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Torque teno virus infection in hemodialysis patients in North India

  • Nephrology - Original Paper
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Abstract

This study describes the prevalence and association of Torque teno virus (TTV) infection with blood-transmitted viral hepatitis including hepatitis B virus (HBV) and hepatitis C virus (HCV) infections in patients with chronic renal failure (CRF) on maintenance hemodialysis (HD). TTV infection was diagnosed by detection of TTV-DNA in serum, using the polymerase chain reaction (PCR) technique. TTV-DNA was estimated in a total number of one hundred patients with CRF and in 100 voluntary blood donors as controls. The markers of HBV and HCV were also tested in sera samples of these patients. TTV-DNA was detected in 39 of 100 patients (39%) with CRF and in 27 of 100 (27%) healthy controls. The analysis of the results demonstrated HBsAg, IgM anti-HBc, anti-HCV, and HCV core antigen in 5.0, 3.0, 6.0, and 4.0% of patients, respectively. This study could not show any association of TTV with HBV and HCV infections for the transmission pattern or any impact on severity of diseases caused by these viruses in CRF patients. TTV also could not show any association with demographic characteristics of patients, duration of dialysis, number of blood transfusions and renal/liver function of the patients. As such, this study concludes that TTV appears as a benign pathogen, showing no sign of renal/liver damage or any change in the severity of diseases caused by blood-borne hepatitis viruses.

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References

  1. Nishizawa T, Okamoto H, Konishi K et al (1997) A novel DNA virus (TTV) associated with elevated transaminase levels in posttransfusion hepatitis of unknown etiology. Biochem Biophys Res Commun 241:92–97

    Article  CAS  PubMed  Google Scholar 

  2. Mushahwar IK, Erker JC, Muerhoff AS et al (1999) Molecular and biophysical characterization of TT virus: evidence for a new virus family infecting humans. Proc Natl Acad Sci USA 96:3177–3182

    Article  CAS  PubMed  Google Scholar 

  3. Pringle CR (1999) Virus taxonomy at the XIth international congress of virology, Sydney, Australia. Arch Virol 144:2065–2070

    Article  CAS  PubMed  Google Scholar 

  4. Takahashi K, Iwasa Y, Hijikata M et al (2000) Identification of a new human DNA virus (TTV-like mini virus, TLMV) intermediately related to TT virus and chicken anemia virus. Arch Virol 145:979–993

    Article  CAS  PubMed  Google Scholar 

  5. Tanaka Y, Primi D, Wang RY et al (2001) Genomic and molecular evolutionary analysis of a newly identified infectious agent (SEN virus) and its relationship to the TT virus family. J Infect Dis 183:359–367

    Article  CAS  PubMed  Google Scholar 

  6. Khudyakov YE, Cong ME, Nichols B et al (2000) Sequence heterogeneity of TT virus and closely related viruses. J Virol 74:2990–3000

    Article  CAS  PubMed  Google Scholar 

  7. Muljono DH, Nishizawa T, Tsuda F et al (2001) Molecular epidemiology of TT virus (TTV) and characterization of two novel TTV genotypes in Indonesia. Arch Virol 146:1249–1266

    Article  CAS  PubMed  Google Scholar 

  8. Okamoto H, Nishizawa T, Tawara A et al (2000) Species-specific TT viruses in humans and nonhuman primates and their phylogenetic relatedness. Virology 277:368–378

    Article  CAS  PubMed  Google Scholar 

  9. Takahashi K, Hijikata M, Samokhvalov EI et al (2000) Full or near full length nucleotide sequences of TT virus variants (types SANBAN and YONBAN) and the TT virus-like mini virus. Intervirology 43:119–123

    Article  CAS  PubMed  Google Scholar 

  10. Biagini P, Gallian P, Attoui H et al (2001) Genetic analysis of full-length genomes and subgenomic sequences of TT virus-like mini virus human isolates. J Gen Virol 82:379–383

    CAS  PubMed  Google Scholar 

  11. Biagini P, Gallian P, Cantaloube JF et al (1998) Presence of TT virus in French blood donors and intravenous drug users. J Hepatol 29:684–685

    Article  CAS  PubMed  Google Scholar 

  12. Charlton M, Adjei P, Poterucha J et al (1998) TT-virus infection in North American blood donors, patients with fulminant hepatic failure, and cryptogenic cirrhosis. Hepatology 28:839–842

