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J Infect Dis. 2012 Apr 16. [Epub ahead of print]
Tears from children with chronic hepatitis B virus infection are infectious vehicles of hepatitis B virus. Experimental transmission of hepatitis B virus by tears using mice with chimeric human livers.Komatsu H, Inui A, Sogo T, Tateno A, Shimokawa R, Fujisawa T.
SourceDivision of Hepatology and Gastroenterology, Department of Pediatrics, Eastern Yokohama Hospital.
AbstractBackground
Body fluids from hepatitis B virus (HBV) carriers such as saliva, urine, sweat, and tears, are potential sources of HBV transmission.
Methods
Thirty-nine children and 8 adults who were chronically infected with HBV were enrolled. Real-time PCR was used for the quantification of HBV DNA.ResultsHBV DNA was detected in 73.7% (14/19) of urine samples, 86.8% (33/38) of saliva samples, 100% (11/11) of tear samples and 100% (9/9) of sweat samples. The levels of HBV DNA levels in the urine, saliva, tears, and sweat (mean ± SD) were 4.3 ± 1.1 log copies/mL, 5.9 ± 1.2 log copies/mL, 6.2 ± 0.7 log copies/mL, and 5.2 ± 0.6 log copies/mL, respectively. A statistically significant correlation was observed between HBV DNA in serum and that in saliva/tears (r = 0.88, p <0.001). Tears from a child were injected intravenously into two human hepatocyte-transplanted chimeric mice. One week after inoculation, both chimeric mice became positive for serum HBV DNA.
Conclusions
The levels of HBV DNA in tears from young children were high. Tears were confirmed to be infectious using the chimeric mice. Strict precautions should be taken against direct contact with body fluids from HBV carriers with highly viremia.
PMID:22508939 [PubMed - as supplied by publisher] |
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