Seroprevalence and Molecular Characterisation of Human Hepatitis A virus in Serum Samples of Tunisian Patients with Clinical Symptoms of Viral Hepatitis

Indian Journal of Virology - Tập 23 - Trang 29-35 - 2012
Hakima Gharbi-Khelifi1, Nabil Ben Salem Abid1, Abir Beji1, Leila Bhiri1, Rafik Harrath1, Khira Sdiri1, Sylviane Billaudel2, Virginie Ferre2, Mahjoub Aouni1
1Laboratoire des Maladies Transmissibles et Substances Biologiquement Actives LR99ES27, Faculté de Pharmacie de Monastir, Université de Monastir, Monastir, Tunisia
2JE 2437, Département de Microbiologie, Faculté de Pharmacie, Nantes, France

Tóm tắt

The aim of the present study was to investigate the seroprevalence of Hepatitis A virus antibodies in patients with clinical symptoms of viral hepatitis and molecular characterization of the detected isolates. The present study deals with the seroprevalence and the genetic diversity of HAV in 400 Tunisian patients presenting in dispensaries (160 patients) and in University Hospitals (240 patients) with hepatitis symptoms between 2006 and 2008. The patients with acute hepatitis were mainly from rural regions. However, the total number of patients was decreased over time. The collected samples were from patients with hepatitis symptoms occurring mainly during January–March (36.7, 26, and 35.5%) and September–December (39.4, 43.4, and 35.5%) during the three years of study, respectively. However, HAV infection was established for only 110 among 400 patients. The detected isolates were clustered within sub-genotype IA. The present study constituted another report of the continued surveillance of HAV infection in the region of Monastir and the molecular characterisation of the detected strains.

