ABSTRACT
Hepatitis A virus [HAV] is an important cause of acute hepatitis worldwide that can lead to severe illness or even death. It is transmitted by the fecal-oral route through the consumption of contaminated food or water. This study was carried out to determine the incidence of HAV infection among hospitalized children's with acute hepatitis and genotyping of HAV Strains circulating in Greater Cairo. To fulfill the aim of the work, stool samples were collected from 102 hospitalized Children's, ages ranged from 0.5 to 12 years during the period from Dec. 2007 to Nov. 2008. Collected stool samples were submitted to nested RT-PCR for amplification of the VP1/2A region of the HAV genome. The expected fragment sizes of PCR products were 391bp and 244 bp for the first and second round of PCR, respectively. PCR products, of 2nd round of some positive samples, were purified for nucleotide sequence analysis in both directions. Fragments nucleotide sequences were compared to sequences derived from the corresponding HAV genome regions in the Gen Bank. Obtained data showed that HAV RNA prevalence were 82.35% [84/102] among hospitalized children's with acute hepatitis, and the highest HAV RNA was in the age group 3-5 and 9-12, where it reached 88.88% [40/45] and 81.8% [18/22] respectively, and the lowest prevalence rate was 70% [7/10] in the age group 0.5-2. Also, the incidence of HAV RNAwas higher in females 88.1%[37/42], than in males 78.33% [47/60]. Seasonal variation of HAV revealed that the viral incidence was 100% during winter and spring seasons, [25/25] and [17/17], respectively. While it was 85.36% [35/41] and 36.84% [7/19] in summer and autumn, respectively. Sequence analysis of selected fragments showed that all fragments are the same isolate. The phylogenic tree of positive samples confirmed that the isolated virus sequencing was most closely related to Hepatitis A virus isolate Egypt-swS5 deposited in the Gen Bank by accession no. [FJ0100837.2], with 100% of nucleotide identity
Subject(s)
Humans , Male , Female , Incidence , Child, Hospitalized , Seasons , Prevalence , Polymerase Chain ReactionABSTRACT
Our objective was to determine whether the presence of the human leukocyte antigen HLA-DRB1 locus is associated with production of anti-cyclic citrullinated peptide antibodies (anti-CCP Abs) and to what extent they are associated with increased susceptibility to and severity of rheumatoid arthritis (RA) in Egyptian patients. Twenty-nine RA patients gave informed consent to participate in a case-control study that was approved by the Ain Shams University Medical Ethics Committee. RA disease activity and severity were determined using the simplified disease activity index and Larsen scores, respectively. We used a wide scale national study on the pattern of HLA typing in normal Egyptians as a control study. Anti-CCP Abs and HLA-DRB1 typing were determined for all subjects. The alleles most strongly associated with RA were HLA-DRB1 [*01 , *04 and *06] (41.4 percent). RA patients with serum anti-CCP Ab titers above 60 U/mL had a significantly higher frequency of HLA-DRB1*01 (58.3 percent) and HLA-DRB1*04 alleles (83.3 percent). Significant positive correlations were found between serum and synovial anti-CCP Ab titer, RA disease activity, and severity (r = 0.87, 0.66 and 0.63, respectively; P < 0.05). HLA-DRB1 SE+ alleles [*01 and *04] were highly expressed among Egyptian RA patients. The presence of these alleles was associated with higher anti-CCP Ab titer, active and severe RA disease. Early determination of HLA-DRB1 SE+ alleles and serum anti-CCP Ab could facilitate the prediction of the clinical course and prognosis of RA when first evaluated leading to better disease control.