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Impact of HBV replication in peripheral blood mononuclear cell on HBV intrauterine transmission

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Abstract

This study determined the effect of hepatitis B virus (HBV) replication in peripheral blood mononuclear cell (PBMC) from HBsAg-positive mothers on HBV intrauterine transmission. A total of 150 HBsAg-positive mothers and their neonates were recruited in this study. Within 24 h after birth, HBV serological markers, serum HBV DNA, PBMC HBV relaxed circular DNA (rcDNA), and covalently closed circular DNA (cccDNA) were measured in the HBsAg-positive mothers and their neonates before passive-active immune prophylaxis. The relationship between HBV replication in PBMC and HBV intrauterine transmission was examined through Chisquare test and logistic regression. The rate of HBV intrauterine transmission was 8.00% (12/150) in the 150 neonates born to HBsAg-positive mothers. The positivities of PBMC HBV rcDNA and cccDNA in the HBsAg-positive mothers were 36.67% (55/150) and 10% (15/150), respectively. Maternal PBMC HBV cccDNA was a risk factor of HBV intrauterine transmission (OR = 6.003, 95% CI: 1.249–28.855). Maternal serum HBeAg was a risk factor of PBMC HBV rcDNA (OR = 3.896, 95% CI: 1.929–7.876) and PBMC HBV cccDNA (OR = 3.74, 95% CI: 1.186–11.793) in the HBsAg-positive mothers. Administration of hepatitis B immune globulin was a protective factor of PBMC HBV cccDNA (OR = 0.312, 95%CI: 0.102–0.954) during pregnancy. The positivity of PBMC HBV rcDNA was related to that of cccDNA in the HBsAg-positive mothers (χ2= 5.087, P = 0.024). This study suggests that PBMC is a reservoir of HBV and an extrahepatic site for virus replication and plays a critical role in HBV intrauterine transmission.

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Acknowledgements

This study was supported by the National Natural Science Foundation of China (Nos. 30070669 and 81573212).

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Author notes

  1. Xiaohong Shi and Xuefei Wang contributed equally to this work.

Authors and Affiliations

  1. Department of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, 030001, China

    Xiaohong Shi, Xuefei Wang, Xixi Xu, Yongliang Feng, Shuzhen Li & Suping Wang

  2. Department of Obstetrics and Gynaecology, The Third People Hospital of Taiyuan City, Taiyuan, 030001, China

    Shuying Feng & Bo Wang

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  1. Xiaohong Shi
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  2. Xuefei Wang
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  3. Xixi Xu
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  6. Shuying Feng
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  7. Bo Wang
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Correspondence to Suping Wang.

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Shi, X., Wang, X., Xu, X. et al. Impact of HBV replication in peripheral blood mononuclear cell on HBV intrauterine transmission. Front. Med. 11, 548–553 (2017). https://doi.org/10.1007/s11684-017-0597-5

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  • DOI: https://doi.org/10.1007/s11684-017-0597-5

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