cordelia eManickam

    2014-12-01

    Full Text Available Hepatitis C virus (HCV infection has become a global public health burden costing billions of dollars in health care annually. Even with rapidly advancing scientific technologies, this disease still looms large due to a lack of vaccines and affordable treatment options. The immune correlates of protection and predisposing factors towards chronicity remain major obstacles to development of HCV vaccines and immunotherapeutics due, at least in part, to lack of a tangible infection animal model. This review discusses the currently available animal models for HCV disease, with a primary focus on GB virus B (GBV-B infection of New World primates that recapitulates the dual hepacivirus phenotypes of acute viral clearance and chronic pathologic disease. HCV and GBV-B are also closely phylogenetically related, and advances in characterization of the immune systems of New World primates have already led to the use of this model for drug testing and vaccine trials. Herein, we discuss the benefits and caveats of the GBV-B infection model and discuss potential avenues for future development of novel vaccines and immunotherapies.

  5. Quantitative analysis and reduction of the eco-toxicity risk of heavy metals for the fine fraction of automobile shredder residue (ASR) using H2O2.

    Science.gov (United States)

    Singh, Jiwan; Yang, Jae-Kyu; Chang, Yoon-Young

    2016-02-01

    Automobile shredder residue (ASR) fraction (size <0.25mm) can be considered as hazardous due to presence of high concentrations of heavy metals. Hydrogen peroxide combined with nitric acid has been used for the recovery of heavy metals (Zn, Cu, Mn, Fe, Ni, Pb, Cd and Cr) from the fine fraction of ASR. A sequential extraction procedure has also been used to determine the heavy metal speciation in the fine fraction of ASR before and after treatment. A risk analysis of the fine fraction of ASR before and after treatment was conducted to assess the bioavailability and eco-toxicity of heavy metals. These results showed that the recovery of heavy metals from ASR increased with an increase in the hydrogen peroxide concentration. A high concentration of heavy metals was found to be present in Cbio fractions (the sum of the exchangeable and carbonate fractions) in the fine fraction of ASR, indicating high toxicity risk. The Cbio rate of all selected heavy metals was found to range from 8.6% to 33.4% of the total metal content in the fine fraction of ASR. After treatment, Cbio was reduced to 0.3-3.3% of total metal upon a treatment with 2.0% hydrogen peroxide. On the basis of the risk assessment code (RAC), the environmental risk values for heavy metals in the fine fraction of ASR reflect high risk/medium risk. However, after treatment, the heavy metals would be categorized as low risk/no risk. The present study concludes that hydrogen peroxide combined with nitric acid is a promising treatment for the recovery and reduction of the eco-toxicity risk of heavy metals in ASR.

  6. Assessment of HCV genotypes in Yunnan Province of Southwest China.

    Science.gov (United States)

    Li, Qiongfen; Yao, Yufeng; Shen, Yunsong; Cao, Danfeng; Li, Yalin; Zhang, Shuqiong; Cun, Wei; Sun, Mingbo; Yu, Jiankun; Shi, Li; Dong, Shaozhong

    2016-12-23

    Recently, we reported that the frequency of hepatitis C virus (HCV) genotypes and subtypes has rapidly changed among intravenous drug users (IDUs) in Yunnan Province over the last 5 years; this is especially true for subtype 6a which has increased in frequency from 5 to 15%. Here, we assessed 120 HCV-positive plasma samples from the general population (GP). HCV NS5B fragments were amplified and sequenced by PCR. We identified four HCV genotypes (1, 2, 3 and 6) and seven HCV subtypes (1b, 2a, 3a, 3b, 6a, 6n, and 6k) in this population. Genotype 3 was predominant, with a distribution frequency of 0.484, followed by genotype 1 (0.283), genotype 6 (0.133) and genotype 2 (0.100). HCV subtypes 3b (frequency 0.292) and 1b (frequency 0.283) were the most common subtypes. A comparison of the current data with previous results reported for IDUs showed that the distribution frequencies of genotypes 1, 2 and 6 were significantly different between patients in the GP and IDUs (P HCV subtypes, the distribution frequencies of 1b, 2a, 6a, and 6n were significantly different between patients in the GP and IDU groups (P HCV subtype 6a strains isolated from IDUs and the GP were intermixed and not separately clustered. HCV subtype 6a was predominant not only among IDUs but also among those in the GP in the Guangdong Province and Vietnam. However, HCV subtype 6a was predominant only among IDUs and not among those in the GP in the Yunnan and Guangxi Provinces. Our results indicate that the HCV subtype 6a could rapidly spread across China.

  7. HCV抗原、HCV抗体及HCV-RNA联合检测与ALT的相关性分析%HCV antigen and antibody of HCV and HCV-RNA joint detection and correlation analysis of ALT

    Institute of Scientific and Technical Information of China (English)

    周珍娟

    2016-01-01

    目的 探究分析HCV抗原、HCV抗体及HCV-RNA联合检测与ALT的相关性.方法 随机选取我院在2013年2月-2015年2月期间接收的120例HCV-RNA阳性丙肝患者,采用不同的方法分别检查患者丙氨酸氨基转移酶(ALT)的含量水平、HCV抗原(HCV-cAg)、HCV抗体(HCV-Ab)以及HCV-RNA,并对所有数据进行统计分析.结果 120例HCV-RNA阳性丙肝患者中HCV抗原的阳性率为80.0%,HCV抗体的阳性率为95.0%,ALT含量的变化和HCV-RNA载体含量之间没有明显的相关性(P>0.05),HCV-RNA载体含量越高,则HCV抗体的阳性率越高,HCV-RNA载体载体含量的升高会引起ALT异常率的升高,两者之间呈正相关(P<0.05).结论 对于HCV-RNA阳性丙肝患者中HCV抗原、HCV抗体及HCV-RNA联合检测可进一步明确丙肝病毒的感染力,对患者临床病情具有一定的评估作用,同时结合ALT可对患者治疗效果提供一定的参考,值得临床应用.

  8. Impact of isolated hepatitis C virus (HCV) core-specific antibody detection and viral RNA amplification among HCV-seronegative dialysis patients at risk for infection.

    Science.gov (United States)

    Barril, Guillermina; Quiroga, Juan A; Arenas, María Dolores; Espinosa, Mario; García-Fernández, Nuria; Cigarrán, Secundino; Herrero, José A; del Peso, Gloria; Caro, Pilar; García-Agudo, Rebeca; Amézquita, Yésica; Blanco, Ana; Martínez-Rubio, Pilar; Alcázar, José M; González-Parra, Emilio; Martín-Gómez, Adoración; Castillo, Inmaculada; Bartolomé, Javier; Carreño, Vicente

    2014-08-01

    Amplification of hepatitis C virus (HCV) RNA from blood detected occult HCV infections in 30.9% of 210 HCV-seronegative dialysis patients with abnormal liver enzyme levels that had evaded standard HCV testing practices. Isolated HCV core-specific antibody detection identified three additional anti-HCV screening-negative patients lacking HCV RNA amplification in blood who were considered potentially infectious. Together, these findings may affect management of the dialysis setting. Copyright © 2014, American Society for Microbiology. All Rights Reserved.

  9. Spontaneous viral clearance, viral load, and genotype distribution of hepatitis C virus (HCV) in HIV-infected patients with anti-HCV antibodies in Europe

    DEFF Research Database (Denmark)

    Soriano, Vincent; Mocroft, Amanda; Rockstroh, Juergen

    2008-01-01

    BACKGROUND: Variables influencing serum hepatitis C virus (HCV) RNA levels and genotype distribution in individuals with human immunodeficiency virus (HIV) infection are not well known, nor are factors determining spontaneous clearance after exposure to HCV in this population. METHODS: All HCV...... for hepatitis B surface antigen (HBsAg) were more likely to have spontaneously cleared HCV than were those negative for HBsAg (43% vs. 21%; aOR, 2.91 [95% CI, 1.94-4.38]). Of patients with HCV viremia, 786 (53%) carried HCV genotype 1, and 53 (4%), 440 (29%), and 217 (15%) carried HCV genotype 2, 3, and 4...

  10. Study correlation between HCV-RNA quantity and alanine transaminase%丙肝患者HCV-RNA病毒载量和ALT浓度的关系研究

    Institute of Scientific and Technical Information of China (English)

    王宽; 王敏

    2009-01-01

    目的 研究丙肝患者血清HCV-RNA含量和ALT浓度的关系.方法 采用荧光定量PCR法检测296例疑似HCV感染患者的血清HCV-RNA,ELISA法检测抗-HCV,全自动生化分析仪测定ALT.结果 296例血清标本中, HCV-RNA和抗-HCV均阳性155例,HCV-RNA阳性而抗-HCV阴性的9例,HCV-RNA阴性而抗-HCV阳性的67例.HCV-RNA含量和ALT浓度水平相关性不显著.结论 HCV-RNA和抗-HCV的检测是诊断HCV-RNA感染的重要指标.但HCV-RNA含量和ALT浓度水平无明显相关.

  11. HCV Antibody Response and Genotype Distribution in Different Areas and Races of China

    OpenAIRE

    Leili Jia, Jiyun Yu, Hongbin Song, Xuelin Liu, Weina Ma, Yuanyong Xu, Chuanfu Zhang, Shicun Dong, Qiao Li

    2009-01-01

    Hepatitis C virus (HCV) heterogeneity accounts for the failure of effective vaccine development and the lack of successful anti-viral therapy in some patients. Little is known about the immune response to HCV peptides and the region or race specific genotypes in China. The objective of this study was to characterize HCV antibody immune response to HCV peptides and HCV genotypes in different regions and races of China. A total of 363 serum samples were collected from HCV carriers in 6 regions ...

  12. HCV-RNA positivity in peripheral blood mononuclear cells of patients with chronic HCV-infection: does it really mean viral replication?

    Institute of Scientific and Technical Information of China (English)

    Volker Meier; Sabine Mihm; Perdita Wietzke-Braun; Guliano Ramadori

    2001-01-01

    AIM To analyze the association of HCV-RNA with peripheral blood mononuclear cells (PBMC)and to answer the question whether HCV-RNA positivity in PBMC is due to viral replication,METHODS HCV-RNA was monitored in serumand PBMC preparations from 15 patients with chronic HCV infection before, during and after an IFN-α therapy using a nested RT/ PCRtechnique. In a second approach, PBMC from healthy donors were incubated in HCV positive plasma.RESULTS In the IFN-α responding patients,HCV-RNA disappeared first from total RNApreparations of PBMC and then from serum. In contrast, in relapsing patients, HCV-RNAreappeared first in serum and then in PBMC. A quantitative analysis of the HCV-RNAconcentration in serum was performed before and after transition from detectable to nondetectable HCV-RNA in PBMC-RNA and vice versa. When HCV-RNA was detectable in PBMCpreparations, the HCV concentration in serum was significantly higher than the serum HCV-RNA concentration when HCV-RNA in PBMC was not detectable. Furthermore, at no time during the observation period was HCV specific RNA observed in PBMC, if HCV-RNA in serum was under the detection limit. Incubation of PBMCfrom healthy donors with several dilutions of HCV positive plasma for two hours showed a concentration-dependent PCR-positivity for HCV-RNA in reisolated PBMC.CONCLUSION The detectability of HCV-RNA in total RNA from PBMC seems to depend on the HCV concentration in serum. Contamination or passive adsorption by circulating virus could be the reason for detection of HCV-RNA in PBMCpreparations of chronically infected patients.

  13. Detection of hepatitis C virus (HCV) core-specific antibody suggests occult HCV infection among blood donors.

    Science.gov (United States)

    Quiroga, Juan A; Avellón, Ana; Bartolomé, Javier; Andréu, María; Flores, Elena; González, María I; González, Rocío; Pérez, Sonia; Richart, Luis A; Castillo, Inmaculada; Alcover, Javier; Palacios, Ricardo; Carreño, Vicente; Echevarría, José M

    2016-07-01

    Blood transfusion safety is based on reliable donor screening for transmissible infections such as the hepatitis C virus (HCV) infection. A novel HCV core-specific antibody was assayed on random single donations from 2007 first-time blood donors who tested negative for anti-HCV and HCV RNA on routine screening. Sample collection broke the code between donations and donors for ethical reasons. Forty-two donations (2.1%) displayed reactivity in the novel test. The specificity of the reactivity was evaluated by a peptide inhibition assay, and testing against additional nonoverlapping HCV core peptide epitopes and other HCV antigens was performed on these samples. Six donations (14.3%; 0.30% from the total) were considered to contain anti-HCV after such supplemental testing. HCV RNA detection was also performed in peripheral blood mononuclear cells (PBMNCs) and serum or plasma samples from reactive donors after virus concentration by ultracentrifugation. HCV RNA tested negative in all PBMNCs samples, and a very low amount of viral genome was detected in serum or plasma concentrates from three anti-HCV core-reactive donors (7.1%) but not among concentrates from 100 randomly selected nonreactive donors. Sequencing of these polymerase chain reaction products revealed differences between the isolates that excluded partially sample contamination from a common source. These findings argue in favor of an ongoing occult HCV infection among these blood donors and account for some rather low, but perhaps not negligible, infection risk for such donations. Future studies involving larger samples of donations from traceable donors would enlighten the significance of these findings for the viral safety of the blood supply. © 2016 AABB.

  14. HCV genotyping from NGS short reads and its application in genotype detection from HCV mixed infected plasma.

    Science.gov (United States)

    Qiu, Ping; Stevens, Richard; Wei, Bo; Lahser, Fred; Howe, Anita Y M; Klappenbach, Joel A; Marton, Matthew J

    2015-01-01

    Genotyping of hepatitis C virus (HCV) plays an important role in the treatment of HCV. As new genotype-specific treatment options become available, it has become increasingly important to have accurate HCV genotype and subtype information to ensure that the most appropriate treatment regimen is selected. Most current genotyping methods are unable to detect mixed genotypes from two or more HCV infections. Next generation sequencing (NGS) allows for rapid and low cost mass sequencing of viral genomes and provides an opportunity to probe the viral population from a single host. In this paper, the possibility of using short NGS reads for direct HCV genotyping without genome assembly was evaluated. We surveyed the publicly-available genetic content of three HCV drug target regions (NS3, NS5A, NS5B) in terms of whether these genes contained genotype-specific regions that could predict genotype. Six genotypes and 38 subtypes were included in this study. An automated phylogenetic analysis based HCV genotyping method was implemented and used to assess different HCV target gene regions. Candidate regions of 250-bp each were found for all three genes that have enough genetic information to predict HCV genotypes/subtypes. Validation using public datasets shows 100% genotyping accuracy. To test whether these 250-bp regions were sufficient to identify mixed genotypes, we developed a random primer-based method to sequence HCV plasma samples containing mixtures of two HCV genotypes in different ratios. We were able to determine the genotypes without ambiguity and to quantify the ratio of the abundances of the mixed genotypes in the samples. These data provide a proof-of-concept that this random primed, NGS-based short-read genotyping approach does not need prior information about the viral population and is capable of detecting mixed viral infection.

  15. HCV genotyping from NGS short reads and its application in genotype detection from HCV mixed infected plasma.

    Directory of Open Access Journals (Sweden)

    Ping Qiu

    Full Text Available Genotyping of hepatitis C virus (HCV plays an important role in the treatment of HCV. As new genotype-specific treatment options become available, it has become increasingly important to have accurate HCV genotype and subtype information to ensure that the most appropriate treatment regimen is selected. Most current genotyping methods are unable to detect mixed genotypes from two or more HCV infections. Next generation sequencing (NGS allows for rapid and low cost mass sequencing of viral genomes and provides an opportunity to probe the viral population from a single host. In this paper, the possibility of using short NGS reads for direct HCV genotyping without genome assembly was evaluated. We surveyed the publicly-available genetic content of three HCV drug target regions (NS3, NS5A, NS5B in terms of whether these genes contained genotype-specific regions that could predict genotype. Six genotypes and 38 subtypes were included in this study. An automated phylogenetic analysis based HCV genotyping method was implemented and used to assess different HCV target gene regions. Candidate regions of 250-bp each were found for all three genes that have enough genetic information to predict HCV genotypes/subtypes. Validation using public datasets shows 100% genotyping accuracy. To test whether these 250-bp regions were sufficient to identify mixed genotypes, we developed a random primer-based method to sequence HCV plasma samples containing mixtures of two HCV genotypes in different ratios. We were able to determine the genotypes without ambiguity and to quantify the ratio of the abundances of the mixed genotypes in the samples. These data provide a proof-of-concept that this random primed, NGS-based short-read genotyping approach does not need prior information about the viral population and is capable of detecting mixed viral infection.

  16. HCV clearance patterns in saliva and serum of patients with chronic HCV infection under interferon plus ribavirin therapy.

    Science.gov (United States)

    Diz Dios, P; Castro, A; Rodríguez, I; Reforma, N G; Castro, M; Eirea, M; Hermida, M

    2005-05-01

    Hepatitis C virus (HCV)-RNA is often present in saliva of HCV-infected patients, with plasma viral load being the only known predictable factor. Interferon plus ribavirin therapy yields a sustained reduction in HCV viremia. This study aimed to assess the presence of HCV in saliva and serum specimens from patients undergoing this combination therapy (CT). Paired serum and saliva specimens were collected from 44 chronic HCV-infected patients at basal time, 4 and 12 weeks after CT onset, at the end of treatment and 6 months latter. Serum HCV-RNA levels were determined by the polymerase chain reaction (PCR) Amplicor system. Presence of HCV-RNA in saliva was tested by a highly sensitive non-commercialized nested-PCR. The HCV-RNA was detected in 26 saliva specimens at basal time (59.1%). In 34.1% of cases, a concordance viral clearance pattern in serum and saliva was observed in both responders (pattern 1a) and non-responders (pattern 1b). In pattern 2 (13.6% of cases), HCV was detected longer during CT in serum than in saliva (pattern 2a) or in saliva than in serum (pattern 2b). In 11.3% of patients, viral clearance was corroborated either in their serum (pattern 3a) or in their saliva (pattern 3b), but not in both fluids. Of the eight primary responders with 1a clearance pattern, seven were sustained responders. None of the patients with 2a clearance pattern was a sustained responder. Of the two primary responders showing the 3b salivary pattern, one had already relapsed in the first 6 months of follow up. The present results suggest that the monitoring of salivary levels of HCV would be a helpful means of determining sustained antiviral effects of interferon and ribavirin in the treatment of HCV disease.

  17. Lymphocytes and liver fibrosis in HIV & HCV coinfection

    NARCIS (Netherlands)

    Feuth, M.|info:eu-repo/dai/nl/371501547

    2014-01-01

    Coinfection with HIV has an important impact on immunity against hepatitis C virus (HCV). In the present dissertation, phenotypes of lymphocytes derived from the peripheral blood of HCV-infected patients were studied into detail, with special attention to changes in phenotype of lymphocytes associat

  18. Socioeconomic status in HCV infected patients - risk and prognosis

    DEFF Research Database (Denmark)

    Omland, Lars Haukali Hvass; Osler, Merete; Jepsen, Peter;

    2013-01-01

    It is unknown whether socioeconomic status (SES) is a risk factor for hepatitis C virus (HCV) infection or a prognostic factor following infection.......It is unknown whether socioeconomic status (SES) is a risk factor for hepatitis C virus (HCV) infection or a prognostic factor following infection....

  19. HCV-related liver cancer in people with haemophilia

    NARCIS (Netherlands)

    Meijer, K.; Haagsma, E. B.

    . The topic of this monograph is liver cancer associated with chronic HCV infection. We start with some background information on chronic HCV infection and its long-term sequelae, one of which is liver cancer. The rest of the article is concerned with liver cancer or hepatocellular carcinoma (HCC).

  20. Addressing HCV infection in Europe: reported, estimated and undiagnosed cases

    DEFF Research Database (Denmark)

    Merkinaite, Simona; Lazarus, Jeff; Gore, Charles

    2008-01-01

    The hepatitis C virus (HCV) is a major public health problem due to its high prevalence, high rate of onward transmission and health complications. As many as 85% of people infected with HCV may go on to become chronic carriers of the disease with the risk of developing liver cancer or cirrhosis....

  1. HCV-related liver cancer in people with haemophilia

    NARCIS (Netherlands)

    Meijer, K.; Haagsma, E. B.

    2012-01-01

    . The topic of this monograph is liver cancer associated with chronic HCV infection. We start with some background information on chronic HCV infection and its long-term sequelae, one of which is liver cancer. The rest of the article is concerned with liver cancer or hepatocellular carcinoma (HCC).

  2. Lymphocytes and liver fibrosis in HIV & HCV coinfection

    NARCIS (Netherlands)

    Feuth, M.

    2014-01-01

    Coinfection with HIV has an important impact on immunity against hepatitis C virus (HCV). In the present dissertation, phenotypes of lymphocytes derived from the peripheral blood of HCV-infected patients were studied into detail, with special attention to changes in phenotype of lymphocytes associat

  3. Historical epidemiology of hepatitis C virus (HCV) in selected countries

    DEFF Research Database (Denmark)

    Bruggmann, P; Berg, T; Øvrehus, A L H

    2014-01-01

    Chronic infection with hepatitis C virus (HCV) is a leading indicator for liver disease. New treatment options are becoming available, and there is a need to characterize the epidemiology and disease burden of HCV. Data for prevalence, viremia, genotype, diagnosis and treatment were obtained thro...

  4. 142例慢性丙型肝炎患者血清HCV-cag和HCV RNA检测结果分析

    Institute of Scientific and Technical Information of China (English)

    张效本; 阮秀花; 田葱

    2013-01-01

      目的探讨丙型肝炎病毒核心抗原(HCV-cag)检测与慢性丙型肝炎患者血清HCV RNA的相关性。方法采用ELISA法检测血清HCV-cag,采用FQ-PCR法检测HCV RNA。结果在142例CHC患者血清中,HCV-cag和HCV RNA阳性率分别为45.1%和43.0%(P>0.05);两种标志物均为阳性者58例(95.1%),均为阴性者75例(92.6%);81例HCV RNA阴性血清HCV-cag阳性6例(7.4%),而HCV RNA阳性血清HCV-cag阳性率大于85%,不同HCV RNA载量间阳性率无显著性差异。结论 HCV-cag与HCV RNA检测结果有一定的相关性。在CHC诊疗中,HCV-cag检测可作为判断HCV感染和病毒复制的指标,但不能替代HCV RNA检测。

  5. An overview of HCV molecular biology, replication and immune responses

    Directory of Open Access Journals (Sweden)

    Nawaz Zafar

    2011-04-01

    Full Text Available Abstract Hepatitis C virus (HCV causes acute and chronic hepatitis which can eventually lead to permanent liver damage, hepatocellular carcinoma and death. Currently, there is no vaccine available for prevention of HCV infection due to high degree of strain variation. The current treatment of care, Pegylated interferon α in combination with ribavirin is costly, has significant side effects and fails to cure about half of all infections. In this review, we summarize molecular virology, replication and immune responses against HCV and discussed how HCV escape from adaptive and humoral immune responses. This advance knowledge will be helpful for development of vaccine against HCV and discovery of new medicines both from synthetic chemistry and natural sources.

  6. HCV-Induced Oxidative Stress: Battlefield-Winning Strategy

    Science.gov (United States)

    Rebbani, Khadija; Tsukiyama-Kohara, Kyoko

    2016-01-01

    About 150 million people worldwide are chronically infected with hepatitis C virus (HCV). The persistence of the infection is controlled by several mechanisms including the induction of oxidative stress. HCV relies on this strategy to redirect lipid metabolism machinery and escape immune response. The 3β-hydroxysterol Δ24-reductase (DHCR24) is one of the newly discovered host markers of oxidative stress. This protein, as HCV-induced oxidative stress responsive protein, may play a critical role in the pathogenesis of HCV chronic infection and associated liver diseases, when aberrantly expressed. The sustained expression of DHCR24 in response to HCV-induced oxidative stress results in suppression of nuclear p53 activity by blocking its acetylation and increasing its interaction with MDM2 in the cytoplasm leading to its degradation, which may induce hepatocarcinogenesis. PMID:27293514

  7. The HCV Synthesis Project: Scope, methodology, and preliminary results

    Directory of Open Access Journals (Sweden)

    Scheinmann Roberta

    2008-09-01

    Full Text Available Abstract Background The hepatitis C virus (HCV is hyper-endemic in injecting drug users. There is also excess HCV among non-injection drug users who smoke, snort, or sniff heroin, cocaine, crack, or methamphetamine. Methods To summarize the research literature on HCV in drug users and identify gaps in knowledge, we conducted a synthesis of the relevant research carried out between 1989 and 2006. Using rigorous search methods, we identified and extracted data from published and unpublished reports of HCV among drug users. We designed a quality assurance system to ensure accuracy and consistency in all phases of the project. We also created a set of items to assess study design quality in each of the reports we included. Results We identified 629 reports containing HCV prevalence rates, incidence rates and/or genotype distribution among injecting or non-injecting drug user populations published between January 1989 and December 2006. The majority of reports were from Western Europe (41%, North America (26%, Asia (11% and Australia/New Zealand (10%. We also identified reports from Eastern Europe, South America, the Middle East, and the Caribbean. The number of publications reporting HCV rates in drug users increased dramatically between 1989 and 2006 to 27–52 reports per year after 1998. Conclusion The data collection and quality assurance phases of the HCV Synthesis Project have been completed. Recommendations for future research on HCV in drug users have come out of our data collection phase. Future research reports can enhance their contributions to our understanding of HCV etiology by clearly defining their drug user participants with respect to type of drug and route of administration. Further, the use of standard reporting methods for risk factors would enable data to be combined across a larger set of studies; this is especially important for HCV seroconversion studies which suffer from small sample sizes and low power to examine risk

  8. Optimizing ribavirin dose in HIV/hepatitis C (HCV co-infected individuals treated for HCV

    Directory of Open Access Journals (Sweden)

    J Farley

    2012-11-01

    Full Text Available Hepatitis C (HCV and HIV share common transmission pathways and the acquisition of both viruses are relatively common. Concurrent treatment for HCV with highly active anti-retroviral therapy (HAART should be considered in HIV co-infected individuals to decrease the progression of liver damage. Adverse effects and less satisfactory treatment outcomes are often concerns when treating co-infected individuals. Although, direct acting antivirals (DAAs may increase SVR, they may not be possible because of drug-drug interactions. he objective of this study is to investigate the difference in response rates of HCV treatment in HIV co-infected inmates with varying doses of ribavirin. Retrospective medical chart reviews of 52 HCV/HIV co-infected inmates who underwent HCV therapy between 2003 and 2010. All received standard doses of pegylated interferon alpha 2a or 2b and 800–1600 mg of ribavirin depending on weight. The recommended dosage for genotypes 2 and 3 is 800 mg/day. For other genotypes, if weight is<75 kg, the recommended ribavirin dose is 1000 mg/day or 1200 mg/day if>75 kg. Efficacy was defined as attaining sustained virological response (SVR six months post treatment. Univariate analyses was performed using SPSS-18; Chi-square test with p-value<0.05 was defined significant. 52 co-infected (3 females & 49 males were identified. Mean age was 40±7 years. Caucasians accounted for 84.6%; First Nations for 13.5% and Asians 1.9%. 36 were concurrently on HAART. The genotype distribution was: geno 1, 66.0%; geno 2, 7.5%; geno 3, 26.4%. SVR by ribavirin dosage ratio (actual dosage/recommended dosage:=1.0; 41.2% (14/34,>1.0; 58.8% (20/34. Doses greater than 1.5 times were associated with higher adverse events and lower SVR. Suboptimal doses of weight-based ribavirin may be contributing to a lower treatment response in HCV/HIV co-infectants. In our experience, the optimal dose of ribavirin is between 1 and 1.2 times the current recommended dose. We

  9. Lower Ribavirin Plasma Concentrations in HCV/HIV-Coinfected Patients Than in HCV-Monoinfected Patients Despite Similar Dosage

    NARCIS (Netherlands)

    Deenen, M.J.; Kanter, C.T.M.M. de; Dofferhoff, A.S.; Grintjes-Huisman, K.J.T.; Ven, A.J.A.M. van der; Fleuren, H.W.; Gisolf, E.H.; Koopmans, P.P.; Drenth, J.P.H.; Burger, D.M.

    2015-01-01

    BACKGROUND: Hepatitis C virus (HCV)/HIV-coinfected patients respond worse to dual therapy with ribavirin (RBV)/peginterferon compared with HCV-monoinfected patients. Several trials found that lower RBV plasma concentrations are associated with impaired virological response rates. The aim of this stu

  10. May some HCV genotype 1 patients still benefit from dual therapy? The role of very early HCV kinetics.

    Science.gov (United States)

    Tontodonati, Monica; Cento, Valeria; Polilli, Ennio; Colabattista, Cecilia; Cascella, Raffaella; Sciotti, Mariapina; Di Giammartino, Dante; Trave, Francesca; Di Maio, Velia Chiara; Monarca, Roberto; Di Candilo, Francesco; Prinapori, Roberta; Rastrelli, Elena; Vecchiet, Jacopo; Ceccherini-Silberstein, Francesca; Manzoli, Lamberto; Giardina, Emiliano; Perno, Carlo Federico; Parruti, Giustino

    2015-10-01

    When treating HCV patients with conventional dual therapy in the current context of rapidly evolving HCV therapy, outcome prediction is crucial and HCV kinetics, as early as 48 hours after the start of treatment, may play a major role. We aimed at clarifying the role of HCV very early kinetics. We consecutively enrolled mono-infected HCV patients at 7 treatment sites in Central Italy and evaluated the predictive value of logarithmic decay of HCV RNA 48 hours after the start of dual therapy (Delta48). Among the 171 enrolled patients, 144 were evaluable for early and sustained virological response (EVR, SVR) prediction; 108 (75.0%) reached EVR and 84 (58.3%) reached SVR. Mean Delta 48 was 1.68 ± 1.22 log10 IU/ml, being higher in patients with SVR and EVR. Those genotype-1 patients experiencing a Delta 48 >2 logs showed a very high chance of success (100% positive predictive value), even in the absence of rapid virological response (RVR). Evaluation of very early HCV kinetics helped identify a small but significant proportion of genotype-1 patients (close to 10%) in addition to those identified with RVR, who could be treated with dual therapy in spite of not reaching RVR. In the current European context, whereby sustainability of HCV therapy is a crucial issue, conventional dual therapy may still play a reasonable role in patients with good tolerance and early prediction of success.

  11. HCV -RNA 与 HCV -Ab、ALT、TP 相关性研究%The Relativity Analysis of HCV-RNA, HCV-Ab, ALT and TP from Hepatitis C Patients

    Institute of Scientific and Technical Information of China (English)

    李昕; 管世鹤

    2015-01-01

    探讨丙型肝炎患者体内 HCV -RNA、HCV -Ab、ALT 和 TP 间的相互关系。采用ELISA检测708例HCV-Ab阳性的丙型肝炎疑似患者,以RT-PCR检测血清HCV-RNA载量,全自动生化仪定量检测ALT和TP。 HCV-Ab表达水平与HCV-RNA载量有关,HCV-RNA载量与ALT异常率呈正相关性,但HCV-RNA载量与ALT含量无相关性,与TP含量亦无相关性。708例HCV-Ab阳性患者中男性多于女性,差异无统计学意义( P>0.05);40岁以上患者比例多于40岁以下患者比例,差异有统计学意义( P<0.05)。 HCV-RNA与HCV-Ab、ALT具有一定相关性,丙型肝炎以40岁以上男性患者多见,应引起临床重视。%In order to investigate the relativity among HCV -RNA, HCV-Ab, ALT and TP in hepatitis C pa-tients, 708 suspected hepatitis C patients with HCV -Ab positive were checked by using the ELISA method , with real-time detecting HCV-RNA in those bloods by Fluorescentrt -PCR, ALT and TP detected by automat-ic biochemical analyzer .The test results showed that HCV -Ab expression level is related with HCV -RNA con-tent.HCV-RNA content is positively correlated with abnormal rate of ALT .But HCV-RNA content is not cor-related with ALT content and TP content .Among the 708 patients, the HCV-Ab positive percentage of men is more than women , and there is no statistically significant difference ( P>0 .05 );the ratio of the ≥40 years old patients is greater than <40 years old patients, and the difference is statistically significant (P<0.05).HCV-RNA, HCV-Ab and ALT have certain relativity .Among hepatitis C patients men of over 40 years old are more , and should be paid more clinical attention .

  12. Significance of the hepatitis C virus (HCV core antigen as an alternative plasma marker of active HCV infection

    Directory of Open Access Journals (Sweden)

    Daniel HDJ

    2007-01-01

    Full Text Available Purpose: To evaluate the role of core antigen (Ortho trak-C assay as a marker of active HCV infection in comparison to HCV RNA as detected by reverse transcription polymerase chain reaction (RT-PCR. Methods: This evaluation was carried out during January 2000 to December 2003 in HCV infected individuals who were treatment naοve or were on anti-viral therapy. Additionally, sequential plasma samples from patients on clinical follow-up were included in this study. A total of 167 samples from 61 patients were tested by trak-C and RT-PCR. HCV RNA detection was achieved by a RT-PCR. Trak-C assay results were also compared in a limited proportion of these samples with known HCV viral load and genotype. Results: Of 167 samples tested, 56.9% were RNA positive and 43.1% were RNA negative while 50.3% were trak-C positive and 49.7% were trak-C negative, yielding a sensitivity of 85.3% and a specificity of 95.8% for the trak-C assay (Kappa co-efficient = 0.8. The concentration of HCVcAg and HCV RNA showed significant correlation (n=38, r=0.334, P =0.04. The trak-C assay detected the most prevalent HCV genotypes in India without significant difference ( P =0.335. The difference between mean absorbance values of HCV RNA positive samples compared to HCV RNA negative samples in the trak-C assay was highly significant ( P < 0.000. Qualitative results of trak-C assay and RT-PCR were comparable in 93% of follow-up samples. Conclusions: Trak-C assay can be recommended for confirmation of HCV infection and follow-up in laboratories with resource-poor facilities.

  13. Expression of core antigen of HCV genotype 3a and its evaluation as screening agent for HCV infection in Pakistan

    Directory of Open Access Journals (Sweden)

    Rehman Irshad U

    2011-07-01

    Full Text Available Abstract Background Pakistan is facing a threat from hepatitis C infection which is increasing at an alarming rate throughout the country. More specific and sensitive screening assays are needed to timely and correctly diagnose this infection. Methods After RNA extraction from specimen (HCV-3a, cDNA was synthesized that was used to amplify full length core gene of HCV 3a. After verification through PCR, DNA sequencing and BLAST, a properly oriented positive recombinant plasmid for core gene was digested with proper restriction enzymes to release the target gene which was then inserted downstream of GST encoding DNA in the same open reading frame at proper restriction sites in multiple cloning site of pGEX4t2 expression vector. Recombinant expression vector for each gene was transformed in E. coli BL21 (DE3 and induced with IPTG for recombinant fusion protein production that was then purified through affinity chromatography. Western blot and Enzyme Linked Immunosorbant Assay (ELISA were used to detect immuno-reactivity of the recombinant protein. Results The HCV core antigen produced in prokaryotic expression system was reactive and used to develop a screening assay. After validating the positivity (100% and negativity (100% of in-house anti-HCV screening assay through a standardized panel of 200 HCV positive and 200 HCV negative sera, a group of 120 serum specimens of suspected HCV infection were subjected to comparative analysis of our method with commercially available assay. The comparison confirmed that our method is more specific than the commercially available assays for HCV strains circulating in this specific geographical region of the world and could thus be used for HCV screening in Pakistan. Conclusion In this study, we devised a screening assay after successful PCR amplification, isolation, sequencing, expression and purification of core antigen of HCV genotype 3a. Our developed screening assay is more sensitive, specific and

  14. HCV subtype characterization among injection drug users: implication for a crucial role of Zhenjiang in HCV transmission in China.

    Directory of Open Access Journals (Sweden)

    Chiyu Zhang

    Full Text Available BACKGROUND: HCV transmission is closely associated with drug-trafficking routes in China. However, the transmission route of HCV in Eastern China remains unclear. Here, we investigate the role of Zhenjiang city of Jiangsu province, an important transportation hub linking Shanghai with other regions of China, in HCV transmission. METHODOLOGY/PRINCIPAL FINDINGS: A total of 141 whole blood samples were collected from injection drug users (IDUs in Zhenjiang and then tested for HCV infection. Of them, 115 HCV positive plasmas were subjected to RNA extraction, RT-PCR amplification, and sequencing. The subtype characterization and the evolutionary origin of HCV strains circulating in Zhenjiang were determined using polygenetic or phylogeographic analyses. Seven HCV subtypes 1b, 2a, 3a, 3b, 6a, 6e and 6n were detected among Zhenjiang IDUs, showing a complex HCV epidemic. The most predominant subtypes were 3a (38% and 1b (26.8%. Among these subtypes, subtypes 3b, 6n and 6e originated from Southwestern China (i.e., Yunnan and/or Guangxi, subtypes 2a and 6a from Southern China (i.e., Guangdong, subtype 1b from Central (i.e., Henan and Northwestern (i.e., Xinjiang China, and subtype 3a from Southwestern (i.e., Yunnan and Northwestern (i.e., Xinjiang China. From Zhenjiang, subtypes 1b and 2a were further spread to Eastern (i.e., Shanghai and Northern (i.e., Beijing China, respectively. CONCLUSIONS/SIGNIFICANCE: The mixing of seven HCV subtypes in Zhenjiang from all quarters of China indicates that as an important middle station, Zhenjiang plays a crucial role in HCV transmission, just as it is important in population migration between other regions of China and Eastern China.

  15. Consequences and mitigation of saltwater intrusion induced by short-circuiting during aquifer storage and recovery (ASR) in a coastal subsurface

    OpenAIRE

    Zuurbier, Koen Gerardus; Stuyfzand, Pieter Jan

    2016-01-01

    Coastal aquifers and the deeper subsurface are increasingly exploited. The accompanying perforation of the subsurface for those purposes has increased the risk of short-circuiting of originally separated aquifers. This study shows how this short-circuiting negatively impacts the freshwater recovery efficiency (RE) during aquifer storage and recovery (ASR) in coastal aquifers. ASR was applied in a shallow saltwater aquifer overlying a deeper saltwater aquifer, which was targeted for seasonal a...

  16. Adaptive evolution of the water stress-induced gene Asr2 in Lycopersicon species dwelling in arid habitats.

    Science.gov (United States)

    Frankel, Nicolas; Hasson, Esteban; Iusem, Norberto D; Rossi, Maria Susana

    2003-12-01

    The Asr2 gene encodes a putative transcription factor that is up-regulated in leaves and roots of tomato plants exposed to water-deficit stress. This gene was first cloned and characterized in a cultivar of commercial tomato (Lycopersicon esculentum cv. Ailsa Craig). In this work, we report the complete coding sequences of the orthologous Asr2 genes in six wild tomato lineages: L. hirsutum, L. cheesmanii, L. esculentum v. cerasiforme, L. chilense, L. peruvianum v. humifusum and L. peruvianum f. glandulosum. Estimates of the Ka/Ks ratio (omega) in pairwise comparisons within the genus Lycopersicon were equal or greater than 1 (a signature of adaptive evolution) when involving L. chilense and L. peruvianum v. humifusum. Interestingly, these two species are distinct from the others in their adaptation to dry habitats. We also mapped the detected substitutions onto a phylogenetic tree of the genus Lycopersicon. Remarkably, there are two and three amino acid substitutions, which contrast with the absence of synonymous substitutions along the terminal branches leading to L. chilense and L. peruvianum v. humifusum, respectively. Likelihood ratio tests confirmed that omega values in the branches leading to these species are significantly different from the remaining branches of the tree. Moreover, inferred changes in the branches leading to these species that inhabit dry areas are nonconservative and may be associated with dramatic alterations in ASR2 protein conformation. In this work, we demonstrate accelerated rates of amino acid substitutions in the Asr2 gene of tomato lineages living in dry habitats, thus giving support to the hypothesis of adaptive Darwinian evolution.

  17. HCV 抗原表位预测%Prediction of HCV antigenic epitopes

    Institute of Scientific and Technical Information of China (English)

    贾帅争; 孙红琰; 王全立

    2001-01-01

    应用网络生物信息资源查找丙型肝炎病毒基因组全序列,用软件Lasergene中的EditSeq将来自中国河北株mRNA序列翻译为氨基酸序列,尔后用程序Protean进行氨基酸序列分析,对HCV各区段的B细胞抗原指数进行预测。同时又在两个网站对中国汉族人中频率较高的HLA基因型进行CD8和CD4 T细胞表位预测。B细胞和T细胞抗原表位预测结果对于HCV诊断试剂和疫苗研制有重要的指导意义。%The complete genome of Hepatitis C China virus was gotten from world wide web site NCBI (National Center for Biotechnology Information). HCV mRNA was translated into amino acids(AA) sequence by program EditSeq of a computer software Lasergene and this amino acids sequence was analysed by program Protean. B cell epitopes index of these HCV AA fragments was caculated by this computational program and those epitopes with high index can be used as candidate epitopes for HCV antibody diagnositic reagent. CD8 T cell and CD4 T cell epitopes were predicted at Internet sites (SYFPEITHI and BIMAS). Because those HLA which appear with higher frequence in Chinese Nationalities were chosen to predict T cell epitopes, these predicted sequences can be used to design anti HCV vaccine suitable for Chinese.

  18. Application of Image Analysis to Identify Quartz Grains in Heavy Aggregates Susceptible to ASR in Radiation Shielding Concrete

    Directory of Open Access Journals (Sweden)

    Daria Jóźwiak-Niedźwiedzka

    2016-03-01

    Full Text Available Alkali-silica reaction (ASR is considered as a potential aging-related degradation phenomenon that might impair the durability of concrete in nuclear containments. The objective of this paper is the application of digital analysis of microscopic images to identify the content and size of quartz grains in heavy mineral aggregates. The range of investigation covered magnetite and hematite aggregates, known as good absorbers of gamma radiation. Image acquisition was performed using thin sections observed in transmitted cross-polarized light with λ plate. Image processing, consisting of identification of ferrum oxide and epoxy resin, and the subsequent application of a set of filtering operations resulted in an adequate image reduction allowing the grain size analysis. Quartz grains were classified according to their mean diameter so as to identify the reactive range. Accelerated mortar bar tests were performed to evaluate the ASR potential of the aggregates. The SiO2 content in the heavyweight aggregates determined using the image analysis of thin sections was similar to XRF test result. The content of reactive quartz hematite was 2.7%, suggesting that it would be prone to ASR. The expansion test, according to ASTM C1260, confirmed the prediction obtained using the digital image analysis.

  19. Nuclear Import and Dimerization of Tomato ASR1, a Water Stress-Inducible Protein Exclusive to Plants

    Science.gov (United States)

    Ricardi, Martiniano M.; Guaimas, Francisco F.; González, Rodrigo M.; Burrieza, Hernán P.; López-Fernández, María P.; Estévez, José M.; Iusem, Norberto D.

    2012-01-01

    The ASR (for ABA/water stress/ripening) protein family, first described in tomato as nuclear and involved in adaptation to dry climates, is widespread in the plant kingdom, including crops of high agronomic relevance. We show both nuclear and cytosolic localization for ASR1 (the most studied member of the family) in histological plant samples by immunodetection, typically found in small proteins readily diffusing through nuclear pores. Indeed, a nuclear localization was expected based on sorting prediction software, which also highlight a monopartite nuclear localization signal (NLS) in the primary sequence. However, here we prove that such an “NLS” of ASR1 from tomato is dispensable and non-functional, being the transport of the protein to the nucleus due to simple diffusion across nuclear pores. We attribute such a targeting deficiency to the misplacing in that cryptic NLS of two conserved contiguous lysine residues. Based on previous in vitro experiments regarding quaternary structure, we also carried out live cell imaging assays through confocal microscopy to explore dimer formation in planta. We found homodimers in both the cytosol and the nucleus and demonstrated that assembly of both subunits together can occur in the cytosol, giving rise to translocation of preformed dimers. The presence of dimers was further corroborated by means of in vivo crosslinking of nuclei followed by SDS-PAGE. PMID:22899993

  20. Nuclear import and dimerization of tomato ASR1, a water stress-inducible protein exclusive to plants.

    Directory of Open Access Journals (Sweden)

    Martiniano M Ricardi

    Full Text Available The ASR (for ABA/water stress/ripening protein family, first described in tomato as nuclear and involved in adaptation to dry climates, is widespread in the plant kingdom, including crops of high agronomic relevance. We show both nuclear and cytosolic localization for ASR1 (the most studied member of the family in histological plant samples by immunodetection, typically found in small proteins readily diffusing through nuclear pores. Indeed, a nuclear localization was expected based on sorting prediction software, which also highlight a monopartite nuclear localization signal (NLS in the primary sequence. However, here we prove that such an "NLS" of ASR1 from tomato is dispensable and non-functional, being the transport of the protein to the nucleus due to simple diffusion across nuclear pores. We attribute such a targeting deficiency to the misplacing in that cryptic NLS of two conserved contiguous lysine residues. Based on previous in vitro experiments regarding quaternary structure, we also carried out live cell imaging assays through confocal microscopy to explore dimer formation in planta. We found homodimers in both the cytosol and the nucleus and demonstrated that assembly of both subunits together can occur in the cytosol, giving rise to translocation of preformed dimers. The presence of dimers was further corroborated by means of in vivo crosslinking of nuclei followed by SDS-PAGE.

  1. Nuclear import and dimerization of tomato ASR1, a water stress-inducible protein exclusive to plants.

    Science.gov (United States)

    Ricardi, Martiniano M; Guaimas, Francisco F; González, Rodrigo M; Burrieza, Hernán P; López-Fernández, María P; Jares-Erijman, Elizabeth A; Estévez, José M; Iusem, Norberto D

    2012-01-01

    The ASR (for ABA/water stress/ripening) protein family, first described in tomato as nuclear and involved in adaptation to dry climates, is widespread in the plant kingdom, including crops of high agronomic relevance. We show both nuclear and cytosolic localization for ASR1 (the most studied member of the family) in histological plant samples by immunodetection, typically found in small proteins readily diffusing through nuclear pores. Indeed, a nuclear localization was expected based on sorting prediction software, which also highlight a monopartite nuclear localization signal (NLS) in the primary sequence. However, here we prove that such an "NLS" of ASR1 from tomato is dispensable and non-functional, being the transport of the protein to the nucleus due to simple diffusion across nuclear pores. We attribute such a targeting deficiency to the misplacing in that cryptic NLS of two conserved contiguous lysine residues. Based on previous in vitro experiments regarding quaternary structure, we also carried out live cell imaging assays through confocal microscopy to explore dimer formation in planta. We found homodimers in both the cytosol and the nucleus and demonstrated that assembly of both subunits together can occur in the cytosol, giving rise to translocation of preformed dimers. The presence of dimers was further corroborated by means of in vivo crosslinking of nuclei followed by SDS-PAGE.

