1. Occult hepatitis B in kidney transplants recipients and donors from Western Mexico.
- Author
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Fernández-Galindo DA, Galván-Ramírez ML, Andrade-Sierra J, González-Espinoza E, Evangelista-Carrillo LA, Mendoza-Cabrera S, Rodríguez-Pérez LR, Chiquete E, Armendáriz-Borunda J, and Sánchez-Orozco LV
- Subjects
- Adult, Female, Hepatitis B blood, Hepatitis B virology, Hepatitis B virus genetics, Hepatitis B, Chronic, Humans, Male, Mexico, Polymerase Chain Reaction, Tissue Donors, DNA, Viral blood, Hepatitis B epidemiology, Kidney Transplantation
- Abstract
Background: Occult hepatitis B virus infection (OBI) is defined as the presence of hepatitis B virus (HBV) DNA in serum and/or liver from HBsAg-negative subjects. Our aim was to determine OBI frequency in serum and genomic DNA in patients undergoing renal transplant and their cognate donors in a selected population from Western Mexico., Methods: Blood samples were obtained from 94 donors and their cognate recipients (188 participants) before kidney transplantation. Identification of HBV DNA was carried-out by nested (S-region) and semi-nested (Pol-region) PCR in both genomic and serum DNA samples from 188 participants at pre-surgical stage and from a subset of 73 recipients at three-month follow-up., Results: HBV-DNA was not detected in either genomic or serum DNA samples from recipients or donors prior to transplantation. After three-months of follow-up, 2 out of 73 (2.7%, 95% CI: 0.9-11.9%) recipients were positive to HBV-DNA (Pol-region) in genomic DNA samples using a high sensitivity Taq DNA polymerase., Conclusions: OBI incidence in recipients of kidney transplant may be higher than previously recognized. Detection of HBV-DNA was higher in genomic DNA than in serum samples using a high sensitivity Taq DNA polymerase. To the best of our knowledge, this is the first report regarding this specific topic in Mexicans., (Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2020
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