Tài liệu tham khảo

Almasio PL, Amoroso P. HAV infection in chronic liver disease: a rationale for vaccination. Vaccine. 2003;21(19–20):2238–41. doi:10.1016/j.physletb.2003.10.071. Arauz-Ruiz P, Sundqvist L, Garcia Z, Taylor L, Visona K, Norder H, Magnius LO. Presumed common source outbreaks of hepatitis A in an endemic area confirmed by limited sequencing within the VP1 region. J Med Virol. 2001;65(3):449–56. doi:10.1002/jmv.2056. Bell BP, Shapiro CN, Alter MJ, Moyer LA, Judson FN, Mottram K, Fleenor M, Ryder PL, Margolis HS. The diverse patterns of hepatitis A epidemiology in the United States-implications for vaccination strategies. J Infect Dis. 1998;178(6):1579–84. doi:10.1086/314518. Bruisten SM, van Steenbergen JE, Pijl AS, Niesters HGM, van Doornum GJJ, Coutinho RA. Molecular epidemiology of hepatitis A virus in Amsterdam, the Netherlands. J Med Virol. 2001;63:88–95. Byun KS, Kim JH, Song K-J, Baek LJ, Song J-W, Park SH, Kwon OS, Yeon JE, Kim JS, Bak YT, Lee CH. Molecular studies: hepatitis A virus and hepatectomy. Molecular epidemiology of hepatitis A virus in Korea. J Gastroenterol Hepatol. 2001;16:519–24. Cooksley WG. What did we learn from the Shanghai hepatitis A epidemic? J Viral Hepat. 2000;7(Suppl 1):1–3. doi:10.1046/j.1365-2893.2000.00021.x. Costa-Mattioli M, Monpoeho S, Nicand E, Aleman MH, Billaudel S, Ferre V. Quantification and duration of viraemia during hepatitis A infection as determined by real-time RT-PCR. J Viral Hepat. 2002;9(2):101–6. doi:10.1046/j.1365-2893.2002.00336.x. Costa-Mattioli M, Monpoeho S, Schvoerer C, Besse B, Aleman MH, Billaudel S, Cristina J, Ferré V. Genetic analysis of hepatitis A virus outbreak in France confirms the co-circulation of subgenotypes Ia, Ib and reveals a new genetic lineage. J Med Virol. 2001;65(2):233–40. doi:10.1002/jmv.2025. Cotter SM, Sansom S, Long T, Koch E, Kellerman S, Smith F, Averhoff F, Bell BP. Outbreak of hepatitis A among men who have sex with men: implications for hepatitis A vaccination strategies. J Infect Dis. 2003;187(8):1235–40. doi:10.1086/374057. de Paula VS, Lu L, Niel C, Gaspar AM, Robertson BH. Genetic analysis of hepatitis A virus isolates from Brazil. J Med Virol. 2004;73(3):378–83. doi:10.1002/jmv.20101. Diaz BI, Sariol CA, Normann A, Rodriguez L, Flehmig B. Genetic relatedness of Cuban HAV wild-type isolates. J Med Virol. 2001;64(2):96–103. doi:10.1002/jmv.1023. Franco E, Giambi C, Ialacci R, Coppola RC, Zanetti AR. Risk groups for hepatitis A virus infection. Vaccine. 2003;21(19–20):2224–33. doi:10.1016/S0264-410X(03)00137-3. Gharbi-Khelifi H, Ferre V, Sdiri K, Berthome M, Fki L, Harrath R, Billaudel S, Aouni M. Hepatitis A in Tunisia: phylogenetic analysis of hepatitis A virus from 2001 to 2004. J Virol Methods. 2006;138(1–2):109–16. doi:10.1016/j.jviromet.2006.08.001. Gharbi-Khelifi H, Sdiri K, Ferre V, Harrath R, Berthome M, Billaudel S, Aouni M. A 1-year study of the epidemiology of hepatitis A virus in Tunisia. Clin Microbiol Infect. 2007;13(1):25–32. doi:10.1111/j.1469-0691.2006.01588.x. Hussain Z, Das BC, Husain SA, Asim M, Chattopadhyay S, Malik A, Poovorawan Y, Theamboonlers A, Kar P. Hepatitis A viral genotypes and clinical relevance: clinical and molecular characterization of hepatitis A virus isolates from northern India. Hepatol Res. 2005;32(1):16–24. doi:10.1016/j.hepres.2005.01.014. Jansen RW, Siegl G, Lemon SM. Molecular epidemiology of human hepatitis A virus defined by an antigen-capture polymerase chain reaction method. Proc Natl Acad Sci USA. 1990;87:2867–71. Letaief A, Kaabia N, Gaha R, Bousaadia A, Lazrag F, Trabelsi H, Ghannem H, Jemni L. Age-specific seroprevalence of hepatitis a among school children in central Tunisia. Am J Trop Med Hyg. 2005;73(1):40–3. Lu L, Ching KZ, de Paula VS, Nakano T, Siegl G, Weitz M, Robertson BH. Characterization of the complete genomic sequence of genotype II hepatitis A virus (CF53/Berne isolate). J Gen Virol. 