  2. Small-Scale ASR Between Flow Barriers in a Saline Aquifer.

    Science.gov (United States)

    van Ginkel, Marloes; des Tombe, Bas; Olsthoorn, Theo; Bakker, Mark

    2016-11-01

    Regular aquifer storage recovery, ASR, is often not feasible for small-scale storage in brackish or saline aquifers because fresh water floats to the top of the aquifer where it is unrecoverable. Flow barriers that partially penetrate a brackish or saline aquifer prevent a stored volume of fresh water from expanding sideways, thus increasing the recovery efficiency. In this paper, the groundwater flow and mixing is studied during injection, storage, and recovery of fresh water in a brackish or saline aquifer in a flow-tank experiment and by numerical modeling to investigate the effect of density difference, hydraulic conductivity, pumping rate, cyclic operation, and flow barrier settings. Two injection and recovery methods are investigated: constant flux and constant head. Fresh water recovery rates on the order of 65% in the first cycle climbing to as much as 90% in the following cycles were achievable for the studied configurations with constant flux whereas the recovery efficiency was somewhat lower for constant head. The spatial variation in flow velocity over the width of the storage zone influences the recovery efficiency, because it induces leakage of fresh water underneath the barriers during injection and upconing of salt water during recovery.

  3. Cockpit Interruptions and Distractions: An Analysis of ASRS Reports and an Experimental Program

    Science.gov (United States)

    Dismukes, R. K.; Young, Grant E.; Connors, Mary (Technical Monitor)

    1998-01-01

    A recent detailed analysis of 107 ASRS incident reports focusing on interruptions and distractions as their primary feature revealed several interesting and surprising findings. Of those tasks that were interfered with, over 40% fell within the category of monitoring; for example, monitoring the autopilot flying the aircraft, monitoring the pilot flying, or monitoring the altimeter or navigation instruments for future action. Surprisingly, over 60% of the tasks that were considered distractions fell under the broad category of communication or conversation. Using these findings, we have developed an experimental paradigm that will help us understand the method by which pilots perform certain monitoring tasks. Specifically, we hope to determine the degree to which pilots rely on internal time mechanisms versus external cues as a means of successfully completing a monitoring task. In addition, we will incorporate a battery of competing aviation type tasks, including communication, to see how these tasks affect the process of monitoring. The long range goal of this research is to find operational solutions that facilitate effective monitoring in the presence of both sudden interruptions and distractions that lead to unintended multiple tasks situations.

  4. Maternal HCV infection is associated with intrauterine fetal growth disturbance

    Science.gov (United States)

    Huang, Qi-tao; Hang, Li-lin; Zhong, Mei; Gao, Yun-fei; Luo, Man-ling; Yu, Yan-hong

    2016-01-01

    Abstract Since the evidence regarding the association between maternal hepatitis C virus (HCV) infection and impaired intrauterine fetal growth had not been conclusive, the aim of the present study was to evaluate the risk of maternal HCV infection in association with intrauterine fetal growth restriction (IUGR) and/or low birth weight infants (LBW). We performed an extensive literature search of PubMed, MEDLINE, and EMBASE through December 1, 2015. The odds ratios (ORs) of HCV infection and IUGR/LBW were calculated and reported with 95% confidence intervals (95% CIs). Statistical analysis was performed using RevMen 5.3 and Stata 10.0. Seven studies involving 4,185,414 participants and 5094 HCV infection cases were included. Significant associations between HCV infection and IUGR (OR = 1.53, 95% CI: 1.40–1.68, fixed effect model) as well as LBW were observed (OR = 1.97, 95% CI: 1.43–2.71, random effect model). The results still indicated consistencies after adjusting for multiple risk factors which could affect fetal growth, including maternal age, parity, maternal smoking, alcohol abuse, drugs abuse, coinfected with HBV/HIV and preeclampsia. Our findings suggested that maternal HCV infection was significantly associated with an increased risk of impaired intrauterine fetal growth. In clinical practice, a closer monitoring of intrauterine fetal growth by a series of ultrasound might be necessary for HCV-infected pregnant population. PMID:27583932

  5. Expression and immunoreactivity of HCV/HBV epitopes

    Institute of Scientific and Technical Information of China (English)

    Xin-Yu Xiong; Xiao Liu; Yuan-Ding Chen

    2005-01-01

    AIM: To develop the epitope-based vaccines to prevent Hepatitis C virus (HCV)/Hepatitis B virus (HBV) infections.METHODS: The HCV core epitopes C1 STNPKPQRKTKRNTNRRPQD (residuals aa2-21) and C2 VKFPGGGQIVGGVYLLPRR (residuals aa22-40), envelope epitope E GHRMAWDMMMNWSP (residuals aa315-328) and HBsAg epitope S CTTPAQGNSMFPSCCCTKPTDGNC (residuals aa124-147) were displayed in five different sites of the flock house virus capsid protein as a vector, and expressed in E. coli cells (pET-3 system).Immunoreactivity of the epitopes with anti-HCV and anti-HBV antibodies in the serum from hepatitis C and hepatitis B patients were determined.RESULTS: The expressed chimeric protein carrying the HCV epitopes C1, C2, E (two times), L3C1-I2E-L1C2-L2E could react with anti-HCV antibodies. The expressed chimeric protein carrying the HBV epitopes S, I3S could react with anti-HBs antibodies. The expressed chimeric proteins carrying the HCV epitopes C1, C2, E plus HBV epitope S, L3C1-I2E-L1C2-L2E-I3S could react with antiHCV and anti-HBs antibodies.CONCLUSION: These epitopes have highly specific and sensitive immunoreaction and are useful in the development of epitope-based vaccines.

  6. The Natural History of Hepatitis C Virus (HCV Infection

    Directory of Open Access Journals (Sweden)

    2006-04-01

    Full Text Available Hepatitis C virus (HCV is a leading cause of chronic liver disease, cirrhosis, and hepatocellular carcinoma, as well as the most common indication for liver transplantation in many countries. Although the incidence of hepatitis C infection has dramatically decreased during the past decade, the worldwide reservoir of chronically infected persons is estimated at 170 million, or 3% of the global population. There is much controversy surrounding the natural history of hepatitis C infection. The rate of chronic HCV infection is affected by a person's age, gender, race, and viral immune response. Approximately 75%-85% of HCV-infected persons will progress to chronic HCV infection, and are at risk for the development of extrahepatic manifestations, compensated and decompensated cirrhosis, and hepatocellular carcinoma (HCC. The rate of progression to cirrhosis is highly variable, and is influenced by several factors, including the amount of alcohol consumption, age of initial HCV infection, degree of inflammation and fibrosis on liver biopsy, HIV and HBV coinfection, and comordid conditions. An estimated 10%-15% of HCV-infected persons will advance to cirrhosis within the first 20 years. Persons with cirrhosis are at increased risk of developing HCC. An understanding of the natural history of hepatitis C is essential to effectively manage, treat, and counsel individuals with HCV infection.

  7. Acetaminophen-induced acute liver injury in HCV transgenic mice

    Energy Technology Data Exchange (ETDEWEB)

    Uehara, Takeki; Kosyk, Oksana; Jeannot, Emmanuelle; Bradford, Blair U. [Department of Environmental Sciences and Engineering, University of North Carolina, Chapel Hill, NC 27599 (United States); Tech, Katherine; Macdonald, Jeffrey M. [Department of Biomedical Engineering, University of North Carolina, Chapel Hill, NC 27599 (United States); Boorman, Gary A. [Covance, Chantilly, VA 20151 (United States); Chatterjee, Saurabh; Mason, Ronald P. [Laboratory of Toxicology and Pharmacology, National Institute of Environmental Health Sciences, RTP, NC 27713 (United States); Melnyk, Stepan B. [Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72201 (United States); Tryndyak, Volodymyr P.; Pogribny, Igor P. [Division of Biochemical Toxicology, National Center for Toxicological Research, Jefferson, AR 72079 (United States); Rusyn, Ivan, E-mail: iir@unc.edu [Department of Environmental Sciences and Engineering, University of North Carolina, Chapel Hill, NC 27599 (United States)

    2013-01-15

    The exact etiology of clinical cases of acute liver failure is difficult to ascertain and it is likely that various co-morbidity factors play a role. For example, epidemiological evidence suggests that coexistent hepatitis C virus (HCV) infection increased the risk of acetaminophen-induced acute liver injury, and was associated with an increased risk of progression to acute liver failure. However, little is known about possible mechanisms of enhanced acetaminophen hepatotoxicity in HCV-infected subjects. In this study, we tested a hypothesis that HCV-Tg mice may be more susceptible to acetaminophen hepatotoxicity, and also evaluated the mechanisms of acetaminophen-induced liver damage in wild type and HCV-Tg mice expressing core, E1 and E2 proteins. Male mice were treated with a single dose of acetaminophen (300 or 500 mg/kg in fed animals; or 200 mg/kg in fasted animals; i.g.) and liver and serum endpoints were evaluated at 4 and 24 h after dosing. Our results suggest that in fed mice, liver toxicity in HCV-Tg mice is not markedly exaggerated as compared to the wild-type mice. In fasted mice, greater liver injury was observed in HCV-Tg mice. In fed mice dosed with 300 mg/kg acetaminophen, we observed that liver mitochondria in HCV-Tg mice exhibited signs of dysfunction showing the potential mechanism for increased susceptibility. -- Highlights: ► Acetaminophen-induced liver injury is a significant clinical challenge. ► HCV-infected subjects may be at higher risk for acetaminophen-induced liver injury. ► We used HCV transgenics to test if liver injury due to acetaminophen is exacerbated.

  8. Exploring the possibility of arthropod transmission of HCV.

    Science.gov (United States)

    Houldsworth, Annwyne

    2017-02-01

    Hepatitis C virus (HCV) is a major cause of chronic hepatitis, cirrhosis, and liver cancer occurring in up to 3% of the world's population. Parenteral exposure to HCV is the major mode of transmission of infection. Once established, infection will persist in up to 85% of individuals with only a minority of patients clearing viremia. Egypt has possibly the highest HCV prevalence in the world where 10-20% of the general population are infected with HCV. Endemic HCV appears to be concentrated in the tropics and sub-tropics where there are higher biting rates from insects. The question as to whether a bridge vector transmission is possible, via arthropods, both between humans and/or from an animal reservoir to humans is explored. Mechanical transmission, as opposed to biological transmission, is considered. Mechanical transmission can be an efficient way of transmitting an infection, as effective as biological transmission. Probability of transmission can increase as to the immediate circumstances and conditions at the time. Several factors may enhance mechanical transmission, including high levels of microbes in the vector, frequent biting, the close proximity, and contact between vectors and recipients as well as high density of insects. HCV has been isolated from bodies or heads of mosquitoes collected from the houses of HCV-infected individuals. The possibility of enzootic cycles of HCV tangential transmission via bridging vectors, such as, arthropods needs to be further investigated and possible animal reservoirs, including domestic rural epizootic cycles for HCV infection, requires further research with particular initial emphasis on equine infections. J. Med. Virol. 89:187-194, 2017. © 2016 Wiley Periodicals, Inc.

  9. Hepatitis C Virus (HCV) and Hepatitis B Virus (HBV) Can Coinfect the Same Hepatocyte in the Liver of Patients with Chronic HCV and Occult HBV Infection

    Science.gov (United States)

    Rodríguez-Íñigo, E.; Bartolomé, J.; Ortiz-Movilla, N.; Platero, C.; López-Alcorocho, J. M.; Pardo, M.; Castillo, I.; Carreño, V.

    2005-01-01

    In this work, we have shown that hepatitis C virus (HCV) and hepatitis B virus (HBV) can coexist in the same hepatocyte using double fluorescent in situ hybridization in liver biopsy samples from patients with chronic HCV infection with occult HBV infection. Digital image analysis of hybridization signals showed that the HBV DNA levels in coinfected hepatocytes were lower than those in cells infected only with HBV. This finding supports the hypothesis of inhibition of HBV replication by HCV. Furthermore, HCV RNA levels were lower in coinfected cells than in cells infected only with HCV, suggesting that HBV may also inhibit HCV replication. PMID:16306629

  10. Hepatitis C virus (HCV) and hepatitis B virus (HBV) can coinfect the same hepatocyte in the liver of patients with chronic HCV and occult HBV infection.

    Science.gov (United States)

    Rodríguez-Iñigo, E; Bartolomé, J; Ortiz-Movilla, N; Platero, C; López-Alcorocho, J M; Pardo, M; Castillo, I; Carreño, V

    2005-12-01

    In this work, we have shown that hepatitis C virus (HCV) and hepatitis B virus (HBV) can coexist in the same hepatocyte using double fluorescent in situ hybridization in liver biopsy samples from patients with chronic HCV infection with occult HBV infection. Digital image analysis of hybridization signals showed that the HBV DNA levels in coinfected hepatocytes were lower than those in cells infected only with HBV. This finding supports the hypothesis of inhibition of HBV replication by HCV. Furthermore, HCV RNA levels were lower in coinfected cells than in cells infected only with HCV, suggesting that HBV may also inhibit HCV replication.

  11. HCV-RNA检测在提高 HCV感染患者检出率的试验研究%Experimental study of HCV-RNA in improvement of detection rate for patients with HCV infection

    Institute of Scientific and Technical Information of China (English)

    刘颖; 季忠庶

    2015-01-01

    Objective:To analyze the clinical significance of combined detection of HCV-cAg and anti-HCV with joint HCV-RNA detection in diagnosis of HCV infection. Methods:The levels of HCV antibody and HCV antigen in 13,117 patients were detec-ted. The HCV-cAg and anti-HCV positive samples were confirmed with HCV-RNA test. Results: In the 13,117 cases, there were 188 positive cases of anti-HCV, 52 positive cases of HCV-cAg, 48 positive cases of anti-HCV and HCV-cAg, 4 cases of positive HCV-cAg and negative anti-HCV, and the total positive number was 192. Among the 188 cases of positive HCV antibody, the rate of positive HCV-RNA was measured as 64. 4% (122/188), and the rate of positive HCV antigen was measured as 25. 5% (48/188). Among the 48 cases of positive HCV antigen and positive HCV antibody, the rate of positive HCV-RNA was measured as 93. 75%(45/48). Among the 4 cases of positive HCV antigen and negative HCV antibody, the rate of positive HCVRNA was measured as 75% (3/4). Conclusions:The joint detection of HCV-cAg and anti-HCV combined with HCV-RNA detection provides a higher de-tection rate and a lower false-positive rate. The findings indicate that it is effective laboratory procedures for early Diagnosis and treat-ment of hepatitis C virus infection in the clinic.%目的::探讨组合检测丙肝抗体和丙肝核心抗原并联合丙肝RNA在丙肝临床诊断中的意义。方法:对13117例患者进行HCV抗体和HCV抗原组合检测,对两种方法中的阳性标本进行HCV-RNA确证检测。结果:13117例患者中,丙肝抗体阳性188例,丙肝核心抗原阳性52例,其中丙肝抗体和核心抗原均阳性者48例,单独核心抗原阳性4例,总阳性数192例。丙肝抗体阳性188例中HCV抗体阳性标本中有121例HCV-RNA阳性,检出率为64.4%;有48例HCV-cAg阳性,检出率为25.5%(48/188)。丙肝抗体和核心抗原均阳性者HCV-RNA阳性45例,检出率为93.75%;单独核心抗原阳性4例中有3例HCV

  12. Outcome of HCV/HIV-coinfected liver transplant recipients: a prospective and multicenter cohort study.

    NARCIS (Netherlands)

    Miro, J.M.; Montejo, M.; Castells, L.; Rafecas, A.; Moreno, S.; Aguero, F.; Abradelo, M.; Miralles, P.; Torre-Cisneros, J.; Pedreira, J.D.; Cordero, E.; Rosa, G. De; Moyano, B.; Moreno, A.; Perez, I.; Rimola, A.; Barrera, P.

    2012-01-01

    Eighty-four HCV/HIV-coinfected and 252-matched HCV-monoinfected liver transplant recipients were included in a prospective multicenter study. Thirty-six (43%) HCV/HIV-coinfected and 75 (30%) HCV-monoinfected patients died, with a survival rate at 5 years of 54% (95% CI, 42-64) and 71% (95% CI, 66 to

  13. Frequent HCV reinfection and superinfection in a cohort of injecting drug users in Amsterdam

    NARCIS (Netherlands)

    T.J.W. van de Laar; R. Molenkamp; C. van den Berg; J. Schinkel; M.G.H.M. Beld; M. Prins; R.A. Coutinho; S.M. Bruisten

    2009-01-01

    Background/Aims:This study investigates the occurrence of HCV reinfection and superinfection among HCV seroconverters participating in the Amsterdam Cohort Studies among drug users from 1985 through 2005. Methods: HCV seroconverters (n = 59) were tested for HCV RNA at five different time points: the

  14. Clinical and biologic importance of F-actin autoantibodies in HCV monoinfected and HCV-HIV coinfected patients.

    Science.gov (United States)

    Hudacko, Rachel M; Alvarez, Gustavo A; Talal, Andrew H; Jacobson, Ira; Wan, David W; Zhou, Xi K; Yantiss, Rhonda K

    2010-08-01

    The purpose of this study was to evaluate the relationship between serum filamentous (F)-actin antibody titers and severity of hepatitis present in hepatitis C virus (HCV)-infected patients. Liver biopsy samples from 18 HCV monoinfected and 20 HCV-HIV coinfected patients were graded with respect to the degree of hepatitis activity and intensity of plasma cell infiltration using MUM-1 and CD138 immunostains. Of the 38 HCV-infected patients, 6 (16%) had F-actin antibody titers in excess of 30 enzyme-linked immunosorbent assay units. We found a positive trend between serum F-actin antibody levels and the mean number of plasma cells present in the portal tracts of patients with HCV infection (r = 0.31; P = .06) and a significant association between these factors in HCV-HIV coinfected patients (r = 0.64; P = .002). Our data suggest that elevated serum F-actin antibody titers are commonly encountered in HCV-infected patients and may reflect more active inflammation in liver biopsy samples, similar to autoimmune hepatitis.

  15. Efficient infectious cell culture systems of the hepatitis C virus (HCV) prototype strains HCV-1 and H77

    DEFF Research Database (Denmark)

    Li, Yi-Ping; Ramirez, Santseharay; Mikkelsen, Lotte

    2015-01-01

    UNLABELLED: The first discovered and sequenced hepatitis C virus (HCV) genome and the first in vivo infectious HCV clones originated from the HCV prototype strains HCV-1 and H77, respectively, both widely used in research of this important human pathogen. In the present study, we developed...... mutations (HCV1cc) replicated efficiently in Huh7.5 cells and produced supernatant infectivity titers of 10(4.0) focus-forming units (FFU)/ml. Eight of these mutations were identified from passaged HCV-1 viruses, and the A970T/I1312V/C2419R/A2919T mutations were essential for infectious particle production......-adapted full-length TN viruses and a common NS3 helicase mutation (S1368P) derived from viable H77C and HCV-1 5-5A recombinants, initiated replication and culture adaptation of H77C containing LSG and TNcc(1a)-adaptive mutations. An H77C recombinant harboring 19 mutations (H77Ccc) replicated and spread...

  16. Natural history and treatment of HCV/HIV coinfection: Is it time to change paradigms?

    Science.gov (United States)

    Arends, Joop E; Lieveld, Faydra I; Boeijen, Lauke L; de Kanter, Clara T M M; van Erpecum, Karel J; Salmon, Dominique; Hoepelman, Andy I M; Asselah, Tarik; Ustianowski, Andrew

    2015-11-01

    Evidence over the past decades have shown that HIV/HCV coinfected patients did not respond as well to HCV therapy as HCV mono-infected patients. However, these paradigms are being recently reassessed with the improvements of care for HIV and HCV patients. This article reviews these original paradigms and how the new data is impacting upon them. Treatment efficacy now appears comparable for HIV/HCV coinfected and HCV mono-infected patients, while liver fibrosis progression is increasingly similar in optimally managed patients. Additional importance of therapy is directed to drug-drug interactions and the impact of HCV reinfection, as well as the possibility of transmitted drug resistance.

  17. Lipoprotein lipase and hepatic triglyceride lipase reduce the infectivity of hepatitis C virus (HCV) through their catalytic activities on HCV-associated lipoproteins.

    Science.gov (United States)

    Shimizu, Yuko; Hishiki, Takayuki; Sugiyama, Kazuo; Ogawa, Kazuya; Funami, Kenji; Kato, Atsushi; Ohsaki, Yuki; Fujimoto, Toyoshi; Takaku, Hiroshi; Shimotohno, Kunitada

    2010-11-10

    The effect of lipolysis by lipoprotein lipase (LPL) and hepatic triglyceride lipase (HTGL) on hepatitis C virus (HCV) infection was evaluated. First, medium from HuH7.5 cells bearing HCV genome replication was treated with LPL. LPL treatment led to reduced HCV infectivity, shifted HCV to higher densities, and lowered the amount of apolipoprotein E-associated HCV. The effect of endogenous HTGL secreted from HuH7.5 on HCV infectivity was next examined. Neutralization of HTGL by an anti-HTGL antibody resulted in suppression of LPL-induced reduction in infectivity of HCV-bearing medium, while knockdown of HTGL by siRNA led to increased HCV infectivity irrespective of LPL. HCV in medium from HTGL knockdown cells was found in fractions with a lower density. These results indicate that changes in the nature of HCV-associated lipoproteins by LPL and/or HTGL affect HCV infectivity, suggesting that association of HCV with specific lipoproteins is important for HCV infectivity. Copyright © 2010 Elsevier Inc. All rights reserved.

  18. Microarray analysis identifies a common set of cellular genes modulated by different HCV replicon clones

    OpenAIRE

    Gerosolimo Germano; Dallapiccola Bruno; Bruni Roberto; Ferraris Alessandro; Tataseo Paola; Tritarelli Elena; Marcantonio Cinzia; Ciccaglione Anna; Costantino Angela; Rapicetta Maria

    2008-01-01

    Abstract Background Hepatitis C virus (HCV) RNA synthesis and protein expression affect cell homeostasis by modulation of gene expression. The impact of HCV replication on global cell transcription has not been fully evaluated. Thus, we analysed the expression profiles of different clones of human hepatoma-derived Huh-7 cells carrying a self-replicating HCV RNA which express all viral proteins (HCV replicon system). Results First, we compared the expression profile of HCV replicon clone 21-5 ...

  19. Affinity-Based Screening Technology and HCV Drug Discovery

    Institute of Scientific and Technical Information of China (English)

    LI Bin

    2003-01-01

    @@ NS5A is one of the non-structural gene products encoded by Hepatitis C virus (HCV) and related viruses that are essential for viral replication. The amino acid sequence of NS5A is conserved between different HCV genotypes and the primary amino acid sequence of NS5A is unique to HCV and closely related viruses. Importantly, NS5A is unrelated to any human protein. This indicates that drugs designed to block the actions of NS5A could inhibit the replication of HCV without showing toxic side effects in human host cells, thus making NS5A inhibitors ideal anti-viral drugs. However, there are presently no functional assays for this essential viral protein. Therefore, conventional high throughput screening (HTS) approaches can not be used to discover antiviral drugs against NS5A.

  20. HCV prevalence and predominant genotype in IV drug users

    Directory of Open Access Journals (Sweden)

    Asad Andalibalshohada

    2014-07-01

    Full Text Available Hepatitis C virus (HCV causes 308000 deaths due to liver cancer and 758000 deaths due to cirrhosis every year. Almost 170 million people have HCV infection around the world. Information regarding this virus helps us to determine the prevalence of other hepatitis C genotypes in population, especially in intravenous drug users. It is assumed that some genotypes are more common in certain areas or groups of people. A recent study strongly confirms the central role of injecting network traits, not only as a transmission factor but also as a predictor of HCV genotype and phylogenetic determination in different communities. Hepatitis C genotypes and subtypes have different prevalence considering the country. Risk factors such as transfusion, hemodialysis, root of acquisition and etc, are detected in intravenous drug users. Several conducted studies have investigated the prevalence, risk factors, and predominance of HCV genotypes infection in different parts of Iran.

  1. HCV RNA in peripheral blood mononuclear cells (PBMCs) as a ...

    African Journals Online (AJOL)

    Abdel Fatah Fahmy Hanno

    2013-06-27

    PBMCs) of patients with chronic HCV infection, and explore the ... Methods: Twenty-five patients with chronic viral hepatitis C were included. ... ment course, patients who were found to have positive PCR test for ..... consequences.

  2. HCV-Related Central and Peripheral Nervous System Demyelinating Disorders

    OpenAIRE

    Mariotto, Sara; Ferrari, Sergio; Monaco, Salvatore

    2014-01-01

    Chronic infection with hepatitis C virus (HCV) is associated with a large spectrum of extrahepatic manifestations (EHMs), mostly immunologic/rheumatologic in nature owing to B-cell proliferation and clonal expansion. Neurological complications are thought to be immune-mediated or secondary to invasion of neural tissues by HCV, as postulated in transverse myelitis and encephalopathic forms. Primarily axonal neuropathies, including sensorimotor polyneuropathy, large or small fiber sensory neuro...

  3. Perinatal risk factors for neonatal asphyxia in Vali-e-Asr hospital, Tehran-Iran

    Directory of Open Access Journals (Sweden)

    Fatemeh Nayeri

    2012-01-01

    Full Text Available Background: Asphyxia is a medical condition in which placental or pulmonary gas exchange is impaired or they cease all together, typically producing a combination of progressive hypoxemia and hypercapnea. Objective: In addition to regional differences in its etiology; it is important to know its risk factors. Materials and Methods: This is a case-control study, all neonates born from May 2002 to September 2005 in Vali-e-Asr Hospital were studied. 9488 newborns were born of which 6091 of the live patients were hospitalized in NICU. 546 newborns were studied as case and control group. 260 neonates (48% were female and 286 neonates (52% were male. Among the neonates who were admitted, 182 of them were diagnosed with asphyxia and twice of them (364 newborns were selected as a control group. The variables consist of; gestational age, type of delivery, birth weight, prenatal care, pregnancy and peripartum complications and neonatal disorders. Results: Our studies showed that 35 (19.2% patients had mild asphyxia, 107 (58.8% had moderate asphyxia and 40 (22% were diagnosed as severe asphyxia. Mean maternal age was 34.23±4.29yr; (range: 23-38 yr; and mean of parity was 2±1.2; (range: 1-8. Risk factors in our study included emergent Caesarian Section, preterm labor (<37w, low birth weight (<2500g, 5 minute Apgar (less than 6, need for resuscitation, nuchal cord, impaired Biophysical Profile, neonatal anemia, and maternal infertility. Conclusion: All risk factors listed above play a role in asphyxia. The majority of these factors are avoidable by means of good perinatal care

  4. Prediction of HCV vertical transmission: what factors should be optimized using data mining computational analysis.

    Science.gov (United States)

    Elrazek, Abd; Amer, Mohamed; El-Hawary, Bahaa; Salah, Altaher; Bhagavathula, Akshaya S; Alboraie, M; Saab, Samy

    2017-04-01

    Neonates born to hepatitis C virus (HCV)-positive mothers are usually not screened for HCV. Unscreened children may act as active sources for social HCV transmission, and factors contributing for vertical HCV transmitting still remained controversial and needed optimization. We aimed to investigate the factors contributing for vertical HCV transmission in Egypt; the highest HCV prevalence worldwide. We prospectively followed the neonates born to HCV-positive mother in the child-bearing period, to identify mother-to-child transmission (MTCT) factors from January 2015 to March 2016. Data mining computational analysis was used to quantify the findings. Among 3000 randomized pregnant women, prevalence of HCV was 46/3000 (1.53%). HCV vertical transmission was identified in eight neonates (17.39%). Only high viral load identified at 975.000 IU was the predictor risk for MTCT. Hepatitis C virus in pregnancy has substantial risk for vertical HCV transmission: High viral load in HCV-positive women increases the risk of HCV transmission to neonates. Screening pregnant women during early stage of pregnancy and optimizing the HCV viral load in HCV-positive women might prevent vertical HCV transmission to neonates. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  5. Small molecule inhibitors of HCV replication from Pomegranate

    Science.gov (United States)

    Reddy, B. Uma; Mullick, Ranajoy; Kumar, Anuj; Sudha, Govindarajan; Srinivasan, Narayanaswamy; Das, Saumitra

    2014-06-01

    Hepatitis C virus (HCV) is the causative agent of end-stage liver disease. Recent advances in the last decade in anti HCV treatment strategies have dramatically increased the viral clearance rate. However, several limitations are still associated, which warrant a great need of novel, safe and selective drugs against HCV infection. Towards this objective, we explored highly potent and selective small molecule inhibitors, the ellagitannins, from the crude extract of Pomegranate (Punica granatum) fruit peel. The pure compounds, punicalagin, punicalin, and ellagic acid isolated from the extract specifically blocked the HCV NS3/4A protease activity in vitro. Structural analysis using computational approach also showed that ligand molecules interact with the catalytic and substrate binding residues of NS3/4A protease, leading to inhibition of the enzyme activity. Further, punicalagin and punicalin significantly reduced the HCV replication in cell culture system. More importantly, these compounds are well tolerated ex vivo and`no observed adverse effect level' (NOAEL) was established upto an acute dose of 5000 mg/kg in BALB/c mice. Additionally, pharmacokinetics study showed that the compounds are bioavailable. Taken together, our study provides a proof-of-concept approach for the potential use of antiviral and non-toxic principle ellagitannins from pomegranate in prevention and control of HCV induced complications.

  6. Cryoglobulinemia in elderly patients with HCV-related chronic hepatitis

    Institute of Scientific and Technical Information of China (English)

    Francesco; Giuseppe; Foschi; Anna; Chiara; Dall’Aglio; Arianna; Lanzi; Giorgio; Marano; Sara; Savini; Pietro; Andreone; Mauro; Bernardi; Giuseppe; Francesco; Stefanini

    2010-01-01

    Hepatitis C virus(HCV) infection affects about 3% of the world’s population and often leads to chronic liver disease.In some industrialized countries,HCV prevalence increases with age,but the optimal management of older patients has not been accurately defined.HCV infection can also lead to lymphoproliferative disorders,the most common being mixed cryoglobulinemia(MC),and also for this condition that frequently affects elderly patients,the optimal therapeutic strategy is still debated.We report the case of a 77-year-old Caucasian woman with HCV-related chronic hepatitis and cutaneous manifestations consisting of urticaria and pruritus related to MC resistant to antihistamines.The patient underwent a treatment with interferon and ribavirin.Such a treatment led to early biochemical and virological response associated with the resolution of cryoglobulinemia and cutaneous symptoms.After the end of treatment,HCV replication relapsed,but cryoglobulinemia and cutaneous symptoms did not recur.In the absence of definite treatment guidelines in this particular context,our experience suggests that the presence of symptoms related to HCV-infection that deeply affect patient quality of life warrants antiviral therapy even beyond the age limits that currently exclude patients from treatment.

  7. New insights into HCV-related rheumatologic disorders: A review

    Directory of Open Access Journals (Sweden)

    Patrice Cacoub

    2017-03-01

    Full Text Available Hepatitis C virus (HCV infected patients are known to be exposed to major liver complications i.e. cirrhosis and hepatocellular carcinoma. In addition, many extrahepatic manifestations including rheumatologic disorders have been reported in up to two-third of HCV infected patients. These manifestations include frank auto-immune and rheumatic diseases (such as arthralgia, myalgia, arthritis, sicca syndrome and vasculitis which may dominate the course of infection. Until recently, the standard of care of HCV has been the use of interferon-alpha based regimens, which not only had limited effectiveness in HCV cure but were poorly tolerated. In patients with rheumatic diseases interferon-based regimens may be problematic given their association with a wide variety of autoimmune toxicities. Recent therapeutic advances with new direct anti-HCV therapies (interferon-free which are more effective and better tolerated, make screening for this comorbidity in patients with rheumatic disorders more important than ever. This review aimed to outline main HCV extrahepatic with a special focus on rheumatologic manifestations.

  8. Mix-infections with different genotypes of HCV and with HCV plus other hepatitis viruses in patients with hepatitis C in China

    Institute of Scientific and Technical Information of China (English)

    Yuan-Ding Chen; Ming-Ying Liu; Wen-Lin Yu; Jia-Qi Li; Qin Dai; Zhen-Quan Zhou; Sergio G. Tisminetzky

    2003-01-01

    AIM: Clinical therapy and prognosis in HCV infections are not good, and mix-infections with different HCV genotypes or quasispecies and mix-infections with HCV plus other hepatitis viruses are important concerns worldwide. The present report describes the sequence diversity and genotying of the 5'NCR of HCV isolates from hepatitis patients mix-infected with different HCV genotypes or variants, and the conditions of mix-infections with HCV plus other hepatitis viruses, providing important diagnostic and prognostic information for more effective treatment of HCV infections.METHODS: The 5' non-coding region (5'NCR) of HCV was isolated from the patients sera and sequenced, and sequence variability and genotypes of HCV were defined by nucleotide sequence alignment and phylogenetic analysis, and the patients mix-infected with HCV plus other hepatitis viruses were analyzed. The conditions and clinical significance of mix-infections with HCV plus other hepatitis viruses were further studied.RESULTS: Twenty-four out of 43 patients with chronic hepatitis C were defined as mix-infected with different genotypes of HCV. Among these 24 patients, 9 were mixinfected with genotype 1 and 3, 7 with different variants of genotype 1, 2 with different variants of genotype 2, 6with different variants of genotype 3. No patients were found mix-infected with genotype 1 and 2 or with genotype 2 and 3. The clinical virological analysis of 60 patients mixinfected with HCV plus other hepatitis viruses showed that 45.0 % of the patients were mix-infected with HCV plus HAV, 61.7 % with HCV plus HBV, 6.7 % with HCV plus HDV/HBV, 8.4 % with HCV plus HEV, 3.3 % with HCV plus HGV. Infections with HCV plus other hepatitis viruses may exacerbate the pathological lesion of the liver.CONCLUSION: The findings in the present study imply that mix-infections with different HCV genotypes and mixinfections with HCV plus other hepatitis viruses were relatively high in Yunnan, China, providing important

  9. Relationship between anti-HCV,HCV RNA and ALT in Volunteer Blood Donors%无偿献血者HCV RNA与抗-HCV及ALT检测结果的相关性

    Institute of Scientific and Technical Information of China (English)

    郭燕; 叶世辉; 蔡斌; 景媛媛; 巩晗实; 杨莹; 黄蕾; 段勇

    2016-01-01

    Objective To investigate the relationship between anti-HCV,HCV RNA and ALT in volunteer blood donors. Methods Fluorescent quantitative PCR was used to detect viral loads and kinetic method was employed to assay ALT levels in 235 anti-HCV positive samples who were tested by ELISA. A six month follow up was performed to monitor the anti-HCV(+)/HCV RNA(–) samples. Results Among 235 anti-HCV positive samples,140(59.57%) were positive for HCV RNA. The HCV RNA positive rate in groups of S/CO ratio 1~5 and 5.01~9.99 were 34.29%and 26.47%, respectively. The HCV RNA positive rate in group of S/CO ratio≥10 was 81.68% and statistically significant differences were found between this and the other two groups(χ2 =45.15,P0.05)。抗-HCV(+)/HCV RNA(+)与抗-HCV(+)/HCV RNA(–)组献血者的年龄分别是38.05±11.35岁和33.81±11.50岁,两组的差异有统计学意义(t=2.79,P<0.05)。95份抗-HCV(+)/HCV RNA(–)标本成功回访23例,其中1份标本回访检测抗-HCV转阴。结论 HCV RNA阳性率与抗-HCV的S/CO值有一定相关性,抗-HCV阳性的无偿献血人群中,ALT异常率与HCV RNA无相关性,感染者年龄与HCV RNA有一定相关性。

  10. Combined hepatitis C virus (HCV) antigen-antibody detection assay does not improve diagnosis for seronegative individuals with occult HCV infection.

    Science.gov (United States)

    Quiroga, Juan A; Castillo, Inmaculada; Pardo, Margarita; Rodríguez-Iñigo, Elena; Carreño, Vicente

    2006-12-01

    A combined hepatitis C virus (HCV) antigen-antibody assay was evaluated for 115 seronegative individuals with occult HCV infection. The assay was reactive in one patient and negative to weakly reactive in three others (all four gave indeterminate results by supplemental assay) but failed to detect HCV in the remaining patients. Despite increased sensitivity the combined assay does not improve serodiagnosis of occult HCV infection.

  11. Combined Hepatitis C Virus (HCV) Antigen-Antibody Detection Assay Does Not Improve Diagnosis for Seronegative Individuals with Occult HCV Infection▿

    OpenAIRE

    Quiroga, Juan A.; Castillo, Inmaculada; Pardo, Margarita; Rodríguez-Iñigo, Elena; CARREÑO, VICENTE

    2006-01-01

    A combined hepatitis C virus (HCV) antigen-antibody assay was evaluated for 115 seronegative individuals with occult HCV infection. The assay was reactive in one patient and negative to weakly reactive in three others (all four gave indeterminate results by supplemental assay) but failed to detect HCV in the remaining patients. Despite increased sensitivity the combined assay does not improve serodiagnosis of occult HCV infection.

  12. New direct-acting antivirals for patients with chronic HCV infection: can we monitor treatment using an HCV core antigen assay?

    Science.gov (United States)

    Alonso, R; Pérez-García, F; Ampuero, D; Reigadas, E; Bouza, E

    2017-03-01

    We evaluated the diagnostic usefulness of an HCV core antigen (HCV-Ag) assay in HCV-infected patients undergoing treatment with direct-acting antivirals. We analyzed 103 samples from 28 patients. Compared with RT-PCR, sensitivity was 96.2% and specificity was 100%. The correlation between techniques was excellent (Pearson coefficient: 0.871). HCV-Ag proved to be useful in patients with sustained viral response and in patients who experienced treatment failures.

  13. Complementary Action of Combining Detection for HCV-cAg with HCV-Ab and the Relation Between HCV Positive Patients and ALT%HCV-cAg与HCV-Ab联合检测的互补作用及HCV阳性者与ALT的关系

    Institute of Scientific and Technical Information of China (English)

    陈小龙; 唐荣德; 华关民; 陈敏; 谭亮庆

    2014-01-01

    目的 探讨丙肝病毒核心抗原(HCV-cAg)与丙肝病毒抗体(HCV-Ab)联合检测对诊断丙肝病毒(HCV)感染的互补作用及HCV感染阳性者与丙氨酸氨基转移酶(ALT)的关系.方法 检测手术前检查组2061例患者和ALT>80 U/L组242例患者的HCV-cAg、HCV-Ab和ALT等指标,然后将检测结果作出统计分析.结果 手术前检查组联合检测有2.7%的阳性率,显著高于单独HCV-cAg和单独HCV-Ab的1.6%(P<0.05); ALT>80 U/L组联合检测有14.5%的阳性率,显著高于单独HCV-cAg的7.0%(P<0.01);手术前检查组ALT均值和ALT>80U/L例数是2项均阳性高于HCV-Ab阳性、HCV-Ab阳性高于HCV-cAg.结论 HCV-cAg和HCV-Ab 2项联合检测明显优于单项检测,这对HCV感染的诊断能起到很好的互补作用,加上ALT等肝功能指标的检测,有利于HCV感染的正确诊断.

  14. Legalon-SIL downregulates HCV core and NS5A in human hepatocytes expressing full-length HCV

    Institute of Scientific and Technical Information of China (English)

    Marjan Mehrab-Mohseni; Hossein Sendi; Nury Steuerwald; Sriparna Ghosh; Laura W Schrum; Herbert L Bonkovsky

    2011-01-01

    AIM: To determine the effect of Legalon-SIL (LS) on hepatitis C virus (HCV) core and NS5A expression and on heme oxygenase-1 (HMOX-1) and its transcriptionalregulators in human hepatoma cells expressing full length HCV genotype 1b.METHODS: CON1 cells were treated with 50 μmol/or 200 μmol/L LS. Cells were harvested after 2, 6 and 24 h. HCV RNA and protein levels were determined byquantitative real-time polymerase chain reaction and Western blotting, respectively.RESULTS: HCV RNA (core and NS5A regions) was decreased after 6 h with LS 200 μmol/L (P < 0.05).Both 50 and 200 μmol/L LS decreased HCV RNA levels[core region (by 55% and 88%, respectively) and NS5A region (by 62% and 87%, respectively) after 24 h compared with vehicle (dimethyl sulphoxide) control (P< 0.01). Similarly HCV core and NS5A protein were decreased(by 85%, P < 0.01 and by 65%, P < 0.05, respectively)by LS 200 μmol/L. Bach1 and HMOX-1 RNAwere also downregulated by LS treatment (P < 0.01),while Nrf2 protein was increased (P < 0.05).CONCLUSION: Our results demonstrate that treatment with LS downregulates HCV core and NS5A expression in CON1 cells which express full length HCVgenotype 1b, and suggests that LS may prove to be a valuable alternative or adjunctive therapy for the treatment of HCV infection.

  15. Comprehensive longitudinal analysis of hepatitis C virus (HCV)-specific T cell responses during acute HCV infection in the presence of existing HIV-1 infection

    NARCIS (Netherlands)

    C.H.S.B. van den Berg; T.A. Ruys; N.M. Nanlohy; S.E. Geerlings; J.T. van der Meer; J.W. Mulder; J.A. Lange; D. van Baarle

    2009-01-01

    The aim of this study was to study the development of HCV-specific T cell immunity during acute HCV infection in the presence of an existing HIV-1 infection in four HIV-1 infected men having sex with men. A comprehensive analysis of HCV-specific T cell responses was performed at two time points duri

  16. Observations and Prediction of Recovered Quality of Desalinated Seawater in the Strategic ASR Project in Liwa, Abu Dhabi

    Directory of Open Access Journals (Sweden)

    Pieter J. Stuyfzand

    2017-03-01

    Full Text Available To be able to overcome water shortages, Abu Dhabi Emirate started an Aquifer Storage and Recovery (ASR project with desalinated seawater (DSW as source water near Liwa. It is the largest DSW-ASR project in the world (stored volume ~10 Mm3/year, and should recover potable water for direct use. DSW is infiltrated into a desert dune sand aquifer using “sand-covered gravel-bed” recharge basins. In this study, we evaluate the hydrogeological and hydrogeochemical stratification of the (suboxic target aquifer, and water quality changes of DSW during trial infiltration runs. We predict water quality changes of DSW after 824 d of infiltration, during 90 d of intensive recovery (67% recovered without storage (scenario A, as well as after 10 years of storage (scenario B, with significant bubble drift. Monitoring of preceding trials revealed a lack of redox reactions; little carbonate dissolution and Ca/Na exchange; much SiO2 dissolution; a strong mobilization of natural AsO43−, B, Ba, F, CrO42−, Mo, Sr and V from the (suboxic aquifer; and immobilization of PO4, Al, Cu, Fe and Ni from DSW. The Easy-Leacher model was applied in forward and reverse mode including lateral bubble drift, to predict water quality of the recovered water. We show that hydrogeochemical modeling of a complex ASR-system can be relatively easy and straightforward, if aquifer reactivity is low and redox reactions can be ignored. The pilot observations and modeling results demonstrate that in scenario A recovered water quality still complies with Abu Dhabi’s drinking water standards (even up to 85% recovery. For scenario B, however, the recovery efficiency declines to 60% after which various drinking water standards are exceeded, especially the one for chromium.

  17. Antimicrobial resistance pattern of Gram –negative bacilli isolated of Vali-Asr Hospital wards in Arak

    Directory of Open Access Journals (Sweden)

    Farshid Didgar

    2014-11-01

    Full Text Available Background: Infectious diseases are of the most important causes of mortality all around the world particular in developing countries. Recently, the most important thing that has worried medical society is antibiotic resistance. Multi-resistant gram_negative rods are important pathogens in hospitals, causing high rate of mortality.The main goal of this study was to investigate the antimicrobial resistance patterns among common gram-negative bacilli isolated from patients of Vali-Asr Hospital. Material and Methods: This is a cross-sectional descriptive study conducted between the years 2010-2012 in Vali-Asr hospital in Arak. In this study 1120 specimen were examined. Bacterial strains were isolated by conventional methods from various clinical samples of patients including: blood, urine, wound, sputum, CSF, andetc.All isolates were examined for antimicrobial resistance using disc diffusion method. Results: In this study 737 specimen were positive cultures. A total of 332 isolates of Gram-negative bacilli were identified. The most frequent gram negative bacteria were isolated from urine, wound, blood, respiratory secretion and catheter. The most frequent pathogens were E.coli followed by k.pneumonia, entrobacter, p.oaeruginosa, Acinetobacter spp, citrobacter and proteus. High rate of resistance to third generation of cephalospoins & carbapenems observed amang isolates of Acintobacter spp.Prodution of extended spectrum beralactamases (ESBLS was found in 51.4% of all Gram negative bacteria. Conclusion: Antibiotic resistance, particularly multi-drug resistance is frequent among microorganisms of ValiAsr Hospital. Resistance in our country, like other countries have been shown to be increased, so it is highly recommended to prohibit unnecessary prescription of antibiotics.

  18. Effect of Heating Rate on Accelerated Carbide Spheroidisation (ASR in 100CrMnSi6-4 Bearing Steel

    Directory of Open Access Journals (Sweden)

    Hauserova D.

    2014-10-01

    Full Text Available Typical processing routes for bearing steels include a soft annealing stage, the purpose of which is to obtain a microstructure containing globular carbides in ferritic matrix. A newly developed process called ASR cuts the carbide spheroidisation times several fold, producing considerably finer globular carbides than conventional soft annealing. The present paper explores the effect of the heating rate and temperature on the accelerated carbide spheroidisation process and on the resulting hardness. Accelerated spheroidisation was achieved by thermal cycling for several minutes around various temperatures close to the transformation temperature at various heating rates applied by induction heating.

