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Liver/kidney microsome antibody type 1 and hepatitis C virus infection.

Abstract
Recent studies have shown that hepatitis C virus antibodies are present in a large proportion of patients with autoimmune hepatitis type 2. We have studied 83 patients with liver/kidney microsome antibody-positive type 1 hepatitis. Hepatitis C virus antibodies were sought in every case by second-generation tests (hepatitis C virus enzyme-linked immunosorbent assay and recombinant immunoblot assay). Hepatitis C virus RNA sequences were sought in 22 patients (12 with recombinant immunoblot assay-positive results and 10 with recombinant immunoblot assay-negative results) by means of polymerase chain reaction and by use of primers located in the 5' noncoding region. Sixty-four patients (77%) had positive results for hepatitis C virus antibodies in the enzyme-linked immunosorbent assay test, and 41 (49.3%) were confirmed by recombinant immunoblot assay. Hepatitis C virus RNA sequences were found in all the recombinant immunoblot assay-positive patients but in none of the 10 who were recombinant immunoblot assay-negative. The recombinant immunoblot assay-negative patients were younger than those who were positive (13 +/- 11 vs. 50 +/- 11 years) and had higher gamma-globulin levels and liver/kidney microsome antibody-positive type 1 titers (61% had a titer of 1:1,000 or more, vs. only 17% of the recombinant immunoblot assay-positive patients).(ABSTRACT TRUNCATED AT 250 WORDS)
AuthorsF Lunel, N Abuaf, L Frangeul, P Grippon, M Perrin, Y Le Coz, D Valla, E Borotto, A M Yamamoto, J M Huraux
JournalHepatology (Baltimore, Md.) (Hepatology) Vol. 16 Issue 3 Pg. 630-6 (Sep 1992) ISSN: 0270-9139 [Print] United States
PMID1380479 (Publication Type: Journal Article)
Chemical References
  • Autoantibodies
  • Bretylium Compounds
  • Hepatitis Antibodies
  • Hepatitis C Antibodies
  • anti-liver kidney microsome antibody
  • iodobenzyltrimethylammonium
  • Alanine Transaminase
Topics
  • Adolescent
  • Adult
  • Aged
  • Alanine Transaminase (blood)
  • Autoantibodies (blood)
  • Autoimmune Diseases (blood, classification, immunology)
  • Bretylium Compounds
  • Child
  • Child, Preschool
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Hepatitis Antibodies (blood)
  • Hepatitis C (blood, classification, immunology)
  • Hepatitis C Antibodies
  • Humans
  • Male
  • Middle Aged
  • Polymerase Chain Reaction

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