2004;85(10):2943–52. doi:10.1099/vir.0.80304-0. Mathur P, Arora NK. Epidemiological transition of hepatitis A in India: issues for vaccination in developing countries. Indian J Med Res. 2008;128(6):699–704. Mbayed VA, Sookoian S, Alfonso V, Campos RH. Genetic characterization of hepatitis A virus isolates from Buenos Aires, Argentina. J Med Virol. 2002;68(2):168–74. doi:10.1002/jmv.10194. Najarian R, Caput D, Gee W, Potter SJ, Renard A, Merryweather J, Van Nest G, Dina D. Primary structure and gene organization of human hepatitis A virus. Proc Nat Acad Sci USA. 1985;82(9):2627–31. Normann A, Badur S, Onel D, Kilic A, Sidal M, Larouze B, Massari V, Müller J, Flehmig B. Acute hepatitis A virus infection in Turkey. J Med Virol. 2008;80(5):785–90. doi:10.1002/jmv.21137. Poovorawan Y, Theamboonlers A, Chongsrisawat V, Jantaradsamee P, Chutsirimongkol S, Tangkijvanich P. Clinical features and molecular characterization of hepatitis A virus outbreak in a child care center in Thailand. J Clin Virol. 2005;32(1):24–8. doi:10.1016/j.jcv.2004.04.008. Rezende G, Roque-Afonso AM, Samuel D, Gigou M, Nicand E, Ferre V, Dussaix E, Bismuth H, Féray C. Viral and clinical factors associated with the fulminant course of hepatitis A infection. Hepatology. 2003;38(3):613–8. doi:10.1053/jhep.2003.50366. Rezig D, Ouneissa R, Mhiri L, Mejri S, Haddad-Boubaker S, Ben Alaya N, Triki H. Seroprevalences of hepatitis A and E infections in Tunisia. Pathol Biol (Paris). 2008;56(3):148–53. doi:10.1016/j.patbio.2007.09.026. Robertson BH, Averhoff F, Cromeans TL, Han X-H, Khoprasert B, Nainan OV, Rosenberg J, Paikoff L, DeBess E, Shapiro CN, Margolis HS. Genetic relatedness of hepatitis A virus isolates during a community-wide outbreak. J Med Virol. 2000;62:144–50. Robertson BH, Khanna B, Nainan OV, Margolis HS. Epidemiologic patterns of wild-type hepatitis A virus determined by genetic variation. J Infect Dis. 1991;163:286–92. Robertson BH, Jansen RW, Khanna B, Totsuka A, Nainan OV, Siegl G, Widell A, Margolis HS, Isomura S, Ito K, Ishizu T, Moritsugu Y, Lemon SM. Genetic relatedness of hepatitis A virus strains recovered from different geographical regions. J Gen Virol. 1992;73(6):1365–77. doi:10.1099/0022-1317-73-6-1365. Sanchez G, Populaire S, Butot S, Putallaz T, Joosten H. Detection and differentiation of human hepatitis A strains by commercial quantitative real-time RT-PCR tests. J Virol Methods. 2006;132(1–2):160–5. doi:10.1016/j.jviromet.2005.10.010. Tamura K, Dudley J, Nei M, Kumar S. MEGA4: Molecular Evolutionary Genetics Analysis (MEGA) software version 4.0. Mol Biol Evol. 2007;24(8):1596–9. doi:10.1093/molbev/msm092. Theamboonlers A, Jantaradsamee P, Chatchatee P, Chongsrisawat V, Mokmula M, Poovorawan Y. Molecular characterization of hepatitis-A-virus infections, in the context of two outbreaks in southern Thailand. Ann Trop Med Parasitol. 2002;96(7):727–34. doi:10.1179/000349802125001898. Thompson JD, Higgins DG, Gibson TJ. CLUSTAL W: improving the sensitivity of progressive multiple sequence alignment through sequence weighting, position-specific gap penalties and weight matrix choice. Nucleic Acids Res. 1994;22(22):4673–80. doi:10.1093/nar/22.22.4673. Wang JY, Lee SD, Tsai YT, Lo KJ, Chiang BN. Fulminant hepatitis A in chronic HBV carrier. Dig Dis Sci. 1986;31(1):109–11. doi:10.1007/BF01347921. Kao HW, Ashcavai M, Redeker AG. The persistence of hepatitis A IgM antibody after acute clinical hepatitis A. Hepatology. 1984;4:933–6. Fikar CR, McKee C. False positivity of IgM antibody to Epstein-Barr viral capsid antigen during acute hepatitis A infection. Pediatr Infect Dis J. 1994;13:413–4. Roque-Afonso AM, Grangeot-Keros L, Roquebert B, Desbois D, Poveda JD, Mackiewicz V, Dussaix E. Diagnostic relevance of immunoglobulin G avidity for hepatitis A virus. J Clin Microbiol. 2004;42:5121–4. doi:10.1128/JCM.42.11.5121-5124.2004. Cohen JI, Feinstone S, Purcell RH. Hepatitis A virus infection in a chimpanzee: duration of viremia and detection of virus in saliva and throat swabs. J Infect Dis. 1989;5:887–90. doi:10.1093/infdis/160.5.887.