  19. Multicentric performance analysis of HCV quantification assays and its potential relevance for HCV treatment.

    Science.gov (United States)

    Wiesmann, F; Naeth, G; Berger, A; Hirsch, H H; Regenass, S; Ross, R S; Sarrazin, C; Wedemeyer, H; Knechten, H; Braun, P

    2016-06-01

    An accurate quantification of low viremic HCV RNA plasma samples has gained importance since the approval of direct acting antivirals and since only one single measurement predicts the necessity of a prolonged or shortened therapy. As reported previously, HCV quantification assays such as Abbott RealTime HCV and Roche COBAS AmpliPrep/COBAS TaqMan HCV version 2 (CTM v2) may vary in sensitivity and precision particularly in low-level viremia. Importantly, substantial variations were previously demonstrated between some of these assays compared to the Roche High Pure System/COBAS TaqMan assay (HPS) reference assay, which was used to establish the clinical decision points in clinical studies. In this study, the reproducibility of assay performances across several laboratories was assessed by analysing quantification results generated by six independent laboratories (3× RealTime, 3× CTM v2) in comparison with one HPS reference laboratory. The 4th WHO Standard was diluted to 100, 25 and 10 IU/ml, and aliquots were tested in triplicates in 5 independent runs by each assay in the different laboratories to assess assay precision and detection rates. In a second approach, 2 clinical samples (GT 1a & GT 1b) were diluted to 100 and 25 IU/ml and tested as described above. While the result range for WHO 100 IU/ml replicates across all laboratories was similar in this analysis, the CVs of each laboratory ranged from 19.3 to 25.6 % for RealTime laboratories and were lower than CVs of CTM v2 laboratories with a range of 26.1-47.3 %, respectively, and also in comparison with the CV of the HPS reference laboratory (34.9 %). At WHO standard dilution of 25 IU/ml, 24 replicates were quantified by RealTime compared to 8 replicates with CTM v2. Results of clinical samples again revealed a higher variation of CTM v2 results as compared to RealTime values. (CVs at 100 IU/ml: RealTime: 13.1-21.0 % and CTM v2: 15.0-32.3 %; CVs at 25 IU/ml: RealTime 17.6-34.9 % and CTM v2 28

  20. Clinical significance of HCV RNA assay in patients with HCV infection or co-infection of HBV%HCV及其与HBV重叠感染患者血清HCV RNA检测的临床意义

    Institute of Scientific and Technical Information of China (English)

    夏伟; 陈芳

    2012-01-01

    Objective To investigate the clinical significance of HCV RNA assay in patients of HCV infection or co-infection with HBV. Methods 179 cases of patients includes chronic hepatitis C group (n = 101), liver cirrhosis group (n = 45) and hepatomas group (n = 33). Anti-HCV and HCV RNA in 179 serum samples from patients with HCV infection or co-infection with HBV were detected. HBV DNA was assayed for 31 co-infection patients. Results The positive rate of Anti- HCV was higher than HCV RNA in the 179 patients (97.8% vs 69.8%, P < 0.01). The positive rate in liver cirrhosis group and hepatomas group were 82.2% and 84.8%, inspectively, which were higher than that in chronic hepatitis C group (64.4%, P < 0.05). HCV RNA positive rate of HCV and HBV co-infection group was lower than that in simple HCV infection group (48.4% vs 71.6%, P < 0.05). HBV DNA positive rate of HCV and HBV co-infection group was also lower than that in simple HBV infection group (35.5% vs 76.7%, P < 0.01). ALT abnormal rate in HCV RNA positive group was higher than that in HCV RNA negative group (60.8% vs 35.2%, P < 0.05). Conclusion Combined detection of anti-HCV, HCV RNA and ALT is helpful to diagnosis, curative effect observation and prognosis for patients with HCV infection related diseases. And HBV DNA should be detected simultaneously for HCV and HBV co-infection patients.%目的 探讨HCV及其与HBV重叠感染患者血清HCV RNA检测的临床意义.方法 收集我院HCV感染及其与HBV重叠患者血清标本共179例,分为慢性丙型肝炎组(n = 101)、肝硬化组(n = 45)和肝癌组(n = 33).采用ELISA法检测血清抗HCV,用荧光定量PCR检测HCV RNA;对重叠感染HCV和HBV的31例患者同时检测HBV DNA.结果 179例患者抗HCV的总阳性率为97.8%,高于HCV RNA的阳性率(69.8%)(P < 0.01).肝硬化组和肝癌组HCV RNA的阳性率分别为82.2%和84.8%,高于慢性丙型肝炎组阳性率64.4%(P < 0.05).HCV与HBV重叠感染组的HCV RNA的阳性率为48.4%,低于单纯HCV感染组的HCV

  1. HCV-RNA水平对HIV/HCV合并感染者HIV疾病进展影响研究%Impact of HCV-RNA levels on HIV-1 disease progression in Chinese HIV/HCV co-infected individuals

    Institute of Scientific and Technical Information of China (English)

    刘静; 代娣; 丁海波; 尚红; 姜拥军; 张晻; 陈昕; 张子宁; 周立平; 范霞; 王亚男; 胡清海

    2008-01-01

    目的 探讨人免疫缺陷病毒(HIV)和丙型肝炎病毒(HCV)混合感染者HCV-RNA水平对HIV感染疾病进展的影响.方法 采用横断面研究对391例不同途径HIV感染者进行抗HCV-IgG、HCV-RNA、HIV-RNA、T淋巴细胞计数及其他免疫活化指标检测,比较HCV-RNA水平高组和低组病毒学及免疫学相关指标差别,分析HCV-RNA与HIV-RNA、CD4+T淋巴细胞计数的相关性.结果 (1)有偿供血组(93%)和静脉吸毒组(97.5%)抗HCV-IgG阳性率显著高于性接触组(20.1%);在抗HCV-IgG阳性的HIV感染者中,静脉吸毒组HCV-RNA阳性率(89.9%)显著高于有偿供血组(48.3%)及性接触组(62.5%),P均<0.01.(2) HCV-RNA水平和HIV-RNA水平正相关(r=0.237,P<0.01),与CD4计数负相关(r=-0.201,P<0.05).(3) HCV-RNA高组免疫活化标志物HLA-DR表达高于HCV-RNA低组(P<0.01).结论 高水平的HCV-RNA可能是HIV感染疾病进展的危险因素之一.%Objective To investigate the impact of hepatitis C virus (HCV)-RNA levels on human immunodeficiency virus (HIV)-1 disease progression in Chinese HIV/HCV co-infected individuals. Methods Cross-sectional analysis was performed among 391 HIV-infected patients for assessment of HCV-IgG, HCV-RNA, HIV-RNA, CD4 cell counts and cell surface markers of immune activation, to compare the difference of viral and immune indexes between HCV-RNA high group and HCV-RNA low group, and to elucidate the association between HCV-RNA, HIV-RNA and CD4 cell counts in HIV/HCV co-infected patients. Results (1) The percentage of anti HCV-IgG positive of former plasma donor group (93%) and drug-injection group (97.5%) were significantly higher than that of sexual transmission group (20.1%). The percentage of HCV-RNA positive of drug-injection group (89.9%) was significantly higher than that of former plasma donor group (48.3%) and sexual transmission group (62.5%), P<0.01, respectively. (2) HCV-RNA levels were positively correlated to HIV-RNA levels (r=0.237,P

  2. Clinical significance of joint detection of HCV antigen, HCV antibody and HCV RNA, and its correlation analysis with ALT%HCV抗原、HCV抗体及HCV-RNA联合检测与ALT的相关性及其临床意义

    Institute of Scientific and Technical Information of China (English)

    邵芳

    2014-01-01

    [目的]探讨HCV-RNA阳性丙肝患者核心抗原(HCV-cAg)、抗体(HCV-Ab)以及HCV-RNA含量3种检测指标与丙氨酸氨基转移酶(ALT)水平的相关性及其临床意义.[方法]对100例HCV-RNA阳性丙肝患者应用酶速率法检测ALT含量、ELISA法检测HCV-cAg、CLIA法检测HCV-Ab、FQ-PCR法检测HCV-RNA,并对所得数据进行统计分析.[结果[100例患者血清中HCV-Ab阳性率为97.0%,HCV-cAg阳性率为83.0%;HCV-RNA载体含量越高,HCV-Ab阳性率越高;ALT含量的变化与HCV-RNA载体含量并无明显相关性(P>0.05);ALT异常率随着HCV-RNA含量的增高而升高,呈正相关(P<0.05).[结论]HCV-Ab检测可反映机体对HCV感染的免疫状态,能间接证实HCV感染;HCV-RNA敏感性和特异性较高,HCV-RNA与HCV-cAg阳性检出率呈现一致性,且ALT异常率随着HCV-RNA含量的增高而升高,可以反映临床病情;3种方法同时检测能准确诊断丙肝病毒的感染,以及预测是否具有传染性,联合ALT可有效预测和评价肝脏损伤和药物疗效.

  3. Probing the transition from shallow to deep convection using ASR data and large-eddy simulations

    Energy Technology Data Exchange (ETDEWEB)

    Kuang, Zhiming [Harvard Univ., Cambridge, MA (United States); Gentine, Pierre [Harvard Univ., Cambridge, MA (United States)

    2016-01-14

    Over the duration of this project, we have made the following advances. 1) We have developed a novel approach to obtain a Lagrangian view of convection from high-resolution numerical model through Lagrangian tracking. This approach nicely complements the more traditionally used Eulerian statistics. We have applied this approach to a range of problem. 2) We have looked into improving and extending our parameterizations based on stochastically entraining parcels, developed previously for shallow convection. 3) This grant also supported our effort on a paper where we compared cumulus parameterizations and cloud resolving models in terms of their linear response functions. This work will help the community to better evaluate and develop cumulus parameterization. 4) We have applied Lagrangian tracking to shallow convection, deep convection with and without convective organization to better characterize their dynamics and the transition between them. 5) We have devised a novel way of using Lagrangian to identify cold pools, an area identified as of great interest by the ASR community. Our algorithm has a number of advantages and in particular can handle merging cold pools more gracefully than existing techniques. 6) We demonstrated that we can, for the first time, correctly reproduce both the diurnal and seasonal cycle of the hydrologic cycle in the Amazon using a strategy that explicitly represents convection but parameterizes large-scale circulation. In addition we showed that the main cause of the wet season is the presence of an early morning fog, which insulate the surface from top of the atmosphere shortwave radiation. In essence this fog makes the day shorter because radiation cannot penetrate to the surface in the early morning. This is why all fluxes are reduced in the wet season compared to the dry season. 7) We have investigated the life cycle of cold pools and the role of surface diabatic heating. We show that surface heating can kill cold pols and reduce the

  4. HCV核心抗原动态监测抗HCV疗效的临床研究%Monitoring the clinical efficacy of antiviral therapy by using the HCV core antigen and HCV PCR assays

    Institute of Scientific and Technical Information of China (English)

    吴文娟; 张云智; 靳宏; 刘袁媛; 胡芸文; 张友祥

    2011-01-01

    Objective To evaluate the performance of Hepatitis C virus (HCV) core antigen and HCV RNA PCR in the determining of the efficacy of HCV antiviral therapy in patients infected with HCV. Methods HCV core antigen and HCV RNA were measured in sera of 35 chronic HCV infected Chinese patients. Concentrations of HCV core antigen and HCV RNA were analyzed at 5 time points before, during and at the end of antiviral therapy. Results This study showed that the HCV core antigen and HCV RNA concentrations in 35 HCV patients were significantly correlated. Decrease of HCV core antigen and HCV RNA concentrations at the 4th, 12th,24th and 48th week were observed during the antiviral therapy. However,HCV core antigen levels at week 12 and 24 of therapy were significantly lower than those at week 4 (P 0. 05). HCV core antigen testing may be advantageous in some cases,in particular,the low levels of HCV core antigen at week 4 may be predictive of satisfactory outcome of treatment. Conclusions HCV core antigen represents a stable and sensitive marker of viral replication and could be used to monitor the clinical efficacy of HCV antiviral therapy.

  5. Antiretroviral Effects on Host Lipoproteins Are Associated With Changes in Hepatitis C Virus (HCV) RNA Levels in Human Immunodeficiency Virus/HCV Coinfected Individuals.

    Science.gov (United States)

    Naggie, Susanna; Patel, Keyur; Yang, Lan-Yan; Chow, Shein-Chung; Johnson, Victoria; Guyton, John R; Muir, Andrew J; Sulkowski, Mark; Hicks, Charles

    2015-04-01

    We evaluated the impact of antiretroviral-induced dyslipidemia on hepatitis C virus (HCV) biogenesis in human immunodeficiency virus (HIV)/HCV coinfected patients. This study used serum samples from antiretroviral-naive HIV/HCV patients initiating their first regimen as part of AIDS Clinical Trials Group study protocols (A5142, A5202). Initiation of antiretrovirals increased most lipoproteins and apolipoproteins. In the multivariable model, changes in apolipoproteins were associated with changes in log10 HCV RNA from baseline to week-24 of therapy. Off-target lipogenic changes need to be considered in the context of liver and other metabolic disease in HIV/HCV patients.

  6. Cell-Cell Contact-Mediated Hepatitis C Virus (HCV) Transfer, Productive Infection, and Replication and Their Requirement for HCV Receptors

    OpenAIRE

    Liu, Ziqing; He, Johnny J.

    2013-01-01

    Hepatitis C virus (HCV) infection is believed to begin with interactions between cell-free HCV and cell receptors that include CD81, scavenger receptor B1 (SR-B1), claudin-1 (CLDN1), and occludin (OCLN). In this study, we have demonstrated that HCV spreading from infected hepatocytes to uninfected hepatocytes leads to the transfer of HCV and the formation of infection foci and is cell density dependent. This cell-cell contact-mediated (CCCM) HCV transfer occurs readily and requires all these ...

  7. Persistent hepatitis C virus (HCV) infection impairs HCV-specific cytotoxic T cell reactivity through Mcl-1/Bim imbalance due to CD127 down-regulation.

    Science.gov (United States)

    Larrubia, J R; Lokhande, M U; García-Garzón, S; Miquel, J; González-Praetorius, A; Parra-Cid, T; Sanz-de-Villalobos, E

    2013-02-01

    In persistent hepatitis C virus (HCV) infection, HCV-specific cytotoxic T lymphocyte (CTL) reactivity is impaired and this affects HCV control. Interleukin-7 receptor (CD127) expression on these cells could regulate CTL reactivity through Mcl-1/Bim balance modulation. Bim is a pro-apoptotic molecule blocked by the action of Mcl-1. Mcl-1/Bim expression and T cell reactivity on HCV-specific CTLs were compared according to CD127 phenotype. Peripheral blood lymphocytes (PBL) from HLA-A2(+) HCV(+) patients were obtained. HCV-specific CTLs were visualized by staining PBL with anti-CD8 and HLA-A2/peptide pentameric complexes (pentamer). Mcl-1/Bim/CD127 phenotype of HCV-specific CTLs was tested by staining detectable CD8(+)/pentamer(+) cells with anti-Mcl-1/Bim/CD127 antibodies. HCV-specific CTL proliferation ability after specific in vitro challenge was tested in the presence and absence of pancaspase inhibitor z-VAD-fmk. All stained cells were analysed by flow cytometry. CD127(low)-expressing HCV-specific CTLs associated with high HCV viraemia, while CD127(high) correlated with undetectable viral loads (P Bim was up-regulated after antigen encounter (P Bim expression on pentamer(+) cells correlated positively with CD127 expression level (P Bim up-regulation after antigen encounter are involved in CD127(low) HCV-specific CTL hyporeactivity during chronic infection, but it can be overcome by apoptosis blockade.

  8. 6 HCV genotyping 9G test and its comparison with VERSANT HCV genotype 2.0 assay (LiPA) for the hepatitis C virus genotyping.

    Science.gov (United States)

    Chantratita, Wasun; Song, Keum-Soo; GunHo, Choi; Pongthanapisith, Viroj; Thongbaiphet, Nipa; Wongtabtim, Garanyuta; Pasomsub, Ekawat; Angkanavin, Kanokwan; Nimse, Satish Balasaheb; Sonawane, Mukesh Digambar; Warkad, Shrikant Dasharath; Kim, Taisun

    2017-01-01

    In this article, we describe the 6 HCV Genotyping 9G test and its evaluation by using clinical samples and plasmid DNA standards. In tests with 981 plasmid DNA standards, the 6 HCV Genotyping 9G test showed higher than 92.5% sensitivity and 99.4% specificity. The 6 HCV Genotyping 9G test was compared with the VERSANT HCV Genotype 2.0 assay (LiPA 2.0) for detection and discrimination of HCV genotypes in clinical samples. The results of both tests were verified by genomic sequencing. The 6 HCV Genotyping 9G test demonstrated a 100% agreement with the sequencing results, which was higher than LiPA 2.0. These results indicate that the 6 HCV Genotyping 9G test can be a reliable, sensitive, and accurate diagnostic tool for the correct identification of HCV genotypes in clinical specimens. 6 HCV Genotyping 9G test can genotype six HCV types in 1 PCR in 30min after PCR amplification. The 6 HCV Genotyping 9G test, thus provide critical information to physicians and assist them to apply accurate drug regimen for the effective hepatitis C treatment.

  9. CLIA(抗-HCV)联合EIA(HCV-cAg)在HCV感染初筛试验中的意义

    Institute of Scientific and Technical Information of China (English)

    黄建梅

    2016-01-01

    目的 分析CLIA(抗-HCV)联合EIA(HCV-cAg)在HCV感染初筛试验中的意义.方法 选取56例住院患者,检测丙肝抗体和丙肝核心抗原,对HCV感染初筛阳性患者均采取抗-HCV和HCV-cAg检测.结果 CLIA和EIA检测阳性患者ALI水平大于40 U/L,阳性率差异不明显,P>0.05,抗-HCV/CLIA(+)+HCV-cAg(-)阳性率(98.1%)显著高于抗HCV/EIA(+)+HCV-cAg(-)(94.7%),P<0.05,HCV/CLIA(+)+HCV-cAg(+)阳性患者CLIA阳性率(98.6%)显著高于EIA(85.7%),P<0.05.结论 在HCV感染初筛试验中,CLIA(抗-HCV)联合EIA(HCV-cAg)检出率高,阳性符合率更高.

  10. Cell-cell contact-mediated hepatitis C virus (HCV) transfer, productive infection, and replication and their requirement for HCV receptors.

    Science.gov (United States)

    Liu, Ziqing; He, Johnny J

    2013-08-01

    Hepatitis C virus (HCV) infection is believed to begin with interactions between cell-free HCV and cell receptors that include CD81, scavenger receptor B1 (SR-B1), claudin-1 (CLDN1), and occludin (OCLN). In this study, we have demonstrated that HCV spreading from infected hepatocytes to uninfected hepatocytes leads to the transfer of HCV and the formation of infection foci and is cell density dependent. This cell-cell contact-mediated (CCCM) HCV transfer occurs readily and requires all these known HCV receptors and an intact actin cytoskeleton. With a fluorescently labeled replication-competent HCV system, the CCCM transfer process was further dissected by live-cell imaging into four steps: donor cell-target cell contact, formation of viral puncta-target cell conjugation, transfer of viral puncta, and posttransfer. Importantly, the CCCM HCV transfer leads to productive infection of target cells. Taken together, these results show that CCCM HCV transfer constitutes an important and effective route for HCV infection and dissemination. These findings will aid in the development of new and novel strategies for preventing and treating HCV infection.

  11. Prevalence and coexistence of diabetes in HIV, HCV and HIV/HCV co- infection in Kermanshah -Iran

    Directory of Open Access Journals (Sweden)

    Alireza Janbakhsh

    2012-01-01

    Full Text Available Background: Beside various factors for producing diabetes, it seems that chronic hepatitis C, HIV/HCV co-infection, and anti-retroviral treatment especially including protease inhibitors may predispose to diabetes. This study conducted to determine prevalence of diabetes in HIV and HCV patients.Methods: The registries of 150 HCV patients, 50 HIV patients and 90 HIV/HCV co-infected patients in Hepatic Clinics and consulting center for behavioral disorders in Kermanshah Western Iran was studied. The patients selected using convenience sampling method. Variables including age, sex, duration of disease, injecting drug usage, liver enzymes level, CD4 count, treatment with anti retroviral, treatment with interferon and blood sugar level were collected. Subjects with FBS≥126 or BS≥200 mg/dl described as diabetic. Data analyzed using chi-square and Fisher tests and SPSS software.Results: The prevalence of diabetes was 2.7%, 4% and 2.2% among patients infected with HCV, HIV and HIV/HCV co infection respectively. None of the variables such as age, sex, liver enzymes, injecting drug usage, CD4 count, antiretroviral treatment and interferon determined as risk factors for diabetes.Conclusion: Our finding showed that hepatitis C is not a definitive risk factor for diabetes. Although prevalence of diabetes in these patients was determined lower than general Kermanshah population, but factors such as difference in mean age and body mass index (BMI may contribute in diabetes incidence. Infection with HIV and co-infection with HIV/HCV and treatment with anti retroviral drugs were not risk factors for diabetes.

  12. [HCV and HBV prevalence in hemodialyzed pediatric patients. Multicenter study].

    Science.gov (United States)

    Cañero-Velasco, M C; Mutti, J E; Gonzalez, J E; Alonso, A; Otegui, L; Adragna, M; Antonuccio, M; Laso, M; Montenegro, M; Repetto, L; Brandi, M; Canepa, J; Baimberg, E

    1998-01-01

    Hemodialized pediatric patients are a risk population for the hepatitis B and C virus infection. The aim of this paper was to study the serum prevalence of HBV and HCV infection in hemodialized children. We study 61 pediatric patients at hemodialisis, 12 on renal transplant, range between 2 and 20 years old (mean: 12.9 years), 23 male and 38 female. The specific anti-HCV IgC were measured by enzyme immunoassay (ELISA Abbott) and confirmed by LIA-TEK (Organon). The anti-HBV were measured by ELISA Abbott and transaminases by cinetic method (ASAT: 29 UI/L and ALT: 33 UI/L). The 19.7% of studied children were HCV (+) and 29.5% were HBV (+), 38.9% of them were HbsAg (+) and 50% anti-HBs (+). The HCV and HBV infection was more elevated in relation to the transfusion number and the hemodilisis time. The elevation of ALT/ASAT activity isn't a right infection index for HCV and HBV in this children.

  13. HCV-related central and peripheral nervous system demyelinating disorders.

    Science.gov (United States)

    Mariotto, Sara; Ferrari, Sergio; Monaco, Salvatore

    2014-01-01

    Chronic infection with hepatitis C virus (HCV) is associated with a large spectrum of extrahepatic manifestations (EHMs), mostly immunologic/rheumatologic in nature owing to B-cell proliferation and clonal expansion. Neurological complications are thought to be immune-mediated or secondary to invasion of neural tissues by HCV, as postulated in transverse myelitis and encephalopathic forms. Primarily axonal neuropathies, including sensorimotor polyneuropathy, large or small fiber sensory neuropathy, motor polyneuropathy, mononeuritis, mononeuritis multiplex, or overlapping syndrome, represent the most common neurological complications of chronic HCV infection. In addition, a number of peripheral demyelinating disorders are encountered, such as chronic inflammatory demyelinating polyneuropathy, the Lewis-Sumner syndrome, and cryoglobulin-associated polyneuropathy with demyelinating features. The spectrum of demyelinating forms also includes rare cases of iatrogenic central and peripheral nervous system disorders, occurring during treatment with pegylated interferon. Herein, we review HCV-related demyelinating conditions, and disclose the novel observation on the significantly increased frequency of chronic demyelinating neuropathy with anti-myelin-associated glycoprotein antibodies in a cohort of 59 consecutive patients recruited at our institution. We also report a second case of neuromyelitis optica with serum IgG autoantibody against the water channel aquaporin-4. The prompt recognition of these atypical and underestimated complications of HCV infection is of crucial importance in deciding which treatment option a patient should be offered.

  14. Simultaneous detection of HBV and HCV by multiplex PCR normalization

    Institute of Scientific and Technical Information of China (English)

    Ning Wang; Xue-Qin Gao; Jin-Xiang Han

    2004-01-01

    AIM: To design and establish a method of multiplex PCR normalization for simultaneously detecting HBV and HCV.METHODS: Two pairs of primers with a 20 bp joint sequence were used to amplify the target genes of HBV and HCV by two rounds of amplification. After the two rounds of amplification all the products had the joint sequence. Then the joint sequence was used as primers to finish the last amplification. Finally multiplex PCR was normalized to a single PCR system to eliminate multiplex factor interference. Four kinds of nucleic acid extraction methods were compared and screened. A multiplex PCR normalization method was established and optimized by orthogonal design of 6 key factors. Then twenty serum samples were detected to evaluate the validity and authenticity of this method.RESULTS: The sensitivity, specificity, diagnostic index and efficiency were 83.3%, 70%, 153.3% and 72.2%,respectively for both HBsAg and anti-HCV positive patients,and were 78.6%, 80%, 258.6% and 79.2%, respectively for HBsAg positive patients, and were 75%, 90%, 165%and 83.3%, respectively for anti-HCV positive patients.CONCLUSION: The multiplex PCR normalization method shows a broad prospect in simultaneous amplification of multiple genes of different sources. It is practical, correct and authentic, and can be used to prevent and control HBV and HCV.

  15. Result analysis of serum anti-HCV positive combined with HCV-RNA quantitative detection of 258 cases%258例血清中抗-HCV阳性联合HCV-RNA定量检测结果分析

    Institute of Scientific and Technical Information of China (English)

    庞丽娜; 薛金方

    2014-01-01

    目的:探讨丙型肝炎病毒抗体(抗-HCV)和丙型肝炎病毒核糖核酸(HCV-RNA)定量联合检测结果对丙型肝炎确诊的临床意义。方法对258例ELISA法检测的血清抗-HCV阳性丙型肝炎(HC)患者,同时采用PCR-荧光探针法检测其HCV-RNA含量。结果258例抗-HCV阳性丙型肝炎患者中HCV-RNA阴性92例,占35.66%;17例HCV-RNA弱阳性,占6.59%;HCV-RNA阳性149例,即57.75%的HC患者存在病毒血症。结论ELISA法联合检测抗-HCV和HCV-RNA有助于丙型肝炎确诊病毒血症以及监控HCV的感染,并及时进行抗病毒治疗。%Objective To investigate the clinical significance of hepatitis C virus antibody (anti-HCV) combined with hepatitis C virus ribonucleic acid (HCV-RNA) quantitative detection in the diagnosis of hepatitis C (HC).Methods A total of 258 cases of HC with anti-HCV positive were detected by ELISA method and PCR-fluorescence probe for the HCV-RNA content.Results Among the 258 cases with anti-HCV positive, there were 92 cases of HCV-RNA negative as 35.66%, 17 cases of HCV-RNA weakly positive as 6.59%, and 149 cases of HCV-RNA positive. Thus, there were 57.75% of the HC patients with viremia.Conclusion ELISA method in combined detection of anti-HCV and HCV-RNA helps to diagnose viremia of HC, monitor HCV infection and conduct timely antiviral treatment.

  16. Hepatitis C Virus (HCV) Registry Veterans in VHA Care in 2015, for the Nation, by VISN and by Station

    Data.gov (United States)

    Department of Veterans Affairs — This report describes the number of Hepatitis C Virus (HCV) registry Veterans in VHA care in 2015 based on serologic evidence of HCV infection status (HCV Positive)...

  17. Detection and genotyping of HCV RNA in anti-HCV positive serum%抗-HCV阳性血清HCV RNA检测与基因分型的研究

    Institute of Scientific and Technical Information of China (English)

    谢晨; 解莹; 冯继红; 金萍

    2009-01-01

    Objective To detect and do genotyping of HCV RNA in anti-HCV positive serum.Methods HCV RNA was detected by fluorescent quantitation PCR in anti-HCV positive serum of 85 cases in Dalian area,and genotype was detected by type specificity primer reverse transcription nest PCR in HCV RNA positive specimens.Results In 85 cases of anti-HCV positive specimens,there were 65 cases of HCV RNA positive(76.5%).In the HCV RNA positive serum,there were 32 cases of 1b genotype(49.2%),29 cases of 2a genotype(44.6%),4 cases of the others(6.2%).Conclusions Anti-HCV positive is not direct mark for hepatitis C diagnosis,quantity of lb genotype is nearly equal to 2a genotype of hepatitis C virus in Dalian area.%目的 检测抗-HCV阳件血清巾的HCV RNA并进行HCV基因分型.方法 采用荧光定量PCR法检测85例大连地区抗-HCV阳性患者血清中HCV RNA,应用型特异性引物逆转录套式PCR法对HCV RNA阳性样本进行基因分型.结果 85例的抗-HCV阳性患者中,HCV RNA阳性65例(76.5%),其中基因分型1b型32例(49.2%),2a型29例(44.6%),未分型4例(6.2%).结论 抗-HCV阳性并非HCV直接标志,大连地区HCV基冈1b型和2a型基本相等.

  18. Role of HCV Core gene of genotype 1a and 3a and host gene Cox-2 in HCV-induced pathogenesis

    Directory of Open Access Journals (Sweden)

    Ahmad Waqar

    2011-04-01

    Full Text Available Abstract Background Hepatitis C virus (HCV Core protein is thought to trigger activation of multiple signaling pathways and play a significant role in the alteration of cellular gene expression responsible for HCV pathogenesis leading to hepatocellular carcinoma (HCC. However, the exact molecular mechanism of HCV genome specific pathogenesis remains unclear. We examined the in vitro effects of HCV Core protein of HCV genotype 3a and 1a on the cellular genes involved in oxidative stress and angiogenesis. We also studied the ability of HCV Core and Cox-2 siRNA either alone or in combination to inhibit viral replication and cell proliferation in HCV serum infected Huh-7 cells. Results Over expression of Core gene of HCV 3a genotype showed stronger effect in regulating RNA and protein levels of Cox-2, iNOS, VEGF, p-Akt as compared to HCV-1a Core in hepatocellular carcinoma cell line Huh-7 accompanied by enhanced PGE2 release and cell proliferation. We also observed higher expression levels of above genes in HCV 3a patient's blood and biopsy samples. Interestingly, the Core and Cox-2-specific siRNAs down regulated the Core 3a-enhanced expression of Cox-2, iNOS, VEGF, p-Akt. Furthermore, the combined siRNA treatment also showed a dramatic reduction in viral titer and expression of these genes in HCV serum-infected Huh-7 cells. Taken together, these results demonstrated a differential response by HCV 3a genotype in HCV-induced pathogenesis, which may be due to Core and host factor Cox-2 individually or in combination. Conclusions Collectively, these studies not only suggest a genotype-specific interaction between key players of HCV pathogenesis but also may represent combined viral and host gene silencing as a potential therapeutic strategy.

  19. HCV and HBV coexist in HBsAg-negative patients with HCV viremia; possibility of coinfection in these patients must be considered in HBV-high endemic area

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Dong Soon [Korea Cancer Center Hospital, Seoul (Korea, Republic of)

    1998-01-01

    Hepatocellular carcinoma (HCC) is one of the most common cancers and is highly associated with HBV infection in Korea. It has been suggested that HCV core protein may impair the polymerase activity of HBV in vitro, potentially lowering HBV titre in coinfected patients. The aim of this study was to confirm the coexistence of HBV viremia in HCV infected patients HCC who have apparent HBsAg seronegativity. The serological profiles of HBV and HCV in 616 patients with HCC were analysed and coinfection rate of HBV and HCV investigated. Sera were obtained from 16 patients who were both anti-HCV and HCV RNA positive but HbsAg negative, and tested for HBV BY PCR. As a control group, sera were obtained from 15 patients with HCC and 30 non-A abd non-B chronic hepatitis patients without HCC; both were anti-HCV, HCV-RNA, and HBsAg negative and tested for HBV PCR. Of 616 patients with HCC, 450 (73.1 %) had current HBV infection, 48 (7.8 %) had anti-HCV antibodies, and nine (1.5 %) had viral markers of both HCV abd HBV by serological profiles. Of 27 the patients with HCV viremia and HBsAg seronegativity, 14 (51.9 %) showed HBV viremia by PCR. In contrast, of the 75 patients in the control group who were both HCV PCR negative and HBsAg negative, five (11.1 %) showed HBV viremia by PCR. The PCR for HBV revealed coexistent HBV viremia in HCV viremia patients, despite HBsAg negativity by EIA. In HBV-endemic areas, the possibility of coinfection of HBV in HBsAg-negative patients with HCV viremia should be considered and molecular analysis for HBV-DNA performed. (author). 18 refs., 4 tabs.

  20. Detection of HBV and HCV Coinfection by TEM with Au Nanoparticle Gene Probes

    Institute of Scientific and Technical Information of China (English)

    XI Dong; LUO Xiaoping; NINGQin

    2007-01-01

    Goid(Au) nanoparticle HBV DNA or HCV cDNA gene probes were prepared and were used to detect HBV DNA and HCV RNA extracted from positive serum of patients with HBV and HCV coinfection directly by transmission electron microscopy (TEM). PCR identifying HBV and HCV in serum of patients with HBV and HCV coinfection was established. Alkanethiol-modified oligonueleotide was bound with self-made Au nanoparticles to form nanoparticle HBV DNA or HCV cDNA gene probes through covalent binding of Au-S. HBV DNA and HCV RNA extracted from positive serum of patients with HBV and HCV coinfection was added to the detection system com- posed of nanoparticle HBV DNA and(or) HCV cDNA gene probes. The results showed that HBV DNA and HCV RNA could be specifically amplified by PCR. The zones of DNA amplification ap- peared in 431 lap and 323 bp respectively. When HBV DNA and HCV RNA extracted from positive serum of patients with HBV and HCV coinfection were added to the detection system, TEM dis- played the nanoparticles self-assembled into large network aggregates. It was concluded that the de-tection of HBV and HCV coinfection by TEM was convenient and efficient with high specificity and sensitivity.

  1. HCV RNA traffic and association with NS5A in living cells

    Energy Technology Data Exchange (ETDEWEB)

    Fiches, Guillaume N.; Eyre, Nicholas S.; Aloia, Amanda L.; Van Der Hoek, Kylie [Department of Molecular and Cellular Biology, Research Centre for Infectious Diseases, University of Adelaide, Adelaide and Centre for Cancer Biology, SA Pathology, Adelaide, SA (Australia); Betz-Stablein, Brigit; Luciani, Fabio [Systems Immunology, School of Medical Sciences, University of New South Wales, Sydney, NSW (Australia); Chopra, Abha [Institute for Immunology and infectious diseases (IIID), Murdoch University, Perth, WA (Australia); Beard, Michael R., E-mail: michael.beard@adelaide.edu.au [Department of Molecular and Cellular Biology, Research Centre for Infectious Diseases, University of Adelaide, Adelaide and Centre for Cancer Biology, SA Pathology, Adelaide, SA (Australia)

    2016-06-15

    The spatiotemporal dynamics of Hepatitis C Virus (HCV) RNA localisation are poorly understood. To address this we engineered HCV genomes harbouring MS2 bacteriophage RNA stem-loops within the 3′-untranslated region to allow tracking of HCV RNA via specific interaction with a MS2-Coat-mCherry fusion protein. Despite the impact of these insertions on viral fitness, live imaging revealed that replication of tagged-HCV genomes induced specific redistribution of the mCherry-tagged-MS2-Coat protein to motile and static foci. Further analysis showed that HCV RNA was associated with NS5A in both static and motile structures while a subset of motile NS5A structures was devoid of HCV RNA. Further investigation of viral RNA traffic with respect to lipid droplets (LDs) revealed HCV RNA-positive structures in close association with LDs. These studies provide new insights into the dynamics of HCV RNA traffic with NS5A and LDs and provide a platform for future investigations of HCV replication and assembly. - Highlights: • HCV can tolerate can bacteriophage MS2 stem-loop insertions within the 3′ UTR. • MS2 stem-loop containing HCV genomes allow for real-time imaging of HCV RNA. • HCV RNA is both static and motile and associates with NS5A and lipid droplets.

  2. Safety analysis of raltegravir/truvada regimen in HIV/HCV co-infected patients without switchback after HCV treatment

    Directory of Open Access Journals (Sweden)

    Robert Ehret

    2014-11-01

    Full Text Available Introduction: Due to drug-drug interactions of HIV- and HCV-specific antivirals when initiating an HCV-therapy, the antiretroviral therapy (ART often has to be changed. The spectrum of applicable antiretrovirals is small, therefore many patients were switched to raltegravir/truvada (RAL/TVD in our cohort. Due to the relatively low genetic barrier of RAL, this regimen may be endangered to fail, if the NRTI backbone is not fully active because of pre-existing NRTI resistance. We investigated the long-term follow-up and safety of RAL/TVD in co-infected patients after hepatitis C virus (HCV therapy was stopped and the protective antiretroviral effect of interferon ended. Materials and Methods: Twenty patients initiated a direct-acting antiviral (DAA containing HCV therapy (8x faldaprevir, 6x telaprevir, 2x daclatasvir and 4x simeprevir between 11/2011 and 01/2013. Seventeen were switched to RAL/TVD, three patients were not treated before, but started with the regimen. Diagnosis of HIV infection was dated between 1985 and 2010. The HI-viral suppression was monitored retrospectively to date. Results: Thirteen of the twenty patients (65% remained on RAL/TVD after finishing HCV treatment, for seven patients, no data about their ART continuation was available, after HCV therapy had stopped. All remaining thirteen patients showed an HI-viral load below detection limit up to date (for 15 to 22 months, median 20 months. Only for four patients, historic resistance data were available but none showed NRTI mutations. Conclusions: Switch to RAL/TVD as HIV ART due to initiating HCV therapy was safe for the observed small cohort even in long-term follow-up without switchback or a second ART switch. However, resistance data for the cohort was little, showing no NRTI mutations, indicating a relatively safe setting. Since no further data is available, physicians should keep in mind ART history, historical therapy failure and HIV-resistance while switching ART to

  3. Analysis of HCV genotypes from blood donors shows three new HCV type 6 subgroups exist in Myanmar.

    Directory of Open Access Journals (Sweden)

    Shinji T

    2004-06-01

    Full Text Available The prevalence of hepatitis C virus (HCV genotypes in Myanmar in comparison with the rest of Southeast Asia is not well known. Serum samples were obtained from 201 HCV antibody-positive volunteer blood donors in and around the Myanmar city of Yangon. Of these, the antibody titers of 101 samples were checked by serial dilution using HCV antibody PA test II and Terasaki microplate as a low-cost method. To compare antibody titers by this method and RNA identification, we also checked HCV-RNA using the Amplicor 2.0 test. Most high-titer groups were positive for HCV-RNA. Of the 201 samples, 110 were successfully polymerase chain reaction (PCR amplified. Among them, 35 (31.8% were of genotype 1, 52 (47.3% were of genotype 3, and 23 (20.9% were of type 6 variants, and phylogenetic analysis of these type 6 variants revealed that 3 new type 6 subgroups exist in Myanmar. We named the subgroups M6-1, M6-2, and M6-3. M6-1 and M6-2 were relatively close to types 8 and 9, respectively. M6-3, though only found in one sample, was a brand-new subgroup. These subtypes were not seen in Vietnam, where type 6 group variants are widely spread. These findings may be useful for analyzing how and when these subgroups were formed.

  4. Strategies to manage hepatitis C virus (HCV) disease burden

    DEFF Research Database (Denmark)

    Wedemeyer, H; Duberg, A S; Buti, M;

    2014-01-01

    The number of hepatitis C virus (HCV) infections is projected to decline while those with advanced liver disease will increase. A modeling approach was used to forecast two treatment scenarios: (i) the impact of increased treatment efficacy while keeping the number of treated patients constant...... and (ii) increasing efficacy and treatment rate. This analysis suggests that successful diagnosis and treatment of a small proportion of patients can contribute significantly to the reduction of disease burden in the countries studied. The largest reduction in HCV-related morbidity and mortality occurs...... when increased treatment is combined with higher efficacy therapies, generally in combination with increased diagnosis. With a treatment rate of approximately 10%, this analysis suggests it is possible to achieve elimination of HCV (defined as a >90% decline in total infections by 2030). However...

  5. HIV and HCV Medications in End-Stage Renal Disease.

    Science.gov (United States)

    Greenberg, Keiko I; Perazella, Mark A; Atta, Mohamed G

    2015-01-01

    Human immunodeficiency virus (HIV) infection and hepatitis C virus (HCV) infection affect populations worldwide. With the availability of over 35 Food and Drug Administration approved medications for treatment of HIV, the morbidity and mortality associated with HIV has greatly improved. On the other hand, treatment options for HCV have been limited until very recently. While the use of protease inhibitors (such as boceprevir and telaprevir) has become standard of care for treatment of hepatitis C in the general population, data for individuals with impaired kidney function, particularly those on dialysis, are extremely limited. Use of medications in dialysis patients can be challenging given the dose adjustments that must be made for renally cleared molecules, and potentially increased impact of adverse effects such as anemia. Recommendations for dosing of marketed therapies for HIV and HCV are reviewed.

  6. [Consequences of extrahepatic manifestations of hepatitis C viral infection (HCV)].

    Science.gov (United States)

    Pawełczyk, Agnieszka

    2016-04-21

    The hepatitis C virus (HCV) is a primarily hepatotropic virus. However, numerous extrahepatic symptoms are observed in patients chronically infected with HCV, e.g. cryoglobulinemia, lymphoproliferative disorders, kidney diseases, disturbances of the central and peripheral nervous system, thyroid gland, pancreas, lymph nodes and pituitary gland, that develop at various times after the infection. Complex mechanisms underlie these processes, both molecular, related to direct effects of the virus on cells or tissues and indirect mechanisms, resulting from the response of the immune system to infection (via cytokines or oxidative stress), and from the antiviral treatment used. Understanding these mechanisms may contribute to the definition of new prognostic factors, important for the early diagnosis of the infection, which in turn may improve treatment efficacy. This paper is a review of the incidence of selected extrahepatic manifestations of HCV infection and their underlying pathogenetic mechanisms and risk factors.

  7. HTLV infection in HCV-antibody positive patients in Spain.

    Science.gov (United States)

    Treviño, Ana; Aguilera, Antonio; Rodríguez-Iglesias, Manuel A; Hernandez, Araceli; Benito, Rafael; Roc, Lourdes; Ramos, José Manuel; Ortíz de Lejarazu, Raúl; Poveda, Eva; Rodríguez, Carmen; Del Romero, Jorge; Calderon, Enrique; García, Juan; Requena, Silvia; Soriano, Vincent; de Mendoza, Carmen

    2017-03-07

    Since hepatitis C virus (HCV) and human T-lymphotropic virus (HTLV) share transmission routes, dual infection could be frequent. In Spain, HTLV underdiagnosis is highlighted by the high proportion of patients presenting either with tropical spastic paraparesis (TSP) or adult T-cell leukemia (ATL) at first diagnosis. We examined whether the renewed efforts for expanding HCV testing may provide a sentinel population that might selectively be targeted to unveil asymptomatic HTLV carriers. The presence of anti-HTLV antibodies was examined in 3,838 consecutive individuals with reactive HCV serology attended during the last three years at 13 hospitals distributed across the Spanish geography. Overall 71% were male and the median age was 41-years old. Foreigners represented 9% of the study population. A total of 50 individuals (1.3%) were seroreactive for HTLV, being 30 confirmed as HTLV-2 and two as HTLV-1 (0.12%). The remaining 18 had indeterminate Western blot patterns. Most individuals with HTLV-2 and HTLV indeterminate serology were HIV-positive, former injection drug users and native Spaniards. In contrast, the two HTLV-1 infections were found in men coming from Brazil and the Dominican Republic, respectively. In summary, the overall prevalence of HTLV infection in individuals living in Spain seropositive for HCV is 1.3%, more than 10-fold greater than in general outclinics in Spain. However, immigrants from HTLV-1 endemic regions and former injection drug users with HTLV-2 infection are by far the major contributory groups in HCV patients. Therefore, testing for HTLV in newly diagnosed HCV individuals would not contribute much to improve late HTLV diagnosis in Spain.

  8. Socioeconomic status in HCV infected patients - risk and prognosis.

    Science.gov (United States)

    Omland, Lars Haukali; Osler, Merete; Jepsen, Peter; Krarup, Henrik; Weis, Nina; Christensen, Peer Brehm; Roed, Casper; Sørensen, Henrik Toft; Obel, Niels

    2013-01-01

    It is unknown whether socioeconomic status (SES) is a risk factor for hepatitis C virus (HCV) infection or a prognostic factor following infection. FROM DANISH NATIONWIDE REGISTRIES, WE OBTAINED INFORMATION ON THREE MARKERS OF SES: employment, income, and education. In a case control design, we examined HCV infected patients and controls; conditional logistic regression was employed to obtain odds ratios (ORs) for HCV infection for each of the three SES markers, adjusting for the other two SES markers, comorbidity, and substance abuse. In a cohort design, we used Cox regression analysis to compute mortality rate ratios (MRRs) for each of the three SES markers, adjusting for the other two SES markers, comorbidity level, age, substance abuse, and gender. When compared to employed persons, ORs for HCV infection were 2.71 (95% confidence interval [CI]: 2.24-3.26) for disability pensioners and 2.24 (95% CI: 1.83-2.72) for the unemployed. When compared to persons with a high income, ORs were 1.64 (95% CI: 1.34-2.01) for low income persons and 1.19 (95% CI: 1.02-1.40) for medium income persons. The OR was 1.35 (95% CI: 1.20-1.52) for low education (no more than basic schooling). When compared to employed patients, MRRs were 1.71 (95% CI: 1.22-2.40) for unemployed patients and 2.24 (95% CI: 1.63-3.08) for disability pensioners. When compared to high income patients, MRRs were 1.47 (95% CI: 1.05-2.05) for medium income patients and 1.64 (95% CI: 1.13-2.34) for low income patients. Educational status was not associated with mortality. Low SES was associated with an increased risk of HCV infection and with poor prognosis in HCV infected patients.

  9. 75 FR 19417 - Notice of Proposed Information Collection for Public Comment for Housing Choice Voucher (HCV...

    Science.gov (United States)

    2010-04-14

    ... Voucher (HCV) Family Self-Sufficiency (FSS) Program AGENCY: Office of the Assistant Secretary for Public... also lists the following information: Title of Proposal: Housing Choice Voucher (HCV) Family...

