Prevalence of anti-Hepatitis E IgG analyzed in sera through three commercial kits
DOI:
https://doi.org/10.22267/rus.212301.217Keywords:
Immunoglobulin G, ELISA, Hepatitis E virus, Western blotAbstract
Introduction: Hepatitis E virus (HEV) is a nonenveloped, RNA virus. HEV genotypes 3 and 4 are considered zoonosis transmitted by contaminated water and/or food. The presence of antibodies against this virus have not been described in communities inhabiting the “Coffee Axis” region of Colombia. Objective: To determine the prevalence of anti-Hepatitis E IgG in serum samples analyzed in a clinical laboratory from the Colombian Coffee Axis. Materials and methods: 90 serum samples from patients treated at a clinical laboratory in the city of Armenia (Quindio) were analyzed and compared through three different methods that characterize antibodies. Results: The Mikrogen recomWell ELISA kit (IgG anti-HEV) identified two positive sera (2.2%). The Diapro HEV IgG ELISA (version ULTRA®) test registered a false positive sample (1.1%). The Mikrogen recom Line HVE western blot assay detected 4 positive samples (4.4%). Conclusions: Depending on the commercial kit used, the prevalence of anti-HEV IgG antibodies fluctuated between 0% to 4.4%, which demonstrates that the virus is circulating and that a possible infectious cycle in this region exists.
Downloads
Metrics
References
Melgaço JG, Gardinali NR, de Mello VDM, Leal M, Lewis-Ximenez LL, Pinto MA. Hepatitis E: Update on Prevention and Control. Biomed Res Int. 2018;2018:5769201. doi: 10.1155/2018/5769201
Lhomme S, Legrand-Abravanel F, Kamar N, Izopet J. Screening, diagnosis and risks associated with Hepatitis E virus infection. Expert Rev Anti Infect Ther. 2019;17(6):403-418. doi: 10.1080/14787210.2019.1613889
Amit Goel and Rakesh Aggarwal. Advances in hepatitis E – II: Epidemiology, clinical manifestations, treatment and prevention. Expert Review of Gastroenterology & Hepatology. 2016;10(9):1065-1074, doi: 10.1080/17474124.2016.1185365
Duque A, Restrepo L, Mantilla-Rojas C, Toro M, Olarte JC, Mantilla-Rojas A, Cortés-Mancera F, Navas MC. Frecuencia de anticuerpos contra el virus de la hepatitis E en donantes de sangre del municipio de Yarumal, Antioquia. Revista Colombiana De Gastroenterología. 2017;31(3):229-234. https://doi.org/10.22516/25007440.95
Peláez Dioselina, Martínez-Vargas Daniel, Escalante-Mora Martha, Palacios-Vivero Mariel, Contreras-Gómez Lady. Infección simultánea por el virus de la hepatitis E y de otras hepatitis virales en Colombia y su caracterización genotípica. Biomédica [Internet]. 2016; 36( Suppl 2 ): 69-78. Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-41572016000600008&lng=en.
Peláez D, Hoyos MC, Rendón JC, Mantilla C, Ospina MC, Cortés-Mancera F, et al. Infección por el virus de la hepatitis E en pacientes con diagnóstico clínico de hepatitis viral en Colombia. Biomédica. 2014;34(3):354-365 http://dx.doi.org/10.7705/biomedica.v34i3.2236
Betancur C, Mejía M, Portillo S. Seroprevalencia de hepatitis E en trabajadores de fincas porcícolas del Valle de Aburrá 2011-2012. Acta Médica Colombiana. 2013;38:68-70 Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-24482013000200006&lng=en
Webb GW, Dalton HR. Hepatitis E: an underestimated emerging threat. Ther Adv Infect Dis. 2019;6:1–18. https://doi.org/10.1177/2049936119837162
Gupta E, Agarwala P. Hepatitis E virus infection: An old virus with a new story!. Indian J Med Microbiol. 2018;36(3):317-323. doi:10.4103/ijmm.IJMM_18_149
Aggarwal R. Diagnosis of hepatitis E. Nat Rev Gastroenterol Hepatol. 2013;10(1):24-33. doi:10.1038/nrgastro.2012.187
Blasco-Perrin H, Abravanel F, Blasco-Baque V, Péron JM. Hepatitis E, the neglected one. Liver Int. 2016;36(Suppl 1):130-4. doi: 10.1111/liv.13014
Instituto Colombiano agropecuario (sede web). https://www.ica.gov.co/areas/pecuaria/servicios/epidemiologia-veterinaria/censos-2016/censo-2018. Consultado 11 de octubre de 2019
Toda Colombia. Municipios de Antioquia división política. https://www.todacolombia.com/departamentos-de-colombia/antioquia/municipios-division-politica.html. Consultado 10 de octubre de 2019.
Méndez Novelo R, Castillo Borges E, Vázquez Borges E, Briceño Pérez O, Coronado Peraza V, Pat Canul R, Garrido Vivas P. Estimación del potencial contaminante de las granjas porcinas y avícolas del estado de Yucatán. Ingeniería. 2009;13(2):13-21. ISSN: 1665-529X. https://www.redalyc.org/articulo.oa?id=46713053002. Consultado 19 de agosto de 2020
HEV Ab. Version ULTRA, Enzyme Immunoassay for the determination of total antibodies to Hepatitis E Virus in serum and plasma. Brochure. Consultado 10 de enero de 2020
Mikrogen Diagnostic. Página de internet https://www.mikrogen.de/english/deutschland/products/product-overview/testsystem/hev-iggigm.html. Consultado 10 de enero de 2020
Wenzel JJ, Preiss J, Schemmerer M, Huber B, Jilg W. Test performance characteristics of Anti-HEV IgG assays strongly influence hepatitis E seroprevalence estimates. J Infect Dis. 2013;207(3):497-500. doi: 10.1093/infdis/jis688.
Wu WC, Su CW, Yang JY, Lin SF, Chen JY, Wu JC. Application of serologic assays for diagnosing acute hepatitis E in national surveillance of a nonendemic area. J Med Virol. 2014;86(4):720-8. doi: 10.1002/jmv.23785.
Al-Absi ES, Al-Sadeq DW, Younis MH, Yassine HM, Abdalla OM, Mesleh AG, et al. Performance evaluation of five commercial assays in assessing seroprevalence of HEV antibodies among blood donors. J Med Microbiol. 2018;67(9):1302-1309. doi: 10.1099/jmm.0.000807. Epub 2018 Jul 27.
Al-Sadeq DW, Majdalawieh AF, Mesleh AG, Abdalla OM, Nasrallah GK. Laboratory challenges in the diagnosis of hepatitis E virus. J Med Microbiol. 2018;67(4):466-480. doi: 10.1099/jmm.0.000706