Abstract
GB virus C/hepatitis G virus (GBV-C/HGV) is a newly described virus associated with hepatitis in humans, and GBV-C/HGV coinfection is common in patients chronically infected with hepatitis C virus (HCV). To determine the clinical impact of GBV-C/HGV infection in such patients and the effect of interferon-alpha and ribavirin therapy on serum GBV-C/HGV RNA levels, GBV-C/HGV RNA was detected and quantitated in serum samples from 62 chronically infected HCV patients by a combination of a qualitative nested reverse transcription-polymerase chain reaction and a newly developed quantitative branched DNA assay: 10 patients were positive for serum GBV-C/HGV RNA. There were no differences in the clinical, biochemical, and histologic features of the patients with GBV-C/HGV-HCV coinfection compared with those with HCV infection alone. Interferon-alpha treatment caused a marked but usually transient reduction in serum GBV-C/HGV RNA, and ribavirin had, at most, a modest antiviral effect.
Publication types
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Clinical Trial
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Randomized Controlled Trial
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Adult
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Alanine Transaminase / blood
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Antiviral Agents / therapeutic use*
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Chronic Disease
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DNA, Viral / blood
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Drug Therapy, Combination
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Female
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Flaviviridae / drug effects*
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Flaviviridae / genetics
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Genetic Techniques
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Hepatitis C / complications*
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Hepatitis C / virology
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Hepatitis, Viral, Human / complications
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Hepatitis, Viral, Human / drug therapy*
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Hepatitis, Viral, Human / virology
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Humans
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Interferon Type I / therapeutic use*
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Liver / pathology
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Male
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Middle Aged
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Molecular Sequence Data
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Phylogeny
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Polymerase Chain Reaction / methods
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RNA, Viral / blood
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Recombinant Proteins
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Ribavirin / therapeutic use*
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Sensitivity and Specificity
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Sequence Analysis, DNA
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Viremia / drug therapy
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Viremia / virology
Substances
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Antiviral Agents
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DNA, Viral
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Interferon Type I
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RNA, Viral
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Recombinant Proteins
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Ribavirin
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Alanine Transaminase
Associated data
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GENBANK/U36380
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GENBANK/U44402