  10. Investigation for the Relationship between HCV-RNA level and Hepatic Insufficiency%HCV RNA载量与肝脏组织损伤的关系

    Institute of Scientific and Technical Information of China (English)

    丁柳; 周易; 宋兴勃; 叶远馨; 陆小军; 张磊; 应斌武

    2011-01-01

    目的 探讨丙型肝炎病毒(HCV)RNA复制水平与肝功能丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)之间的相互关系.方法 收集1182例疑似丙肝病人血清标本,采用荧光定量聚合酶链反应(FQ-PCR)检测HCV RNA,利用酶动力法测定ALT、AST,采用ELISA测定抗HCV抗体.数据采用SPSS16.0统计软件处理.结果 病人血清样本中,HCV RNA阳性801例(64.8%),其中抗HCV阳性766例(95.6%);HCV RNA阴性381例(32.2%),其中抗HCV阳性100例(26.2%).HCV RNA阳性样本中同时抗-HCV阳性者ALT,AST异常率分别为59.0%和60.8%;抗-HCV阴性者为31.4% 和34.2%.HCV RNA阴性样本中同时抗-HCV阳性者ALT,AST异常率分别为24.0% 和15.0%,抗-HCV阴性者为13.9% 和12.1%.HCV RNA含量与ALT、AST水平明显成正相关,r=0.62,P<0.05.结论 HCV RNA含量与肝组织损伤程度成正相关.%Objective To investigate the relationship between HCV —RNA load and levels of ALT and AST .Methods 1182 samples form suspected HCV infected patients were collected for analysis .The level of HCV —RNA in the serum were detected by FQ—PCR ,and ALT ,AST levels were detected by enzymatic kinetic assay .Anti-HCV was detected by ELBA .The data were analyzed by SPSS .Results For all the patients ,801 of them were HCV —RNA positive ,731 of whom were anti-HCV positive .381 of the patients were HCV —RNA negative and 100 of whom were anti-HCV positive .The abnormal rate of ALS and AST of patients with both HCV —RNA and anti-HCV positive was 59 .0% and 60 .8% respectively ;and that of patients with HCV —RNA positive and anti-HCV negative was 31.4% and 34.2% respectively .On the other hand ,That of patients with HCV —RNA negative and anti-HCV postive was 24.0% and 15.0% respectively ;and that of patients with HCV —RNA negative and anti-HCV negative was 13 .9% and 12 .1% .ALT and AST level varied directly with HCV —RNA level, γ=0 .62 , ρ<0 .05 .Conclusion HCV —RNA level showed directly

  11. HBV/HCV co-infection is associated with a high level of HCV spontaneous clearance among drug users and blood donors in China.

    Science.gov (United States)

    Xiong, H; Rong, X; Wang, M; Xu, R; Huang, K; Liao, Q; Huang, J; Chen, J; Li, C; Tang, X; Shan, Z; Zhang, M; Nelson, K; Fu, Y

    2016-12-12

    Understanding the biology of spontaneous clearance of hepatitis C virus (HCV) infection could lead to improved strategies to prevent the sequelae associated with chronic HCV infection. Chronic infections with hepatitis virus are very common in China, but the factors associated with spontaneous clearance of HCV have not been adequately studied. We evaluated the spontaneous clearance of HCV among 1918 drug users and 1526 HCV-seropositive blood donors in Guangzhou, China. Among participants who were co-infected with hepatitis B virus (HBV), 41.38% of drug users and 39.47% of blood donors had cleared their HCV infection without antiviral therapy compared to 9.41% of drug users and 16.73% of blood donors who were mono-infected with a single virus (PHCV infection was significantly greater in the co-infected subjects whose serum HBV DNA was greater than 2000IU/mL than those with lower levels. A multiple logistic regression analysis found female gender, IL28B rs8099917 TT genotype, HBV co-infection and blood donors (vs drug users) associated with increased spontaneous clearance of HCV infection. Although acute HCV infections are common in China, the incidence of chronic HCV may be reduced among the high prevalence of chronic HBV and IL28B genotypes associated with spontaneous clearance of HCV in Chinese populations.

  12. Proteome analysis of liver cells expressing a full-length hepatitis C virus (HCV) replicon and biopsy specimens of posttransplantation liver from HCV-infected patients.

    Science.gov (United States)

    Jacobs, Jon M; Diamond, Deborah L; Chan, Eric Y; Gritsenko, Marina A; Qian, Weijun; Stastna, Miroslava; Baas, Tracey; Camp, David G; Carithers, Robert L; Smith, Richard D; Katze, Michael G

    2005-06-01

    The development of a reproducible model system for the study of hepatitis C virus (HCV) infection has the potential to significantly enhance the study of virus-host interactions and provide future direction for modeling the pathogenesis of HCV. While there are studies describing global gene expression changes associated with HCV infection, changes in the proteome have not been characterized. We report the first large-scale proteome analysis of the highly permissive Huh-7.5 cell line containing a full-length HCV replicon. We detected >4,200 proteins in this cell line, including HCV replicon proteins, using multidimensional liquid chromatographic (LC) separations coupled to mass spectrometry. Consistent with the literature, a comparison of HCV replicon-positive and -negative Huh-7.5 cells identified expression changes of proteins involved in lipid metabolism. We extended these analyses to liver biopsy material from HCV-infected patients where a total of >1,500 proteins were detected from only 2 mug of liver biopsy protein digest using the Huh-7.5 protein database and the accurate mass and time tag strategy. These findings demonstrate the utility of multidimensional proteome analysis of the HCV replicon model system for assisting in the determination of proteins/pathways affected by HCV infection. Our ability to extend these analyses to the highly complex proteome of small liver biopsies with limiting protein yields offers the unique opportunity to begin evaluating the clinical significance of protein expression changes associated with HCV infection.

  13. Claudin-1 required for HCV virus entry has high potential for phosphorylation and O-glycosylation

    OpenAIRE

    Fouzia Kiran; Kausar Humera; Gull Sana; Sarwar Muhammad T; Asad Sultan; Ijaz Bushra; Shabbiri Khadija; Ahmad Waqar; Shahid Imran; Hassan Sajida

    2011-01-01

    Abstract HCV is a leading cause of hepatocellular carcinoma and cirrhosis all over the world. Claudins belong to family of tight junction's proteins that are responsible for establishing barriers for controlling the flow of molecules around cells. For therapeutic strategies, regulation of viral entry into the host cells holds a lot of promise. During HCV infection claudin-1 is highly expressed in liver and believed to be associated with HCV virus entry after HCV binding with or without co-rec...

  14. Ways and intensity of vertical transfer of the HCV from infected mothers to children

    Directory of Open Access Journals (Sweden)

    Idelbay Shuratov

    2011-03-01

    Full Text Available Ways and intensity of vertical transfer HCV have been studied before sorts in 29 lying-in women, positive on HCV-RNA. Among newborns from these mothers in serum of blood of umbilical cord at the moment of birth, HCV-RNA is found in 6.8%. The infection of newborns from HCV-RNA positive mother occurs through a placenta and at the time of delivery.

  15. HCV Antibody Response and Genotype Distribution in Different Areas and Races of China

    Directory of Open Access Journals (Sweden)

    Leili Jia, Jiyun Yu, Jinliang Yang, Hongbin Song, Xuelin Liu, Yong Wang, Yuanyong Xu, Chuanfu Zhang, Yanwei Zhong, Qiao Li

    2009-01-01

    Full Text Available Hepatitis C virus (HCV heterogeneity accounts for the failure of effective vaccine development and the lack of successful anti-viral therapy in some patients. Little is known about the immune response to HCV peptides and the region or race specific genotypes in China. The objective of this study was to characterize HCV antibody immune response to HCV peptides and HCV genotypes in different regions and races of China. A total of 363 serum samples were collected from HCV carriers in 6 regions in China. The immune response to HCV peptides was evaluated by ELISA. HCV genotypes were examined using nested RT-PCR. We found that the anti-HCV antibody neutralization rates were significantly different among the serum samples from different areas or from different races in the same area. For samples from Tibet and Sinkiang, the rates of neutralization by HCV peptides were only 3.2% and 30.8%, respectively. The genotypes of samples from Tibet and Sinkiang were apparently heterogeneic and included type I, II, III and multiple types (I/II/III, I/II, I/III, II/III. One specific sample with multiple-genotype (I/II/III HCV infection was found to consist of type I, II, III, II/III and an unclassified genotype. These studies indicate that the anti-HCV antibody immune response to HCV peptides varied across regions and among races. The distribution of HCV genotypes among Tibetans in Tibet and Uighurs in Sinkiang was different from that in the inner areas of China. In addition, a “master” genotype, type II, was found to exist in HCV infection with multiple HCV genotypes.

  16. HCV antibody response and genotype distribution in different areas and races of China.

    Science.gov (United States)

    Jia, Leili; Yu, Jiyun; Yang, Jinliang; Song, Hongbin; Liu, Xuelin; Wang, Yong; Xu, Yuanyong; Zhang, Chuanfu; Zhong, Yanwei; Li, Qiao

    2009-06-13

    Hepatitis C virus (HCV) heterogeneity accounts for the failure of effective vaccine development and the lack of successful anti-viral therapy in some patients. Little is known about the immune response to HCV peptides and the region or race specific genotypes in China. The objective of this study was to characterize HCV antibody immune response to HCV peptides and HCV genotypes in different regions and races of China. A total of 363 serum samples were collected from HCV carriers in 6 regions in China. The immune response to HCV peptides was evaluated by ELISA. HCV genotypes were examined using nested RT-PCR. We found that the anti-HCV antibody neutralization rates were significantly different among the serum samples from different areas or from different races in the same area. For samples from Tibet and Sinkiang, the rates of neutralization by HCV peptides were only 3.2% and 30.8%, respectively. The genotypes of samples from Tibet and Sinkiang were apparently heterogeneic and included type I, II, III and multiple types (I/II/III, I/II, I/III, II/III). One specific sample with multiple-genotype (I/II/III) HCV infection was found to consist of type I, II, III, II/III and an unclassified genotype. These studies indicate that the anti-HCV antibody immune response to HCV peptides varied across regions and among races. The distribution of HCV genotypes among Tibetans in Tibet and Uighurs in Sinkiang was different from that in the inner areas of China. In addition, a "master" genotype, type II, was found to exist in HCV infection with multiple HCV genotypes.

  17. Serum Immunoglobulin G Antibodies to the GOR Autoepitope Are Present in Patients with Occult Hepatitis C Virus (HCV) Infection despite Lack of HCV-Specific Antibodies▿

    Science.gov (United States)

    Quiroga, Juan A.; Castillo, Inmaculada; Bartolomé, Javier; Carreño, Vicente

    2007-01-01

    Antibody responses to the GOR autoepitope are frequently detected among anti-hepatitis C virus (anti-HCV)-positive patients with chronic hepatitis. Sera from 110 anti-HCV-negative patients with occult HCV infection, as diagnosed by detection of HCV RNA in hepatic tissue, were investigated for GOR antibody reactivity. A positive test for anti-GOR immunoglobulin G (IgG) was found for 22 (20%) of them. The frequency and titers of anti-GOR IgG were significantly lower than those in chronic hepatitis C patients (70/110, 63.6%; P < 0.001). Anti-GOR IgG was not detected in any of the 120 patients with HCV-unrelated liver disease. The anti-GOR IgG assay showed specificity and sensitivity values of 100% and 20%, respectively, among the sera from patients with occult HCV infection; the positive and negative predictive values were 100% and 44.3%, respectively. None of the clinical, laboratory, or histological characteristics of the patients with occult HCV infection were different according to GOR antibody status, except that the percentage of HCV RNA-positive hepatocytes was significantly greater (P = 0.042) in patients with occult HCV infection who tested positive for anti-GOR IgG. In conclusion, serum anti-GOR IgG is present in patients with occult HCV infection, despite a lack of detectable HCV-specific antibodies as determined by commercial tests. Testing for anti-GOR IgG in patients in whom HCV RNA is not detected in their sera may help with the identification of a subset of patients with occult HCV infection without the need to perform a liver biopsy. PMID:17699833

  18. Serum immunoglobulin G antibodies to the GOR autoepitope are present in patients with occult hepatitis C virus (HCV) infection despite lack of HCV-specific antibodies.

    Science.gov (United States)

    Quiroga, Juan A; Castillo, Inmaculada; Bartolomé, Javier; Carreño, Vicente

    2007-10-01

    Antibody responses to the GOR autoepitope are frequently detected among anti-hepatitis C virus (anti-HCV)-positive patients with chronic hepatitis. Sera from 110 anti-HCV-negative patients with occult HCV infection, as diagnosed by detection of HCV RNA in hepatic tissue, were investigated for GOR antibody reactivity. A positive test for anti-GOR immunoglobulin G (IgG) was found for 22 (20%) of them. The frequency and titers of anti-GOR IgG were significantly lower than those in chronic hepatitis C patients (70/110, 63.6%; P HCV-unrelated liver disease. The anti-GOR IgG assay showed specificity and sensitivity values of 100% and 20%, respectively, among the sera from patients with occult HCV infection; the positive and negative predictive values were 100% and 44.3%, respectively. None of the clinical, laboratory, or histological characteristics of the patients with occult HCV infection were different according to GOR antibody status, except that the percentage of HCV RNA-positive hepatocytes was significantly greater (P = 0.042) in patients with occult HCV infection who tested positive for anti-GOR IgG. In conclusion, serum anti-GOR IgG is present in patients with occult HCV infection, despite a lack of detectable HCV-specific antibodies as determined by commercial tests. Testing for anti-GOR IgG in patients in whom HCV RNA is not detected in their sera may help with the identification of a subset of patients with occult HCV infection without the need to perform a liver biopsy.

  19. The Association between Female Genital Cutting and Spousal HCV Infection in Egypt

    Directory of Open Access Journals (Sweden)

    Chris R. Kenyon

    2014-01-01

    Full Text Available Objective. To identify the risk factors for HCV infection within married couples in Egypt. Methods. In 2008 Egypt conducted its first nationally representative survey of HCV prevalence. 11126 of the 12780 individuals aged 15–59 year who were sampled agreed to participate and provided information via a questionnaire about demographic and behavioural characteristics and blood for HCV antibody and RNA analysis. We assessed the risk factors for HCV infection in a subsample of 5182 married individuals via multivariate logistic regression. Results. Overall HCV antibody prevalence in the married couples was 18.2% (95% CI, 16.8–19.6. HCV antibody prevalence was higher in the husbands (23.7% than the wives (12.1%; P<0.001. Having a spouse who was infected with HCV was an independent risk factor for HCV infection with odds ratios of 2.1 (95% CI, 1.6–2.9 and 2.2 (95% CI, 1.6–3.1 for women and men, respectively. Husbands whose wives had experienced female genital cutting (FGC had a higher prevalence of HCV and this relationship was driven by a strong association in urban areas. Amongst the women there was no association between FGC and HCV overall but in urban areas only women who had experienced FGC were HCV infected. Conclusions. This study provides additional evidence of the importance of intrafamilial transmission of HCV in Egypt.

  20. Sieroprevalenza di infezione da HBV e HCV tra pazienti in dialisi

    Directory of Open Access Journals (Sweden)

    Rosa Anna Leone

    2003-12-01

    Full Text Available The aim of the present study was to investigate the seroprevalence of HBV and HCV among dialysis patients in the Lamezia Terme (CZ area during the period 1999-2002. Sera from 63 patients in haemodialysis (HD and 10 patients in peritoneal dialysis (PD were analyzed with a follow-up every three months for HBsAg, HBcAb, HBsAb, anti-HCV and anti-HIV (Elisa Test,AxSYM,Abbott;we analyzed reactive sera for anti-HCV by using supplemental test (RIBA Test, Ortho; we also looked for viremia (RT-PCR Amplicor, Roche Diagnostics and HCV genotypes (Inno-Lipa HCV II, Innogenetics.The results show that, among the HD patients, 3 were HBsAg positive (Chronic Infection and 7 HBcAb and HBsAb positive/HBsAg negative (Passed Infection; 14 individuals were anti-HCV positive. No patients in PD were positive for HBV and HCV markers.The prevalence of chronic HBV infection was 4.8% (instead of 3% in other Dialysis Units, that of anti-HCV positive was 22% (in others 24%- 33%; among anti-HCV positive patients, the HCV-RNA prevalence was 79% (instead of 80%; the most recurrent HCV genotype was 2a/2c (instead of 1b in general population.These findings lead us to hypothesize that the environmental transmission in the dialysis setting is tightly correlated to the risk of HBV and HCV infection.

  1. Engineered exosomes boost the HCV NS3-specific CD8+ T lymphocyte immunity in humans

    Directory of Open Access Journals (Sweden)

    Simona Anticoli

    2016-01-01

    Full Text Available At the present, no anti-Hepatitis C virus (HCV HCV vaccine is available, and many patients failed the treatment with new class of HCV inhibitors. In HCV infection, both experimental and clinic evidences indicate that a strong CTL-immune response could have significant therapeutic effects. We developed an innovative anti-HCV CD8+ T immunogen based on the uploading in engineered exosomes of full-length HCV-NS3 protein. HCV NS3 exosomes appeared immunogenic when injected in mice, as proven by the detection of a memory CD8+ T lymphocyte pool two weeks after the last of three immunizations. On the other hand, dendritic cells isolated from PBMCs of HCV infected patients activate autologous HCV NS3-specific CD8+ T lymphocytes upon challenge with HCV NS3 exosomes. These results provide the proof-of-principle that engineered exosomes can boost the CD8+ T cell immunity in HCV-infected patients, thus representing a suitable option for patients resisting the therapies with recently discovered HCV inhibitors.

  2. 21 CFR 610.47 - Hepatitis C virus (HCV) “lookback” requirements.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 7 2010-04-01 2010-04-01 false Hepatitis C virus (HCV) âlookbackâ requirements... Disease Agents § 610.47 Hepatitis C virus (HCV) “lookback” requirements. (a) If you are an establishment... after a donor tests reactive for evidence of hepatitis C virus (HCV) infection when tested under §...

  3. Slotting optimization of automated storage and retrieval system (AS/RS) for efficient delivery of parts in an assembly shop using genetic algorithm: A case Study

    Science.gov (United States)

    Yue, L.; Guan, Z.; He, C.; Luo, D.; Saif, U.

    2017-06-01

    In recent years, the competitive pressure on manufacturing companies shifted them from mass production to mass customization to produce large variety of products. It is a great challenge for companies nowadays to produce customized mixed flow mode of production to meet customized demand on time. Due to large variety of products, the storage system to deliver variety of products to production lines influences on the timely production of variety of products, as investigated from by simulation study of an inefficient storage system of a real Company, in the current research. Therefore, current research proposed a slotting optimization model with mixed model sequence to assemble in consideration of the final flow lines to optimize whole automated storage and retrieval system (AS/RS) and distribution system in the case company. Current research is aimed to minimize vertical height of centre of gravity of AS/RS and total time spent for taking the materials out from the AS/RS simultaneously. Genetic algorithm is adopted to solve the proposed problem and computational result shows significant improvement in stability and efficiency of AS/RS as compared to the existing method used in the case company.

  4. Characterization of the Rheological and Swelling Properties of Synthetic Alkali Silicate Gels in Order to Predict Their Behavior in ASR Damaged Concrete

    Science.gov (United States)

    Vayghan, Asghar Gholizadeh

    Alkali-silica reaction (ASR) is a major concrete durability concern that is responsible for the deterioration of concrete infrastructure in the world. The resultant of the reaction between the cement alkali hydroxides and the metastable silicates in the aggregates is a hygroscopic and expansive alkali-silicate gel (referred to as ASR gel in this document). The swelling behavior of ASR gels determines the extent of damage to concrete structures and, as such, mitigation of ASR relies on understanding these gels and finding ways to prevent them either from formation, or from swelling after formation. This dissertation focuses on the synthesis and characterization of ASR gels with wide ranges of compositions similar to what has been reported for the filed ASR gels in the literature. The experimental work consisted of three phases as follow. Phase I: Investigation of rheology, chemistry and physics of ASR gels produced through sol-method. Inspired from the existing literature, two sol-gel methods have been developed for the synthesis of ASR gels. The rheological (primarily gelation time, yield stress, and equilibrium stress), chemical (pore solution pH, pore solution composition, osmotic pressure, solid phase composition, stoichiometry of gelation reactions) and physical (evaporable water, solid content, etc.) properties of synthetic ASR gels have been extensively investigated in this phase. Ca/Si, Na/Si and K/Si, and water content were considered as the main chemical composition variables. In order to investigate the suppressing effects of lithium on the swelling properties of ASR gels, the gels were added with lithium in a part of the experimental program. The results strongly suggested that Ca/Si has a positive effect on the yield stress of the gels and their rate of gelation. Na/Si was found to have a decreasing effect on the yield stress and gelation rate (especially at low Ca/Si levels). K/Si and Li/Si had second-order (i.e., polynomial) effects on the yield

  5. Validity of the Adult ADHD Self-Report Scale (ASRS) as a screener for adult ADHD in treatment seeking substance use disorder patients

    NARCIS (Netherlands)

    van de Glind, Geurt; van den Brink, Wim; Koeter, Maarten W. J.; Carpentier, Pieter-Jan; van Emmerik-van Oortmerssen, Katelijne; Kaye, Sharlene; Skutle, Arvid; Bu, Eli-Torild H.; Franck, Johan; Konstenius, Maija; Moggi, Franz; Dom, Geert; Verspreet, Sofie; Demetrovics, Zsolt; Kapitany-Foeveny, Mate; Fatseas, Melina; Auriacombe, Marc; Schillinger, Arild; Seitz, Andrea; Johnson, Brian; Faraone, Stephen V.; Ramos-Quiroga, J. Antoni; Casas, Miguel; Allsop, Steve; Carruthers, Susan; Bartar, Csaba; Schoevers, Robert A.; Levin, Frances R.

    2013-01-01

    Background: To detect attention deficit hyperactivity disorder (ADHD) in treatment seeking substance use disorders (SUD) patients, a valid screening instrument is needed. Objectives: To test the performance of the Adult ADHD Self-Report Scale V 1.1(ASRS) for adult ADHD in an international sample of

  6. A Study of the Design and Implementation of the ASR-Based iCASL System with Corrective Feedback to Facilitate English Learning

    Science.gov (United States)

    Wang, Yi-Hsuan; Young, Shelley Shwu-Ching

    2014-01-01

    The purpose of the study is to explore and describe how to implement a pedagogical ASR-based intelligent computer-assisted speaking learning (iCASL) system to support adult learners with a private, flexible and individual learning environment to practice English pronunciation. The iCASL system integrates multiple levels of corrective feedback and…

  7. Shear capacity of ASR damaged structures – in-depth analysis of some in-situ shear tests on bridge slabs

    DEFF Research Database (Denmark)

    Hansen, Søren Gustenhoff; Barbosa, Ricardo Antonio; Hoang, Linh Cao

    2016-01-01

    This paper deals with the influence of alkali-silica reaction (ASR) on the shear capacity for concrete slabs without shear reinforcement. An experimental full-scale in-situ program consisting of four slabs from a bridge (Vosnæsvej) has been carried out and the results have been published in ref. [1...

  8. Prevalence of HBV and HCV among blood donors in Kosovo.

    Science.gov (United States)

    Fejza, Hajrullah; Telaku, Skender

    2009-02-13

    Hepatitis is disease of the liver caused by the infectious and non-infectious agents. The aim of study was to analyze the prevalence of HBV and HCV among voluntary blood donors in Kosovo, during 2000-2003. The data from National Center for Blood Transfusion of Kosovo were collected and analyzed through descriptive and comparative epidemiological method of retrospective study. All samples were tested by ELISA test. Out of 70348 samples of the blood donors, 3145 were positive. From overall positive samples, 2939 were HBV positive, 192 HCV positive while 14 samples were positive for both viruses. The HBV prevalence among the blood donors of Kosovo is 4.2%, which range Kosovo to the second zone according to the CDC classification of the geographical spread of the HBV infection. The HCV prevalence among the blood donors in Kosovo is 0.3%. Compared to the other European countries this level of prevalence is relatively low. Age group 30-39 years old was presented with 34.8% of cases. The higher number was among the workers, 842 or 26.8%. Based on the results we can conclude that Kosovo have the similar prevalence for HBV and HCV infections as other South East European countries.

  9. The epidemiologic feature of HCV prevalence in Fujian

    Institute of Scientific and Technical Information of China (English)

    Ling Fen Li; Yong Zhou; Sheng Xia; Li Lai Zhao; Zi Xin Wang; Cheng Qin Wang

    2000-01-01

    AIM To investigate the epidemiological features of HCV prevalence, a seroepidemiological survey on HCVinfection has been carried out in Fujian since 1992.METHODS Using stratified multistage random cluster sampling, 3809 serum samples collected from 1237families in the diseases surveillance points were tested by UBI HCV EIA kit.RESULTS The results showed that the prevalence rate was 3.99%. The rate in male and female was3.63% and 4.25%, and in urban and rural 3.12% and 4.6% respectively (P>0.05). There was lower ratein children aged under 10 years. The highest rate was in 20 - 24 years old. The rates in different areas wereranged from 1.39% to 6.08% (P<0.05). The intrafamilial transmission was not important, indicating nointrafamilial aggregation. The superinfection of HCV with HAV, HBV and HEV were existed. The HCVinfection was slightly correlated with the history of hepatitis and transfusion.CONCLUSION It suggests that the HCV transmission among the population in Fujian is mainly sporadicinfection.

  10. [Control of HCV, HBV and HIV Infections in Hemodialysis].

    Science.gov (United States)

    Fabrizi, Fabrizio; Martin, Paul; Messa, Piergiorgio

    2013-01-01

    Infections with blood-borne pathogens are still common among patients on maintenance dialysis all over the world. The control of infection due to blood-borne viruses (particularly HBV) within dialysis units has been a major goal in the management of patients with chronic kidney disease in the industrialized world. Standard precautions and specific procedures have been recommended to prevent infections with HBV, HCV and HIV within dialysis units. Isolation of HBsAg positive patients by dialysis rooms, staff and machines continues to be an important step to control HBV infection within dialysis units, according to the CDC and other regulatory agencies. Some prospective observational studies have reported the complete prevention of HCV transmission to hemodialysis patients in the absence of any isolation policy, and the use of dedicated dialysis machines for HCV-infected patients is not recommended by clinical guidelines. Isolation of HCV-infected patients should be considered in special circumstances only. Vaccination is an important tool against transmission of HBV among patients on long-term dialysis even if the immune response towards the hepatitis B vaccine remains unsatisfactory. Hemodialysis is considered a low risk setting for the transmission of human immunodeficiency virus (HIV) infection, providing that standard and specific procedures are carefully observed. HIV-infected patients do not have to be isolated from other patients or dialyzed separately on dedicated machines.

  11. Antiviral Therapy for Chronic HCV Infection - Tolerability and Outcome

    NARCIS (Netherlands)

    R. Maan (Raoel)

    2016-01-01

    textabstractThis thesis describes the safety and outcome of antiviral therapy for chronic HCV infection. In the first chapters, the authors investigated (hematological) adverse events during interferon-based therapy among patients with compensated cirrhosis. By using a patient-tailored approach, int

  12. Prevalence of hepatitis C virus (HCV) genotypes in Balochistan.

    Science.gov (United States)

    Afridi, Sarwat; Naeem, Muhammad; Hussain, Abid; Kakar, Naseebullah; Babar, Masroor Ellahi; Ahmad, Jamil

    2009-07-01

    A molecular study was conducted to investigate the prevalence of Hepatitis C virus genotypes in HCV infected population of Balochistan. Forty HCV seropositive samples belonging to seven different locations of Balochistan were collected from different health care centres. Qualitative analysis of these samples using PCR resulted in 28 positive samples. The PCR positive samples were subjected to genotyping using the method described by Ohno et al (J Clin Microbiol 35:201-202, 1997) with minor modifications. Genotyping of 28 samples revealed three different genotypes including 3a, 3b and 1a. The most prevalent genotype was 3a with rate of 50% followed by genotype 3b and 1a, respectively. Nine samples remained untyped, suggesting the need of further investigation of genotypes in this region. It has been proposed that sequencing of these samples may be helpful to unreveal these genotypes and further epidemiology of HCV genotypes. Further more, extensive and large scale studies are needed to understand the epidemiology of HCV genotypes, as no such study has been carried in this province.

  13. Evaluation of serum angiopoietin-II in HCV related ...

    African Journals Online (AJOL)

    Hoda A. Abd-El-Moety

    2011-08-30

    Aug 30, 2011 ... The pathogenesis of hepatitis C-associated renal disease re- mains incompletely ... mitogen for vascular endothelial cells by binding to two tyro- sine kinase receptors ... hepatitis B virus, DM, autoimmune diseases as SLE or malig- nancies were ... Table 1 Sex and age of chronic HCV patients groups. Sex.

  14. Glances in Immunology of HIV and HCV Infection

    Directory of Open Access Journals (Sweden)

    Maria Giovanna Quaranta

    2012-01-01

    Full Text Available Since the identification of HIV and HCV much progress has been made in the understanding of their life cycle and interaction with the host immune system. Despite these viruses markedly differ in their virological properties and in their pathogenesis, they share many common features in their immune escape and survival strategy. Both viruses have developed sophisticated ways to subvert and antagonize host innate and adaptive immune responses. In the last years, much effort has been done in the study of the AIDS pathogenesis and in the development of efficient treatment strategies, and a fatal infection has been transformed in a potentially chronic pathology. Much of this knowledge is now being transferred in the HCV research field, especially in the development of new drugs, although a big difference still remains between the outcome of the two infections, being HCV eradicable after treatment, whereas HIV eradication remains at present unachievable due to the establishment of reservoirs. In this review, we present current knowledge on innate and adaptive immune recognition and activation during HIV and HCV mono-infections and evasion strategies. We also discuss the genetic associations between components of the immune system, the course of infection, and the outcome of the therapies.

  15. HCV Co-infection is Associated with Metabolic Abnormalities among ...

    African Journals Online (AJOL)

    analysis showed there was no relationship between the HIV-HCV co infected ... associated with increased risk of antiretroviral-associated ... presence of interleukin 28 receptor alpha (IL28RA) ..... Kumar R, Singla V, Kacharya S. Impact and management of .... beta cell dysfunction and insulin resistance to the pathogenesis.

  16. International epidemiological studies on HIV, HCV and STI

    NARCIS (Netherlands)

    van der Helm, J.J.

    2014-01-01

    This thesis comprises international epidemiological studies on HIV, Hepatitis C (HCV) and sexually transmitted infections (STI) and the evaluation of STI diagnostic tests with the ultimate goal to decrease spread and disease burden of these infections. The main conclusions are: 1. Without the use of

  17. The Case of anti-HCV Negative Chronic Hepatitis C

    Directory of Open Access Journals (Sweden)

    A. L. Rossina

    2015-01-01

    Full Text Available The paper gives a brief literary reference relating to contemporary aspects of serological diagnosis of hepatitis C, and understands a clinical example of chronic hepatitis C in a child with acute lymphoblastic leukemia, with the absence of circulating antibodies to HCV classes M, and G for almost 2 years.

  18. Characterization of chronic HCV infection in Northwest Spain: Impact of the treatment strategic plan of the Spanish National Health Service on HCV cure.

    Science.gov (United States)

    Grandal, Marta; Pernas, Berta; Mariño, Ana; Álvarez, Hortensia; Tabernilla, Andrés; Castro-Iglesias, Ángeles; Mena, Álvaro; Delgado, Manuel; Pértega, Sonia; Poveda, Eva

    2017-01-12

    The aim of the study was to characterize HCV infection in Northwest Spain and assess the impact of the Spanish Strategic Plan to cure HCV infection. Overall, 387 patients were included (60.9% HIV/HCV coinfected and 28.2% cirrhotic). Of these, 72.9% of patients that were recognized as priority for HCV treatment according to the Spanish Strategic Plan (≥F2, transplant or extrahepatic manifestations), initiated treatment during 2015. Globally, SVR12 was achieved in 96.5% of patients. The implementation of the Spanish Strategic Plan has been critical to advance in HCV cure, but 27.1% of priority patients still remain awaiting HCV treatment initiation. This article is protected by copyright. All rights reserved.

  19. HCV Proteins and Immunoglobulin Variable Gene (IgV Subfamilies in HCV-Induced Type II Mixed Cryoglobulinemia: A Concurrent Pathogenetic Role

    Directory of Open Access Journals (Sweden)

    Giuseppe Sautto

    2012-01-01

    Full Text Available The association between hepatitis C virus (HCV infection and type II mixed cryoglobulinemia (MCII is well established, but the role played by distinct HCV proteins and by specific components of the anti-HCV humoral immune response remains to be clearly defined. It is widely accepted that HCV drives the expansion of few B-cell clones expressing a restricted pool of selected immunoglobulin variable (IgV gene subfamilies frequently endowed with rheumatoid factor (RF activity. Moreover, the same IgV subfamilies are frequently observed in HCV-transformed malignant B-cell clones occasionally complicating MCII. In this paper, we analyze both the humoral and viral counterparts at the basis of cryoglobulins production in HCV-induced MCII, with particular attention reserved to the single IgV subfamilies most frequently involved.

  20. The detection of Anti-HCV,HCV-RNA and its genotype in 5 080 patients with hepatitis C%丙型肝炎患者5080例Anti-HCV、HCV-RNA及基因分型分析

    Institute of Scientific and Technical Information of China (English)

    张利红; 徐军

    2015-01-01

    目的::对5080例丙型肝炎患者Anti-HCV、HCV-RNA及基因分型三项检验结果进行分析。方法:采用增强发光免疫法检测Anti-HCV;实时荧光定量PCR法检验HCV-RNA;HCV-RNA含量≥103的标本同时进行基因分型检测。结果:5080例丙型肝炎患者中Anti-HCV检测阳性率为99.8%,HCV-RNA阳性率为49.1%。 HCV-RNA阳性患者年龄和抗体含量均明显高于HCV-RNA阴性患者(P<0.01)。在进行基因分型的1723例HCV-RNA阳性标本中,1b、2a分别占59.49%和36.20%,两型总占比达到95.69%;另外3b和4不常见型以及1b/2a、1b/4混合感染也检测到。结论:Anti-HCV含量与患者的病毒载量之间缺乏相关性,不能作为丙型肝炎治疗过程中的动态观察指标;HCV-RNA定量适于丙型肝炎疗效评价和预后判断指标;临床丙型肝炎患者中主要基因型是1b、2a型,对HCV-RNA阳性患者进行基因分型,可为丙型肝炎的个性化治疗提供决策依据。%Objective:To analyze the hepatitis C antibody( Anti-HCV) ,HCV-RNA and genotype in 5 080 patients with hepatitis C. Methods:The levels of Anti-HCV and HCV-RNA in all patients were determined by automatic enhanced luminescence immunity analyzer and quantitative fluorescent PCR,respectively. The genotypes in the patients with more than or equal to 103 of HCV-RNA were detected. Results:The positive rates of Anti-HCV and HCV-RNA were 99. 8% and 49. 1%,respectively. The ages and antibody content in positive HCV-RNA patients were significantly higher than those in the negative HCV-RNA patients(P<0. 01). Among the 1 723 positive HCV-RNA specimens,the 1b and 2a genotypes accounted for 59. 49% and 36. 20%,respectively,the total ratio of 1b and 2a genotypes was 95. 69%. The unusual types of 3b and 4,and mixed infection types of 1b/2a and 1b/4 also were detected. Conclusions:The Anti-HCV content and viral load are lack of correlation, which can not be used as the observation indexes in estimating the

  1. Occult HCV infection: an unexpected finding in a population unselected for hepatic disease.

    Directory of Open Access Journals (Sweden)

    Laura De Marco

    Full Text Available BACKGROUND: Occult Hepatitis C virus (HCV infection is a new pathological entity characterized by presence of liver disease and absence or very low levels of detectable HCV-RNA in serum. Abnormal values of liver enzymes and presence of replicative HCV-RNA in peripheral blood mononuclear cells are also observed. Aim of the study was to evaluate occult HCV occurrence in a population unselected for hepatic disease. METHODOLOGY/PRINCIPAL FINDINGS: We chose from previous epidemiological studies three series of subjects (n = 276, age range 40-65 years unselected for hepatic disease. These subjects were tested for the presence of HCV antibodies and HCV-RNA in plasma and in the peripheral blood mononuclear cells (PBMCs by using commercial systems. All subjects tested negative for HCV antibodies and plasma HCV-RNA and showed normal levels of liver enzymes; 9/276 patients (3.3% were positive for HCV-RNA in PBMCs, identifying a subset of subjects with potential occult HCV infection. We could determine the HCV type for 8 of the 9 patients finding type 1a (3 patients, type 1b (2 patients, and type 2a (3 patients. CONCLUSIONS: The results of this study show evidence that occult HCV infection may occur in a population unselected for hepatic disease. A potential risk of HCV infection spread by subjects harbouring occult HCV infection should be considered. Design of prospective studies focusing on the frequency of infection in the general population and on the clinical evolution of occult HCV infection will be needed to verify this unexpected finding.

  2. Knowledge of HBV and HCV and individuals' attitudes toward HBV- and HCV-infected colleagues: a national cross-sectional study among a working population in Japan.

    Directory of Open Access Journals (Sweden)

    Hisashi Eguchi

    Full Text Available Prejudice and discrimination in the workplace regarding the risk of transmission of Hepatitis B virus (HBV and Hepatitis C virus (HCV are increased by excess concerns due to a lack of relevant knowledge. Education to increase knowledge about HBV and HCV and their prevention could be the first step to reduce prejudice and discrimination. This study aimed to determine the association between the level of knowledge and negative attitudes toward HBV- and HCV-infected colleagues among the Japanese working population. An online anonymous nationwide survey involving about 3,000 individuals was conducted in Japan. The questionnaire consisted of knowledge of HBV and HCV, and attitudes toward HBV- and HCV-infected colleagues in the workplace. Knowledge was divided into three categories: "ensuring daily activities not to be infected"; "risk of infection"; and "characteristics of HBV/HCV hepatitis", based on the result of factor analysis. Multiple logistic regression analysis was applied. A total of 3,129 persons responded to the survey: 36.0% reported they worried about the possibility of transmission of HBV and HCV from infected colleagues; 32.1% avoided contact with infected colleagues; and 23.7% had prejudiced opinions about HBV and HCV infection. The participants were classified into tertiles. A higher level of knowledge of HBV and HCV was significantly associated with these three negative attitudes (P for trend < 0.005. This study suggests that increasing knowledge may decrease individuals' negative attitudes towards HBV- and HCV-infected colleagues. Thus, we should promote increased knowledge of HBV and HCV in stages to reduce negative attitudes toward HBV- and HCV-infected colleagues.

  3. 血清抗-Hcv与Hcv-RNA的关系比较

    Institute of Scientific and Technical Information of China (English)

    阿曼古丽

    1998-01-01

    对 160例门诊及住院肝炎患者采用ELISA法测抗-Hcv,并用逆转录套式聚合酶链反应检测血清Hcv-RNA.结果:160例肝炎患者中,120例Hcv-RNA阳性,即75%的患者存在病毒血症,115例抗-Hcv阳性患者中97例Hcv-RNA阳性,阳性率为84.3%.Hcv-RNA检出率与抗-Hcv的结果有一定关系.

  4. The seroprevalences of HBs Ag and anti-HCV in pregnant women in Ankara.

    Science.gov (United States)

    Altinbas, Sibel; Erdogan, Mine; Danişman, Nuri

    2010-02-01

    In the previous decade, the prevalence of HBs-Ag positivity and the anti-HCV positivity declined in Turkey. We aimed to investigate the prevalences of HBs Ag and anti-HCV positivity in pregnant women in Ankara, the capital city of Turkey, while the vertical transmission should be important way of HBV and HCV transmission. HBs-Ag positivity was determined 2.8% (102) out of 4,700 pregnant women, and 0.1% (6) out of them were positive for anti-HCV. The prevalences of HBs Ag and anti-HCV were both similar to the rate of that seen in western region of Turkey.

  5. HCV triple therapy in co-infection HIV/HCV is not associated with a different risk of developing major depressive disorder

    Directory of Open Access Journals (Sweden)

    Renata Fialho

    2014-11-01

    Full Text Available Introduction: Hepatitis C (HCV treatment options have changed with the development of direct activity antivirals (DAAs and the availability of triple therapies have improved HCV cure rates. A common neuropsychiatric side effect of pegylated-interferon and ribavirin treatment is major depressive disorder (MDD, however little is known about such adverse events with protease inhibitor-based triple therapy. The aim of this study was to assess the rate of MDD in co-infected HIV HCV patients undergoing different HCV treatments. Methods: All participants were co-infected HIV HCV attending the Royal Sussex County Hospital Brighton hepatology outpatient clinic between 2010 and 2014. Participants were assessed for DSM-IV MDD and depression severity (using the Hamilton depression scale (HAMD at baseline and monthly after treatment initiation. HIV and HCV stages, genotype, reinfection and standard demographic variables were recorded. Influence of HCV stage (acute vs. chronic and type of treatment (classic vs triple, emergence of MDD and clearance outcomes were analyzed using repeated measures and logistic regression models. Results: Fifty participants with a mean age of 42.65 years (SD=10.32 were included; most were male (98%. The majority had contracted HCV genotype 1 (64% or 4 (26%. The HCV stage and treatment groups were matched for age and depression at baseline. No significant differences were found on virological outcomes considering HCV stage and treatment. From baseline to SVR, there was a significant increase in HAMD scores, F(4,36=10.09, p<.001; this was not significantly influenced by HCV stage, F(4,35=0.54, p=.708 or HCV treatment group, F(4,35=0.60, p=.664. Those with chronic HCV were more likely to transition to MDD than acute infection (OR 7.77, 95% CI 2.04–29.54, p=.003. No differences were found for depression emergence by HCV treatment group (OR 0.83, 95% CI 0.22–3.13, p=.787. Conclusions: HCV triple therapy was not associated with a

  6. Serum Immunoglobulin G Antibodies to the GOR Autoepitope Are Present in Patients with Occult Hepatitis C Virus (HCV) Infection despite Lack of HCV-Specific Antibodies▿

    OpenAIRE

    Quiroga, Juan A.; Castillo, Inmaculada; Bartolomé, Javier; CARREÑO, VICENTE

    2007-01-01

    Antibody responses to the GOR autoepitope are frequently detected among anti-hepatitis C virus (anti-HCV)-positive patients with chronic hepatitis. Sera from 110 anti-HCV-negative patients with occult HCV infection, as diagnosed by detection of HCV RNA in hepatic tissue, were investigated for GOR antibody reactivity. A positive test for anti-GOR immunoglobulin G (IgG) was found for 22 (20%) of them. The frequency and titers of anti-GOR IgG were significantly lower than those in chronic hepati...

  7. Comparison of Serum Hepatitis C Virus (HCV) RNA and Core Antigen Levels in Patients Coinfected with Human Immunodeficiency Virus and HCV and Treated with Interferon plus Ribavirin

    Science.gov (United States)

    Pivert, A.; Payan, C.; Morand, P.; Fafi-Kremer, S.; Deshayes, J.; Carrat, F.; Pol, S.; Cacoub, P.; Perronne, C.; Lunel, F.

    2006-01-01

    Trak-C (Ortho-Clinical Diagnostics) is an enzyme-linked immunosorbent assay-based method capable of quantifying hepatitis C virus (HCV) core antigen (CA) in serum and could be an alternative to molecular detection and quantification of HCV RNA. We have evaluated the Trak-C assay in comparison with an HCV RNA quantitative assay (Versant HCV v3.0; Bayer Diagnostics) in the follow-up of 348 treated, human immunodeficiency virus (HIV)/HCV-coinfected patients included in the ANRS HC02 RIBAVIC trial. ANRS HC02 RIBAVIC is a therapeutic, multicenter, randomized protocol comparing the efficacy of alpha interferon 2b (IFN-α2b) (3 million units three times a week)-ribavirin (800 mg/day) to that of pegylated IFN-α2b (1.5 μg/kg of body weight/week)-ribavirin (800 mg/day) during 48 weeks of treatment of HIV/HCV-coinfected patients naïve to HCV treatment. Patients were assessed for virological analysis at day 0 and weeks 4, 12, 24, 48, and 72. Correlation of HCV RNA and HCV CA at the initiation of treatment was excellent (r = 0.92). HCV RNA and CA kinetics were similar during follow-up of HCV treatment from day 0 to week 72 whatever the group of response and genotype. The positive and negative predictive values of response to the treatment at week 4 were 59 and 94%, respectively, for HCV RNA load reduction of >2 log and 54 and 94%, respectively, for HCV CA below the threshold value (4.18 log10 pg/ml · 104). Trak-C, a new assay able to quantify CA in HIV/HCV-coinfected patients, correlates well with quantitative HCV RNA assays and is cheaper and easier to perform than molecular technology. HCV CA could be a valuable alternative test for therapeutic follow-up of coinfected patients treated with IFN plus ribavirin in developing countries. PMID:16455894

  8. Cell-death-inducing DFFA-like Effector B Contributes to the Assembly of Hepatitis C Virus (HCV) Particles and Interacts with HCV NS5A

    Science.gov (United States)

    Cai, Hua; Yao, Wenxia; Li, Leike; Li, Xinlei; Hu, Longbo; Mai, Runming; Peng, Tao

    2016-01-01

    Hepatitis C virus (HCV) uses components of the very-low-density lipoprotein (VLDL) pathway for assembly/release. We previously reported that hepatocyte nuclear factor 4α (HNF4α) participates in HCV assembly/release through downstream factors those participate in VLDL assembly/secretion. Cell-death-inducing DFFA-like effector B (CIDEB) is an important regulator of the VLDL pathway. CIDEB is required for entry of HCV particles from cell culture (HCVcc), but the effects of CIDEB on the post-entry steps of the HCV lifecycle are unclear. In the present study, we determined that CIDEB is required for HCV assembly in addition to HCVcc entry. Furthermore, CIDEB interacts with the HCV NS5A protein, and the N terminus of CIDEB and the domain I of NS5A are involved in this interaction. Moreover, CIDEB silencing impairs the association of apolipoprotein E (ApoE) with HCV particles. Interestingly, CIDEB is also required for the post-entry stages of the dengue virus (DENV) life cycle. Collectively, these results indicate that CIDEB is a new host factor that is involved in HCV assembly, presumably by interacting with viral protein, providing new insight into the exploitation of the VLDL regulator CIDEB by HCV. PMID:27282740

  9. Broad Anti-Hepatitis C Virus (HCV) Antibody Responses Are Associated with Improved Clinical Disease Parameters in Chronic HCV Infection

    Science.gov (United States)

    Swann, Rachael E.; Cowton, Vanessa M.; Robinson, Mark W.; Cole, Sarah J.; Barclay, Stephen T.; Mills, Peter R.; Thomson, Emma C.; McLauchlan, John

    2016-01-01

    ABSTRACT During hepatitis C virus (HCV) infection, broadly neutralizing antibody (bNAb) responses targeting E1E2 envelope glycoproteins are generated in many individuals. It is unclear if these antibodies play a protective or a pathogenic role during chronic infection. In this study, we investigated whether bNAb responses in individuals with chronic infection were associated with differences in clinical presentation. Patient-derived purified serum IgG was used to assess the breadth of HCV E1E2 binding and the neutralization activity of HCV pseudoparticles. The binding and neutralization activity results for two panels bearing viral envelope proteins representing either an intergenotype or an intragenotype 1 group were compared. We found that the HCV load was negatively associated with strong cross-genotypic E1E2 binding (P = 0.03). Overall, we observed only a modest correlation between total E1E2 binding and neutralization ability. The breadth of intergenotype neutralization did not correlate with any clinical parameters; however, analysis of individuals with genotype 1 (gt1) HCV infection (n = 20), using an intragenotype pseudoparticle panel, found a strong association between neutralization breadth and reduced liver fibrosis (P = 0.006). A broad bNAb response in our cohort with chronic infection was associated with a single nucleotide polymorphism (SNP) in the HLA-DQB1 gene (P = 0.038), as previously reported in a cohort with acute disease. Furthermore, the bNAbs in these individuals targeted more than one region of E2-neutralizing epitopes, as assessed through cross-competition of patient bNAbs with well-characterized E2 antibodies. We conclude that the bNAb responses in patients with chronic gt1 infection are associated with lower rates of fibrosis and host genetics may play a role in the ability to raise such responses. IMPORTANCE Globally, there are 130 million to 150 million people with chronic HCV infection. Typically, the disease is progressive and is a

  10. Characteristics of HCV replication and expression in a cultured human liver carcinoma cell line in vitro

    Institute of Scientific and Technical Information of China (English)

    SONG Zhi-qing; HAO Fei; MIN Feng; LIU Dao-jian

    2001-01-01

    Objective: To establish a cell culture system to support HCV long-term replication in vitro. Methods: A human hepatoma cell line 7721 was tested for its susceptibility to HCV by incubating with a serum from chronic hepatitis C patient. Cells and supernatant of the culture medium were harvested at various time-phases during the culturing periods. The presence of HCV RNA, the expression of HCV antigens in cells and/or supematant were examined with RT-PCR, in situ hybridization and immunohistochemistry respectively. Results: It was found that the intracellular HCV RNA was first detected on the 2nd day after culture, and then could be intermittently detected in both cells and supernatant over a period of at least 3 months after culture. HCV NS3, CP10 antigens were expressed in the cells. The fresh cells could be infected with the supernatant from cultured infected cells and the transmission of viral genome from HCV-infected 7721 cells to peripheral blood mononuclear cells (PBMCs) was also observed. Conclusion: Our findings suggest that the human liver carcinoma cell line7721 is not only susceptible to HCV but also can support its long replication in vitro. This cell line with HCV infection in vitro can serve as a useful tool for the study of the mechanism of HCV infection and replication, the evaluation of antiviral agents, and the primary selection of neutralization assays and HCV vaccine development.