    Article  CAS  PubMed  Google Scholar 

  13. MacDonald DM, Scott GR, Clutterbuck D et al (1999) Infrequent detection of TT virus infection in intravenous drug users, prostitutes, and homosexual men. J Infect Dis 179:686–689

    Article  CAS  PubMed  Google Scholar 

  14. Okamoto H, Takahashi M, Nishizawa T et al (1999) Marked genomic heterogeneity and frequent mixed infection of TT virus demonstrated by PCR with primers from coding and noncoding regions. Virology 259:428–436

    Article  CAS  PubMed  Google Scholar 

  15. Biagini P, Gallian P, Attoui H et al (1999) Determination and phylogenetic analysis of partial sequences from TT virus isolates. J Gen Virol 80(Pt 2):419–424

    CAS  PubMed  Google Scholar 

  16. Tanaka Y, Mizokami M, Orito E et al (1998) New genotypes of TT virus (TTV) and a genotyping assay based on restriction fragment length polymorphism. FEBS Lett 437:201–206

    Article  CAS  PubMed  Google Scholar 

  17. Viazov S, Ross RS, Niel C et al (1998) Sequence variability in the putative coding region of TT virus: evidence for two rather than several major types. J Gen Virol 79(Pt 12):3085–3089

    CAS  PubMed  Google Scholar 

  18. Okamoto H, Nishizawa T, Kato N et al (1998) Molecular cloning and characterization of a novel DNA virus (TTV) associated with posttransfusion hepatitis of unknown etiology. Hepatol Res 10:1–16

    Article  Google Scholar 

  19. Forns X, Hegerich P, Darnell A et al (1999) High prevalence of TT virus (TTV) infection in patients on maintenance hemodialysis: frequent mixed infections with different genotypes and lack of evidence of associated liver disease. J Med Virol 59:313–317

    Article  CAS  PubMed  Google Scholar 

  20. Oguchi T, Tanaka E, Orii K et al (1999) Transmission of and liver injury by TT virus in patients on maintenance hemodialysis. J Gastroenterol 34:234–240

    Article  CAS  PubMed  Google Scholar 

  21. Utsunomiya S, Yoshioka K, Wakita T et al (1999) TT virus infection in hemodialysis patients. Am J Gastroenterol 94:3567–3570

    Article  CAS  PubMed  Google Scholar 

  22. Bentwich Z, Kalinkovich A, Weisman Z (1995) Immune activation is a dominant factor in the pathogenesis of African AIDS. Immunol Today 16:187–191

    Article  CAS  PubMed  Google Scholar 

  23. Kheradpezhouh M, Taremi M, Gachkar L et al (2007) Presence and significance of transfusion-transmitted virus infection in Iranian patients on maintenance hemodialysis. J Microbiol Immunol Infect 40:105–111

    Google Scholar 

  24. Takahashi K, Hoshino H, Ohta Y et al (1998) Very high prevalence of TT virus (TTV) infection in general population of Japan revealed by a new set of PCR primers. Hepatol Res 12:233–239

    Article  Google Scholar 

  25. Kao JH, Chen W, Hsiang SC et al (1999) Prevalence and implication of TT virus infection: minimal role in patients with non-A-E hepatitis in Taiwan. J Med Virol 59:307–312

    Article  CAS  PubMed  Google Scholar 

  26. Okamoto H, Akahane Y, Ukita M et al (1998) Fecal excretion of a nonenveloped DNA virus (TTV) associated with posttransfusion non-A-G hepatitis. J Med Virol 56:128–132

    Article  CAS  PubMed  Google Scholar 

  27. Tanaka H, Okamoto H, Luengrojanakul P et al (1998) Infection with an unenveloped DNA virus (TTV) associated with posttransfusion non-A to G hepatitis in hepatitis patients and healthy blood donors in Thailand. J Med Virol 56:234–238

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

The authors thank and appreciate the financial aid provided by ICMR, New Delhi, India to conduct this study. Authors are also thankful to Mrs. Suman Rawat for preparing this manuscript and Mr. Surendra Singh for the help in test performance.

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Correspondence to Mohammad Irshad.

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Irshad, M., Mandal, K., Singh, S. et al. Torque teno virus infection in hemodialysis patients in North India. Int Urol Nephrol 42, 1077–1083 (2010). https://doi.org/10.1007/s11255-009-9648-4

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  • DOI: https://doi.org/10.1007/s11255-009-9648-4

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