Viral Hepatitis
Copyright ©The Author(s) 2003. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 15, 2003; 9(6): 1261-1264
Published online Jun 15, 2003. doi: 10.3748/wjg.v9.i6.1261
TT virus infection in patients with chronic hepatitis B and response of TTV to lamivudine
Javier Moreno Garcia, Rafael Barcena Marugan, Gloria Moraleda Garcia, M Luisa Mateos Lindeman, Jesus Fortun Abete, Santos del Campo Terron
Javier Moreno Garcia, Rafael Barcena Marugan, Gloria Moraleda Garcia, Santos del Campo Terron, Department of Gastroenterology, Hospital Ramony Cajal, Madrid, Spain
M Luisa Mateos Lindeman, Department of Microbiology, Hospital Ramony Cajal, Madrid, Spain
Jesus Fortun Abete, Department of Infectious Diseases, Hospital Ramony Cajal, Madrid, Spain
Author contributions: All authors contributed equally to the work.
Supported by Fundacion Manchega de Investigaciony Docencia en Gastroenterologia
Correspondence to: Dr. Rafael Barcena Marugan, Department of Gastroenterology, Hospital Ramony Cajal, Ctra. Colmenar, Km 9.1, 28034 Madrid, Spain. rbarcena.hrc@salud.madrid.org
Telephone: +34-91-3368093 Fax: +34-91-7291456
Received: February 25, 2003
Revised: March 4, 2003
Accepted: March 16, 2003
Published online: June 15, 2003
Abstract

AIM: To investigate the responses of TT virus (TTV) and hepatitis B virus (HBV) to a long-term lamivudine therapy.

METHODS: Sixteen patients infected with both TTV and HBV were treated with lamivudine 100 mg daily for 30 mo. Blood samples were drawn at the beginning of the therapy and subsequently at month 3, 6, 9, 12 and 30. Serum TTV was quantified by real time PCR and serum HBV was detected by hybridization assay and nested polymerase chain reaction.

RESULTS: TTV infection was detected in 100% of HBV-infected patients. Loss of serum TTV DNA after one year of treatment occurred in 1/16 (6%) patients. At the end of therapy, TTV DNA was positive in 94% of them. The decline of HBV viremia was evident at 3 mo after therapy and the response rate was 31%, 44%, 63%, 50% and 50% at month 3, 6, 9, 12 and 30, respectively.

CONCLUSION: TTV replication is not sensitive to lamivudine and is highly prevalent in HBV-infected patients.

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