  11. Clearance of low levels of HCV viremia in the absence of a strong adaptive immune response

    Directory of Open Access Journals (Sweden)

    Manns Michael P

    2007-06-01

    Full Text Available Abstract Spontaneous clearance of hepatitis C virus (HCV has frequently been associated with the presence of HCV-specific cellular immunity. However, there had been also reports in chimpanzees demonstrating clearance of HCV-viremia in the absence of significant levels of detectable HCV-specific cellular immune responses. We here report seven asymptomatic acute hepatitis C cases with peak HCV-RNA levels between 300 and 100.000 copies/ml who all cleared HCV-RNA spontaneously. Patients were identified by a systematic screening of 1176 consecutive new incoming offenders in a German young offender institution. Four of the seven patients never developed anti-HCV antibodies and had normal ALT levels throughout follow-up. Transient weak HCV-specific CD4+ T cell responses were detectable in five individuals which did not differ in strength and breadth from age- and sex-matched patients with chronic hepatitis C and long-term recovered patients. In contrast, HCV-specific MHC-class-I-tetramer-positive cells were found in 3 of 4 HLA-A2-positive patients. Thus, these cases highlight that clearance of low levels of HCV viremia is possible in the absence of a strong adaptive immune response which might explain the low seroconversion rate after occupational exposure to HCV.

  12. Schistosomiasis as a possible risk factor for acquiring hepatitis C virus (HCV infection among Saudis

    Directory of Open Access Journals (Sweden)

    Arif Mohammed

    1997-01-01

    Full Text Available Background -Risk factors for acquiring hepatitis C virus (HCV infection have been elucidated in many developed countries but the picture is still not clear in many Middle Eastern Countries including Saudi Arabia. Aim -To investigate possible risk factors for acquiring HCV among Saudis. Methods -Various demographic and medical risk factors that might be associated with the spread of HCV among Saudis were investigated. The population studied included 20 anti-HCV-positive with chronic liver disease (CLD, 30 anti-HCV-positive patients without CLD and 272 anti-HCV-negative Saudi blood donors. All people investigated were of the same age group (>40 years of age. Results -None of the demographic parameters studied (type of job, type of housing, education was found to be significantly associated with acquiring HCV infection among our Saudi patients. On the other hand up to 40% of the anti-HCV-positive patients and irrespective of the condition of liver disease had a history of surgery, and 25% of them had a history of multiple injections. Furthermore, at least 20% of our anti-HCV-positive patients had a history of schistosomiasis which is significantly higher than schistosomiasis among the blood donors (P< 0.005. Conclusion -In addition to blood and blood products, schistosomiasis seems to be a possible risk factor for acquiring HCV among the Saudi population. The association between schistosomiasis and enhancement of HCV infection need to be further elucidated.

  13. Proteasome- and Ethanol-Dependent Regulation of HCV-Infection Pathogenesis

    Directory of Open Access Journals (Sweden)

    Natalia A. Osna

    2014-09-01

    Full Text Available This paper reviews the role of the catabolism of HCV and signaling proteins in HCV protection and the involvement of ethanol in HCV-proteasome interactions. HCV specifically infects hepatocytes, and intracellularly expressed HCV proteins generate oxidative stress, which is further exacerbated by heavy drinking. The proteasome is the principal proteolytic system in cells, and its activity is sensitive to the level of cellular oxidative stress. Not only host proteins, but some HCV proteins are degraded by the proteasome, which, in turn, controls HCV propagation and is crucial for the elimination of the virus. Ubiquitylation of HCV proteins usually leads to the prevention of HCV propagation, while accumulation of undegraded viral proteins in the nuclear compartment exacerbates infection pathogenesis. Proteasome activity also regulates both innate and adaptive immunity in HCV-infected cells. In addition, the proteasome/immunoproteasome is activated by interferons, which also induce “early” and “late” interferon-sensitive genes (ISGs with anti-viral properties. Cleaving viral proteins to peptides in professional immune antigen presenting cells and infected (“target” hepatocytes that express the MHC class I-antigenic peptide complex, the proteasome regulates the clearance of infected hepatocytes by the immune system. Alcohol exposure prevents peptide cleavage by generating metabolites that impair proteasome activity, thereby providing escape mechanisms that interfere with efficient viral clearance to promote the persistence of HCV-infection.

  14. The novel cis-encoded antisense RNA AsrC positively regulates the expression of rpoE-rseABC operon and thus enhances the motility of Salmonella enterica serovar Typhi.

    Directory of Open Access Journals (Sweden)

    Qi eZhang

    2015-09-01

    Full Text Available Bacterial noncoding RNAs are essential in many cellular processes, including response to environmental stress, and virulence. Deep sequencing analysis of the Salmonella enterica serovar Typhi (S. Typhi transcriptome revealed a novel antisense RNA transcribed in cis on the strand complementary to rseC, an activator gene of sigma factor RpoE. In this study, expression of this antisense RNA was confirmed in S. Typhi by Northern hybridization. Rapid amplification of cDNA ends and sequence analysis identified an 893 bp sequence from the antisense RNA coding region that covered all of the rseC coding region in the reverse direction of transcription. This sequence of RNA was named as AsrC. After overexpression of AsrC with recombinantant plasmid in S. Typhi, the bacterial motility was increased obviously. To explore the mechanism of AsrC function, regulation of rseC and rpoE expression by AsrC was investigated. We found that AsrC increased the levels of rseC mRNA and protein. The expression of rpoE was also increased in S. Typhi after overexpression of AsrC, which was dependent on rseC. Thus, we propose that AsrC increased RseC level and indirectly activating RpoE which can initiate fliA expression and promote the motility of S. Typhi.

  15. Soluble egg antigen of Schistosoma Haematobium induces HCV replication in PBMC from patients with chronic HCV infection

    Directory of Open Access Journals (Sweden)

    Tabll Ashraf A

    2006-06-01

    Full Text Available Abstract Background This study was conducted to examine, in vitro , the effect of soluble egg antigen (SEA of S. haematobium on intracellular HCV RNA load in peripheral mononuclear cells (PBMC as well as on cell proliferation in patients with chronic HCV infection. Methods PBMC from 26 patients with chronic HCV infection were cultured for 72 hours in presence and absence of 50 μg SEA/ml medium. Intracellular HCV RNA quantification of plus and minus strands was assessed before and after stimulation. PBMC from five healthy subjects were cultured for 7 days, flow cytometric analysis of DNA content was used to assess the mitogenic effect of SEA on PBMC proliferation compared to phytoheamaglutinine (PHA. Results Quantification of the intracellular viral load showed increased copy number/cell of both or either viral strands after induction with SEA in 18 of 26 patients (69.2% thus indicating stimulation of viral replication. Flow cytometric analysis showed that mean ± S.D. of percent values of cell proliferation was induced from 3.2 ± 1.5% in un-stimulated cells to 16.7 ± 2.5 % and 16.84 ± 1.7 % in cells stimulated with PHA and SEA respectively. Conclusion the present study supports earlier reports on SEA proliferative activity on PBMC and provides a strong evidence that the higher morbidity observed in patients co-infected with schistosomiasis and HCV is related, at least in part, to direct stimulation of viral replication by SEA.

  16. Evidence for immune selection of hepatitis C virus (HCV) putative envelope glycoprotein variants: potential role in chronic HCV infections.

    Science.gov (United States)

    Weiner, A J; Geysen, H M; Christopherson, C; Hall, J E; Mason, T J; Saracco, G; Bonino, F; Crawford, K; Marion, C D; Crawford, K A

    1992-01-01

    E2/nonstructural protein 1, the putative envelope glycoprotein (gp72) of HCV, possesses an N-terminal hypervariable (E2 HV) domain from amino acids 384 to 414 of unknown significance. The high degree of amino acid sequence variation in the E2 HV domain appears to be comparable to that observed in the human immunodeficiency virus type 1 gp120 V3 domain. This observation and the observation that the HCV E2 HV domain lacks conserved secondary structure imply that, like the V3 loop of human immunodeficiency virus 1 gp120, the N-terminal E2 region may encode protective epitopes that are subject to immune selection. Antibody-epitope binding studies revealed five isolate-specific linear epitopes located in the E2 HV region. These results suggest that the E2 HV domain is a target for the human immune response and that, in addition to the three major groups of HCV, defined by nucleotide and amino acid sequence identity among HCV isolates, E2 HV-specific subgroups also exist. Analysis of the partial or complete E2 sequences of two individuals indicated that E2 HV variants can either coexist simultaneously in a single individual or that a particular variant may predominate during different episodes of disease. In the latter situation, we found one individual who developed antibodies to a subregion of the E2 HV domain (amino acids 396-407) specific to a variant that was predominant during one major episode of hepatitis but who lacked detectable antibodies to the corresponding region of a second variant that was predominant during a later episode of disease. The data suggest that the variability in the E2 HV domain may result from immune selection. The findings of this report could impact vaccine strategies and drug therapy programs designed to control and eliminate HCV. PMID:1314389

  17. 151例血清抗-HCV阳性患者的HCV RNA检测分析%Detection of Serum HCV RNA in Patients with Positive Anti--HCV Reaction

    Institute of Scientific and Technical Information of China (English)

    易冬英; 周福民; 余叔侃

    2001-01-01

    目的:探讨丙型肝炎抗体(抗-HCV)和丙型肝炎病毒核糖核酸(HCV RNA)的关系.方法:研究对间接ELISA法检测抗-HCV阳性患者的血清进行HCV RNA检测(采用RT-PCR法).结果:151例血清抗-HCV阳性患者有85例HCV RNA阳性,阳性率为56.2%.另外,还观察了40例抗HCV阳性病人的双份血清,急性期第一份血清ALT升高、HCV RNA为阳性;经抗病毒治疗后的第二份血清,部分病人ALT复常,HCV RNA阴转,另外部分病人反复ALT异常,HCV RNA则始终为阳性.结论:HCV RNA能鉴别活动性HCV感染及非活动性感染,可为抗病毒药物疗效的评价和临床合理用药提供依据.

  18. Prevalence, genotypes and factors associated with HCV infection among prisoners in Northeastern Brazil

    Science.gov (United States)

    de Oliveira Santos, Bruno Fernandes; de Santana, Nathalie Oliveira; Franca, Alex Vianey Callado

    2011-01-01

    AIM: To determine hepatitis C virus (HCV) seroprevalence and its genotypes, and to identify the factors associated with HCV infection. METHODS: This cross-sectional study, conducted in two prisons (one male and one female) in the State of Sergipe, Brazil, comprised 422 subjects. All of the prisoners underwent a rapid test for the detection of HCV antibodies. Patients with a positive result were tested for anti-HCV by enzyme linked immunosorbent assay and for HCV RNA by qualitative polymerase chain reaction (PCR). The virus genotype was defined in every serum sample that presented positive for PCR-HCV. In order to determine the factors independently associated with positive serology for HCV, multivariate logistic regression was used. RESULTS: HCV seroprevalence was 3.1%. Of the 13 subjects with positive anti-HCV, 11 had viremia confirmed by PCR. Of these, 90.9% had genotype 1. A total of 43 (10.2%) were injecting drug users, and HCV seroprevalence in this subgroup was 20.6%. The variable most strongly associated with positive serology for HCV was use of injecting drugs [odds ratio (OR), 23.3; 95% confidence interval (CI), 6.0-90.8]. Age over 30 years (OR, 5.5; 95%CI, 1.1-29.2), history of syphilis (OR, 9.8; 95%CI, 1.7-55.2) and history of household contact with HCV positive individual (OR, 14.1; 95%CI, 2.3-85.4) were also independently associated with HCV infection. CONCLUSION: Most of the HCV transmissions result from parenteral exposure. However, there is evidence to suggest a role for sex and household contact with an infected subject in virus transmission. PMID:21799649

  19. HCV Diversity among Chinese and Burmese IDUs in Dehong, Yunnan, China

    Science.gov (United States)

    Chen, Xin; Duo, Lin; Li, Peilu; Zheng, Yong-Tang; Zhang, Chiyu

    2016-01-01

    HCV transmission is closely associated with drug-trafficking routes in China. Dehong, a prefecture of Yunnan, is the important trade transfer station linking Southeast Asia and China, as well as the drug-trafficking channel linking “Golden triangle” and other regions of China and surrounding countries. In this study, we investigated the HCV genotype diversity among IDUs in Dehong based on 259 HCV positive samples from 118 Chinese and 141 Burmese IDUs. HCV genotypes were determined based on the phylogenies of C/E2 and NS5B genomic sequences. Six HCV subtypes, including 1a, 1b, 3a, 3b, 6n and 6u, were detected. Interestingly, 4 HCV sequences from Burmese IDUs did not cluster with any known HCV subtypes, but formed a well-supported independent clade in the phylogenetic trees of both C/E2 and NS5B, suggesting a potential new HCV subtype circulating in Dehong. Subtype 3b was the predominant subtype, followed by subtypes 6n and 6u. Comparison showed that Dehong had a unique pattern of HCV subtype distribution, obviously different from other regions of China. In particular, HCV subtypes 6u and the potential new HCV subtype had a relatively high prevalence in Dehong, but were rarely detected in other regions of China. There was no significant difference in HCV subtype distribution between Burmese and Chinese IDUs. Few HCV sequences from Burmese and Chinese IDUs clustered together to form transmission clusters. Furthermore, about half of HCV sequences from Burmese IDUs formed small transmission clusters, significantly higher than that from Chinese IDUs (p<0.01). These suggest that the Chinese and Burmese IDUs were relatively isolated from each other in injection drug use behavior and the Burmese IDUs might prefer to inject drugs themselves together. The unique genotype distribution and complex diversity of genotype 6 among IDUs may be associated with the special geographical position of Dehong. PMID:27657722

  20. Significance of CLIA combined with EIA method in detecting anti-HCV and HCV-cAg for HCV primary screening%CLIA法测抗-HCV联合EIA法检测HCV-cAg在HCV感染初筛试验中的意义

    Institute of Scientific and Technical Information of China (English)

    周珍娟; 刘程

    2016-01-01

    目的 探讨自动化学发光免疫分析法(CLIA)测抗-丙型肝炎病毒(抗-HCV)联合酶联免疫法(EIA)测HCV核心抗原(HCV-cAg)在HCV感染初筛试验中的应用价值.方法 采用CLIA法、EIA法检测所有临床标本中抗-HCV和HCV-cAg,比较抗-HCV初筛阳性样本与丙型病毒性肝炎病毒核糖核酸(HCV-RNA)检测结果.结果 本组698例标本中,24例呈阳性,其中23例抗-HCV阳性,9例HCV-cAg阳性,抗-HCV和HCV-cAg检测结果同时阳性者8例.有1例抗-HCV检测阴性,而HCV-cAg检测为阳性,后经HCV-RNA检测证实为HCV感染.24例阳性标本经HCV-RNA检测后,共检出阳性标本17例,其中经HCV-cAg检测为阳性的9例患者均经HCV-RNA检测证实;抗-HCV检测的23例阳性标本中16例经HCV-RNA检测证实为阳性.结论 抗-HCV联合HCV-cAg检测进行HCV感染初筛试验,可降低假阳性率,提高阳性检出率,与HCV-RNA的检测结果符合率高,有利于早期诊断.

  1. Prevalence, genotypes and factors associated with HCV infection among prisoners in Northeastern Brazil

    Institute of Scientific and Technical Information of China (English)

    Bruno Fernandes de Oliveira Santos; Nathalie Oliveira de Santana; Alex Vianey Callado Franca

    2011-01-01

    AIM: To determine hepatitis C virus (HCV) seroprevalence and its genotypes, and to identify the factors associated with HCV infection. METHODS: This cross-sectional study, conducted in two prisons (one male and one female) in the State of Sergipe, Brazil, comprised 422 subjects. All of the prisoners underwent a rapid test for the detection of HCV antibodies. Patients with a positive result were tested for anti- HCV by enzyme linked immunosorbent assay and for HCV RNA by qualitative polymerase chain reaction (PCR). The virus genotype was defined in every serum sample that presented positive for PCR-HCV. In order to determine the factors independently associated with positive serology for HCV, multivariate logistic regression was used. RESULTS: HCV seroprevalence was 3.1%. Of the 13 subjects with positive anti-HCV, 11 had viremia confirmed by PCR. Of these, 90.9% had genotype 1. A total of 43 (10.2%) were injecting drug users, and HCV seroprevalence in this subgroup was 20.6%. The variable most strongly associated with positive serology for HCV was use of injecting drugs [odds ratio (OR), 23.3; 95% confidence interval (CI), 6.0-90.8]. Age over 30 years (OR, 5.5; 95%CI, 1.1-29.2), history of syphilis (OR, 9.8; 95%CI, 1.7-55.2) and history of household contact with HCV positive individual (OR, 14.1; 95%CI, 2.3-85.4) were also independently associated with HCV infection. CONCLUSION: Most of the HCV transmissions result from parenteral exposure. However, there is evidence to suggest a role for sex and household contact with an infected subject in virus transmission.

  2. During Hepatitis C Virus (HCV) Infection and HCV-HIV Coinfection, an Elevated Plasma Level of Autotaxin Is Associated With Lysophosphatidic Acid and Markers of Immune Activation That Normalize During Interferon-Free HCV Therapy.

    Science.gov (United States)

    Kostadinova, Lenche; Shive, Carey L; Judge, Chelsey; Zebrowski, Elizabeth; Compan, Anita; Rife, Kelsey; Hirsch, Amy; Falck-Ytter, Yngve; Schlatzer, Daniela M; Li, Xiaolin; Chance, Mark R; Rodriguez, Benigno; Popkin, Daniel L; Anthony, Donald D

    2016-11-01

     Immune activation predicts morbidity during hepatitis C virus (HCV) infection and human immunodeficiency virus (HIV) infection, although mechanisms underlying immune activation are unclear. Plasma levels of autotaxin and its enzymatic product, lysophosphatidic acid (LPA), are elevated during HCV infection, and LPA activates immunocytes, but whether this contributes to immune activation is unknown.  We evaluated plasma levels of autotaxin, interleukin 6 (IL-6), soluble CD14 (sCD14), soluble CD163 (sCD163), and Mac2 binding protein (Mac2BP) during HCV infection, HIV infection, and HCV-HIV coinfection, as well as in uninfected controls, before and after HIV antiretroviral therapy (ART) initiation and during interferon-free HCV therapy.  We observed greater plasma autotaxin levels in HCV-infected and HCV-HIV-coinfected participants, compared with uninfected participants, primarily those with a higher ratio of aspartate aminotransferase level to platelet count. Autotaxin levels correlated with IL-6, sCD14, sCD163, Mac2BP, and LPA levels in HCV-infected participants and with Mac2BP levels in HCV-HIV-coinfected participants, while in HIV-infected individuals, sCD14 levels correlated with Mac2BP levels. Autotaxin, LPA, and sCD14 levels normalized, while sCD163 and Mac2BP levels partially normalized within 6 months of starting interferon-free HCV therapy. sCD163 and IL-6 levels normalized within 6 months of starting ART for HIV infection. In vitro, LPA activated monocytes.  These data indicate that elevated levels of autotaxin and soluble markers of immune activation during HCV infection are partially reversible within 6 months of initiating interferon-free HCV treatment and that autotaxin may be causally linked to immune activation during HCV infection and HCV-HIV coinfection. Published by Oxford University Press for the Infectious Diseases Society of America 2016. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  3. Innate and adaptive immune responses in HCV infections.

    Science.gov (United States)

    Heim, Markus H; Thimme, Robert

    2014-11-01

    Hepatitis C virus has been identified a quarter of a decade ago as a leading cause of chronic viral hepatitis that can lead to cirrhosis and hepatocellular carcinoma. Only a minority of patients can clear the virus spontaneously during acute infection. Elimination of HCV during acute infection correlates with a rapid induction of innate, especially interferon (IFN) induced genes, and a delayed induction of adaptive immune responses. However, the majority of patients is unable to clear the virus and develops viral persistence in face of an ongoing innate and adaptive immune response. The virus has developed several strategies to escape these immune responses. For example, to escape innate immunity, the HCV NS3/4A protease can efficiently cleave and inactivate two important signalling molecules in the sensory pathways that react to HCV pathogen-associated molecular patterns (PAMPs) to induce IFNs, i.e., the mitochondrial anti-viral signalling protein (MAVS) and the Toll-IL-1 receptor-domain-containing adaptor-inducing IFN-β (TRIF). Despite these escape mechanisms, IFN-stimulated genes (ISGs) are induced in a large proportion of patients with chronic infection. Of note, chronically HCV infected patients with constitutive IFN-stimulated gene (ISG) expression have a poor response to treatment with pegylated IFN-α (PegIFN-α) and ribavirin. The mechanisms that protect HCV from IFN-mediated innate immune reactions are not entirely understood, but might involve blockade of ISG protein translation at the ribosome, localization of viral replication to cell compartments that are not accessible to anti-viral IFN-stimulated effector systems, or direct antagonism of effector systems by viral proteins. Escape from adaptive immune responses can be achieved by emergence of viral escape mutations that avoid recognition by antibodies and T cells. In addition, chronic infection is characterized by the presence of functionally and phenotypically altered NK and T cell responses that

  4. Hepatitis C virus (HCV)-RNA in non-A, non-B chronic hepatitis in France. Nucleotide sequence of a French HCV isolate.

    Science.gov (United States)

    Kremsdorf, D; Porchon, C; Brechot, C

    1991-01-01

    The sera of 36 French patients with post-transfusional and sporadic non-A, non-B (NANB) chronic hepatitis were investigated, with a combination of serological and polymerase chain reaction (PCR) assays, for HBV and HCV infections. Eighty-nine percent of the patients were found positive with serological and/or molecular tests. Among the positive patients, 68% (22/32) were found positive for both anti-HCV and HCV-RNA, 16% (5/32) and 16% (5/32) were found positive only for anti-HCV or HCV-RNA, respectively. HBV-DNA sequences were detected in two patients associated to the HCV viraemia. This study confirms the extremely high prevalence of HCV infection in NANB chronic hepatitis in France. It also shows the possible co-infection by HCV and HBV in NANB hepatitis. We have also determined the nucleotide sequence of the 5' non-coding, E1, E2/NS1 and NS3/NS4 regions of a French isolate using the polymerase chain reaction. Comparison of these nucleotide sequences with those available from American and Japanese isolates showed a significant genetic variability. The genetic variability is higher in the E2/NS1 (13 to 33% and 12 to 30% at the nucleic acid and amino acid level, respectively) than in the E1 (10 to 28% and 7 to 21%) and NS3/NS4 (5 to 21% and 2 to 7%) regions. The sequence of the French isolate is more closely related to that of the American HCV prototype than to the Japanese HCV isolates. This study confirms the extent of HCV genetic variability.

  5. 丙型肝炎病毒核酸定量和抗-HCV血清学分析的诊断价值%Retrospective analysis of Antibody of HCV and quantification of HCV RNA in diagnosis of hepatitis C

    Institute of Scientific and Technical Information of China (English)

    刘贤华; 白晓东; 刘元明; 段萃娟; 荣冉; 刘维维

    2013-01-01

    目的 探讨PCR-荧光探针法与抗-HCV检测在丙型肝炎(丙肝)诊断中的应用价值.方法 回顾性分析265例疑似丙肝病毒感染者行HCV-RNA、抗-HCV及ALT检测的资料,统计不同年龄、性别分布情况,进行HCV-RNA与抗-HCV、ALT的相关性分析.结果 (1)男性抗-HCV与HCV-RNA的阳性率均高于女性,但差异无统计学意义(P>0.05);年龄>40岁的患者抗-HCV与HCV-RNA的阳性率明显高于年龄≤40岁的患者,差异有统计学意义(P0.05).(3)HCV-RNA阳性多伴有抗-HCV阳性(r=0.320),二者有很好的相关性.结论 ELISA 法检测抗-HCV在丙型肝炎诊断中仍旧为首选检测方法.联合应用HCV-RNA和抗-HCV及ALT检测,是诊断丙型肝炎最为可靠的方法.%Objective To study the application value of hepatitis C virus RNA detection ( PCR -fluorescent probe) and hepatitis C virus antibody detection (ELISA, anti - HCV) in the diagnosis of hepatitis C. Methods The HCV - RNA and anti - HCV tests of 265 suspected HCV patients were reviewed, statistics of anti - HCV and HCV - RNA detection results and ALT level in different ages and gender was collected and analysized. Results ①Anti - HCV and HCV - RNA positive rates in men were higher than those in women, but there was no statistically significant difference (P >0. 05). ② Anti - HCV and HCV - RNA positive rates in >40 years old patients were obviously higher than those in ≤40 years old patients ,with statistically significant difference (P 40 and ≤40 years old patients (P 0. 05 ) . ④The abnormal rate of Anti - HCV was closely correlated with HCV - RNA ( r = 0. 320) ; Anti - HCV, HCV - RNA and ALT had no statistically significant difference ( P > 0. 05 ) . Conclusions ①Anti - HCV and HCV - RNA detection have no relation with gender, but they have certain relevance with age. ②ELISA for detecting anti - HCV is still first choice in HCV. Combined use of HCV - RNA,anti - HCV and ALT detection, will be the most reliable and valuable method

  6. Study on correlation between serum HCV-RNA level and Anti-HCV with liver fibrosis indexes in patients with chronic hepatitis C%慢性丙型肝炎患者血清 HCV-RNA 水平与抗-HCV 抗体和肝纤指标水平相关性分析

    Institute of Scientific and Technical Information of China (English)

    赵小英; 杨邵华

    2015-01-01

    Objective To investigate the correlation between serum HCV-RNA level and anti-HCV with liver fibrosis indexes in the patients with chronic hepatitis C.Methods The serum samples were collected in 96 cases of chronic hepatitis C.The HCV-RNA level was determined by real time fluorescence quantification PCR and Anti-HCV was detected by ELISA.LN,PCⅢ and CⅣlevels were detected by the electrochemical iuminescence analyzer and HA was examined by radioimmunoassay(RIA).The correla-tion between the HCV-RNA and Anti-HCV levels with the liver fibrosis indexes was analyzed with the statistic software.Results Among these 96 cases of Anti-HCV positive chronic hepatitis C,52 cases (54.2%)were HCV-RNA positive.With increasing of the S/CO value of Anti-HCV,the detection rate of HCV-RNA was increased,which were 9.5%,37.1% and 92.5%.The differ-ences in HA,LN,PCⅢ and CⅣ levels between the high viral load group and the low viral load group had no statistical significance (P >0.05).Conclusion The positive detection rate of HCV-RNA is related with the S/CO value of Anti-HCV,the higher the S/CO value,the higher the positive detection rate of HCV-RNA.But the HCV-RNA level has no correlation with the liver fibrosis in-dexes.%目的:探讨丙型肝炎患者 RNA 水平与抗-HCV 抗体和肝纤指标水平的关系。方法收集96例慢性丙型肝炎患者的血清,实时荧光定量 PCR 测定 HCV-RNA 和 ELISA 法检测抗-HCV 抗体。化学发光法检测 LN、PCⅢ、CⅣ及放免法检测 HA。并对抗-HCV 抗体、HCV-RNA 水平与血清肝纤指标之间的关系进行分析。结果本研究的96例抗-HCV 抗体阳性的慢性丙型肝炎患者中,HCV-RNA 阳性52例,阳性率为54.2%。随着抗-HCV 抗体的 S/CO 值升高,HCV-RNA 检出率也在增高,分别为9.5%、37.1%和92.5%。高病毒载量组与低病毒载量组比较,血清 HA、LN、PCⅢ及 CⅣ水平的差异无统计学意义(P >0.05)。结论慢性丙肝患者 HCV

  7. International diagnostic guidelines for patients with HCV-related extrahepatic manifestations. A multidisciplinary expert statement.

    Science.gov (United States)

    Ferri, Clodoveo; Ramos-Casals, Manuel; Zignego, Anna Linda; Arcaini, Luca; Roccatello, Dario; Antonelli, Alessandro; Saadoun, David; Desbois, Anne Claire; Sebastiani, Marco; Casato, Milvia; Lamprecht, Peter; Mangia, Alessandra; Tzioufas, Athanasios G; Younossi, Zobair M; Cacoub, Patrice

    2016-12-01

    Hepatitis C virus (HCV) infection is responsible for both hepatic and extra-hepatic disorders (HCV-EHDs); these latter are correlated on one hand clearly with HCV lymphotropism causing immune-system dysregulation as well as with viral oncogenic potential, and on the other hand probably with chronic inflammatory status causing cardio-metabolic complications as well as neurocognitive disturbances. The spectrum of HCV-EHDs ranges from mild or moderate manifestations, such as arthralgia, sicca syndrome, peripheral neuropathy, to severe, life-threatening complications, mainly vasculitis and neoplastic conditions. Given the clinical heterogeneity of HCV-EHDs, HCV-infected individuals are inevitably referred to different specialists according to the presenting/prevalent symptom(s); therefore, the availability of comprehensive diagnostic guidelines is necessary for a patient's whole assessment that is decisive for early diagnosis and correct therapeutic approach of various hepatic and HCV-EHDs, regardless of the specific competencies of different physicians or referral centers. In this respect, a multidisciplinary network of experts, the International Study Group of Extrahepatic Manifestations Related to Hepatitis C Virus Infection (ISG-EHCV), was organized with the intention to formulate diagnostic guidelines for the work-up of possible HCV-EHDs. There was a broad consensus among ISG-EHCV members on the proposed guidelines, which essentially are based on two main levels of patient's assessment. At the referral stage, it is proposed that all patients with HCV infection should be invariably examined by means of first-line diagnostic procedures including virological and hepatic parameter evaluation, as well as the detection of clinical findings that may suggest one or more HCV-EHDs. This preliminary assessment should reveal specific HCV-EHDs, which will be deeper analyzed by means of second-line, targeted investigations. The proposed multidisciplinary expert statement

  8. Managing HCV infection in pediatric age group: Suggested recommendations

    Directory of Open Access Journals (Sweden)

    Danish Fazal

    2010-01-01

    Full Text Available Hepatitis C virus (HCV infection in children is different from the adult infection in many ways, like natural course of the disease; duration, therapeutic response and side effects profile of the drug therapy; and prognosis. Special considerations include consideration on what could be the appropriate time to investigate a suspected child, when to institute drug therapy and how to prevent vertical transmission. Although over the past one decade many landmark studies have greatly increased our insight on this subject, yet we are far from developing a consensus statement. In this article, a concise yet comprehensive review of HCV infection in children - diagnosis and treatment - is given, followed by suggested recommendations at the end. It is hoped that these recommendations will help develop local guidelines on this subject.

  9. New therapeutic strategies in HCV: second-generation protease inhibitors.

    Science.gov (United States)

    Clark, Virginia C; Peter, Joy A; Nelson, David R

    2013-02-01

    Telaprevir and boceprevir are the first direct-acting antiviral agents approved for use in HCV treatment and represent a significant advance in HCV therapy. However, these first-generation drugs also have significant limitations related to thrice-daily dosing, clinically challenging side-effect profiles, low barriers to resistance and a lack of pan-genotype activity. A second wave of protease inhibitors are in phase II and III trials and promise to provide a drug regimen with a better dosing schedule and improved tolerance. These second-wave protease inhibitors will probably be approved in combination with PEG-IFN and Ribavirin (RBV), as well as future all-oral regimens. The true second-generation protease inhibitors are in earlier stages of development and efficacy data are anxiously awaited as they may provide pan-genotypic antiviral activity and a high genetic barrier to resistance. © 2012 John Wiley & Sons A/S.

  10. PD-1/PD-L1 signal pathway participates in HCV F protein-induced T cell dysfunction in chronic HCV infection.

    Science.gov (United States)

    Xiao, Wen; Jiang, Long Feng; Deng, Xiao Zhao; Zhu, Dan Yan; Pei, Jia Ping; Xu, Mao Lei; Li, Bing Jun; Wang, Chang Jun; Zhang, Jing Hai; Zhang, Qi; Zhou, Zhen Xian; Ding, Wei Liang; Xu, Xiao Dong; Yue, Ming

    2016-04-01

    Programmed cell death-1/programmed cell death-1 ligand 1 (PD-1/PD-L1) inhibitory signal pathway has been verified to be involved in the establishment of persistent viral infections. Blockade of PD-1/PD-L1 engagement to reinvigorate T cell activity is supposed to be a potential therapeutic scheme. Studies have verified the participation of PD-1/PD-L1 in hepatitis C virus (HCV) core protein-regulated immune response. To determine the roles of PD-1/PD-L1 signal pathway in HCV F protein-induced immunoreaction in chronic HCV infection, variations in T cells were examined. The results showed that PD-1 expression on CD8(+) and CD4(+) T cells was increased with HCV F stimulation in both chronic HCV patients and healthy controls, and could be reduced partly by PD-1/PD-L1 blocking. Additionally, by PD-1/PD-L1 blocking, HCV F-induced inhibition of T cell proliferation and promotion of cellular apoptosis were partly or even totally recovered. Furthermore, levels of both Th1 and Th2 cytokines were elevated in the presence of anti-PD-L1 antibody. All these results indicated that PD-1/PD-L1 signal pathway also participates in HCV F protein-induced immunoregulation. PD-1/PD-L1 blocking plays important roles in the restoration of effective functionality of the impaired T cells in chronic HCV patients.

  11. Are RA patients from a non-endemic HCV population screened for HCV? A cross-sectional analysis of three different settings.

    Science.gov (United States)

    Skinner-Taylor, Cassandra Michelle; Erhard-Ramírez, Alejandro; Garza-Elizondo, Mario Alberto; Esquivel-Valerio, Jorge Antonio; Abud-Mendoza, Carlos; Martínez-Martínez, Marco Ulises; Vega-Morales, David; Arana-Guajardo, Ana

    In Mexico, other risk factors are associated with hepatitis C virus (HCV): prior heroin users, living alone, widower, and northern region residence. Rheumatoid arthritis (RA) patients are considered immunosuppressed and HCV testing is recommended before treatment. The aim of the study was to describe the characteristics of HCV testing in RA patients in three different medical care settings in a non-endemic area. A retrospective observational study was performed using medical records from 960 RA patients describing the indications for HCV testing. The test was performed in 28.6% and the HCV overall frequency was 0.36%. Population characteristics were not associated with an increased risk of HCV infection; therefore, anti-HCV positivity was low. The main reason for testing was before starting biological agents. Due to the low pre-test probability, testing for HCV infection should be personalized; i.e., according to disease prevalence in a particular geographical location and the individual risk factors. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

  12. Incidence of hepatitis C virus (HCV in a multicenter cohort of HIV-positive patients in Spain 2004-2011: increasing rates of HCV diagnosis but not of HCV seroconversions.

    Directory of Open Access Journals (Sweden)

    Paz Sobrino-Vegas

    Full Text Available OBJECTIVES: We aim to describe rates and risk factors of Hepatitis C Virus (HCV diagnoses, follow-up HCV testing and HCV seroconversion from 2004-2011 in a cohort of HIV-positive persons in Spain. METHODS: CoRIS is a multicentre, open and prospective cohort recruiting adult HIV-positive patients naïve to antiretroviral therapy. We analysed patients with at least one negative and one follow-up HCV serology. Incidence Rates (IR were calculated and multivariate Poisson regression was used to estimate adjusted Rates Ratios (aIRR. RESULTS: Of 2112 subjects, 53 HCV diagnoses were observed, IR = 0.93/100 py (95%CI: 0.7-1.2. IR increased from 0.88 in 2004-05 to 1.36 in 2010-11 (aIRR = 1.55; 95%CI: 0.37-6.55. In men who have sex with men (MSM from 0.76 to 1.10 (aIRR = 1.45; 95%CI: 0.31-6.82; in heterosexual (HTX subjects from 1.19 to 1.28 (aIRR = 1.08; 95%CI: 0.11-10.24. HCV seroconversion rates decreased from 1.77 to 0.65 (aIRR = 0.37; 95%CI: 0.12-1.11; in MSM from 1.06 to 0.49 (aIRR = 0.46; 95%CI: 0.09-2.31; in HTX from 2.55 to 0.59 (aIRR = 0.23; 95%CI: 0.06-0.98. HCV infection risk was higher for injecting drug users (IDU compared to HTX (aIRR = 9.63;95%CI: 2.9-32.2; among MSM, for subjects aged 40-50 compared to 30 or less (IRR = 3.21; 95%CI: 1.7-6.2; and among HTX, for female sex (aIRR = 2.35; 95%CI: 1.03-5.34 and <200 CD4-count (aIRR = 2.39; 95%CI: 0.83-6.89. CONCLUSION: We report increases in HCV diagnoses rates which seem secondary to intensification of HCV follow-up testing but not to rises in HCV infection rates. HCV IR is higher in IDU. In MSM, HCV IR increases with age. Among HTX, HCV IR is higher in women and in subjects with impaired immunological situation.

  13. 丙型肝炎病毒核心抗原与HCV-RNA相关性研究

    Institute of Scientific and Technical Information of China (English)

    张世坤; 赵轲; 葛凤兰

    2014-01-01

    目的:探讨丙型肝炎病毒核心抗原(HCV-cAg)、抗体(HCV-Ab)与丙肝病毒RNA(HCV-RNA)之间的关系。方法对150例丙型肝炎(简称丙肝)抗体阳性感染者和100例健康体检者,分别进行HCV-cAg、HCV-Ab和HCV-RNA检测,对其相关性进行分析。结果150例HCV-Ab阳性感染者中, HCV-cAg和HCV-RNA的阳性率分别为40%和42%。100例健康体检者中, HCV-Ab均为阴性,但有2例HCV-cAg阳性,阳性率为2%,此2例经HCV-RNA检测,均确诊为阳性。结论 HCV-cAg和HCV-RNA几乎同时出现,均能较准确的反映HCV复制状态。但由于HCV-cAg检测敏感性及特异性好、费用低、操作方便,对丙型感染病毒感染的辅助诊断具有重要意义。

  14. HCV upregulates Bim through the ROS/JNK signalling pathway, leading to Bax-mediated apoptosis.

    Science.gov (United States)

    Deng, Lin; Chen, Ming; Tanaka, Motofumi; Ku, Yonson; Itoh, Tomoo; Shoji, Ikuo; Hotta, Hak

    2015-09-01

    We previously reported that hepatitis C virus (HCV) infection induces Bax-triggered, mitochondrion-mediated apoptosis by using the HCV J6/JFH1 strain and Huh-7.5 cells. However, it was still unclear how HCV-induced Bax activation. In this study, we showed that the HCV-induced activation and mitochondrial accumulation of Bax were significantly attenuated by treatment with a general antioxidant, N-acetyl cysteine (NAC), or a specific c-Jun N-terminal kinase (JNK) inhibitor, SP600125, with the result suggesting that the reactive oxygen species (ROS)/JNK signalling pathway is upstream of Bax activation in HCV-induced apoptosis. We also demonstrated that HCV infection transcriptionally activated the gene for the pro-apoptotic protein Bim and the protein expression of three major splice variants of Bim (BimEL, BimL and BimS). The HCV-induced increase in the Bim mRNA and protein levels was significantly counteracted by treatment with NAC or SP600125, suggesting that the ROS/JNK signalling pathway is involved in Bim upregulation. Moreover, HCV infection led to a marked accumulation of Bim on the mitochondria to facilitate its interaction with Bax. On the other hand, downregulation of Bim by siRNA (small interfering RNA) significantly prevented HCV-mediated activation of Bax and caspase 3. Taken together, these observations suggest that HCV-induced ROS/JNK signalling transcriptionally activates Bim expression, which leads to Bax activation and apoptosis induction.

  15. 抗-HCV、HCV-RNA及ALT检测138例结果分析

    Institute of Scientific and Technical Information of China (English)

    高会广; 王彩红; 王景胜; 徐莉娟; 徐志刚

    2008-01-01

    目的:探讨丙型肝炎病毒(HCV)RNA与丙型肝炎抗体(抗-HCV)及丙氨酸氨基转移酶(ALT)之间的关系.方法:采用荧光定量聚合酶链反应(FQ-PCR)测定138例疑似HCV感染者血清HCV RNA,ELISA法检测抗-HCV,全自动生化分析仪测定ALT.结果:138例标本中HCV RNA和抗-HCV均阳性者108例,HCV RNA阳性而抗-HCV阴性者3例,HCV RNA阴性而抗-HCV阳性者27例.ALT水平与HCV RNA含量无显著相关性.结论:同时检测HCV RNA和抗-HCV可提高丙型肝炎患者的检出率;HCV RNA含量不能反映肝脏损伤的程度.

  16. Prevalence of occult HBV infection in haemodialysis patients with chronic HCV

    Institute of Scientific and Technical Information of China (English)

    Vedat Goral; Hamza Ozkul; Selahattin Tekes; Dede Sit; Ali Kemal Kadiroglu

    2006-01-01

    AIM: To study the prevalence and clinical effects of occult HBV infection in haemodialysis patients with chronic HCV.METHODS: Fifty chronic hemodialysis patients with negative HbsAg, and positive anti-HCV were included in the study. These patients were divided into two groups:HCV-RNA positive and HCV-RNA negative, based on the results of HCV-RNA PCR. HBV-DNA was studied using the PCR method in both groups.RESULTS: None of the 22 HCV-RNA positive patients and 28 HCV-RNA negative patients revealed HBV-DNA in serum by PCR method. The average age was 47.2 ± 17.0 in the HCV-RNA positive group and 39.6 ± 15.6 in the HCV-RNA negative group.CONCLUSION: The prevalence of occult HBV infection is not high in haemodialysis patients with chronic HCV in our region. This result of our study has to be evaluated in consideration of the interaction between HBsAg positivity (8%-10%) and frequency of HBV mutants in our region.

  17. Genetic diversity of HCV among various high risk populations (IDAs, thalassemia, hemophilia, HD patients) in Iran

    Institute of Scientific and Technical Information of China (English)

    Rafiei A; Darzyani Azizi M; Taheri S; Haghshenas MR; Hosseinian A; Makhlough A

    2013-01-01

    Objective: To determine the patterns of distribution of HCV genotypes among high risk population in north of Iran. Methods: A cross-sectional study was conducted on 135 HCV RNA-positive high risk individuals including thalassemia, hemophilia, patients under hemodialysis and intravenous drug addicts. HCV genotypes were determined based on amplification with type-specific primers methods. Results: Among the 187 anti-HCV positive samples, only 135 (72.2%) gave HCV-RNA positvity. Over all, the most identified HCV type was genotype 3a (51.1%) followed by 1a (27.4%), 1b (8.2%). Sixteen (11.9%) out of 135 HCV RNA-positive participants have infected with more than one genotype or subtypes as follow; 1a/1b in 11 (8.2%), 2/3a in 3 (2.2%), and 1a/1b/3a in 2 (1.5%). Stratification of participants revealed that HCV subtype 3a was more prominent in thalassemia, hemophilia and HD patients but 1a and 1b were frequent in intravenous drug addicts. Conclusions: This study is the first report on HCV genotypes among Iranian subjects with different exposure categories resided in Mazandaran, where genotype 3a was found to be the most frequent genotype in thalassemia, hemophilia, and hemodialysis patients but not in IDAs. Since the addiction age is decreasing in Iran and a lot of addicts are IDAs, it might change the subtype pattern of HCV in general population.

  18. Drug Abuse, HIV, and HCV in Asian Countries.

    Science.gov (United States)

    Hser, Yih-Ing; Liang, Di; Lan, Yu-Ching; Vicknasingam, Balasingam Kasinather; Chakrabarti, Amit

    2016-09-01

    Drug abuse and co-occurring infections are associated with significant morbidity and mortality. Asian countries are particularly vulnerable to the deleterious consequences of these risks/problems, as they have some of the highest rates of these diseases. This review describes drug abuse, HIV, and hepatitis C (HCV) in Asian countries. The most commonly used illicit drugs include opioids, amphetamine-type stimulants (ATS), cannabis, and ketamine. Among people who inject drugs, HIV rates range from 6.3 % in China to 19 % in Malaysia, and HCV ranges from 41 % in India and Taiwan to 74 % in Vietnam. In the face of the HIV epidemics, drug policies in these countries are slowly changing from the traditional punitive approach (e.g., incarcerating drug users or requiring registration as a drug user) to embrace public health approaches, including, for example, community-based treatment options as well as harm reduction approaches to reduce needle sharing and thus HIV transmission. HIV and HCV molecular epidemiology indicates limited geographic diffusion. While the HIV prevalence is declining in all five countries, use of new drugs (e.g., ATS, ketamine) continues to increase, as well as high-risk sexual behaviors associated with drug use-increasing the risk of sexual transmission of HIV, particularly among men who have sex with men. Screening, early intervention, and continued scaling up of therapeutic options (drug treatment and recovery support, ART, long-term HIV and HCV care for drug users) are critical for effective control or continued reduction of drug abuse and co-infections.

