Abstract
Objective
To explore the role of mother’s peripheral blood mononuclear cell (PBMC) infected with hepatitis B virus (HBV) in intrauterine transmission.
Methods
We have selected 60 cases of pregnant women with negative serum HBV DNA and positive PBMC HBV DNA from hospitalized patients. These women and their neonates acted as the experimental group. Twenty cases of pregnant women with HBV serum marker negative were selected. These women and their neonates served as the control group. Immunohistochemistry was employed to detect the expressions of HBsAg and HBcAg in cells of every placental layer and CD68 cells of placenta of the pregnant women whose neonates’ PBMC HBV DNA was positive and/or whose neonates’ serum HBV DNA positive.
Results
In the experimental group, neonatal serum HBV DNA of only four cases were positive, only eight cases’ neonatal PBMC HBV DNA were positive and four cases had HBV DNA positive in both neonatal serum and PBMC. The expressions of HBsAg and HBcAg were detected in CD68 cells of villous stroma and blood capillary in only eight cases of neonatal placenta with positive PBMC HBV DNA. HBV infection was found in cells of every layer in placenta in two of four cases with neonatal serum HBV DNA positive. The expressions of HBsAg and HBcAg were detected in trophoblastic cells, CD68 cells of villous stroma and blood capillary in two of four cases with HBV DNA positive in both neonatal serum and PBMC. In control group, no positive signals were detected in neonates and placenta.
Conclusion
HBV-infected PBMC in pregnant women may lead to intrauterine infection.
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References
Loriot MA, Marcellin P, Walker F et al (1997) Persistence of hepatitis B virus DNA in serum and liver from patients with chronic hepatitis B after loss of HBsAg. J Hepatol 27(2):251–258
Zhang KY, Cai YJ, Wang F et al (2001) Study on relationship between detection of hepatitis B virus: replicative intermediates RNA and hepatitis B virus DNA in peripheral blood mononuclear cells in patients with hepatitis b virus infection. Chin J Clini Hepatol 13(7):149–191
Mei SD, Yatsuhashi H, Parquet MC, Hamada R, Fujino T, Matsumoto T, Inoue O, Koga M, Yano M (2000) Detection of HBV RNA in peripheral blood mononuclear cells in patients with and without HBsAg by reverse transcription polymerase chain reaction. Hepatol Res 18(1):19–28
Chakravarty R, Neogi M, Roychowdhury S, Panda CK (2002) Presence of hepatitis B surface antigen mutant G145R DNA in the peripheral blood leukocytes of the family members of an asymptomatic carrier and evidence of its horizontal transmission. Virus Res 90:133–141
Yang XJ, Zou X, Wang LS (2003) Detection of HBV DNA in serum and peripheral blood mononuclear cells by FQ-PCR and its significance. Chin J Hepatol 11(4):214–218
Shen HD, Choo KB, Wu TC et al (1987) Hepatitis B virus infection of cord blood leukocytes. J Med Virol 22(3):211–216
Wang J, Sun L (2001) Study on the molecule mechanism of HBV vertical transmission. J Pract Med 17(9):827–828
Torii N, Hasegawa K, Joh R et al (2003) Configuration and replication competence of hepatitis B virus DNA in peripheral blood mononuclear cells from chronic hepatitis B patients and patients who have recovered from acute self-limited hepatitis. Hepatol Res 25(3):234–243
Shu-hong LI, Ya-fei YUE, Shu-lin ZHANG et al (2006) The role of peripheral blood mononuclear cells (PBMC) of HBV-infected mothers in the intrauterine infection of their fetuses. Chin J Hepatol 14(4):264–267
Trippler M, Meyer zum Buschenfelde KH, Gerken G (1999) HBV viral load within subpopulations of peripheral blood mononuclear cells in HBV infection using limiting dilution PCR. J Virol Methods J 78(1–2):129–147
Brind A, Jiaji J, Didier S et al (1997) Evidence for selection of hepatitis B mutants after liver transplantation through peripheral blood mononuclear cell infection. J Hepatol 26(2):228–235 (PMID: 9059940)
Coffin CS, Michalak TI (1999) Persistence of infectious hepadnavirus in the offspring of woodchuck mothers recovered from viral hepatitis. J Clin Invest 104(2):203–212 (PMID: 10411550)
Desai RG, Creger WP (1963) Maternofetal passage of leukocytes and platelets in man. Blood 21:665–673
Lo YM, Lau TK, Chan LY et al (2000) Quantitative analysis of the bidirectional fetomaternal transfer of nucleated cells and plasma DNA. Clin Chem 46(9):1301–1309
Bauer M, Orescovic I, Schoell WM et al (2002) Detection of maternal deoxyribonucleic acid in umbilical cord plasma by using fluorescent polymerase chain reaction amplification of short tandem repeat sequences. Am J Obstet Gynecol 186(1):117–120
Petit T, Dommergues M, Socie G, Dumez Y, Gluckman E, Brison (1997) Detection of maternal cells in human fetal blood during the third trimester of pregnancy using allele-specific PCR amplification. Br J Haematol J 98(3):767–771
Shimizu H, Mitsuda T, Fujita S, Yokota S (1991) Perinatal hepatitis B virus infection caused by antihepatitis Be positive maternal mononuclear cells. Arch Dis Child 66(6):718–721
Shu-zhen GUAN, Xin LI, Xin-ru GUO (1999) The study on clinic significance of detecting serum HBcAg. Chin J Epidemiol 20(3):146
Badur S, Lazi Y, Ugurlu M et al (1994) Transplacental message of hepatitis B virus DNA from hepatitis Be antigens-negative mother and delayed immune response in newborns. J Infect Dis 73:1143–1147
Acknowledgments
This test was reported by state of Shaanxi Province. We obtained financial aid from The National Natural Science Fund for the study (No. 30872220). The ethical approval was obtained from Shaanxi Province Ethics Committee for the study in pregnancy.
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Bai, G.Q., Li, S.H., Yue, Y.F. et al. The study on role of peripheral blood mononuclear cell in HBV intrauterine infection. Arch Gynecol Obstet 283, 317–321 (2011). https://doi.org/10.1007/s00404-010-1366-8
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DOI: https://doi.org/10.1007/s00404-010-1366-8