[Analysis of Human Herpes Viruses-Activated Infection Spectra in Patients with Various Immunodeficiencies]

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2020 Feb;28(1):314-319. doi: 10.19746/j.cnki.issn.1009-2137.2020.01.052.
[Article in Chinese]

Abstract

Objective: To study the epidemiologic characteristics of human herpes virus (HHV) activated infection in the diseases of blood system and patients received allo-HSCT by statistically analyzing the screening results of 8 human herpes viruses (HHVs) of 4164 patients in Hebei Yanda LU Dao-Pei Hospital from 2012 to 2017.

Methods: PCR was used to screen 8 HHVs.

Results: Two thousand and fifty-two patients (49.28%) were HHV-positive among 4164 patients screened. Among these patients screened, the infection spectra of 8 human HHVs in hematological diseases as well as patients received allogeneic hematopoietic stem cell transplantation of totally 2994 patients were summarized as follows: the positive rate of EBV (29.49%) was the highest, that of HCMV (23.15%), HHV-6 was 18.77% and HHV-7 was 17.64%, while the remaining 4 HHVs all≤2.1%. The rate of co-infection of various HHVs was significantly higher than that of single infection of HHV among all these disease groups except familial hemophagocytic lymphohistiocytosis, for which single EBV infection was the most common. The differences of positive rates among these 8 human HHVs in hematological diseases as well as patients received allogeneic hematopoietic stem cell transplantation were statistically significant by Chi-square test of R*C tables (χ2=54.99, P<0.05). For each HHV, the differences of positive rates among the above-mentioned disease groups were also statistically significant except HHV-8 (P<0.05).

Conclusion: The patients with various blood diseases have different activated infection spectra of HHVs. EBV, HCMV, HHV-6 and HHV-7 are most common in HHVs infection. Different HHVs infections correlate with different hematologion diseases.

题目: 不同免疫缺陷状态患者中人疱疹病毒活化感染谱分析.

目的: 通过回顾性分析2012至2017年间河北燕达陆道培医院4 164例患者的8种人类疱疹病毒(HHV)筛查结果,研究血液系统疾病和异基因造血干细胞移植(allo-HSCT)患者中HHVs活化感染的流行病学特征.

方法: 采用PCR方法筛查8种HHVs的活化感染谱.

结果: 在4 164例患者中共检测到HHV+者2 052例,总阳性率为49.28%。对其中2 994例涉及8种血液系统疾病和allo-HSCT后患者的HHVs感染谱分析表明,EBV+率最高(29.49%),其次为HCMV+(23.15%)、HHV-6+(18.77%)、HHV-7+(17.64%),其他4种HHVs+率均≤2.1%。除家族性噬血细胞性淋巴组织细胞增多症患者EBV感染构成比最高外,其他疾病组多种HHVs感染所占比例均显著高于单一HHV感染。各疾病组间的HHV总阳性率差异有统计学意义(χ2=54.99,P<0.05)。分别对每种HHV在各疾病组间的阳性率分析显示,除HHV-8外,其他HHVs+率差异也均具有统计学意义(P<0.05).

结论: 不同血液病患者HHVs活化感染谱不同。活化HHVs感染以EBV、HCMV、HHV-6和HHV-7为最常见,且不同活化感染的HHVs类型与不同血液疾病类型具有一定的相关性.

MeSH terms

  • DNA, Viral
  • Epstein-Barr Virus Infections*
  • Hematopoietic Stem Cell Transplantation*
  • Herpesviridae Infections*
  • Humans
  • Immunologic Deficiency Syndromes*

Substances

  • DNA, Viral