  19. Discovery of an irreversible HCV NS5B polymerase inhibitor.

    Science.gov (United States)

    Zeng, Qingbei; Nair, Anilkumar G; Rosenblum, Stuart B; Huang, Hsueh-Cheng; Lesburg, Charles A; Jiang, Yueheng; Selyutin, Oleg; Chan, Tin-Yau; Bennett, Frank; Chen, Kevin X; Venkatraman, Srikanth; Sannigrahi, Mousumi; Velazquez, Francisco; Duca, Jose S; Gavalas, Stephen; Huang, Yuhua; Pu, Haiyan; Wang, Li; Pinto, Patrick; Vibulbhan, Bancha; Agrawal, Sony; Ferrari, Eric; Jiang, Chuan-kui; Li, Cheng; Hesk, David; Gesell, Jennifer; Sorota, Steve; Shih, Neng-Yang; Njoroge, F George; Kozlowski, Joseph A

    2013-12-15

    The discovery of lead compound 2e was described. Its covalent binding to HCV NS5B polymerase enzyme was investigated by X-ray analysis. The results of distribution, metabolism and pharmacokinetics were reported. Compound 2e was demonstrated to be potent (replicon GT-1b EC50 = 0.003 μM), highly selective, and safe in in vitro and in vivo assays.

  20. Activity of HDV ribozymes to trans-cleave HCV RNA

    Institute of Scientific and Technical Information of China (English)

    Yue-Cheng Yu; Qing Mao; Chang-Hai Gu; Qi-Fen Li; Yu-Ming Wang

    2002-01-01

    AIM: To explore whether HDV ribozymes have the abilityto trans-cleave HCVRNA.METHODS: Three HDV genomic ribozymes weredesigned and named RzC1, RzC2 and RzC3. Thesubstrate RNA contained HCVRNA 5'-noncoding regionand 5'-fragment of C region (5'-NCR-C). All theribozymes and HCV RNA 5'-NCR-C were obtained bytranscription in vibo from their DNA templates, and HCVRNA 5'-NCR-C was radiolabelled at its 5'-end Undercertain pH, temperature, appropriate concentration ofMg2+ and deionized formamide, these ribozymes wererespectively or simultaneously mixed with HCVRNA 5'-NCR-C and reacted for a certain time. The trans-cleavage reaction was stopped at different time points,and the products were separated with polyacrylamidegel electrophoresis (PAGE), displayed byautoradiography. Percentage of trans-deaved productswas measured to indicate the activity of HDV ribozymes.RESULTS: RzC1 and RzC2 could trans-cleave 26 % and21.8 % of HCV RNA 5'-NCR-C under our reactionconditions with 2.5 mol. L-1 deionized formamiderespectively. The percentage of HCV RNA 5'-NCR-Ctrans-cleaved by RzC1, RzC2 or combined usage of thethree ribozymes increased with time, up to 24.9 %, 20.3 %and 37.3 % respectively at 90 min point. Almost noproduct from RzC3 was observed.CONCLUSION: HDV ribozymes are able to trans-cleavespecifically HCV RNA at certain sites under appropriateconditions, and combination of several ribozymesaiming at different target sites can trans-cleave thesubstrate more efficiently than using only one of them.

  1. HCV genotype distribution and possible transmission risks in Lahore, Pakistan

    Institute of Scientific and Technical Information of China (English)

    Waqar; Ahmad; Bushra; Ijaz; Fouzia; Tahir; Javed; Shah; Jahan; Imran; Shahid; Fawad; Mumtaz; Khan; Sajida; Hassan

    2010-01-01

    AIM: To investigate the prevalence of hepatitis C virus (HCV) genotypes and their association with possible transmission routes in the general population of Lahore, as the data exclusively related to this city is limited. METHODS: Complete data regarding patient's history, possible route of infection and biochemical tests was collected from the public hospital for 1364 patients. SPSS version 16 windows software was used for data analysis by univariate and multivariate techniques. RESULTS: Age range ≤ 40 yea...

  2. Increased hepatic expression of miRNA-122 in patients infected with HCV genotype 3.

    Science.gov (United States)

    Oliveira, Ketti G; Malta, Fernanda M; Nastri, Ana C S S; Widman, Azzo; Faria, Paola L; Santana, Rúbia A F; Alves, Venâncio A F; Carrilho, Flair J; Pinho, João R R

    2016-04-01

    Hepatitis C virus (HCV) infection affects approximately 3 % of the world population. HCV targets hepatic tissue, and most infected patients develop a chronic infection. Currently, studies have demonstrated an association between HCV-RNA replication and miR-122, the most abundant microRNA in the liver. Our aim was to evaluate liver and serum expression of miR-122 in patients infected with HCV genotypes 1 and 3, and to identify possible associations between miR-122 expression and lipid profiles, HCV viral load, apolipoproteins and liver enzymes. MicroRNAs were isolated from blood and liver tissue, and miR-122 expression was quantified by real-time PCR. HCV viral load was quantified by real-time PCR and HCV genotype, and serum biomarkers were obtained from medical report. The levels of miR-122 were higher in liver than those in blood from individuals infected with HCV genotypes 1 and 3 (p HCV genotype 3 (6.22-fold, p HCV genotype 1 (r = 0.302, p = 0.026); in these patients, an inverse correlation was observed between serum apolipoprotein A-II (ApoA-II) levels and the blood (r = -0.330; p = 0.014) and hepatic (r = -0.311; p = 0.020) levels of miR-122. In patients infected with HCV genotype 3, there was a positive correlation between the hepatic miR-122 and the high-density lipoprotein-HDL (r = 0.412, p = 0.036) and insulin (r = 0.478, p = 0.044). Lipid metabolism proteins and miR-122 expression levels have different relations in HCV-3- and HCV-1-infected patients.

  3. Natural Arsenic in the Miocene Hawthorn Group, Florida: Wide Ranging Implications for ASR, Phosphate Mining, Private Well

    Science.gov (United States)

    Lazareva, O. V.; Pichler, T.

    2004-12-01

    organic material, clays, and iron oxides contain lower As concentrations contrasted to pyrite; (5) Pyrite occurs in framboidal and euhedral forms. Because phosphorous, arsenic and sulfur are chemically closely related, they often occur together in nature, thus posing a potential problem for the phosphate industry. There have been several occurrences of swine fatalities due to arsenic poisoning as a result of phosphate feed supplements. Information about the concentration, distribution and mineralogical association of naturally occurring As is important, because this is a first step to forecast its behavior during anthropogenic induced physico-chemical changes in the aquifer. Recently, aquifer storage and recovery (ASR) facilities in central Florida reported As concentrations in excess of 100 μ g/L in recovered water. The ASR storage zone is the Suwannee Limestone, which directly underlies the Hawthorn sediments. It is crucial to the future of ASR in this area to understand the source and distribution of arsenic in the overlying Hawthorn Group and the cycling of arsenic in the Florida platform.

  4. Rituximab-Based Treatment, HCV Replication, and Hepatic Flares

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    Evangelista Sagnelli

    2012-01-01

    Full Text Available Rituximab, a chimeric mouse-human monoclonal antibody directed to the CD20 antigen expressed on pre-B lymphocytes and mature lymphocytes, causes a profound B-cell depletion. Due to its peculiar characteristics, this drug has been used to treat oncohaematological diseases, B cell-related autoimmune diseases, rheumatoid arthritis, and, more recently, HCV-associated mixed cryoglobulinaemic vasculitis. Rituximab-based treatment, however, may induce an increased replication of several viruses such as hepatitis B virus, cytomegalovirus, varicella-zoster virus, echovirus, and parvovirus B19. Recent data suggest that rituximab-based chemotherapy induces an increase in HCV expression in hepatic cells, which may become a target for a cell-mediated immune reaction after the withdrawal of treatment and the restoration of the immune control. Only a few small studies have investigated the occurrence of HCV reactivation and an associated hepatic flare in patients with oncohaematological diseases receiving R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone. These studies suggest that the hepatic flares are frequently asymptomatic, but life-threatening liver failure occurs in nearly 10% of cases.

  5. THE CYTOKINE IP-10 IN CHRONIC HBV AND HCV INFECTION

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    Nina S. Nikolova

    2013-08-01

    Full Text Available Introduction: IP-10 it has been studied as a predictor of treatment response in chronic HCV infected patients. The data for the HBV infection are not enough.Aim: To compare IP-10 levels in patients with chronic HBV /CHB/ and HCV infection /CHC/ and their relation to liver disease and treatment response. Material and methods: 20 patients - with CHC genotype 1 infection /on standard bi-therapy/ and 32 patients with CHB /21 pts - NUC; 11 pts - IFN/. Results: The IP-10 did not correlate with sex, age, ALT and liver fibrosis. The basal IP-10 were lower in patients with CHB (p=0,017. There was a difference in IP-10 baseline levels among the HCV patients with or without RVR (p=0,007. A negative correlation was found between basal IP-10 and RVR (r= -0,508; p=0,008. Conclusion: IP-10 could predict virological response in patients with CHC on standard bi-therapy, but not in HBV infected patients on standard therapy.

  6. Transcriptomic assay of CD8+ T cells in treatment-naive HIV, HCV-mono-infected and HIV/HCV-co-infected Chinese.

    Directory of Open Access Journals (Sweden)

    Jin Zhao

    Full Text Available BACKGROUND: Co-infection with HIV and HCV is very common. It is estimated that over 5 million people are co-infected with HIV and HCV worldwide. Accumulated evidence shows that each virus alters the course of infection of the other one. CD8+ T cells play a crucial role in the eradication of viruses and infected target cells. To the best of our knowledge, no one has investigated the gene expression profiles in HIV/HCV-co-infected individuals. METHODOLOGY: Genome-wide transcriptomes of CD8+ T cells from HIV/HCV-co-infected or mono-infected treatment-naïve individuals were analyzed by microarray assays. Pairwise comparisons were performed and differentially expressed genes were identified followed by quantitative real-time PCR (qRT-PCR validation. Directed Acyclic Graphs (DAG from Web-based Gene SeT AnaLysis Toolkit (WebGestalt and DAVID bioinformatics resources 6.7 (the Database for Annotation, Visualization, and Integrated Discovery were used to discover the Gene Ontology (GO categories with significantly enriched gene numbers. The enriched Kyoto Encyclopedia of Genes and Genomes (KEGG pathways were also obtained by using WebGestalt software. RESULTS AND CONCLUSIONS: A total of 110, 24 and 72 transcript IDs were shown to be differentially expressed (> 2-fold and p<0.05 in comparisons between HCV- and HIV-mono-infected groups, HIV/HCV-co-infected and HIV-mono-infected groups, and HIV/HCV-co-infected and HCV-mono-infected groups, respectively. In qRT-PCR assay, most of the genes showed similar expressing profiles with the observation in microarray assays. Further analysis revealed that genes involved in cell proliferation, differentiation, transcriptional regulation and cytokine responses were significantly altered. These data offer new insights into HIV/HCV co-infections, and may help to identify new markers for the management and treatment of HIV/HCV co-infections.

  7. Proteome Analysis of Liver Cells Expressing a Full- Length Hepatitis C Virus (HCV) Replicon and Biopsy Specimens of Posttransplantation Liver from HCV-Infected Patients

    Energy Technology Data Exchange (ETDEWEB)

    Jacobs, Jon M.; Diamond, Deborah L.; Chan, Eric Y.; Gritsenko, Marina A.; Qian, Weijun; Stastna, Miroslava; Baas, Tracey; Camp, David G.; Carithers, Jr., Robert L.; Smith, Richard D.; Katze, Michael G.

    2005-06-01

    The development of a reproducible model system for the study of Hepatitis C virus (HCV) infection has the potential to significantly enhance the study of virus-host interactions and provide future direction for modeling the pathogenesis of HCV. While there are studies describing global gene expression changes associated with HCV infection, changes in the proteome have not been characterized. We report the first large scale proteome analysis of the highly permissive Huh-7.5 cell line containing a full length HCV replicon. We detected > 4,400 proteins in this cell line, including HCV replicon proteins, using multidimensional liquid chromatographic (LC) separations coupled to mass spectrometry (MS). The set of Huh-7.5 proteins confidently identified is, to our knowledge, the most comprehensive yet reported for a human cell line. Consistent with the literature, a comparison of Huh-7.5 cells (+) and (-) the HCV replicon identified expression changes of proteins involved in lipid metabolism. We extended these analyses to liver biopsy material from HCV-infected patients where > 1,500 proteins were detected from 2 {micro}g protein lysate using the Huh-7.5 protein database and the accurate mass and time (AMT) tag strategy. These findings demonstrate the utility of multidimensional proteome analysis of the HCV replicon model system for assisting the determination of proteins/pathways affected by HCV infection. Our ability to extend these analyses to the highly complex proteome of small liver biopsies with limiting protein yields offers the unique opportunity to begin evaluating the clinical significance of protein expression changes associated with HCV infection.

  8. Analysis of hepatitis non-treatment causes in a cohort of HCV and HCV/HIV infected patients

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    Karen Pereira

    2014-11-01

    Full Text Available Introduction: The decision to start hepatitis C virus (HCV treatment and its timing remains controversial. As new treatment regimens are approved, it is essential to identify patients eligible for each regimen in a timed and tailored approach. This study aims to identify the reasons to defer treatment of chronic hepatitis C infection in both HCV and HCV/HIV infected patients. Materials and Methods: Retrospective observational study of a cohort of HCV chronically infected patients with or without HIV infection, followed in an infectious disease clinic in Lisbon. Demographic, epidemiological, clinical, immunologic and virologic data were collected. Statistical analysis was performed with Microsoft Office®- Excel 2012. Kolmogorov-Smirnov, t-test, Chi-square and correlation analysis were performed for a significant p value<0.05. Results: The study included 669 patients, 225 patients infected with HCV (group A and 444 patients co-infected with HCV/HIV (group B. The comparative analysis of those groups (A vs. B showed: mean age was 49.4 years versus 46.9 (p<0.01, mean time since HCV diagnosis was 9.5 versus 14.6 years (p=0.558 both groups shared a male predominance and HCV acquisition due to intravenous drug use. Regarding genotype characterization, the predominant was 1a in both groups (p<0.01. Evaluation of IL28B polymorphism revealed CC 15.5% (A versus 9.45% (B (p<0.01. Group B mean TCD4 count was 585 cells/µL (mean percentage 27.1%. There was spontaneous viral clearance in 10.7% (A versus 4.1% (B (p<0.01. There were treated 52.0% (A versus 32.2% (B patients (p<0.01. For the untreated ones (107 – group A vs 270 – group B, no reason was identified for treatment deferral in 32.5% (A versus 48.0% (B patients. The most frequent reasons for deferring treatment were: withdrawal to follow-up (33.7%, active staging of disease (7.2%, alcohol abuse (6.0% and advanced age (6.0% in group A versus low TCD4 cell count (17.1%, loss to follow-up (7.5%, poor

  9. 丙型肝炎病毒核心抗原与HCV RNA、ALT相关性研究

    Institute of Scientific and Technical Information of China (English)

    张健; 刘栋; 陈新科; 王文龙; 于立凌

    2012-01-01

    Objective: to study the relationship between the HCV core antigen ,the presence of HCV RNA and the ALT level. Methods: HCV-cAg and the ALT level were detected from 74 positive HCV RNA patients. Results: The HCV-cAg was detected in 25 out of the 74 positive HCV RNA patients.In addition ,23 patients were in the gray zone. The ALT level of 49 patients were outside the normal range . The ALT level and HCV-cAg were significantly related(P<0.05). Conclusion: HCV-cAg united against-HCV, HCV RNA can be applied to clinical and blood stations.%目的探讨HCV核心抗原与HCV RNA、ALT的相关性。方法对本院74例HCV RNA阳性患者检测其HCV-cAg和ALT浓度。结果本研究74例HCV RNA阳性患者检出HCV-cAg阳性25例,处于灰区23例,ALT超出正常范围的患者为49例,ALT 水平与HCV-cAg呈正相关性。结论 HCV-cAg与HCV RNA复制密切相关, HCV-cAg可联合抗-HCV应用可提高临床和血站的HCV感染检出率,结合ALT可以评测HCV感染肝脏炎症状态)

  10. Multicenter comparison study of both analytical and clinical performance across 4 Roche HCV RNA assays utilizing different platforms.

    Science.gov (United States)

    Vermehren, Johannes; Stelzl, Evelyn; Maasoumy, Benjamin; Michel-Treil, Veronique; Berkowski, Caterina; Marins, Ed G; Paxinos, Ellen E; Marino, Enrique; Wedemeyer, Heiner; Sarrazin, Christoph; Kessler, Harald H

    2017-01-25

    Antiviral treatment efficacy for chronic HCV infection is determined based on measurement of HCV RNA at specific time points throughout therapy by highly sensitive and accurate HCV RNA assays. This study evaluated the performance of two recently-developed real-time PCR HCV RNA assays, the cobas HCV for use on the cobas 6800/8800 systems (cobas 6800/8800 HCV) and the cobas HCV for use on the cobas 4800 system (cobas 4800 HCV) in comparison to two established assays, the COBAS AmpliPrep/COBAS TaqMan HCV Quantitative Test, version 2.0 (CAP/CTM v2) and the COBAS TaqMan HCV Test, version 2.0 for use with the High Pure System (HPS/CTM v2). Limit of detection (LOD) and linearity at lower concentrations (5-1000 IU/mL) were assessed for cobas 6800/8800 HCV and cobas 4800 HCV using WHO standard traceable panels representing HCV genotypes (GT) 1-4. Pairwise assay comparisons were also performed using 245 clinical samples representing HCV GT 1-4.cobas 6800/8800 HCV and cobas 4800 HCV were linear at low HCV RNA concentrations (<0.3 log10 IU/mL difference between expected and observed results) with LOD of 8.2 IU/mL and 11.7 IU/mL, respectively, for GT1. The new assays showed excellent agreement with CAP/CTM v2 and HPS/CTM v2 results in samples with quantifiable viral load. Concordance across the 6 million IU/mL cutoff was high among all four assays (90-94%). In conclusion, both cobas 6800/8800 HCV and cobas 4800 HCV tests are sensitive and linear, and correlate well with established Roche assays used in clinical practice.

  11. Occurrence of occult HCV infection among Hiv infected patients in Georgia.

    Science.gov (United States)

    Gatserelia, L; Sharvadze, L; Karchava, M; Dolmazashvili, E; Tsertsvadze, T

    2014-01-01

    Occult hepatitis C (OCI) infection has been known as detectable HCV-RNA in the liver or peripheral blood mononuclear cells (PBMCs) in the absence of detectable serum or plasma HCV-RNA. OCI has been detected among different patients groups worldwide, it has been found not only in chronic hepatitis patients of unknown origin, but also among several groups at risk for HCV infection (hemodialysis patients or family members of patients with occult HCV). This occult infection has been reported also in healthy populations without evidence of liver disease. Prevalence of occult Hepatitis C virus has not been investigated in Georgian population, where a rate of HCV infection is highest (6.7%) among Eastern European Countries. The aim of this study was to investigate the occurrence of occult HCV infection among HIV infected individuals in Georgia. As a pilot study, we have selected three groups of HIV infected patients for analyses: Group 1- HIV infected patients without evidence of liver disease (n=98), group 2- HIV infected patients with cryptogenic liver disease (n=34) and group 3- HIV/HBV co infected patients (n=29). HCV RNA was tested in PBMCs samples by real-time polymerase chain reaction. HCV genotyping was performed by Line-probe assay based on reverse-hybridization technology. Liver fibrosis was evaluated by transient elastography (FibroScan®). HCV-RNA was detected in PBMCs specimens among 2 (2%) subjects from group 1, 4 (12%) subjects from group 2, and 9 (31%) subjects from group 3. HCV genotypes were determined for 14 of 15 OCI subjects resulting following genotype distribution: 6 (46%) - 1b, 3 (23%) - 2a/2c and 5 (38%) - 3a. One samples failed to be genotyped due to extremely low HCV viral load. Our data revealed the occurrence of occult HCV infection in HIV infected patients. No single HCV genotype was predominant in the present study. Liver fibrosis was found more frequently and the fibrosis score was significantly higher in OCI patients versus negative ones

  12. Undetectable hepatitis C virus RNA during syphilis infection in two HIV/HCV-co-infected patients

    DEFF Research Database (Denmark)

    Salado-Rasmussen, Kirsten; Knudsen, Andreas; Krarup, Henrik Bygum;

    2014-01-01

    BACKGROUND: Treponema pallidum, the causative agent of syphilis, elicits a vigorous immune response in the infected host. This study sought to describe the impact of syphilis infection on hepatitis C virus (HCV) RNA levels in patients with HIV and chronic HCV infection. METHODS: Patients...... with chronic HIV/HCV and syphilis co-infection were identified by their treating physicians from 1 October 2010 to 31 December 2013. Stored plasma samples obtained before, during, and after syphilis infection were analysed for interleukin (IL)-2, IL-4, IL-6, IL-8, IL-10, tumour necrosis factor alpha (TNF......-α), interferon gamma (IFN-γ), and IFN-γ-inducible protein 10 kDa (IP-10). RESULTS: Undetectable HCV RNA at the time of early latent syphilis infection was observed in 2 patients with HIV and chronic HCV infection. After treatment of the syphilis infection, HCV RNA levels increased again in patient 1, whereas...

  13. Adsorption and separation of HCV particles by novel affinity aptamer-functionalized adsorbents.

    Science.gov (United States)

    Chen, Bin; Ye, Qing; Zhou, Kangping; Wang, Yefu

    2016-04-01

    A novel type of aptamer-functionalized immunoadsorbent was prepared and characterized to remove HCV particles, a promising option of extracorporeal immunoadsorption (ECI) therapy against HCV. Herein, we fabricated a HCV-specific immunoadsorbent where single-stranded DNA aptamers reported and studied previously, modified with amino group at the 5' terminus, was immobilized covalently onto surfaces of carboxylated-derivative sepharose 4FF beads through N-hydroxysuccinimide (NHS) linkage. Then the adsorbents was evaluated and characterized by Fourier transform infrared spectroscopy (FTIR) and scanning electron microscopy (SEM). Subsequently, we also confirmed that proposed immunoadsorbents exhibited a favorable biocompatibility as well as specificity. In addition, time-dependent effects of the eradication capacity of aptamer functionalized sepharose beads against HCV was investigated. With the optimized time point, the decontamination performance of HCV particles was assessed by real-time quantitative PCR (qPCR) followed by nucleic acid-based hybridization (NAH), which shows sorbents with an aptamer density of 2nmolligand/ml resin could remove approximately 80% (i.e. 8.9×10(6) HCV particles/ml resin) of the HCV genotype 2a cultivated in vitro and 75% (vary with the intial concentration of HCV from about 7.5×10(4)-4.4×10(5) HCV particles/ml resin) of the HCV samples from human plasma samples. All these results indicated that the novel aptamer-based adsorbents could effectively remove HCV particles and likely serve as a novel therapy option or at least supplementary for the treatment regimen of HCV.

  14. Development of mouse hepatocyte lines permissive for hepatitis C virus (HCV.

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    Hussein Hassan Aly

    Full Text Available The lack of a suitable small animal model for the analysis of hepatitis C virus (HCV infection has hampered elucidation of the HCV life cycle and the development of both protective and therapeutic strategies against HCV infection. Human and mouse harbor a comparable system for antiviral type I interferon (IFN induction and amplification, which regulates viral infection and replication. Using hepatocytes from knockout (ko mice, we determined the critical step of the IFN-inducing/amplification pathways regulating HCV replication in mouse. The results infer that interferon-beta promoter stimulator (IPS-1 or interferon A receptor (IFNAR were a crucial barrier to HCV replication in mouse hepatocytes. Although both IFNARko and IPS-1ko hepatocytes showed a reduced induction of type I interferons in response to viral infection, only IPS-1-/- cells circumvented cell death from HCV cytopathic effect and significantly improved J6JFH1 replication, suggesting IPS-1 to be a key player regulating HCV replication in mouse hepatocytes. We then established mouse hepatocyte lines lacking IPS-1 or IFNAR through immortalization with SV40T antigen. Expression of human (hCD81 on these hepatocyte lines rendered both lines HCVcc-permissive. We also found that the chimeric J6JFH1 construct, having the structure region from J6 isolate enhanced HCV replication in mouse hepatocytes rather than the full length original JFH1 construct, a new finding that suggests the possible role of the HCV structural region in HCV replication. This is the first report on the entry and replication of HCV infectious particles in mouse hepatocytes. These mouse hepatocyte lines will facilitate establishing a mouse HCV infection model with multifarious applications.

  15. Consensus siRNA for inhibition of HCV genotype-4 replication

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    El-Din Hanaa

    2009-01-01

    Full Text Available Abstract Background HCV is circulating as a heterogeneous group of quasispecies. It has been addressed that siRNA can inhibit HCV replication in-vitro using HCV clone and/or replicon which have only one genotype. The current study was conducted to assess whether siRNA can inhibit different HCV genotypes with many quasispecies and to assess whether consensus siRNA have the same effect as regular siRNA. Methods We generated two chemically synthesized consensus siRNAs (Z3 and Z5 which cover most known HCV genotype sequences and quasispecies using Ambium system. Highly positive HCV patient's serum with nine quasispecies was transfected in-vitro to Huh-7 cell line which supports HCV genotype-4 replication. siRNA (Z3&Z5 were transfected according to Qiagen Porta-lipid technique and subsequently cultured for eight days. HCV replication was monitored by RT-PCR for detection of plus and minus strands. Real-time PCR was used for quantification of HCV, whereas detection of the viral core protein was performed by western blot. Results HCV RNA levels decreased 18-fold (P = 0.001 and 25-fold (P = 0.0005 in cells transfected with Z3 and Z5, respectively, on Day 2 post transfection and continued for Day 3 by Z3 and Day 7 by Z5. Reduction of core protein expression was reported at Day 2 post Z3 siRNA transfection and at Day 1 post Z5 siRNA, which was persistent for Day 4 for the former and for Day 6 for the latter. Conclusion Consensus siRNA could be used as a new molecular target therapy to effectively inhibit HCV replication in the presence of more than one HCV quasispecies.

  16. Hepatic compartmentalization of exhausted and regulatory cells in HIV/HCV-coinfected patients.

    Science.gov (United States)

    Barrett, L; Trehanpati, N; Poonia, S; Daigh, L; Sarin, S Kumar; Masur, H; Kottilil, S

    2015-03-01

    Accelerated intrahepatic hepatitis C virus (HCV) pathogenesis is likely the result of dysregulation within both the innate and adaptive immune compartments, but the exact contribution of peripheral blood and liver lymphocyte subsets remains unclear. Prolonged activation and expansion of immunoregulatory cells have been thought to play a role. We determined immune cell subset frequency in contemporaneous liver and peripheral blood samples from chronic HCV-infected and HIV/HCV-coinfected individuals. Peripheral blood mononuclear cells (PBMC) and biopsy-derived liver-infiltrating lymphocytes from 26 HIV/HCV-coinfected, 10 chronic HCV-infected and 10 HIV-infected individuals were assessed for various subsets of T and B lymphocytes, dendritic cell, natural killer (NK) cell and NK T-cell frequency by flow cytometry. CD8(+) T cells expressing the exhaustion marker PD-1 were increased in HCV-infected individuals compared with uninfected individuals (P = 0.02), and HIV coinfection enhanced this effect (P = 0.005). In the liver, regulatory CD4(+) CD25(+) Foxp3(+) T cells, as well as CD4(+) CD25(+) PD1(+) T cells, were more frequent in HIV/HCV-coinfected than in HCV-monoinfected samples (P HIV infection (P ≤ 0.005 for all). Low CD8(+) expression was observed only in PD-1(+) CD8(+) T cells from HCV-infected individuals and healthy controls (P = 0.002) and was associated with enhanced expansion of exhausted CD8(+) T cells when exposed in vitro to PHA or CMV peptides. In conclusion, in HIV/HCV coinfection, ongoing HCV replication is associated with increased regulatory and exhausted T cells in the periphery and liver that may impact control of HCV. Simultaneous characterization of liver and peripheral blood highlights the disproportionate intrahepatic compartmentalization of immunoregulatory T cells, which may contribute to establishment of chronicity and hepatic fibrogenesis in HIV coinfection.

  17. High prevalence of human parvovirus 4 infection in HBV and HCV infected individuals in shanghai.

    Science.gov (United States)

    Yu, Xuelian; Zhang, Jing; Hong, Liang; Wang, Jiayu; Yuan, Zhengan; Zhang, Xi; Ghildyal, Reena

    2012-01-01

    Human parvovirus 4 (PARV4) has been detected in blood and diverse tissues samples from HIV/AIDS patients who are injecting drug users. Although B19 virus, the best characterized human parvovirus, has been shown to co-infect patients with hepatitis B or hepatitis C virus (HBV, HCV) infection, the association of PARV4 with HBV or HCV infections is still unknown.The aim of this study was to characterise the association of viruses belonging to PARV4 genotype 1 and 2 with chronic HBV and HCV infection in Shanghai.Serum samples of healthy controls, HCV infected subjects and HBV infected subjects were retrieved from Shanghai Center for Disease Control and Prevention (SCDC) Sample Bank. Parvovirus-specific nested-PCR was performed and results confirmed by sequencing. Sequences were compared with reference sequences obtained from Genbank to derive phylogeny trees.The frequency of parvovirus molecular detection was 16-22%, 33% and 41% in healthy controls, HCV infected and HBV infected subjects respectively, with PARV4 being the only parvovirus detected. HCV infected and HBV infected subjects had a significantly higher PARV4 prevalence than the healthy population. No statistical difference was found in PARV4 prevalence between HBV or HCV infected subjects. PARV4 sequence divergence within study groups was similar in healthy subjects, HBV or HCV infected subjects.Our data clearly demonstrate that PARV4 infection is strongly associated with HCV and HBV infection in Shanghai but may not cause increased disease severity.

  18. Structural basis of hepatitis C virus neutralization by broadly neutralizing antibody HCV1

    Energy Technology Data Exchange (ETDEWEB)

    Kong, Leopold; Giang, Erick; Robbins, Justin B.; Stanfield, Robyn L.; Burton, Dennis R.; Wilson, Ian A.; Law, Mansun (Scripps)

    2012-10-29

    Hepatitis C virus (HCV) infects more than 2% of the global population and is a leading cause of liver cirrhosis, hepatocellular carcinoma, and end-stage liver diseases. Circulating HCV is genetically diverse, and therefore a broadly effective vaccine must target conserved T- and B-cell epitopes of the virus. Human mAb HCV1 has broad neutralizing activity against HCV isolates from at least four major genotypes and protects in the chimpanzee model from primary HCV challenge. The antibody targets a conserved antigenic site (residues 412-423) on the virus E2 envelope glycoprotein. Two crystal structures of HCV1 Fab in complex with an epitope peptide at 1.8-{angstrom} resolution reveal that the epitope is a {beta}-hairpin displaying a hydrophilic face and a hydrophobic face on opposing sides of the hairpin. The antibody predominantly interacts with E2 residues Leu{sup 413} and Trp{sup 420} on the hydrophobic face of the epitope, thus providing an explanation for how HCV isolates bearing mutations at Asn{sup 415} on the same binding face escape neutralization by this antibody. The results provide structural information for a neutralizing epitope on the HCV E2 glycoprotein and should help guide rational design of HCV immunogens to elicit similar broadly neutralizing antibodies through vaccination.

  19. Active hepatitis C infection and HCV genotypes prevalent among the IDUs of Khyber Pakhtunkhwa

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    Uz Zaman Khaleeq

    2011-06-01

    Full Text Available Abstract Injection drug users (IDUs are considered as a high risk group to develop hepatitis C due to needle sharing. In this study we have examined 200 injection drug users from various regions of the Khyber Pakhtunkhwa province for the prevalence of active HCV infection and HCV genotypes by Immunochromatographic assays, RT-PCR and Type-specific PCR. Our results indicated that 24% of the IDUs were actively infected with HCV while anti HCV was detected among 31.5% cases. Prevalent HCV genotypes were HCV 2a, 3a, 4 and 1a. Majority of the IDUs were married and had attained primary or middle school education. 95% of the IDUs had a previous history of needle sharing. Our study indicates that the rate of active HCV infection among the IDUs is higher with comparatively more prevalence of the rarely found HCV types in KPK. The predominant mode of HCV transmission turned out to be needle sharing among the IDUs.

  20. HIV-1 Vpr increases HCV replication through VprBP in cell culture.

    Science.gov (United States)

    Yan, Yanling; Huang, Fang; Yuan, Ting; Sun, Binlian; Yang, Rongge

    2016-09-02

    Coinfection of human immunodeficiency virus (HIV) and hepatitis C virus (HCV) occurs at a high frequency, in which HIV shows a promotion of HCV-derived liver diseases. However, the mechanism of how this occurs is not well understood. Our previous work has demonstrated that the HIV-1 accessory protein Vpr enhances HCV RNA replication in cell culture. Because Vpr performs most of its functions through host protein VprBP (DCAF1), the role of VprBP in the regulation of HCV by Vpr was investigated in this study. We found that the Vpr mutant Q65R, which is deficient in VprBP binding, could not enhance HCV replication. Furthermore, Vpr-mediated enhancement of HCV replication was severely diminished in VprBP knockdown cells. In addition, an inhibitor of Cullin RING E3 ligases, MLN4924, impaired the function of Vpr during HCV replication. Together, these results suggest that Vpr promotes HCV replication in a VprBP-dependent manner, and that the activity of Cullin RING E3 ligases is essential to this process. In conclusion, our findings demonstrate that HIV-1 Vpr makes the cellular environment more suitable for HCV replication, which might relate with the host ubiquitination system.

  1. Inhibition of HCV replication by humanized-single domain transbodies to NS4B.

    Science.gov (United States)

    Glab-Ampai, Kittirat; Malik, Aijaz Ahmad; Chulanetra, Monrat; Thanongsaksrikul, Jeeraphong; Thueng-In, Kanyarat; Srimanote, Potjanee; Tongtawe, Pongsri; Chaicumpa, Wanpen

    2016-08-05

    NS4B of hepatitis C virus (HCV) initiates membrane web formation, binds RNA and other HCV proteins for viral replication complex (RC) formation, hydrolyses NTP, and inhibits innate anti-viral immunity. Thus, NS4B is an attractive target of a novel anti-HCV agent. In this study, humanized-nanobodies (VHs/VHHs) that bound to recombinant NS4B were produced by means of phage display technology. The nanobodies were linked molecularly to a cell penetrating peptide, penetratin (PEN), for making them cell penetrable (become transbodies). Human hepatic (Huh7) cells transfected with HCV JFH1-RNA that were treated with transbodies from four Escherichia coli clones (PEN-VHH7, PEN-VHH9, PEN-VH33, and PEN-VH43) had significant reduction of HCV RNA amounts in their culture fluids and intracellularly when compared to the transfected cells treated with control transbody and medium alone. The results were supported by the HCV foci assay. The transbody treated-transfected cells also had upregulation of the studied innate cytokine genes, IRF3, IFNβ and IL-28b. The transbodies have high potential for testing further as a novel anti-HCV agent, either alone, adjunct of existing anti-HCV agents/remedies, or in combination with their cognates specific to other HCV enzymes/proteins.

  2. Biomolecular interactions in HCV nucleocapsid-like particles as revealed by vibrational spectroscopy

    Science.gov (United States)

    Rodríguez-Casado, Arantxa; Molina, Marina; Carmona, Pedro

    2007-05-01

    Hepatitis C virus (HCV) occurs in the form of 55-65 nm spherical particles, but the structure of the virion remains to be clarified. Structural studies of HCV have been hampered by the lack of an appropriate cell culture system. However, structural analyses of HCV components can provide an essential framework for understanding of the molecular mechanism of virion assembly. This article reviews the potential of vibrational spectroscopy aimed at the knowledge of HCV structural biology, particularly regarding biomolecular interactions in nucleocapsid-like particles obtained in vitro.

  3. An accurate assay for HCV based on real-time fluorescence detection of isothermal RNA amplification.

    Science.gov (United States)

    Wu, Xuping; Wang, Jianfang; Song, Jinyun; Li, Jiayan; Yang, Yongfeng

    2016-09-01

    Hepatitis C virus (HCV) is one of the common reasons of liver fibrosis and hepatocellular carcinoma (HCC). Early, rapid and accurate HCV RNA detection is important to prevent and control liver disease. A simultaneous amplification and testing (SAT) assay, which is based on isothermal amplification of RNA and real-time fluorescence detection, was designed to optimize routine HCV RNA detection. In this study, HCV RNA and an internal control (IC) were amplified and analyzed simultaneously by SAT assay and detection of fluorescence using routine real-time PCR equipment. The assay detected as few as 10 copies of HCV RNA transcripts. We tested 705 serum samples with SAT, among which 96.4% (680/705) showed consistent results compared with routine real-time PCR. About 92% (23/25) discordant samples were confirmed to be same results as SAT-HCV by using a second real-time PCR. The sensitivity and specificity of SAT-HCV assay were 99.6% (461/463) and 100% (242/242), respectively. In conclusion, the SAT assay is an accurate test with a high specificity and sensitivity which may increase the detection rate of HCV. It is therefore a promising tool to diagnose HCV infection.

  4. Detection of occult hepatitis C virus among healthy spouses of patients with HCV infection.

    Science.gov (United States)

    El Shazly, Yahia; Hemida, Khaled; Rafik, Mona; Al Swaff, Reham; Ali-Eldin, Zainab A; GadAllah, Shaimaa

    2015-03-01

    The criterion standard for the diagnosis of occult hepatitis C virus (HCV) infection is detection of HCV-RNA in liver cells. However, because of the invasive nature of liver biopsy, other methods have been studied. The present study aimed to identify subjects with occult HCV-4 infection among healthy sexual partners of patients with chronic HCV-4 infection by detecting HCV-RNA in peripheral blood mononuclear cells (PBMCs) using real-time polymerase chain reaction (PCR). Fifty healthy Egyptian spouses of patients with chronic HCV-4 infection were included in this study. Real-time PCR was used to detect HCV-RNA in PBMCs in all the study subjects. The prevalence of occult HCV-4 infection was 4%, and a statistically significant higher prevalence was found among patients with a history of sexually transmitted infection. The results of the present study indicate the importance of intra-spousal transmission of HCV-4 infection, especially in subjects with a history of sexually transmitted infection.

  5. Phenotypic characterization of lymphocytes in HCV/HIV co-infected patients.

    LENUS (Irish Health Repository)

    Roe, Barbara

    2009-02-01

    While hepatitis C virus (HCV)-specific immune responses are attenuated in HCV\\/HIV co-infected patients compared to those infected with HCV alone, the reasons for this remain unclear. In this study, the proportions of regulatory, naïve, and memory T cells, along with chemokine receptor expression, were measured in co-infected and mono-infected patients to determine if there is an alteration in the phenotypic profile of lymphocytes in these patients. HCV\\/HIV co-infected patients had increased proportions of CD4(+) naïve cells and decreased proportions of CD4(+) effector cells when compared to HCV mono-infected patients. The proportions of CD4(+) Tregs and CD4(+) CXCR3(+) T cells were also significantly lower in co-infected patients. A decrease in CD4(+) Tregs and subsequent loss of immunosuppressive function may contribute to the accelerated progression to liver disease in co-infected individuals. Dysregulation of immune responses following reduction in the proportions of CD4(+) CXCR3(+) Th-1 cells may contribute to the reduced functional capacity of HCV-specific immune responses in co-infected patients. The findings of this study provide new information on the T-cell immunophenotype in HCV\\/HIV co-infected patients when compared to those infected with HCV alone, and may provide insight into why cell-mediated immune responses are diminished during HCV infection.

  6. Lymphotoxin signaling is initiated by the viral polymerase in HCV-linked tumorigenesis.

    Directory of Open Access Journals (Sweden)

    Yannick Simonin

    2013-03-01

    Full Text Available Exposure to hepatitis C virus (HCV typically results in chronic infection that leads to progressive liver disease ranging from mild inflammation to severe fibrosis and cirrhosis as well as primary liver cancer. HCV triggers innate immune signaling within the infected hepatocyte, a first step in mounting of the adaptive response against HCV infection. Persistent inflammation is strongly associated with liver tumorigenesis. The goal of our work was to investigate the initiation of the inflammatory processes triggered by HCV viral proteins in their host cell and their possible link with HCV-related liver cancer. We report a dramatic upregulation of the lymphotoxin signaling pathway and more specifically of lymphotoxin-β in tumors of the FL-N/35 HCV-transgenic mice. Lymphotoxin expression is accompanied by activation of NF-κB, neosynthesis of chemokines and intra-tumoral recruitment of mononuclear cells. Spectacularly, IKKβ inactivation in FL-N/35 mice drastically reduces tumor incidence. Activation of lymphotoxin-β pathway can be reproduced in several cellular models, including the full length replicon and HCV-infected primary human hepatocytes. We have identified NS5B, the HCV RNA dependent RNA polymerase, as the viral protein responsible for this phenotype and shown that pharmacological inhibition of its activity alleviates activation of the pro-inflammatory pathway. These results open new perspectives in understanding the inflammatory mechanisms linked to HCV infection and tumorigenesis.

  7. Activation of unfolded protein response and autophagy during HCV infection modulates innate immune response.

    Science.gov (United States)

    Estrabaud, Emilie; De Muynck, Simon; Asselah, Tarik

    2011-11-01

    Autophagy, a process for catabolizing cytoplasmic components, has been implicated in the modulation of interactions between RNA viruses and their host. However, the mechanism underlying the functional role of autophagy in the viral life cycle still remains unclear. Hepatitis C virus (HCV) is a single-stranded, positive-sense, membrane-enveloped RNA virus that can cause chronic liver disease. Here we report that HCV induces the unfolded protein response (UPR), which in turn activates the autophagic pathway to promote HCV RNA replication in human hepatoma cells. Further analysis revealed that the entire autophagic process through to complete autolysosome maturation was required to promote HCV RNA replication and that it did so by suppressing innate antiviral immunity. Gene silencing or activation of the UPR-autophagy pathway activated or repressed, respectively, IFN-β activation mediated by an HCV-derived pathogen-associated molecular pattern (PAMP). Similar results were achieved with a PAMP derived from Dengue virus (DEV), indicating that HCV and DEV may both exploit the UPR-autophagy pathway to escape the innate immune response. Taken together, these results not only define the physiological significance of HCV-induced autophagy, but also shed light on the knowledge of host cellular responses upon HCV infection as well as on exploration of therapeutic targets for controlling HCV infection.

  8. Association of HCV with diabetes mellitus: an Egyptian case-control study

    Directory of Open Access Journals (Sweden)

    Esmat Gamal G

    2011-07-01

    Full Text Available Abstract Background The highest Hepatitis C Virus (HCV prevalence in the world occurs in Egypt. Several studies from different parts of the world have found that 13% to 33% of patients with chronic HCV have associated diabetes, mostly type II Diabetes Mellitus (DM. In Egypt the prevalence of DM is 25.4% among HCV patients. Therefore, it is important to identify the magnitude of the problem of diabetes in order to optimize the treatment of chronic hepatitis C. Methods The objective of this case-control study was to evaluate the prevalence of DM and other extrahepatic (EH manifestations among patients with different HCV morbidity stages including asymptomatic, chronic hepatic and cirrhotic patients. In this study, 289 HCV patients older than 18 were selected as cases. Also, 289 healthy controls were included. Laboratory investigations including Liver Function tests (LFT and blood glucose level were done. Also serological assays including cryoglobulin profile, rheumatoid factor, antinuclear antibody, HCV-PCR were performed. Results Out of 289 HCV cases, 40 (13.84% were diabetic. Out of 289 healthy controls, 12 (4.15% were diabetic. It was found that the diabetic HCV group mean age was [48.1 (± 9.2]. Males and urbanians represented 72.5% and 85% respectively. Lower level of education was manifested in 52.5% and 87.5% were married. In the nondiabetic HCV group mean age was [40.7 (± 10.4]. Males and urbanians represented 71.5% and 655% respectively. secondary and higher level of education was attained in 55.4% and 76.7% were married. Comparing between the diabetic HCV group and the non diabetic HCV group, age, residence and alcohol drinking were the only significant factors affecting the incidence of diabetes between the two groups. There was no significant difference regarding sonar findings although cirrhosis was more prevalent among diabetic HCV cases and the fibrosis score was higher in diabetic HCV patients than among the non diabetic HCV cases

  9. Hepatitis C Virus Treatment Access Among Human Immunodeficiency Virus and Hepatitis C Virus (HCV)-Coinfected People Who Inject Drugs in Guangzhou, China: Implications for HCV Treatment Expansion.

    Science.gov (United States)

    Chu, Carissa E; Wu, Feng; He, Xi; Zhou, Kali; Cheng, Yu; Cai, Weiping; Geng, Elvin; Volberding, Paul; Tucker, Joseph D

    2016-04-01

    Background.  Hepatitis C virus (HCV) treatment access among human immunodeficiency virus (HIV)/HCV-coinfected people who inject drugs is poor, despite a high burden of disease in this population. Understanding barriers and facilitators to HCV treatment uptake is critical to the implementation of new direct-acting antivirals. Methods.  We conducted in-depth interviews with patients, physicians, and social workers at an HIV treatment facility and methadone maintenance treatment centers in Guangzhou, China to identify barriers and facilitators to HCV treatment. We included patients who were in various stages of HCV treatment and those who were not treated. We used standard qualitative methods and organized data into themes. Results.  Interview data from 29 patients, 8 physicians, and 3 social workers were analyzed. Facilitators and barriers were organized according to a modified Consolidated Framework for Implementation Research schematic. Facilitators included patient trust in physicians, hope for a cure, peer networks, and social support. Barriers included ongoing drug use, low HCV disease knowledge, fragmented reimbursement systems, HIV exceptionalism, and stigma. Conclusions.  Expanding existing harm reduction programs, HIV treatment programs, and social services may facilitate scale-up of direct-acting antivirals globally. Improving integration of ancillary social and mental health services within existing HIV care systems may facilitate HCV treatment access.

  10. Safety of cyclosporin A in HCV-infected patients: experience with cyclosporin A in patients affected by rheumatological disorders and concomitant HCV infection.

    Science.gov (United States)

    Galeazzi, Mauro; Bellisai, Francesca; Giannitti, Chiara; Manganelli, Stefania; Morozzi, Gabriella; Sebastiani, Gian Domenico

    2007-09-01

    Because of the relatively high prevalence of both hepatitis C virus (HCV) infection and autoimmune disorders (ADs), it is not rare to encounter in daily clinical practice patients with ADs also carrying HCV. Corticosteroids and/or immunosuppressant drugs are needed to treat ADs, but they place HCV-infected patients at risk of worsening the infection. So, rheumatologists have often refrained from using corticosteroids or immunosuppressants in AD when HCV-RNA is also present. Cyclosporin A (CsA) is an immunosuppressive agent used to treat a wide range of ADs, but there is a large evidences in the literature, both in vitro and in vivo, suggesting that CsA also exerts an inhibitory effect on HCV replication at standard therapeutic dose. Therefore, this evidence has opened new ways to improve the therapy and the prognosis in patients with HCV-related liver diseases, including those with transplants. Recent reports, although limited in number, also suggest the safety of CsA in the treatment of patients with AD and concomitant HCV infection. In this review we also report our personal experience on the combination treatment with CsA and anti-TNF-alpha agents in rheumatoid arthritis.

