Hepatitis C virus: molecular and epidemiological evidence of male-to-female transmission

Introduction: There is general consensus that hepatitis C virus is efficiently transmitted by the parenteral route, whereas data on viral transmission by sexual or non-sexual intrafamilial contact are conflicting. Objective and Method: The aim of this study was to investigate the transmission of hep...

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Main Authors: Norma de Paula Cavalheiro, Abel de la Rosa, Slava Elagin, Fatima Mitiko Tengan, Antonio Alci Barone
Format: Article
Language:English
Published: Elsevier 2010-09-01
Series:Brazilian Journal of Infectious Diseases
Online Access:http://www.sciencedirect.com/science/article/pii/S141386701070088X
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author Norma de Paula Cavalheiro
Abel de la Rosa
Slava Elagin
Fatima Mitiko Tengan
Antonio Alci Barone
author_facet Norma de Paula Cavalheiro
Abel de la Rosa
Slava Elagin
Fatima Mitiko Tengan
Antonio Alci Barone
author_sort Norma de Paula Cavalheiro
collection DOAJ
description Introduction: There is general consensus that hepatitis C virus is efficiently transmitted by the parenteral route, whereas data on viral transmission by sexual or non-sexual intrafamilial contact are conflicting. Objective and Method: The aim of this study was to investigate the transmission of hepatitis C virus in nine heterosexual couples. Result: The mean age of the couples was 43.7 years. When interviewed, all of the women denied the presence of risk factors for acquisition of the infection, whereas the cause of infection in the nine husbands could be attributed to blood transfusions in two of them (22.2%), use of intravenous and inhaled drugs in six (66.7%), acupuncture in one (11.1%), and tattooing in one (11.1%). All men and none of the women reported sexual relations with sex professionals. The mean homology score (Non Structural 5b-hepatitis C virus) was 98.4%. Among the nine couples with matching subtypes, one (11.1%) was infected with subtype 1a, three (33.3%) with subtype 1b, and five (55.5%) with subtype 3a. Shared personal hygiene items showed a much higher correlation with the possible route of transmission and were better supported by the sequence homology data than the other associated risk factors. Three (33.3%) couples shared toothbrushes, seven (77.8%) shared razor blades, eight (88.8%) shared nail clippers, and six (66.7%) shared manicure cutters. Conclusion: Sharing of personal hygiene items was a confounding factor in the discussion of sexual hepatitis C virus transmission and the hypothesis of male-to-female transmission was supported in this study. Keywords: sexually transmitted diseases, phylogeny, hepatitis C
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spelling doaj.art-9f4c4138f4084117bafc3ba9d7ea4df42022-12-21T23:57:15ZengElsevierBrazilian Journal of Infectious Diseases1413-86702010-09-01145427432Hepatitis C virus: molecular and epidemiological evidence of male-to-female transmissionNorma de Paula Cavalheiro0Abel de la Rosa1Slava Elagin2Fatima Mitiko Tengan3Antonio Alci Barone4PhD – Researcher at Hepatitis Laboratory, Faculdade de Medicina, Universidade de São Paulo; Correspondence to: 9, West Hill Way N20 8QX London, UK.PhD, Senior Vice President, Pharmasset Inc. Atlanta, GA, USAPhD, Vice President Research and Development Meridian Bioscience, Cincinnati, OH, USAPhD – Professor of Hepatitis Laboratory, Faculdade de Medicina, Universidade de São PauloProfessor – Professor of the Infectious Diseases Department, Medical School, Universidade de São PauloIntroduction: There is general consensus that hepatitis C virus is efficiently transmitted by the parenteral route, whereas data on viral transmission by sexual or non-sexual intrafamilial contact are conflicting. Objective and Method: The aim of this study was to investigate the transmission of hepatitis C virus in nine heterosexual couples. Result: The mean age of the couples was 43.7 years. When interviewed, all of the women denied the presence of risk factors for acquisition of the infection, whereas the cause of infection in the nine husbands could be attributed to blood transfusions in two of them (22.2%), use of intravenous and inhaled drugs in six (66.7%), acupuncture in one (11.1%), and tattooing in one (11.1%). All men and none of the women reported sexual relations with sex professionals. The mean homology score (Non Structural 5b-hepatitis C virus) was 98.4%. Among the nine couples with matching subtypes, one (11.1%) was infected with subtype 1a, three (33.3%) with subtype 1b, and five (55.5%) with subtype 3a. Shared personal hygiene items showed a much higher correlation with the possible route of transmission and were better supported by the sequence homology data than the other associated risk factors. Three (33.3%) couples shared toothbrushes, seven (77.8%) shared razor blades, eight (88.8%) shared nail clippers, and six (66.7%) shared manicure cutters. Conclusion: Sharing of personal hygiene items was a confounding factor in the discussion of sexual hepatitis C virus transmission and the hypothesis of male-to-female transmission was supported in this study. Keywords: sexually transmitted diseases, phylogeny, hepatitis Chttp://www.sciencedirect.com/science/article/pii/S141386701070088X
spellingShingle Norma de Paula Cavalheiro
Abel de la Rosa
Slava Elagin
Fatima Mitiko Tengan
Antonio Alci Barone
Hepatitis C virus: molecular and epidemiological evidence of male-to-female transmission
Brazilian Journal of Infectious Diseases
title Hepatitis C virus: molecular and epidemiological evidence of male-to-female transmission
title_full Hepatitis C virus: molecular and epidemiological evidence of male-to-female transmission
title_fullStr Hepatitis C virus: molecular and epidemiological evidence of male-to-female transmission
title_full_unstemmed Hepatitis C virus: molecular and epidemiological evidence of male-to-female transmission
title_short Hepatitis C virus: molecular and epidemiological evidence of male-to-female transmission
title_sort hepatitis c virus molecular and epidemiological evidence of male to female transmission
url http://www.sciencedirect.com/science/article/pii/S141386701070088X
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