  11. HCV derived from sera of HCV-infected patients induces pro-fibrotic effects in human primary fibroblasts by activating GLI2

    Science.gov (United States)

    Granato, M.; Zompetta, C.; Vescarelli, E.; Rizzello, C.; Cardi, A.; Valia, S.; Antonelli, G.; Marchese, C.; Torrisi, M. R.; Faggioni, A.; Cirone, M.

    2016-01-01

    Hepatitis C virus (HCV) infection is a leading cause of liver fibrosis, especially in developing countries. The process is characterized by the excess accumulation of ECM that may lead, over time, to hepatic cirrhosis, liver failure and also to hepatocarcinoma. The direct role of HCV in promoting fibroblasts trans-differentiation into myofibroblasts, the major fibrogenic cells, has not been fully clarified. In this study, we found that HCV derived from HCV-infected patients infected and directly induced the trans-differentiation of human primary fibroblasts into myofibroblasts, promoting fibrogenesis. This effect correlated with the activation of GLI2, one of the targets of Hedgehog signaling pathway previously reported to be involved in myofibroblast generation. Moreover, GLI2 activation by HCV correlated with a reduction of autophagy in fibroblasts, that may further promoted fibrosis. GLI2 inhibition by Gant 61 counteracted the pro-fibrotic effects and autophagy inhibition mediated by HCV, suggesting that targeting HH/GLI2 pathway might represent a promising strategy to reduce the HCV-induced fibrosis. PMID:27476557

  12. Hepatitis C Virus Treatment Access Among Human Immunodeficiency Virus and Hepatitis C Virus (HCV)-Coinfected People Who Inject Drugs in Guangzhou, China: Implications for HCV Treatment Expansion

    Science.gov (United States)

    Chu, Carissa E.; Wu, Feng; He, Xi; Zhou, Kali; Cheng, Yu; Cai, Weiping; Geng, Elvin; Volberding, Paul; Tucker, Joseph D.

    2016-01-01

    Background. Hepatitis C virus (HCV) treatment access among human immunodeficiency virus (HIV)/HCV-coinfected people who inject drugs is poor, despite a high burden of disease in this population. Understanding barriers and facilitators to HCV treatment uptake is critical to the implementation of new direct-acting antivirals. Methods. We conducted in-depth interviews with patients, physicians, and social workers at an HIV treatment facility and methadone maintenance treatment centers in Guangzhou, China to identify barriers and facilitators to HCV treatment. We included patients who were in various stages of HCV treatment and those who were not treated. We used standard qualitative methods and organized data into themes. Results. Interview data from 29 patients, 8 physicians, and 3 social workers were analyzed. Facilitators and barriers were organized according to a modified Consolidated Framework for Implementation Research schematic. Facilitators included patient trust in physicians, hope for a cure, peer networks, and social support. Barriers included ongoing drug use, low HCV disease knowledge, fragmented reimbursement systems, HIV exceptionalism, and stigma. Conclusions. Expanding existing harm reduction programs, HIV treatment programs, and social services may facilitate scale-up of direct-acting antivirals globally. Improving integration of ancillary social and mental health services within existing HIV care systems may facilitate HCV treatment access. PMID:27419150

  13. Detection of hepatitis C virus RNA in saliva samples from patients with seric anti-HCV antibodies

    OpenAIRE

    Gonçalves,Patrícia L.; Cunha, Carla B.; Busek,Solange C. U.; Oliveira, Guilherme C.; Rodrigo Ribeiro-Rodrigues; Fausto EL Pereira

    2005-01-01

    We examined the frequency of HCV-RNA in saliva samples from anti-HCV positive patients. Both plasma and saliva samples from 39 HCV patients (13 with normal liver enzymes, 19 with abnormal liver enzymes and 13 with cirrhosis) were investigated. Stimulated saliva and fresh plasma were centrifuged (900 x g,10 min) and stored at ???70oC, after the addition of guanidine isothiocyanate RNA extraction buffer. HCV-RNA was detected by RT- nested-PCR (amplification of HCV-cDNA for two rounds, using HCV...

  14. Superior outcomes in HIV-positive kidney transplant patients compared to HCV-infected or HIV/HCV co-infected recipients

    Science.gov (United States)

    Sawinski, Deirdre; Forde, Kimberly A.; Eddinger, Kevin; Troxel, Andrea B.; Blumberg, Emily; Tebas, Pablo; Abt, Peter L.; Bloom, Roy D.

    2015-01-01

    The prerequisite for an “undetectable” HIV viral load has restricted access to transplantation for HIV-infected kidney recipients. However, HCV-infected recipients, due the historic limitations of HCV therapy in patients with renal disease, are commonly viremic at transplant and have universal access. In order to compare the effect of HIV, HCV and HIV/HCV co-infection on kidney transplant patient and allograft outcomes, we performed a retrospective study of kidney recipients transplanted from January 1996 through December 2013. In multivariable analysis, patient (hazard ratio 0.90, 95% confidence interval 0.66–1.24) and allograft survival (0.60, 40–0.88) in 492 HIV patients did not differ significantly from the 117,791 patient uninfected reference group. This was superior to outcomes in both the 5605 patient HCV group for death (1.44, 1.33–1.56) and graft loss (1.43, 1.31–1.56) as well as the 147 patient HIV/HCV co-infected group for death (2.26, 1.45–3.52) and graft loss (2.59, 1.60–4.19). HIV infection did not adversely affect recipient or allograft survival and was associated with superior outcomes compared to both HCV infection and HIV/HCV co-infection in this population. Thus, pre-transplant viral eradication and/ or immediate post-transplant eradication should be studied as potential strategies to improve post-transplant outcomes in HCV-infected kidney recipients. PMID:25807035

  15. Dynamic of Mixed HCV Infection in Plasma and PBMC of HIV/HCV Patients Under Treatment With Peg-IFN/Ribavirin.

    Science.gov (United States)

    Bagaglio, Sabrina; Uberti-Foppa, Caterina; Di Serio, Clelia; Trentini, Filippo; Andolina, Andrea; Hasson, Hamid; Messina, Emanuela; Merli, Marco; Porrino, Lucy; Lazzarin, Adriano; Morsica, Giulia

    2015-10-01

    The extent of mixed hepatitis C virus (HCV) genotype in different compartments (plasma and peripheral blood mononuclear cell, PBMC) and possible association with treatment efficacy in HIV/HCV coinfected patients remains to be unknown.The objective of this study was to elucidate the frequency of mixed genotype infection (MG), its profile in different compartments during anti-HCV treatment, and the possible influence of different genotypes on the response rate.The compartmentalization of HCV population was investigated by next-generation sequencing in 19 HIV/HCV coinfected patients under anti-HCV treatment with peginterferon/ribavirin (P-R). Ten individuals were nonresponder (NR) or relapser (RE) to P-R treatment and 9 had a sustained virological response (SVR).Eleven/nineteen (58%) patients had MG in plasma compartment. Ten or 12 patients infected by a difficult to treat genotype (DTG) 1 or 4 as dominant strain, had an MG, whereas only 1/7 individuals infected by easy to treat genotype (ETG) harbored a mixed genotype, P = 0.006. HCV-RNA was more frequently detected in PBMC of NR (10/10) than in those of SVR (5/9), P = 0.032. Mixed genotype infection was detected in 6/15 (40%) PBMC-positive cases and was not associated with P-R treatment response. By multivariate analysis, MG in plasma samples was the most important viral factor affecting the treatment response (P = 0.0237).Detection of MG in plasma of HIV/HCV coinfected patients seems to represent the major determinant of response to P-R treatment. This finding may have important clinical implication in light of the new therapeutic approach in HIV/HCV coinfected individuals suggesting that combination treatment with direct acting antivirals could be less effective in MG.

  16. 男性HIV和HCV并发感染者HCV抗体的表达%Study on the HCV Antibody Response in Men HIV and HCV Concurrent Infections

    Institute of Scientific and Technical Information of China (English)

    贺美荣; 焦东丽; 贾艳春; 严震

    2012-01-01

    目的 观察人免疫缺陷病毒(HIV)男性患者并发丙型肝炎病毒(HCV)感染后HCV抗体的表达情况,探讨影响HCV抗体表达的因素.方法 选取经筛选检测最终确诊的HIV/HCV并发感染男性患者23例,每隔3个月随访一次共随访6个月.检测HIV及HCV病毒载量、CD4+T细胞计数及HCV抗体.结果 首次HCV RNA检测阳性时78.3%的患者HCV抗体阴性;3个月后,34.8%的患者为HCV抗体阴性;6个月后,17.4%的患者HCV抗体为阴性.结论 HIV 并发HCV的男性感染者,HCV抗体阳性率表达较低,应早期联合核酸检测.%Objective To estimated the positive rates of antibodies and the influencing factors of antibodies expansion in Human immunoddficiency virus(HIV) men infected with hepatitis C virus(HCV). Methods 23 HIV-positive patients with early HCV infection were identified. Plasma samples obtained at 3 monthly intervals( total 6 month) for routine monitoring of HIV and HCV viral load,CD4 cell counts,HCV antibodies. Results On first amplification of HCV,78. 3% of patients were serologically negative. Antibody detection remain seronegative 34. 8% by 3 months to 17. 4% at 6 months. Conclusion The lower of HCV antibodies positive rates in HIV men with HCV should early combination of nucleic acid testing.

  17. Hepatitis C virus (HCV infection & risk factors for HCV positivity in injecting & non-injecting drug users attending a de-addiction centre in northern India

    Directory of Open Access Journals (Sweden)

    Debasish Basu

    2015-01-01

    Full Text Available Background & objectives: Injecting drug use is a major route of hepatitis C virus (HCV infection in India, but there may be other risk factors also. This study was carried out to determine the seroprevalence of anti-HCV antibody in injecting drug users (IDUs vs. non-IDUs (NIDUs, and to study the risk estimates for HCV seropositivity in the total sample of substance users with regard to various demographic, clinical, behavioural and personality factors. Methods: The IDUs (n = 201 and NIDUs (n = 219 were assessed for demographic, clinical and behavioural information, and were rated on instruments for severity of dependence, risk behaviour and personality profiles. Anti-HCV antibody was tested by ELISA and confirmed by recombinant immunoblot assay (RIBA test. Results: Almost one-third of the IDUs (64 of 201; 31.8% were positive for anti-HCV antibody, as opposed to only seven (3.2% of the NIDUs. The four risk factors strongly associated with HCV positivity in multivariate analysis were sharing syringe [Exp(B 75.04; 95%CI 18.28-307.96; P<0.001], reuse of injection accessories (16.39; 3.51-76.92; P<0.001, blood transfusion (5.88; 1.63-21.23; P=0.007 and IDU status (3.60; 1.26-10.31; P=0.017. Other variables less strongly but significantly associated with HCV positivity were multiple sex partners, opioid dependence, risk behaviour scores, impulsivity, and lower age of onset of drug use. Interpretation & conclusions: Our study showed a high seroprevalence of anti-HCV antibody in IDUs. In the substance users, HCV positivity was significantly and independently associated with several clinical, behavioural, and personality risk factors.

  18. Hepatic HMOX1 expression positively correlates with Bach-1 and miR-122 in patients with HCV mono and HIV/HCV coinfection.

    Science.gov (United States)

    Jabłonowska, Elżbieta; Wójcik, Kamila; Szymańska, Bożena; Omulecka, Aleksandra; Cwiklińska, Hanna; Piekarska, Anna

    2014-01-01

    To analyze the expression of HMOX1 and miR-122 in liver biopsy samples obtained from HCV mono-and HIV/HCV co-infected patients in relation to selected clinical parameters, histological examination and IL-28B polymorphism as well as to determine whether HMOX1 expression is dependent on Bach-1. The study group consisted of 90 patients with CHC: 69 with HCV mono and 21 with HIV/HCV co-infection. RT-PCR was used in the analysis of HMOX1, Bach-1 and miR-122 expression in liver biopsy samples and in the assessment of IL-28B single-nucleotide polymorphism C/T (rs12979860) in the blood. Moreover in liver biopsy samples an analysis of HO-1 and Bach-1 protein level by Western Blot was performed. HCV mono-infected patients, with lower grading score (G600000 IU/mL) demonstrated higher expression of HMOX1. In patients with HIV/HCV co-infection, the expression of HMOX1 was lower in patients with lower lymphocyte CD4 count and higher HIV viral load. IL28B polymorphism did not affect the expression of either HMOX1 or miR-122. Higher HMOX1 expression correlated with higher expression of Bach-1 (Spearman's ρ = 0.586, p = 0.000001) and miR-122 (Spearman's ρ = 0.270, p = 0.014059). HMOX1 and miR-122 play an important role in the pathogenesis of CHC in HCV mono-and HIV/HCV co-infected patients. Reduced expression of HMOX1 in patients with HIV/HCV co-infection may indicate a worse prognosis in this group. Our results do not support the importance of Bach-1 in repression of HMOX1 in patients with chronic hepatitis C.

  19. 抗-HCV、HCV-RNA、ALT在HCV感染病程中的分布%THEDEVELOPMENT OF ANTI-HCV、HCV-RAN AND ALT LEVEL IN HCV CLINICAL PATIENTS AND ITS EPIDEMIOLOGICAL SIGNIFICANCE

    Institute of Scientific and Technical Information of China (English)

    王晓俭; 任志胜; 吴敏

    2003-01-01

    目的:了解抗-HCV、HCV-RNA、ALT在输血后HCV感染者病程中的动态变化.方法:运用ELISA法及PCR法对205例输血后肝炎进行检测,对105例输血后HCV感染病例进行追踪调查.结果:抗-HCV及HCV-RNA阳性率分别为57.1%和55.1%,抗-HCV阴性中HCV-RNA阳性率达30.2%.抗-HCV、HCV-RNA及ALT在急性及慢性病人临床病程中呈现不同的特点.结论:PCR法在HCV感染的确诊、血源筛选等方面具有一定的流行病学意义.

  20. 丙型肝炎病毒IgG抗体阳性患者血清抗HCV IgM、ALT及HCV RNA的对比分析

    Institute of Scientific and Technical Information of China (English)

    夏勇; 唐希才; 李德华

    2005-01-01

    目的:探讨丙型肝炎(HCV)IgG阳性患者的血清抗-HCV IgM、丙氨酸转移酶(ALT)水平与 HCV RNA之间的关系.方法:通过第三代 EIA试剂盒检测抗-HCV IgG、抗-HCV IgM,全自动生化分析仪检测丙型肝炎患者 ALT水平,荧光定量逆转录聚合酶链反应(RT-PCR)方法检测 HCV RNA,并进行比较.结果:在丙型肝炎 IgG阳性患者中,抗-HCV IgM阳性率为 8.3%, HCV RNA阳性率为 41.7%. HCV RNA的检出在 ALT异常情况下较正常明显高(P0.05).结论:抗-HCV IgM不能反映病毒复制, ALT异常情况下 HCV RNA检出率高,但 ALT水平与 HCV RNA含量无线性相关性, HCV RNA仍是反映 HCV复制的可靠指标.

  1. Socioeconomic status in HCV infected patients – risk and prognosis

    Directory of Open Access Journals (Sweden)

    Oml

    2013-05-01

    Full Text Available Lars Haukali Omland,1 Merete Osler,2 Peter Jepsen,3,4 Henrik Krarup,5 Nina Weis,6 Peer Brehm Christensen,7 Casper Roed,1 Henrik Toft Sørensen,3 Niels Obel1 On behalf of the DANVIR Cohort Study1Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark; 2Research Center for Prevention and Health, Copenhagen University Hospital, Glostrup Hospital, Glostrup, Denmark; 3Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark; 4Department of Medicine V (Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark; 5Department of Clinical Biochemistry, Aalborg Hospital, Aalborg, Denmark; 6Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre Hospital, Hvidovre, Denmark; 7Department of Infectious Diseases, Odense University Hospital, Odense, DenmarkBackground and aims: It is unknown whether socioeconomic status (SES is a risk factor for hepatitis C virus (HCV infection or a prognostic factor following infection.Methods: From Danish nationwide registries, we obtained information on three markers of SES: employment, income, and education. In a case control design, we examined HCV infected patients and controls; conditional logistic regression was employed to obtain odds ratios (ORs for HCV infection for each of the three SES markers, adjusting for the other two SES markers, comorbidity, and substance abuse. In a cohort design, we used Cox regression analysis to compute mortality rate ratios (MRRs for each of the three SES markers, adjusting for the other two SES markers, comorbidity level, age, substance abuse, and gender.Results: When compared to employed persons, ORs for HCV infection were 2.71 (95% confidence interval [CI]: 2.24–3.26 for disability pensioners and 2.24 (95% CI: 1.83–2.72 for the unemployed. When compared to persons with a high income, ORs were 1.64 (95% CI: 1.34–2.01 for low income persons and 1.19 (95% CI: 1.02–1.40 for

  2. Distribution of HCV genotype and single nucleotide polymorphisms (SNPs of IL-28B gene in HIV/HCV-coinfected Thai populations

    Directory of Open Access Journals (Sweden)

    A Avihingsanon

    2012-11-01

    Full Text Available Introduction: Hepatitis C virus (HCV infection remains a major silent killer, worldwide, particularly in resource poor settings where treatment of hepatitis C is mainly impossible. Pegylated interferon-α (PEG-IFN plus ribavirin (RBV are the recommended treatment for patients with chronic hepatitis C genotype 2/3. Recent study revealed that treatment responses against HCV infection by PEG-IFN and RBV are significantly associated with the single nucleotide polymorphisms (SNPs of interleukin-28B (IL-28B gene. There is limited data about the HCV genotype and SNPs of IL-28B in HIV-infected Thai population. Therefore, we aimed to investigate HCV genotype and the SNP patterns of the IL-28B gene in our HIV/HCV coinfection. Methods: Quantification of HCV RNA was done by a real-time polymerase chain reaction assay (Abbott with lower limit of detection of <12 copies/ml. HCV RNA-positive samples based on reverse transcriptase-polymerase chain reaction (RT-PCR of the 5'UTR were amplified with primer specific for the core and NS5B regions. Nucleotide sequences of both regions were analyzed for the genotype by phylogenetic analysis. DNA sample was extracted from PBMCs or sera. Then SNPs within IL-28B gene were detected by TaqMan real-time PCR (rs8099917 and rs12979860. The data were analyzed by allelic discrimination (AD software on the ABI-7900HT. Results: Totally 60 HIV/HCV-coinfected patients were studied. Median HCV RNA were 5.8 log10 copies/mL, 70% of them had HCV RNA >100,000 copies/mL. After sequencing, the phylogenetic analyses in this study showed that genotype 3 was the most prevalent in this population (56%; following by genotype 1 (30% and 6 (13%. Approximately 4% of them had infected for both genotypes 1 and 3. For IL-28B at rs8099917 and rs12979860 position, 95% of them were major allele (T/T or C/C and 5% were heterozygous (T/G or C/T. Conclusions: HCV genotype 3 is the most prevalent in our HIV/HCV coinfection. 95% of our patients have

  3. Níveis de vale de ciclosporina elevados em transplantados renais anti-HCV positivos Elevated cyclosporine A trough levels in HCV positive kidney transplant recipients

    Directory of Open Access Journals (Sweden)

    Luciano Wolffenbüttel

    2003-06-01

    Full Text Available OBJETIVO: Comparar os níveis de vale de CsA de transplantados renais anti-HCV+ com um grupo controle. MÉTODOS: Incluímos como casos todos os pacientes anti-HCV+ transplantados entre janeiro de 1992 e abril de 1996, e os anti-HCV- transplantados a seguir do caso como controles. Excluímos pacientes diabéticos, HbsAg+, os que recebiam fármacos com interação com a CsA e aqueles com transaminases elevadas. A sorologia para HCV foi testada pelo método ELISA de 3ª geração, e as dosagens de ciclosporina através de fluorimetria polarizada com anticorpo policlonal. RESULTADOS: As principais variáveis demográficas não diferiram entre os grupos. O nível de vale médio de CsA do primeiro mês pós-transplante foi maior nos 23 pacientes anti-HCV+ (551 ± 280 ng/ml do que nos 31 controles (418 ± 228 ng/ml, pOBJECTIVE: Compare the CsA trough levels of HCV+ kidney transplant recipients to a control group METHODS: All anti-HCV positive patients that received a renal allograft between January 1992 and April 1996 were initially included as cases. Patients with diabetes mellitus, HBsAg+, who were taking medication that could modify CsA pharmacokinetics and those with elevated aminotransferases were excluded. For each anti-HCV positive index case the following transplanted anti-HCV negative patient was included as a control. Third generation ELISA was used for determination of the anti-HCV status and CsA dosages were performed by polarized fluorometry with polyclonal antibodies. RESULTS: No differences in the demographic variables were found. The average CsA through levels in the first month were higher (551 ± 280 ng/ml in the 23 cases as compared to the 31 controls (418 ± 228 ng/ml; p< 0.05. The differences became apparent at the end of the first week (528 ± 275 versus 344 ± 283 ng/ml; p<0.01 and persisted at discharge (582 ± 284 versus 457 ± 229; p=0,08. CONCLUSION: We concluded that anti-HCV positive patients have higher blood levels of Cs

  4. 抗-HCV-IgG阳性血清检测HCV的临床意义%The clinical values for the definifive detection of HCV in sever clinical cases such as positive HCV-IgG

    Institute of Scientific and Technical Information of China (English)

    张建华; 钟怀印; 薛承岩

    2007-01-01

    了解抗-HCV-IgG阳性时、仅肝功能轻度异常、与HCV感染者有接触史时等临床情况下HCV在血液内存的几率,验证在这些临床情况时开展检测HCV确证试验的临床意义.采集血清为检测标本,用ELISA技术检测抗-HCV-IgG,RT-PCR技术检测HCV-RNA.血清HCV-RNA的检出率,抗-HCV-IgG阳性组为41.9%、仅肝功能轻度异常组为25.7%、无症状体检组为29.4%.临床对抗-HCV-IgG阳性者、仅肝功能轻度异常者、有接触史者等特殊人群应做检测HCV的确证试验,RT-PCR技术可以用做临床检测HCV的确证试验方法.

  5. Hepatitis C virus (HCV) infection in Africa: a review

    OpenAIRE

    Karoney, Mercy Jelagat; Siika, Abraham Mogisi

    2013-01-01

    Hepatitis C virus (HCV) is a viral pandemic and a leading cause of chronic liver disease. This review highlights the epidemiology and management of Hepatitis C in Africa. We searched for articles on medline using the terms, “Hepatitis C”, “Prevalence”, “Epidemiology”, “Africa” and “Treatment”. The bibliographies of the articles found were used to find other references. We included articles published after 1995 only. The data was summarized and presented in tables and figures. Africa has the h...

  6. Safety of interferon treatment for chronic HCV hepatitis

    Institute of Scientific and Technical Information of China (English)

    D Festi; L Sandri; G Mazzella; E Roda; T Sacco; T Staniscia; S Capodicasa; A Vestito; A Colecchia

    2004-01-01

    Hepatitis C is a major cause of liver-related morbidity and mortality worldwide, In fact, chronic hepatitis C is considered as one of the primary causes of chronic liver disease, cirhosis and hepatocellular carcinoma, and is the most common reason for liver transplantation. The primary objectives for the treatment of HCV-related chronic hepatitis is to eradicate infection and prevent progression of the disease. The treatment has evolved from the use of α-interferon (TFNα)alone to the combination of IFNα plus ribavirin, with a significant improvement in the overall efficacy, and to the newer PEG-IFNs which have further increased the virological response, used either alone or in combination with ribavirin.Despite these positive results, in terms of efficacy, concerns are related to the safety and adverse events. Many patients must reduce the dose of PEG-IFN or ribavirin, others must stop the treatment and a variable percentage of subjects are not suitable owing to intolerance toward drugs. IFNβ represents a potential therapeutic alternative for the treatment of chronic viral hepatitis and in some countries it plays an important role in therapeutic protocols. Aim of the present paper was to review available data on the safety of IFNβ treatment in HCV-related chronic hepatitis.The rates of treatment discontinuation and/or dose modification due to the appearance of severe side effects during IFNβ are generally low and in several clinical studies no requirements for treatment discontinuation and/or dose modifications have been reported. The most frequent side effects experienced during IFNβ treatment are flu-like syndromes, fever, fatigue and injection-site reactions. No differences in terms of side-effect frequency and severity between responders and non-responders have been reported.A more recent study, performed to compare IFNβ alone or in combination with ribavirin, confirmed the good safety profile of both treatments. Similar trends of adverse event

  7. Point-of-care testing for HCV infection: recent advances and implications for alternative screening.

    Science.gov (United States)

    Parisi, Maria Rita; Soldini, Laura; Vidoni, Gianmarino; Mabellini, Chiara; Belloni, Teresa; Brignolo, Livia; Negri, Silvia; Schlusnus, Karin; Dorigatti, Fernanda; Lazzarin, Adriano

    2014-10-01

    Over the last few years, hepatitis C virus (HCV) infection has emerged as one of the most significant causes of chronic liver disease worldwide, with an estimated prevalence ranging from 2.2 to 3.0%. In Italy, approximately 2% of subjects are infected with HCV. Considering that acute HCV infection is usually asymptomatic, early diagnosis is rare. Those people who develop chronic infection, even though undiagnosed, may suffer serious liver damage, making chronic HCV infection a major health problem. New initiatives are needed to identify a submerged portion of patients with chronic viral hepatitis and to propose controls and antiviral treatments to avoid the progression to liver cirrhosis or hepatocellular carcinoma (HCC). Since January 2011, the Infectious Diseases Department of San Raffaele Scientific Institute in Milan has been carrying out a prevention program called "EASY test project", using a new oral test, the OraQuick® HCV rapid antibody test (OraSure technologies, Inc.). The main objective of the project is to evaluate the acceptability of an alternative, free and anonymous HCV test offer, available in different settings (Points of Care, STDs Prevention clinics and General Practitioner clinics). From January 2011 to April 2014, 29,600 subjects were approached to inform them about HCV infection and other sexually transmitted diseases; 4,507 (15.2% of the contacted subjects) of them, total eligible volunteers, performed HCV tests on saliva and completed the interview in the alternative POCTs. Twenty-seven subjects (0.6% of the total) turned HCV oral test reactive (27/4.507) during the evaluation period; all of them were confirmed by conventional test. All 27 patients were asymptomatic and without a history of HCV-re- lated symptoms. The results from this analysis suggest that the promotion of alternative HCV test screening has not yet been fully developed as a strategy to increase levels of HCV testing among people at risk for HCV infection. Increasing

  8. Anti-HCV Activity from Semi-purified Methanolic Root Extracts of Valeriana wallichii.

    Science.gov (United States)

    Ganta, Krishna Kumar; Mandal, Anirban; Debnath, Sukalyani; Hazra, Banasri; Chaubey, Binay

    2017-03-01

    Hepatitis C virus (HCV) is a serious global health problem affecting approximately 130-150 million individuals. Presently available direct-acting anti-HCV drugs have higher barriers to resistance and also improved success rate; however, cost concerns limit their utilization, especially in developing countries like India. Therefore, development of additional agents to combat HCV infection is needed. In the present study, we have evaluated anti-HCV potential of water, chloroform, and methanol extracts from roots of Valeriana wallichii, a traditional Indian medicinal plant. Huh-7.5 cells infected with J6/JFH chimeric HCV strain were treated with water, chloroform, and methanol extracts at different concentrations. Semi-quantitative reverse transcription polymerase chain reaction result demonstrated that methanolic extract showed reduction in HCV replication. The methanolic extract was fractionated by thin layer chromatography, and the purified fractions (F1, F2, F3, and F4) were checked for anti-HCV activity. Significant viral inhibition was noted only in F4 fraction. Further, intrinsic fluorescence assay of purified HCV RNA-dependent RNA polymerase NS5B in the presence of F4 resulted in sharp quenching of intrinsic fluorescence with increasing amount of plant extract. Our results indicated that methanolic extract of V. wallichii and its fraction (F4) inhibited HCV by binding with HCV NS5B protein. The findings would be further investigated to identify the active principle/lead molecule towards development of complementary and alternative therapeutics against HCV. Copyright © 2017 John Wiley & Sons, Ltd.

  9. Outcome of HCV/HIV-coinfected liver transplant recipients: a prospective and multicenter cohort study.

    Science.gov (United States)

    Miro, J M; Montejo, M; Castells, L; Rafecas, A; Moreno, S; Agüero, F; Abradelo, M; Miralles, P; Torre-Cisneros, J; Pedreira, J D; Cordero, E; de la Rosa, G; Moyano, B; Moreno, A; Perez, I; Rimola, A

    2012-07-01

    Eighty-four HCV/HIV-coinfected and 252-matched HCV-monoinfected liver transplant recipients were included in a prospective multicenter study. Thirty-six (43%) HCV/HIV-coinfected and 75 (30%) HCV-monoinfected patients died, with a survival rate at 5 years of 54% (95% CI, 42-64) and 71% (95% CI, 66 to 77; p = 0.008), respectively. When both groups were considered together, HIV infection was an independent predictor of mortality (HR, 2.202; 95% CI, 1.420-3.413 [p < 0.001]). Multivariate analysis of only the HCV/HIV-coinfected recipients, revealed HCV genotype 1 (HR, 2.98; 95% CI, 1.32-6.76), donor risk index (HR, 9.48; 95% CI, 2.75-32.73) and negative plasma HCV RNA (HR, 0.14; 95% CI, 0.03-0.62) to be associated with mortality. When this analysis was restricted to pretransplant variables, we identified three independent factors (HCV genotype 1, pretransplant MELD score and centers with <1 liver transplantation/year in HIV-infected patients) that allowed us to identify a subset of 60 (71%) patients with a similar 5-year prognosis (69%[95% CI, 54-80]) to that of HCV-monoinfected recipients. In conclusion, 5-year survival in HCV/HIV-coinfected liver recipients was lower than in HCV-monoinfected recipients, although an important subset with a favorable prognosis was identified in the former. © Copyright 2012 The American Society of Transplantation and the American Society of Transplant Surgeons.

  10. Subcellular forms and biochemical events triggered in human cells by HCV polyprotein expression from a viral vector

    Directory of Open Access Journals (Sweden)

    González Jose

    2008-09-01

    Full Text Available Abstract To identify the subcellular forms and biochemical events induced in human cells after HCV polyprotein expression, we have used a robust cell culture system based on vaccinia virus (VACV that efficiently expresses in infected cells the structural and nonstructural proteins of HCV from genotype 1b (VT7-HCV7.9. As determined by confocal microscopy, HCV proteins expressed from VT7-HCV7.9 localize largely in a globular-like distribution pattern in the cytoplasm, with some proteins co-localizing with the endoplasmic reticulum (ER and mitochondria. As examined by electron microscopy, HCV proteins induced formation of large electron-dense cytoplasmic structures derived from the ER and containing HCV proteins. In the course of HCV protein production, there is disruption of the Golgi apparatus, loss of spatial organization of the ER, appearance of some "virus-like" structures and swelling of mitochondria. Biochemical analysis demonstrate that HCV proteins bring about the activation of initiator and effector caspases followed by severe apoptosis and mitochondria dysfunction, hallmarks of HCV cell injury. Microarray analysis revealed that HCV polyprotein expression modulated transcription of genes associated with lipid metabolism, oxidative stress, apoptosis, and cellular proliferation. Our findings demonstrate the uniqueness of the VT7-HCV7.9 system to characterize morphological and biochemical events related to HCV pathogenesis.

  11. MRI findings and clinical symptoms of patients with epilepsy referring to Valli-e-asr hospital between 2009 and 2010

    Directory of Open Access Journals (Sweden)

    Mohammad Dehghani Firuzabadi

    2013-02-01

    Materials and Methods: This descriptive-analytical study, evaluated sixty over- 18 patients with epilepsy from April 2009 through April 2010 presented with seizure in Birjand Vali-e-asr hospital. Pseudo seizure cases, pregnant women with seizure, items with non-initial seizure, and those whose seizure was associated with pyrexia were excluded from the study. After getting the history of the subjects and their examination, the results of diagnosing measures (i.e. EEG, CT, MRI were recorded in a questionnaire. The obtained data was then analysed by means of SPSS (V: 13 at the significant level α=0.05. Results: Sixty patients whose mean age was 34.4 years were assessed generalized tonic-clonic (grand mal seizures were reported in 78.4%. Initial EEG was abnormal in 51.7%, but specific findings were reported to be abnormal in 19.3%. Brain CT and MRI examinations were abnormal in 35% and 50%, respectively. As revealed by MRI scans, the most common trauma was hippocampal sclerosis (30% were abnormal, and the most common epileptogenic trauma spot was the temporal lobe (46.7% MRI was abnormal in 29% of patients<30-or equal to 30 yrs and in 72.4% of subjects over 30 yrs (P=0.001. Besides, it was found that epilepsy was abnormal in Generalized tonic-clonic seizure (42.6% and in other kinds of seizure (76.9% P=0.03. Conclusion: It was found that EEG and brain MRI almost reveal specific features of epileptic cases only in 10% of the subjects, while it is abnormal in 51.3% of all patients with epileptic seizures. Thus, it is more sensitive than CT (35% and even MRI (50%. MRI has a tangible advantage in showing the kind and position of trauma.

  12. Investigation for HCV-RNA Combined Liver Function Indexes in Diagnosis of Patients With HCV Antibody Positive%HCV-RNA联合肝功能主要指标对HCV抗体检测阳性者诊断意义的评价

    Institute of Scientific and Technical Information of China (English)

    陈会枝

    2015-01-01

    Objective To explore the relationships between HCV antibody levels,HCV-RNA loading and liver function parameters in HCV antibody positive patients.Methods The serum HCV antibody,HCV-RNA loading and liver function parameters of 384 patients were analyzed. ResultsWhen HCV antibody level was 1.00 to 20.00 or more than 100.00,the positive rate of HCV-RNA in HCV antibody positive patients was significantly lower than that in the patients with HCV antibody level of 20.00 to 100.00. The difference was statistically significant (P100.00时其HCV-RNA检测阳性率低于抗体检测值在区间20.00~100.00时的HCV-RNA检测阳性率,差异有统计学意义(P<0.05).随HCV-RNA载量的升高,ALT、AST、GGT、TBIL、DBIL、IBIL检测值平均水平亦升高,差异有统计学意义(P<0.05);ALP水平有所增高但程度低于其他指标;而TP、ALB、GLOB平均水平基本无变化.结论 综合HCV抗体值、HCV-RNA载量及肝功能主要指标检测结果可更好地指导HCV感染的临床诊断及治疗.

  13. Discovery of SCH446211 (SCH6): A New Ketoamide Inhibitor of the HCV NS3 Serine Protease and HCV Subgenomic RNA Replication

    Energy Technology Data Exchange (ETDEWEB)

    Bogen, Stephane L.; Arasappan, Ashok; Bennett, Frank; Chen, Kevin; Jao, Edwin; Liu, Yi-Tsung; Lovey, Raymond G.; Venkatraman, Srikanth; Pan, Weidong; Parekh, Tajel; Pike, Russel E.; Ruan, Sumei; Liu, Rong; Baroudy, Bahige; Agrawal, Sony; Chase, Robert; Ingravallo, Paul; Pichardo, John; Prongay, Andrew; Brisson, Jean-Marc; Hsieh, Tony Y.; Cheng, Kuo-Chi; Kemp, Scott J.; Levy, Odile E.; Lim-Wilby, Marguerita; Tamura, Susan Y.; Saksena, Anil K.; Girijavallabhan, Viyyoor; Njoroge, F. George (SPRI)

    2008-06-30

    Introduction of various modified prolines at P{sub 2} and optimization of the P{sub 1} side chain led to the discovery of SCH6 (24, Table 2), a potent ketoamide inhibitor of the HCV NS3 serine protease. In addition to excellent enzyme potency (K*{sub i} = 3.8 nM), 24 was also found to be a potent inhibitor of HCV subgenomic RNA replication with IC{sub 50} and IC{sub 90} of 40 and 100 nM, respectively. Recently, antiviral activity of 24 was demonstrated with inhibition of the full-length genotype 2a HCV genome. In addition, 24 was found to restore the responsiveness of the interferon regulatory factor 3 (IRF-3) in cells containing HCV RNA replicons.

  14. Brief Report: European Mitochondrial Haplogroups Impact on Liver Fibrosis Progression Among HCV and HIV/HCV-Coinfected Patients From Northwest Spain.

    Science.gov (United States)

    Tabernilla, Andres; Rego-Pérez, Ignacio; Grandal, Marta; Pernas, Berta; Pértega, Sonia; Delgado, Manuel; Mariño, Ana; Álvarez, Hortensia; Mena, Alvaro; Rodríguez-Osorio, Iria; Pedreira, Jose Domingo; Blanco, Francisco Javier; Poveda, Eva

    2016-10-01

    The impact of mitochondrial DNA haplogroups on the outcome of liver fibrosis was evaluated in 362 hepatitis C virus infection (HCV)-monoinfected and HIV/HCV-coinfected patients (147 and 215, respectively) in clinical follow-up at 2 reference hospitals in the Northwest of Spain. The mitochondrial DNA haplogroup H was the most prevalent (50.3%) in this population. The cluster Others and V were recognized as risk factors for the development of liver fibrosis while haplogroup H and HCV genotype 4 confer a lower risk. This information might be useful for prioritization of HCV treatment, especially for F0-F1 patients for whom there is no urgency for treatment.

  15. Acquired resistance to oxaliplatin is not directly associated with increased resistance to DNA damage in SK-N-ASrOXALI4000, a newly established oxaliplatin-resistant sub-line of the neuroblastoma cell line SK-N-AS

    Science.gov (United States)

    Saintas, Emily; Abrahams, Liam; Ahmad, Gulshan T.; Ajakaiye, Anu-Oluwa M.; AlHumaidi, Abdulaziz S. H. A. M.; Ashmore-Harris, Candice; Clark, Iain; Dura, Usha K.; Fixmer, Carine N.; Ike-Morris, Chinedu; Mato Prado, Mireia; Mccullough, Danielle; Mishra, Shishir; Schöler, Katia M. U.; Timur, Husne; Williamson, Maxwell D. C.; Alatsatianos, Markella; Bahsoun, Basma; Blackburn, Edith; Hogwood, Catherine E.; Lithgow, Pamela E.; Rowe, Michelle; Yiangou, Lyto; Rothweiler, Florian; Cinatl, Jindrich; Zehner, Richard; Baines, Anthony J.; Garrett, Michelle D.; Gourlay, Campbell W.; Griffin, Darren K.; Gullick, William J.; Hargreaves, Emma; Howard, Mark J.; Lloyd, Daniel R.; Rossman, Jeremy S.; Smales, C. Mark; Tsaousis, Anastasios D.; von der Haar, Tobias; Wass, Mark N.

    2017-01-01

    The formation of acquired drug resistance is a major reason for the failure of anti-cancer therapies after initial response. Here, we introduce a novel model of acquired oxaliplatin resistance, a sub-line of the non-MYCN-amplified neuroblastoma cell line SK-N-AS that was adapted to growth in the presence of 4000 ng/mL oxaliplatin (SK-N-ASrOXALI4000). SK-N-ASrOXALI4000 cells displayed enhanced chromosomal aberrations compared to SK-N-AS, as indicated by 24-chromosome fluorescence in situ hybridisation. Moreover, SK-N-ASrOXALI4000 cells were resistant not only to oxaliplatin but also to the two other commonly used anti-cancer platinum agents cisplatin and carboplatin. SK-N-ASrOXALI4000 cells exhibited a stable resistance phenotype that was not affected by culturing the cells for 10 weeks in the absence of oxaliplatin. Interestingly, SK-N-ASrOXALI4000 cells showed no cross resistance to gemcitabine and increased sensitivity to doxorubicin and UVC radiation, alternative treatments that like platinum drugs target DNA integrity. Notably, UVC-induced DNA damage is thought to be predominantly repaired by nucleotide excision repair and nucleotide excision repair has been described as the main oxaliplatin-induced DNA damage repair system. SK-N-ASrOXALI4000 cells were also more sensitive to lysis by influenza A virus, a candidate for oncolytic therapy, than SK-N-AS cells. In conclusion, we introduce a novel oxaliplatin resistance model. The oxaliplatin resistance mechanisms in SK-N-ASrOXALI4000 cells appear to be complex and not to directly depend on enhanced DNA repair capacity. Models of oxaliplatin resistance are of particular relevance since research on platinum drugs has so far predominantly focused on cisplatin and carboplatin. PMID:28192521

  16. HIV合并HCV感染者抗HCV疗效分析%HIV co-infectde with HCV efficacy of anti-HCV

    Institute of Scientific and Technical Information of China (English)

    蒙艳; 胡海燕; 霍松; 陈梅; 周玲; 李佳; 韩本发

    2014-01-01

    By HIV co-infected with HCV to regulate anti-HCV therapy, understand the highly active antiretroviral therapy (HAART) on the basis of the efficacy of anti-HCV therapy. The national anti-HIV laboratory diagnosis of HIV infection confirmed HCV-RNA positive patients, while 30 were randomly divided into A, B groups, A group during the HAART treatment while giving recombinant human interferon α-2b and ribavirin injection ribavirin capsules for anti-HCV treatment, B group were given HAART treatment, analysis of relevant indicators before and after treatment. A , B group of stable HAART therapy, A group of anti-HCV in patients with early viral response (EVR) rate of 60% sustained virologic response (SVR) rate was 37.5%. In the HAART treatment on the basis of anti-HCV treatment does not affect the efficacy of HAART; HIV combined HCV infection for anti-HCV treatment efficacy can be; without the SVR patients, anti-HCV treatment can improve the patient's clinical symptoms.%目的:通过对HIV合并HCV感染者进行规范抗HCV治疗,了解在高效抗逆转录病毒治疗(HAART)基础上进行抗HCV治疗的疗效。方法经国家抗HIV确认实验室确诊为HIV感染同时HCV-RNA阳性患者30名,随机分为A、B两组,A组在进行HAART治疗的同时给予重组人干扰素α-2b注射液及利巴韦林胶囊进行抗HCV治疗,B组单纯给予HAART治疗,对治疗前后相关指标进行分析。结果 A、B组HAART治疗疗效稳定,A组患者抗HCV早期病毒应答(EVR)率为60%,持续病毒学应答(SVR)率为33%。结论在HAART治疗基础上进行抗HCV治疗并不影响HAART疗效;HIV合并HCV感染者进行抗HCV治疗的疗效可;在未获得SVR的患者中,抗HCV治疗能使患者的临床症状改善。

  17. 丙肝患者血清HCV RNA定量与抗-HCV检测结果分析

    Institute of Scientific and Technical Information of China (English)

    李宏; 张蕾; 谢建新

    2011-01-01

    目的:探讨抗-HCV与HCV-RNA的相关性及临床应用价值。方法:ELISA方法检测抗-HCV,实时荧光定量PCR检测HCV-RNA。结果:检测可疑HCV感染者156例,其中119例抗-HCV阳性,同时HCV-RNA阳性为73例。HCV-RNA阳性患者中抗-HCV的阳性率显著高于抗-HCV阳性患者中HCV-RNA的阳性率(P〈0.05)。结论:同时检测抗-HCV和HCV-RNA可提高HCV感染诊断的阳性率,检测HCV-RNA对抗病毒治疗的疗效评价及治疗时间有重要意义。

  18. HVR1-mediated antibody evasion of highly infectious in vivo adapted HCV in humanised mice

    DEFF Research Database (Denmark)

    Prentoe, Jannick; Verhoye, Lieven; Moctezuma, Rodrigo Velazquez;

    2016-01-01

    Objective HCV is a major cause of chronic liver disease worldwide, but the role of neutralising antibodies (nAbs) in its natural history remains poorly defined. We analysed the in vivo role of hypervariable region 1 (HVR1) for HCV virion properties, including nAb susceptibility. Design Analysis o...

  19. 75 FR 39035 - Housing Choice Voucher (HCV) Family Self-Sufficiency (FSS) Program

    Science.gov (United States)

    2010-07-07

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Housing Choice Voucher (HCV) Family Self-Sufficiency (FSS) Program AGENCY: Office of... Title of Proposal: Housing Choice Voucher (HCV) Family Self- Sufficiency (FSS) Program. OMB...

  20. Function of monocytes in chronic HCV infection: Role for IL-10 and interferon

    NARCIS (Netherlands)

    B. Liu (Bi Sheng)

    2011-01-01

    textabstractHepatitis C virus (HCV) establishes persistent infection in about 80% of the infected individuals. The symptoms are initially mild in those persistently infected patients, and it may take decades before the serious consequences of chronic HCV infection become apparent. Up to 20% of infec

  1. Risky exposures and national estimate of HCV seroprevalence among school children in urban Egypt.

    Science.gov (United States)

    Abd El-Wahab, Ekram W; Abdel Maksoud, Ahmed; Shatat, Hanan Z; Kotkat, Amira M

    2016-12-01

    Hepatitis C virus (HCV) is a significant cause of morbidity and mortality all over the world, particularly in Egypt. Limited data are available concerning the national seroprevalence and the possible modes of transmission of HCV in the pediatric age group. The aim of this study was to obtain a better estimate of the national hepatitis C seroprevalence and the possible risky exposures among healthy school children in Alexandria; the second biggest city in Egypt. HCV knowledge and counseling for school children were also investigated. A total of 500 school children, age between 6 and 15 years were evaluated for HCV seropositivity and interviewed for potential disease risk factors. The seropositivity for Anti-HCV Ab was 2.8 %. About 71.4 % of seropositive children were 10-15 years old. Urban residence, chronic disease, male circumcision and invasive procedures were detected as significant risk factors for acquiring HCV infection among the studied children. The level of awareness of hepatitis C among school children was very low (3.6 %) and was correlated with the age and educational level. HCV infection continues to occur in children and is frequently unrecognized. This mandates immediate intervention and robust control strategies in the settings of exposure combined with health education programs to limit further HCV spread.

  2. Antiviral Therapy for Chronic HCV Infection: Virological Response and Long-Term Outcome

    NARCIS (Netherlands)

    A.J.P. van der Meer (Adriaan)

    2014-01-01

    markdownabstract__Abstract__ Hepatitis C is a major global health problem which is responsible for over 350,000 deaths each year.1 In total, there are thought to be around 150 million hepatitis C virus (HCV) carriers, which comprise about 3% of the world population. The prevalence of HCV infection,

  3. 77 FR 30293 - Recommendations for the Identification of Hepatitis C Virus (HCV) Chronic Infection

    Science.gov (United States)

    2012-05-22

    ... Hepatitis C Virus (HCV) Chronic Infection AGENCY: Centers for Disease Control and Prevention (CDC...) announces draft recommendations for identification of persons with HCV chronic infection, available for public comment. The recommendations are intended to increase the proportion of persons with chronic...

  4. Absence of occult HCV infection in patients experiencing an immunodepression condition.

    Science.gov (United States)

    Pisaturo, Mariantonietta; Guastafierro, Salvatore; Filippini, Pietro; Tonziello, Gilda; Sica, Antonello; Di Martino, Filomena; Sagnelli, Caterina; Ferrara, Maria Giovanna; Martini, Salvatore; Cozzolino, Domenico; Sagnelli, Evangelista; Coppola, Nicola

    2013-12-01

    The aim of our study was to evaluate the presence of occult HCV infection in two settings of patients experiencing immunosuppression: patients with Human Immunodeficiency Virus (HIV) infection and those with onco-haematological disease. Sixty consecutive HIV-positive/anti-HCV-negative/HCV RNA-negative patients (HIV group) and 32 consecutive anti-HCV/HCV RNA negative patients with an onco-haematological disease first undergoing chemotherapy (Onco-haematological group) were enrolled. HCV-RNA was sought by real time RT-PCR in plasma and Peripheral Blood Mononuclear Cell (PBMC) samples obtained at enrolment and during follow-up, in the patients in the HIV group every three months and in those in the onco-haematological group at months 1 and 3 during chemotherapy and then every three months after treatment discontinuation. No plasma or PBMC sample collected at enrolment and during the follow-up in the HIV and onco-haematological groups was HCV RNA positive. The results of this study rule out the existence of occult HCV infection in patients with strong immunosuppression due to different conditions, HIV infection and onco-haematological diseases.

  5. Heterologous Immunity between Adenoviruses and Hepatitis C Virus: A New Paradigm in HCV Immunity and Vaccines.

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    Shakti Singh

    Full Text Available Adenoviruses (Ad are commonly used as vectors for gene therapy and/or vaccine delivery. Recombinant Ad vectors are being tested as vaccines for many pathogens. We have made a surprising observation that peptides derived from various hepatitis C virus (HCV antigens contain extensive regions of homology with multiple adenovirus proteins, and conclusively demonstrate that adenovirus vector can induce robust, heterologous cellular and humoral immune responses against multiple HCV antigens. Intriguingly, the induction of this cross-reactive immunity leads to significant reduction of viral loads in a recombinant vaccinia-HCV virus infected mouse model, supporting their role in antiviral immunity against HCV. Healthy human subjects with Ad-specific pre-existing immunity demonstrated cross-reactive cellular and humoral immune responses against multiple HCV antigens. These findings reveal the potential of a previously uncharacterized property of natural human adenovirus infection to dictate, modulate and/or alter the course of HCV infection upon exposure. This intrinsic property of adenovirus vectors to cross-prime HCV immunity can also be exploited to develop a prophylactic and/or therapeutic vaccine against HCV.

  6. Heterologous Immunity between Adenoviruses and Hepatitis C Virus: A New Paradigm in HCV Immunity and Vaccines

    Science.gov (United States)

    Singh, Shakti; Vedi, Satish; Samrat, Subodh Kumar; Li, Wen; Kumar, Rakesh; Agrawal, Babita

    2016-01-01

    Adenoviruses (Ad) are commonly used as vectors for gene therapy and/or vaccine delivery. Recombinant Ad vectors are being tested as vaccines for many pathogens. We have made a surprising observation that peptides derived from various hepatitis C virus (HCV) antigens contain extensive regions of homology with multiple adenovirus proteins, and conclusively demonstrate that adenovirus vector can induce robust, heterologous cellular and humoral immune responses against multiple HCV antigens. Intriguingly, the induction of this cross-reactive immunity leads to significant reduction of viral loads in a recombinant vaccinia-HCV virus infected mouse model, supporting their role in antiviral immunity against HCV. Healthy human subjects with Ad-specific pre-existing immunity demonstrated cross-reactive cellular and humoral immune responses against multiple HCV antigens. These findings reveal the potential of a previously uncharacterized property of natural human adenovirus infection to dictate, modulate and/or alter the course of HCV infection upon exposure. This intrinsic property of adenovirus vectors to cross-prime HCV immunity can also be exploited to develop a prophylactic and/or therapeutic vaccine against HCV. PMID:26751211

  7. Quantitative Lipid Droplet Proteome Analysis Identifies Annexin A3 as a Cofactor for HCV Particle Production

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    Kathrin Rösch

    2016-09-01

    Full Text Available Lipid droplets are vital to hepatitis C virus (HCV infection as the putative sites of virion assembly, but morphogenesis and egress of virions remain ill defined. We performed quantitative lipid droplet proteome analysis of HCV-infected cells to identify co-factors of that process. Our results demonstrate that HCV disconnects lipid droplets from their metabolic function. Annexin A3 (ANXA3, a protein enriched in lipid droplet fractions, strongly impacted HCV replication and was characterized further: ANXA3 is recruited to lipid-rich fractions in HCV-infected cells by the viral core and NS5A proteins. ANXA3 knockdown does not affect HCV RNA replication but severely impairs virion production with lower specific infectivity and higher density of secreted virions. ANXA3 is essential for the interaction of viral envelope E2 with apolipoprotein E (ApoE and for trafficking, but not lipidation, of ApoE in HCV-infected cells. Thus, we identified ANXA3 as a regulator of HCV maturation and egress.

  8. Prevalence of anti HCV infection in patients with beta-thalassemia in Isfahan-Iran

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    Behrooz Ataei

    2012-01-01

    Conclusions: Our findings revealed that blood transfusion was the main risk factors for HCV infection among beta-thalassemic patients. Therefore, more blood donor screening programs and effective screening techniques are needed to prevent transmission of HCV infection among beta-thalassemic patients.

  9. Molecular signatures associated with HCV-induced hepatocellular carcinoma and liver metastasis.

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    Valeria De Giorgi

    Full Text Available Hepatocellular carcinomas (HCCs are a heterogeneous group of tumors that differ in risk factors and genetic alterations. In Italy, particularly Southern Italy, chronic hepatitis C virus (HCV infection represents the main cause of HCC. Using high-density oligoarrays, we identified consistent differences in gene-expression between HCC and normal liver tissue. Expression patterns in HCC were also readily distinguishable from those associated with liver metastases. To characterize molecular events relevant to hepatocarcinogenesis and identify biomarkers for early HCC detection, gene expression profiling of 71 liver biopsies from HCV-related primary HCC and corresponding HCV-positive non-HCC hepatic tissue, as well as gastrointestinal liver metastases paired with the apparently normal peri-tumoral liver tissue, were compared to 6 liver biopsies from healthy individuals. Characteristic gene signatures were identified when normal tissue was compared with HCV-related primary HCC, corresponding HCV-positive non-HCC as well as gastrointestinal liver metastases. Pathway analysis classified the cellular and biological functions of the genes differentially expressed as related to regulation of gene expression and post-translational modification in HCV-related primary HCC; cellular Growth and Proliferation, and Cell-To-Cell Signaling and Interaction in HCV-related non HCC samples; Cellular Growth and Proliferation and Cell Cycle in metastasis. Also characteristic gene signatures were identified of HCV-HCC progression for early HCC diagnosis.A diagnostic molecular signature complementing conventional pathologic assessment was identified.

  10. Comparison between the HCV IRES domain IV RNA structure and the Iron Responsive Element

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    Painter Jenna M

    2009-02-01

    Full Text Available Abstract Background Serum ferritin and hepatic iron concentrations are frequently elevated in patients who are chronically infected with the hepatitis C virus (HCV, and hepatic iron concentration has been used to predict response to interferon therapy, but these correlations are not well understood. The HCV genome contains an RNA structure resembling an iron responsive element (IRE in its internal ribosome entry site (IRES structural domain IV (dIV. An IRE is a stem loop structure used to control the expression of eukaryotic proteins involved in iron homeostasis by either inhibiting ribosomal binding or protecting the mRNA from nuclease degradation. The HCV structure, located within the binding site of the 40S ribosomal subunit, might function as an authentic IRE or by an IRE-like mechanism. Results Electrophoretic mobility shift assays showed that the HCV IRES domain IV structure does not interact with the iron regulatory protein 1 (IRP1 in vitro. Systematic HCV IRES RNA mutagenesis suggested that IRP1 cannot accommodate the shape of the wild type HCV IRES dIV RNA structure. Conclusion The HCV IRES dIV RNA structure is not an authentic IRE. The possibility that this RNA structure is responsible for the observed correlations between intracellular iron concentration and HCV infection parameters through an IRE-like mechanism in response to some other cellular signal remains to be tested.

  11. [Clinical benefit of HCV core antigen assay in patients receiving interferon and ribavirin combination therapy].

    Science.gov (United States)

    Higashimoto, Makiko; Takahashi, Masahiko; Jokyu, Ritsuko; Saito, Hidetsugu

    2006-02-01

    A highly sensitive second generation HCV core antigen assay has recently been developed. We compared viral disappearance and kinetics data between commercially available core antigen assays, Lumipulse Ortho HCV Ag, and a quantitative HCV RNA PCR assay, Cobas Amplicor HCV Monitor Test, Version 2 to estimate the predictive benefit of sustained viral response (SVR) and non-SVR in 59 patients treated with interferon and ribavirin combination therapy. We found a good correlation between HCV core Ag and HCV RNA level regardless of genotype. Although the sensitivity of the core antigen assay was lower than PCR, the dynamic range was broader than that of the PCR assay, so that we did not need to dilute the samples in 59 patients. We detected serial decline of core Ag levels in 24 hrs, 7 days and 14 days after interferon combination therapy. The decline of core antigen levels was significant in SVR patients compared to non-SVR as well as in genotype 2a, 2b patients compared to 1b. Core antigen-negative on day 1 could predict all 10 SVR patients (PPV = 100%), whereas RNA-negative could predict 22 SVR out of 25 on day 14 (PPV = 88.0%). None of the patients who had detectable serum core antigen on day 14 became SVR(NPV = 100%), although NPV was 91.2% on RNA negativity. An easy, simple, low cost new HCV core antigen detecting system seems to be useful for assessing and monitoring IFN treatment for HCV.

  12. Anti-retroviral drugs do not facilitate hepatitis C virus (HCV) infection in vitro.

    Science.gov (United States)

    Sandmann, Lisa; Wilson, Matthew; Back, David; Wedemeyer, Heiner; Manns, Michael P; Steinmann, Eike; Pietschmann, Thomas; von Hahn, Thomas; Ciesek, Sandra

    2012-10-01

    An estimated 4 to 5 million people are co-infected with HIV/HCV worldwide. Recently observed outbreaks of acute HCV infection among HIV-positive men who have sex with men (MSM) have been linked to behavioral factors such as high risk sexual practices and recreational drug use. However, at the molecular level, many drugs such as glucocorticoids or cyclosporine A have been found to modulate viral replication. Thus, it is conceivable that drugs used in highly active antiretroviral therapy (HAART) may heighten susceptibility to HCV infection and contribute to the recent outbreaks. We therefore performed a comprehensive screen of antiretroviral drugs covering all available drug classes both individually and in typical combinations used during HAART to probe for direct effects on HCV cell entry, replication, new particle assembly and release. Importantly, no significant enhancement or inhibition of HCV cell entry, replication or new particle production was detected. While raltegravir and ritonavir boosted atazanavir reduce HCV replication, a tenfold reduction of HCVcc entry by the CCR5 antagonist maraviroc was observed. In conclusion, commonly used HAART agents do not specifically enhance HCV replication. Thus recent epidemic outbreaks of acute HCV in HIV-infected MSM are unlikely to be related to enhancing effects of HAART drugs.

  13. Hepatitis C virus (HCV infection may elicit neutralizing antibodies targeting epitopes conserved in all viral genotypes.

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    Nicasio Mancini

    Full Text Available Anti-hepatitis C virus (HCV cross-neutralizing human monoclonal antibodies, directed against conserved epitopes on surface E2 glycoprotein, are central tools for understanding virus-host interplay, and for planning strategies for prevention and treatment of this infection. Recently, we developed a research aimed at identifying these antibody specificities. The characteristics of one of these antibodies (Fab e20 were addressed in this study. Firstly, using immunofluorescence and FACS analysis of cells expressing envelope HCV glycoproteins, Fab e20 was able to recognize all HCV genotypes. Secondly, competition assays with a panel of mouse and rat monoclonals, and alanine scanning mutagenesis analyses located the e20 epitope within the CD81 binding site, documenting that three highly conserved HCV/E2 residues (W529, G530 and D535 are critical for e20 binding. Finally, a strong neutralizing activity against HCV pseudoparticles (HCVpp incorporating envelope glycoproteins of genotypes 1a, 1b, 2a, 2b and 4, and against the cell culture-grown (HCVcc JFH1 strain, was observed. The data highlight that neutralizing antibodies against HCV epitopes present in all HCV genotypes are elicited during natural infection. Their availability may open new avenues to the understanding of HCV persistence and to the development of strategies for the immune control of this infection.

  14. Impact of Immunogenetic IL28B Polymorphism on Natural Outcome of HCV Infection

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    Valli De Re

    2014-01-01

    Full Text Available With the aim of investigating whether interleukin 28B gene (IL28B rs1297860 polymorphism is associated with different hepatitis C (HCV infection statuses, we compared IL28B allelic distribution in an Italian case series of 1050 patients with chronic infection and different outcomes, 47 individuals who spontaneously cleared HCV, and 178 blood donors. Furthermore, we compared IL28B variants among 3882 Caucasian patients with chronic infection, 397 with spontaneous clearance, and 1366 blood donors reported in PubMed. Overall data confirmed a relation between IL28B C allele and HCV spontaneous clearance. Furthermore, we found that IL28B T allele had a weak relation with chronic HCV progression to hepatocellular carcinoma. Study findings are in accordance with the hepatocellular carcinogenic model where IL28B TT genotype, by promoting a persistent chronic hepatitis which leads to both hepatocyte injury and chronic inflammation, could facilitate HCC development. Conversely, patients with lymphoproliferative disorders had not any significantly different IL28B rs1297860 allelic distribution than those with chronic HCV, but, like all chronic HCV-related diseases, they showed a lower CC frequency than patients who spontaneously cleared HCV. Study results confirmed the model of persistent HCV infection as a risk factor for the pathogenesis of both liver and lymphoproliferative disorders.

  15. Mitochondrial Dysfunctions and Altered Metals Homeostasis: New Weapons to Counteract HCV-Related Oxidative Stress

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    Mario Arciello

    2013-01-01

    Full Text Available The hepatitis C virus (HCV infection produces several pathological effects in host organism through a wide number of molecular/metabolic pathways. Today it is worldwide accepted that oxidative stress actively participates in HCV pathology, even if the antioxidant therapies adopted until now were scarcely effective. HCV causes oxidative stress by a variety of processes, such as activation of prooxidant enzymes, weakening of antioxidant defenses, organelle damage, and metals unbalance. A focal point, in HCV-related oxidative stress onset, is the mitochondrial failure. These organelles, known to be the “power plants” of cells, have a central role in energy production, metabolism, and metals homeostasis, mainly copper and iron. Furthermore, mitochondria are direct viral targets, because many HCV proteins associate with them. They are the main intracellular free radicals producers and targets. Mitochondrial dysfunctions play a key role in the metal imbalance. This event, today overlooked, is involved in oxidative stress exacerbation and may play a role in HCV life cycle. In this review, we summarize the role of mitochondria and metals in HCV-related oxidative stress, highlighting the need to consider their deregulation in the HCV-related liver damage and in the antiviral management of patients.

  16. HVR1-mediated antibody evasion of highly infectious in vivo adapted HCV in humanised mice

    DEFF Research Database (Denmark)

    Prentoe, Jannick; Verhoye, Lieven; Moctezuma, Rodrigo Velazquez

    2016-01-01

    Objective HCV is a major cause of chronic liver disease worldwide, but the role of neutralising antibodies (nAbs) in its natural history remains poorly defined. We analysed the in vivo role of hypervariable region 1 (HVR1) for HCV virion properties, including nAb susceptibility. Design Analysis o...

  17. Occult hepatitis B in HIV-HCV coinfected patients.

    Science.gov (United States)

    Piroth, Lionel; Lafon, Marie-Edith; Binquet, Christine; Bertillon, Pascale; Gervais, Anne; Lootvoet, Enguerrand; Lang, Jean-Marie; De Jaureguiberry, Jean Pierre; Chene, Geneviève; Leport, Catherine

    2008-01-01

    The prevalence of occult hepatitis B infection in HIV infected patients is controversial, varying from less than 1% to 62% in different studies. Blood samples of 111 HIV-infected patients, HCV-positive, HBs antigen negative, followed in the APROCO-ANRS EP11 cohort, were used to detect HBV DNA by using 2 different validated assays (Cobas Amplicor HBV Monitor Test and INSERM U271 qualitative ultra-sensitive PCR), completed when positive by HBV real-time PCR. HBV DNA was found in 6 (5.4%, 95% CI 1.2%-9.6%) patients by at least 1 of these assays, but none tested positive in all 3 assays. All 6 patients had anti-HBc without anti-HBs antibodies; 5 were not on lamivudine. Their median CD4 and CD8 counts were significantly lower and their HIV viral load higher than in the other 105 patients. In conclusion, the prevalence of occult hepatitis B may vary significantly according to the molecular assay used, even though these assays are validated with high specificity and quite high sensitivity. Occult hepatitis B may be encountered in HIV-HCV coinfected patients without anti-HBV treatment, with anti-HBc but without anti-HBs antibodies, and relatively low immunity, suggesting a potential risk of further reactivation, as already sporadically reported.

  18. Seroprevalence of HCV and HIV Infections by Year of Birth in Spain: Impact of US CDC and USPSTF Recommendations for HCV and HIV Testing

    Science.gov (United States)

    Meijide, Héctor; Cañizares, Angelina; Castro-Iglesias, Ángeles; Delgado, Manuel; Pértega, Sonia; Pedreira, José; Bou, Germán; Poveda, Eva

    2014-01-01

    Background The US Centers for Disease Control and Prevention (CDC) recently add the advice of one-time testing of HCV infection in persons born during 1945–1965. Moreover, the US Preventive Services Task Force (USPSTF) newly recommended one-time HIV testing for persons aged 15–65. Herein, we evaluate the potential impact of these recommendations in a reference medical area of Spain. Methods All assays results entries for HCV and HIV serological markers ordered at a reference lab from primary care and specialized physicians between 2008 and 2012 were recorded in a medical area which covers 501,526 citizens in Northern Spain. The year of birth were also documented. Results A total of 108,159 anti-HCV-Ab results were generated during the study period. The global rate of anti-HCV-Ab+ was 7.7% (95% CI: 7.6%–7.9%), being more prevalent in men than women (8.6% vs. 4.5%). By year of birth, the highest prevalence was found in persons born between 1955 and 1970. HCV genotype 1 was the most prevalent (59.7%) followed by genotype 3 (22.7%). Regard HIV infection, among 65,279 anti-HIV results generated the prevalence of anti-HIV+ was 1.1% (95% CI: 1.0%–1.2%), being more frequent in men (2% vs 0.5%). The years of birth with highest rates of HIV infection exactly match with those for HCV infection. Conclusions The highest rates of HCV and HIV infections are found between 1960 and 1965. Different historical and social circumstances such as the huge intravenous drug use epidemic in the eighties in Spain, might explain it. Therefore, each country needs to determine its own HCV and HIV seroprevalences by year of birth to establish the proper recommendations for the screening of both infections. PMID:25436642

  19. Patterns of Healthcare Utilization Among Veterans Infected With Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) and Coinfected With HIV/HCV: Unique Burdens of Disease

    Science.gov (United States)

    Katrak, Shereen; Park, Lawrence P.; Woods, Christopher; Muir, Andrew; Hicks, Charles; Naggie, Susanna

    2016-01-01

    Background. Hepatitis C virus (HCV) infection is a leading cause of cirrhosis and the primary cause of liver transplantation in the United States, and coinfection with human immunodeficiency virus (HIV) increases the risk of comorbidities. However, healthcare utilization (HCU) patterns among HIV/HCV-coinfected patients are poorly understood. This study compared the rates of HCU and reasons for hospital admission among HCV-infected, HIV-infected, and HIV/HCV-coinfected veterans. Methods. Hepatitis C virus- and HIV-infected and HIV/HCV-coinfected veterans in care with the Department of Veterans Affairs (VA) from 1998 to 2009 (n = 335 371, n = 28 179, n = 13 471, respectively) were identified by HIV- and HCV-associated International Classification of Diseases, Ninth Revision codes from the clinical case registry. We assessed rates of HCU using emergency department (ED) visits, outpatient visits, and hospitalization and primary diagnoses associated with hospitalization. Independent risk factors associated with hospitalization were also examined. Results. Rates of outpatient and ED visits increased over the 11-year study period for all groups, with inpatient admission rates remaining stable. The HCU rates were consistently higher for the coinfected than other cohorts. The primary reason for hospital admission for all groups was psychiatric disease/substance use, accounting for 44% of all admissions. Nadir CD4 500 cells/mm3. Conclusions. As the current population of HCV-infected, HIV-infected, and HIV/HCV-coinfected veterans age, they will continue to place a substantial and increasing demand on the US healthcare system, particularly in their utilization of ED and outpatient services. These data suggest the need for an ongoing investment in mental health and primary care within the VA healthcare system. PMID:27704025

  20. Natural Polymorphisms Conferring Resistance to HCV Protease and Polymerase Inhibitors in Treatment-Naive HIV/HCV Co-Infected Patients in China.

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    Kali Zhou

    Full Text Available The advent of direct-acting agents (DAAs has improved treatment of HCV in HIV co-infection, but may be limited by primary drug resistance. This study reports the prevalence of natural polymorphisms conferring resistance to NS3/4A protease inhibitors and NS5B polymerase inhibitors in treatment-naïve HIV/HCV co-infected individuals in China.Population based NS3/4A sequencing was completed for 778 treatment-naïve HIV/HCV co-infected patients from twelve provinces. NS3 sequences were amplified by nested PCR using in-house primers for genotypes 1-6. NS5B sequencing was completed for genotyping in 350 sequences. Resistance-associated variants (RAVs were identified in positions associated with HCV resistance.Overall, 72.8% (566/778 of all HCV sequences had at least one RAV associated with HCV NS3/4A protease inhibitor resistance. Variants were found in 3.6% (7/193 of genotype 1, 100% (23/23 of genotype 2, 100% (237/237 of genotype 3 and 92% (299/325 of genotype 6 sequences. The Q80K variant was present in 98.4% of genotype 6a sequences. High-level RAVs were rare, occurring in only 0.8% of patients. 93% (64/69 patients with genotype 1b also carried the C316N variant associated with NS5B low-level resistance.The low frequency of high-level RAVs associated with primary HCV DAA resistance among all genotypes in HIV/HCV co-infected patients is encouraging. Further phenotypic studies and clinical research are needed.

  1. Effect of abacavir on sustained virologic response to HCV treatment in HIV/HCV co-infected patients, Cohere in Eurocoord.

    Science.gov (United States)

    Smit, Colette; Arends, Joop; Peters, Lars; Montforte, Antonella d'Arminio; Dabis, Francois; Zangerle, Robert; Daikos, George; Mussini, Christina; Mallolas, Josep; de Wit, Stephane; Zinkernagel, Annelies; Cosin, Jaime; Chene, Genevieve; Raben, Dorthe; Rockstroh, Jürgen

    2015-11-04

    Contradicting results on the effect of abacavir (ABC) on hepatitis C virus (HCV) treatment responses in HIV/HCV co-infected patients have been reported. We evaluated the influence of ABC on the response to pegylated interferon (pegIFN) and ribavirin (RBV)-containing HCV treatment in HIV/HCV co-infected patients in a large European cohort collaboration, including data from different European countries. HIV/HCV co-infected patients were included if they were aged ≥16 years, received pegIFN alfa-2a or 2b and RBV combination treatment and were enrolled in the COHERE cohort collaboration. Logistic regression was used to evaluate the impact of abacavir on achieving a sustained virologic response (SVR) to HCV treatment. In total 1309 HIV/HCV co-infected patients who had received HCV therapy were included, of whom 490 (37 %) had achieved an SVR. No statistically significant difference was seen for patients using ABC-containing regimens compared to patients using an emtricitabine + tenofovir (FTC + TDF)-containing backbone, which was the most frequently used backbone. In the multivariate analyses, patients using a protease inhibitor (PI)-boosted regimen were less likely to achieve an SVR compared to patients using a non-nucleoside reverse-transcriptase inhibitor (NNRTI)-based regimen (OR: 0.61, 95 % CI: 0.41-0.91). The backbone combinations zidovudine&lamivudine (AZT + 3TC) and stavudine&lamivudine (d4t + 3TC) were associated with lower SRV rates (0.45 (0.24-0.82) and 0.46 (0.22-0.96), respectively). The results of this large European cohort study validate that SVR rates are generally not affected by ABC. Use of d4T or AZT as part of the HIV treatment regimen was associated with a lower likelihood of achieving an SVR.

  2. Natural Polymorphisms Conferring Resistance to HCV Protease and Polymerase Inhibitors in Treatment-Naïve HIV/HCV Co-Infected Patients in China

    Science.gov (United States)

    Wang, Charles; Hu, Fengyu; Ning, Chuanyi; Lan, Yun; Tang, Xiaoping; Tucker, Joseph D.; Cai, Weiping

    2016-01-01

    Background The advent of direct-acting agents (DAAs) has improved treatment of HCV in HIV co-infection, but may be limited by primary drug resistance. This study reports the prevalence of natural polymorphisms conferring resistance to NS3/4A protease inhibitors and NS5B polymerase inhibitors in treatment-naïve HIV/HCV co-infected individuals in China. Methods Population based NS3/4A sequencing was completed for 778 treatment-naïve HIV/HCV co-infected patients from twelve provinces. NS3 sequences were amplified by nested PCR using in-house primers for genotypes 1–6. NS5B sequencing was completed for genotyping in 350 sequences. Resistance-associated variants (RAVs) were identified in positions associated with HCV resistance. Results Overall, 72.8% (566/778) of all HCV sequences had at least one RAV associated with HCV NS3/4A protease inhibitor resistance. Variants were found in 3.6% (7/193) of genotype 1, 100% (23/23) of genotype 2, 100% (237/237) of genotype 3 and 92% (299/325) of genotype 6 sequences. The Q80K variant was present in 98.4% of genotype 6a sequences. High-level RAVs were rare, occurring in only 0.8% of patients. 93% (64/69) patients with genotype 1b also carried the C316N variant associated with NS5B low-level resistance. Conclusions The low frequency of high-level RAVs associated with primary HCV DAA resistance among all genotypes in HIV/HCV co-infected patients is encouraging. Further phenotypic studies and clinical research are needed. PMID:27341031

  3. Clinical performance of the new Roche COBAS (R) TaqMan HCV test and high pure system for extraction, detection and quantitation of HCV RNA in plasma and serum

    NARCIS (Netherlands)

    H.C. Gelderblom; S. Menting; M.G. Beld

    2006-01-01

    We evaluated the Roche COBAS (R) TaqMan HCV Test For Use With The High Pure System (TaqMan HPS; Roche Diagnostics), for the extraction, detection and quantitation of hepatitis C virus (HCV) RNA in serum or plasma of HCV-infected individuals. The TaqMan HPS is a real-time PCR assay with a reported li

  4. Gene profiling, biomarkers and pathways characterizing HCV-related hepatocellular carcinoma

    Directory of Open Access Journals (Sweden)

    Buonaguro Luigi

    2009-10-01

    Full Text Available Abstract Background Hepatitis C virus (HCV infection is a major cause of hepatocellular carcinoma (HCC worldwide. The molecular mechanisms of HCV-induced hepatocarcinogenesis are not yet fully elucidated. Besides indirect effects as tissue inflammation and regeneration, a more direct oncogenic activity of HCV can be postulated leading to an altered expression of cellular genes by early HCV viral proteins. In the present study, a comparison of gene expression patterns has been performed by microarray analysis on liver biopsies from HCV-positive HCC patients and HCV-negative controls. Methods Gene expression profiling of liver tissues has been performed using a high-density microarray containing 36'000 oligos, representing 90% of the human genes. Samples were obtained from 14 patients affected by HCV-related HCC and 7 HCV-negative non-liver-cancer patients, enrolled at INT in Naples. Transcriptional profiles identified in liver biopsies from HCC nodules and paired non-adjacent non-HCC liver tissue of the same HCV-positive patients were compared to those from HCV-negative controls by the Cluster program. The pathway analysis was performed using the BRB-Array- Tools based on the "Ingenuity System Database". Significance threshold of t-test was set at 0.001. Results Significant differences were found between the expression patterns of several genes falling into different metabolic and inflammation/immunity pathways in HCV-related HCC tissues as well as the non-HCC counterpart compared to normal liver tissues. Only few genes were found differentially expressed between HCV-related HCC tissues and paired non-HCC counterpart. Conclusion In this study, informative data on the global gene expression pattern of HCV-related HCC and non-HCC counterpart, as well as on their difference with the one observed in normal liver tissues have been obtained. These results may lead to the identification of specific biomarkers relevant to develop tools for detection

  5. Increases in acute hepatitis C (HCV incidence across Europe: which regions and patient groups are affected?

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    Rockstroh J

    2012-11-01

    Full Text Available Background In the last decade, several outbreaks of sexually acquired acute HCV have been described in men who have sex with men (MSM infected with HIV in Australia, Europe, and North America. The aims of this study were to determine the incidence of acute HCV within the large EuroSIDA cohort and to explore possible regional differences throughout Europe and in different HIV transmission risk groups. Methods Baseline was defined as 1st Jan of 2002 or entry into EuroSIDA, whichever comes later. All patients from EuroSIDA who were HCV antibody-negative at baseline and had at least 2 HCV antibody test results available were included into the study. HCV seroconversion was defined as change from negative to positive HCV-antibody test within the observation period from 2002 onwards. Follow-up was counted from baseline to HCV antibody positivity for seroconverters and to the last HCV antibody-negative test result for those that did not seroconvert for HCV. Poisson regression analyses were performed to identify predictive factors for HCV seroconversion. Results A total of 150 HCV seroconversions (95 [63.3%] in MSM occurred in 4295 patients during 18,928 person years of follow-up (PYFU, overall incidence of 0.79 acute infections per 100 PYFU (95% CI: 0.67–0.92 (see figure. The incidence of HCV seroconversions increased from 0.47 (CI: 0.19–0.74 in 2002 to 2.34 (CI: 1.24–3.44 in 2010. Similar patterns were observed across all European regions (p=0.89, test for interaction. In multivariate analysis, IDU was associated with a higher incidence rate ratio (IRR than MSM: 4.59 (2.40–8.80; p<0.0001, South and East Europe both had higher IRR compared to Western Europe, respectively (1.98 [1.12–3.49]; p=0.018 and 2.41 [1.41–4.12]; p=0.0014. Calendar year per 2 years was also associated with a higher IRR (1.29 [1.19–1.39]; p<0.0001. Conclusion The incidence of acute HCV within EuroSIDA increased over time. Although, the incidence of seroconversion was

  6. 抗-HCV与HCV-RNA检测结果不一致原因分析

    Institute of Scientific and Technical Information of China (English)

    文汉成; 安社刚; 张红芳

    2004-01-01

    目的:探讨抗-HCV和HCV-RNA结果不一致的原因。方法:应用ELISA法和FQ-PCR法同步检测380例患者血清中抗-HCV和HCV-RNA。结果:在280例抗-HCV阳性中有106例HCV-RNA为阴性,有3例抗-HCV阴性患者HCV-RNA却为阳性。结论:同步检测抗-HCV和HCV-RNA可提高肝病患者HCV感染的检出率,为其诊断和治疗提供指导。

  7. Hepatitis C virus RNA kinetics: Drug efficacy and the rate of HCV-infected cells loss

    Institute of Scientific and Technical Information of China (English)

    Harel Dahari; Alan S Perelson

    2007-01-01

    @@ TO THE EDITOR We read the study by Medeiros-Filho et al[1] with much interest. The study shed light on early HCV RNA kinetics in conjunction with liver cirrhosis, different genotypes (gen-1 vs gen-3) of HCV and sustained viral response (SVR) rates. In particular, Medeiros-Filho et al[1]showed that the HCV RNA first phase decline, under interferon-α (IFN) and ribavirin therapy, which represents the effectiveness (ε) of IFN to block viral production[2,3],was significantly larger in gen-3 cirrhotic patients (mean ε = 0.99) than gen-1 cirrhotic patients (mean ε = 0.8). In addition, in these cirrhotic patients, they found that the HCV RNA second phase decay slope in gen-3 patients was significantly faster than in gen-1 patients, and suggested that the immune response against infected HCV cells in gen-1 patients may be less potent than in gen-3 patients.

  8. Clinical Evaluation of-HCV-IgG in the Diagnosis of Hepatitis C by Chemiluminescence Detection of HCV-RNA and Fluorescent Quantitative PCR%化学发光法检测抗-HCV-IgG与荧光定量PCR检测HCV-RNA在丙型肝炎诊断中的临床评价

    Institute of Scientific and Technical Information of China (English)

    王江南; 张小莲; 杨光; 张起

    2016-01-01

    目的:探讨化学发光法(CLIA)检测抗-HCV-IgG与荧光定量PCR检测HCV-RNA在丙型肝炎(HCV)诊断中的临床价值。方法对106例HCV待查者血清标本,同时采用CLIA法检测抗-HCV-IgG抗体和荧光定量PCR检测HCV-RNA载量。结果106份标本中HCV-RNA阳性率为27.4%(29/106),抗-HCV-IgG阳性率为25.5%(27/106),符合率为82.8%(24/29),经χ2检验,两种方法的阳性率差异无统计学意义(P>0.05),抗-HCV-IgG阳性检出率随着HCV-RNA病毒载量的增高而升高。结论 CLIA法检测抗-HCV-IgG抗体与荧光定量PCR检测HCV-RNA在丙型肝炎诊断中无显著差异,但两者均存在一定的局限性,联合运用能有效降低单独使用的漏检风险,提高检出率,为临床诊断HCV感染提供可靠性依据。%Objective To investigate the value of hepatitis C diagnosis using Chemoluminescence immunoassay (CLIA)in the detection of anti-HCV-IgG and Real-time fluorescent quantitative PCR (FQ-PCR)in the detection of HCV-RNA.Methods In 106 suspicious clinical serum samples,the anti-HCV-IgG index was detected by CLIA and the HCV-RNA was detected by FQ-PCR.Results The positive rates of HCV-RNA and anti-HCV-IgG were 27.4%(29/106)and 25.5%(27/106)respectively.There were no significant statistical difference between the two methods (P>0.05)and the coincidental rate was 82.8%(24/29).The positive detection rates of anti-HCV-IgG increased with the elevation of HCV-RNA load.Conclusion CLIA was used to detect anti-HCV-IgG and FQ-PCR in the diagnosis of hepatitis C is not significantly different,but both has some limitations,combined with the can effectively reduce the risk of failure detection used alone,to improve the detection rate,to provide reliable basis for clinical diagnosis of HCV infection.

  9. Two distinct functional patterns of hepatitis C Virus (HCV-specific T cell responses in seronegative, aviremic patients.

    Directory of Open Access Journals (Sweden)

    Yoon Seok Choi

    Full Text Available In hepatitis C Virus (HCV high-risk groups, HCV-specific T cell responses have been detected in seronegative, aviremic persons who have no evidence of HCV infection. Herein, we investigated functional profiles of HCV-specific T-cell responses in seronegative, aviremic patients of a HCV high-risk group. Seventy seven hemodialysis patients with chronic renal disease were analyzed by IFN-γ ELISpot assays, and eight of 71 (11.3% seronegative, aviremic patients displayed HCV-specific T-cell responses. Their HCV-specific memory T cells were characterized by assessing cytokine polyfunctionality, known to provide antiviral protection. By intracellular staining of IFN-γ, TNF-α, IL-2 and MIP-1β, we identified two distinct populations in the seronegative, aviremic patients: polyfunctional responders and TNF-α-predominant responders. In further analysis, occult HCV infection was excluded as a cause of the HCV-specific T cell response via secondary nested RT-PCR of HCV RNA in peripheral blood mononuclear cell samples. HCV-specific T cells targeted multiple epitopes including non-structural proteins in a single patient, implying that their T cells might have been primed by HCV proteins synthesized within the host. We conclude that HCV-specific memory T cells of seronegative, aviremic patients arise from authentic HCV replication in the host, but not from current occult HCV infection. By functional pattern of HCV-specific T cells, there are two distinct populations in these patients: polyfunctional responders and TNF-α-predominant responders.

  10. Gaining greater insight into HCV emergence in HIV-infected men who have sex with men: the HEPAIG Study.

    Directory of Open Access Journals (Sweden)

    Christine Larsen

    Full Text Available OBJECTIVES: The HEPAIG study was conducted to better understand Hepatitis C virus (HCV transmission among human immuno-deficiency (HIV-infected men who have sex with men (MSM and assess incidence of HCV infection among this population in France. METHODS AND RESULTS: Acute HCV infection defined by anti-HCV or HCV ribonucleic acid (RNA positivity within one year of documented anti-HCV negativity was notified among HIV-infected MSM followed up in HIV/AIDS clinics from a nationwide sampling frame. HIV and HCV infection characteristics, HCV potential exposures and sexual behaviour were collected by the physicians and via self-administered questionnaires. Phylogenetic analysis of the HCV-NS5B region was conducted. HCV incidence was 48/10 000 [95% Confidence Interval (CI:43-54] and 36/10 000 [95% CI: 30-42] in 2006 and 2007, respectively. Among the 80 men enrolled (median age: 40 years, 55% were HIV-diagnosed before 2000, 56% had at least one sexually transmitted infection in the year before HCV diagnosis; 55% were HCV-infected with genotype 4 (15 men in one 4d-cluster, 32.5% with genotype 1 (three 1a-clusters; five men were HCV re-infected; in the six-month preceding HCV diagnosis, 92% reported having casual sexual partners sought online (75.5% and at sex venues (79%, unprotected anal sex (90% and fisting (65%; using recreational drugs (62% and bleeding during sex (55%. CONCLUSIONS: This study emphasizes the role of multiple unprotected sexual practices and recreational drugs use during sex in the HCV emergence in HIV-infected MSM. It becomes essential to adapt prevention strategies and inform HIV-infected MSM with recent acute HCV infection on risk of re-infection and on risk-reduction strategies.

  11. Mitochondrial DNAs decreased and correlated with clinical features in HCV patients from Yunnan, China.

    Science.gov (United States)

    Zhang, A-Mei; Ma, Ke; Song, Yuzhu; Feng, Yue; Duan, Haiping; Zhao, Ping; Wang, Binghui; Xu, Gang; Li, Zheng; Xia, Xueshan

    2016-07-01

    Hepatitis C was the most popular chronic infectious liver disease worldwide. It was identified that Hepatitis C virus (HCV) infection could lead to mitochondrial dysfunction, though the mechanism was not fully understood. To investigate whether mtDNA copy number could be affected by HCV infection and be associated with clinical features of HCV patients, mtDNA copy numbers were analyzed in 242 patients with HCV infection and 226 matched control samples. The results suggested that mtDNA copy numbers significantly decreased in HCV patients (68.80 ± 3.33) than in control samples (81.54 ± 4.50) (p = 0.022). When males/females were separated from total patients to compare mtDNA copy numbers with gender matched controls, mtDNA copy numbers still significantly decreased in male HCV patients (p = 0.002). Further analysis indicated that level of high-density lipoprotein cholesterol (HDL-C) was negatively correlated with mtDNA copy numbers in total HCV patients (r = -0.128, p = 0.047), and this correlation was more significant in male HCV patients (r = -0.266, p = 0.030). Intriguingly, aspartate amino-transferase (AST) showed positive correlation with mtDNA copy numbers (r = 0.260, p = 0.034) in male HCV patients. Our results indicated that mtDNA copy numbers depleted and correlated with clinical features in male HCV patients.

  12. NAFLD and NASH in HCV Infection: Prevalence and Significance in Hepatic and Extrahepatic Manifestations.

    Science.gov (United States)

    Adinolfi, Luigi Elio; Rinaldi, Luca; Guerrera, Barbara; Restivo, Luciano; Marrone, Aldo; Giordano, Mauro; Zampino, Rosa

    2016-05-25

    The aim of this paper is to review and up to date the prevalence of hepatitis C virus (HCV)-associated non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH) and their significance in both accelerating progression of HCV-related liver disease and development of HCV-associated extrahepatic diseases. The reported mean prevalence of HCV-related NAFLD was 55%, whereas NASH was reported in 4%-10% of cases. HCV genotype 3 directly induces fatty liver deposition, namely "viral steatosis" and it is associated with the highest prevalence and degree of severity, whereas, HCV non-3 genotype infection showed lower prevalence of steatosis, which is associated with metabolic factors and insulin resistance. The host's genetic background predisposes him or her to the development of steatosis. HCV's impairment of lipid and glucose metabolism causes fatty liver accumulation; this seems to be a viral strategy to optimize its life cycle. Irrespective of insulin resistance, HCV-associated NAFLD, in a degree-dependent manner, contributes towards accelerating the liver fibrosis progression and development of hepatocellular carcinoma by inducing liver inflammation and oxidative stress. Furthermore, NAFLD is associated with the presence of metabolic syndrome, type 2 diabetes, and atherosclerosis. In addition, HCV-related "metabolic steatosis" impairs the response rate to interferon-based treatment, whereas it seems that "viral steatosis" may harm the response rate to new oral direct antiviral agents. In conclusion, a high prevalence of NAFLD occurs in HCV infections, which is, at least in part, induced by the virus, and that NAFLD significantly impacts progression of the liver disease, therapeutic response, and some extrahepatic diseases.

  13. Lipoprotein lipase inhibits hepatitis C virus (HCV infection by blocking virus cell entry.

    Directory of Open Access Journals (Sweden)

    Patrick Maillard

    Full Text Available A distinctive feature of HCV is that its life cycle depends on lipoprotein metabolism. Viral morphogenesis and secretion follow the very low-density lipoprotein (VLDL biogenesis pathway and, consequently, infectious HCV in the serum is associated with triglyceride-rich lipoproteins (TRL. Lipoprotein lipase (LPL hydrolyzes TRL within chylomicrons and VLDL but, independently of its catalytic activity, it has a bridging activity, mediating the hepatic uptake of chylomicrons and VLDL remnants. We previously showed that exogenously added LPL increases HCV binding to hepatoma cells by acting as a bridge between virus-associated lipoproteins and cell surface heparan sulfate, while simultaneously decreasing infection levels. We show here that LPL efficiently inhibits cell infection with two HCV strains produced in hepatoma cells or in primary human hepatocytes transplanted into uPA-SCID mice with fully functional human ApoB-lipoprotein profiles. Viruses produced in vitro or in vivo were separated on iodixanol gradients into low and higher density populations, and the infection of Huh 7.5 cells by both virus populations was inhibited by LPL. The effect of LPL depended on its enzymatic activity. However, the lipase inhibitor tetrahydrolipstatin restored only a minor part of HCV infectivity, suggesting an important role of the LPL bridging function in the inhibition of infection. We followed HCV cell entry by immunoelectron microscopy with anti-envelope and anti-core antibodies. These analyses demonstrated the internalization of virus particles into hepatoma cells and their presence in intracellular vesicles and associated with lipid droplets. In the presence of LPL, HCV was retained at the cell surface. We conclude that LPL efficiently inhibits HCV infection by acting on TRL associated with HCV particles through mechanisms involving its lipolytic function, but mostly its bridging function. These mechanisms lead to immobilization of the virus at the cell

  14. HCV screening to enable early treatment of hepatitis C : A mathematical model to analyse costs and outcomes in two populations

    NARCIS (Netherlands)

    Tramarin, A.; Gennaro, N.; Compostella, F.A.; Gallo, C.; Wendelaar Bonga, L.J.; Postma, M.J.

    2008-01-01

    Early treatment of acute hepatitis C virus (HCV) infections reflects a new clinical paradigm and a significant option to reduce the socioeconomic burden of HCV. Therefore, this approach seems suitable as a new strategy to face HCV and prevent end stage liver diseases and premature deaths due to prog

  15. Is adding HCV screening to the antenatal national screening program in Amsterdam, the Netherlands, cost-effective?

    NARCIS (Netherlands)

    Urbanus, Anouk T.; van Keep, Marjolijn; Matser, Amy A.; Rozenbaum, Mark H.; Weegink, Christine J.; van den Hoek, Anneke; Prins, Maria; Postma, Maarten J.

    2013-01-01

    INTRODUCTION: Hepatitis C virus (HCV) infection can lead to severe liver disease. Pregnant women are already routinely screened for several infectious diseases, but not yet for HCV infection. Here we examine whether adding HCV screening to routine screening is cost-effective. METHODS: To estimate

  16. Reduced IFNλ4 activity is associated with improved HCV clearance and reduced expression of interferon-stimulated genes

    DEFF Research Database (Denmark)

    Terczynska-Dyla, Ewa; Bibert, Stephanie; Duong, Francois H T;

    2014-01-01

    Hepatitis C virus (HCV) infections are the major cause of chronic liver disease, cirrhosis and hepatocellular carcinoma worldwide. Both spontaneous and treatment-induced clearance of HCV depend on genetic variation within the interferon-lambda locus, but until now no clear causal relationship has...... of poor HCV clearance....

  17. Is adding HCV screening to the antenatal national screening program in Amsterdam, the Netherlands cost-effective?

    NARCIS (Netherlands)

    Urbanus, A.; Van Keep, M.; Matser, A.; Rozenbaum, M.; Weegink, C.; Van Den Hoek, A.; Prins, M.; Postma, M.

    2013-01-01

    Introduction: Hepatitis C virus infection (HCV) can lead to severe liver disease. Recently new improved treatment options have been introduced. Pregnant women are already routinely screened for several infectious diseases, however not yet for HCV infection. Here we examine whether adding HCV screeni

  18. Is adding HCV screening to the antenatal national screening program in Amsterdam, the Netherlands, cost-effective?

    NARCIS (Netherlands)

    Urbanus, Anouk T.; van Keep, Marjolijn; Matser, Amy A.; Rozenbaum, Mark H.; Weegink, Christine J.; van den Hoek, Anneke; Prins, Maria; Postma, Maarten J.

    2013-01-01

    INTRODUCTION: Hepatitis C virus (HCV) infection can lead to severe liver disease. Pregnant women are already routinely screened for several infectious diseases, but not yet for HCV infection. Here we examine whether adding HCV screening to routine screening is cost-e