Evidence map›Paper›PMID 26289533›Full record

ArticleBMC research notes2015

Lack of infectivity of HBV in feces from patients with chronic hepatitis B virus infection, and infection using chimeric mice.

Haruki Komatsu, Ayano Inui, Takeyoshi Murano, Tomoyuki Tsunoda, Tsuyoshi Sogo, Tomoo Fujisawa

Open access · goldAbstract read
In one paragraph

Article in BMC research notes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Haruki KomatsuDepartment of Pediatrics, Toho University Sakura Medical Center, 564-1 Shimoshizu Sakura, Chiba, Japan. haruki-komatsu@chive.ocn.ne.jp.
Ayano InuiDepartment of Pediatric Hepatology and Gastroenterology, Eastern Yokohama Hospital, Kanagawa, Japan. a_inui@tobu.saiseikai.or.jp.
Takeyoshi MuranoDepartment of Research and Development, Toho University Sakura Medical Center, Chiba, Japan. murano@sakura.med.toho-u.ac.jp.
Tomoyuki TsunodaDepartment of Pediatric Hepatology and Gastroenterology, Eastern Yokohama Hospital, Kanagawa, Japan. t_tsunoda@tobu.saiseikai.or.jp.
Tsuyoshi SogoDepartment of Pediatric Hepatology and Gastroenterology, Eastern Yokohama Hospital, Kanagawa, Japan. t_Sogo@tobu.saiseikai.or.jp.
Tomoo FujisawaDepartment of Pediatric Hepatology and Gastroenterology, Eastern Yokohama Hospital, Kanagawa, Japan. t_fujisawa@tobu.saiseikai.or.jp.
Saiseikai Yokohama Eastern Hospital · JPToho University · JPToho University Medical Center Sakura Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBody fluids such as saliva and tears from patients with hepatitis B virus (HBV) infection are known as infectious agents. The infectivity of feces from patients with HBV infection has not been established. The aim of this study was to determine whether feces from HBV carriers can be a source of HBV infection.

methodsThirty-three children and 17 adults (ages 0-49 years, median age 13 years) who were chronically infected with HBV were enrolled. The levels of HBV DNA in the feces from these patients were quantified by real-time PCR, and the levels of fecal HBsAg were measured. Isolated human hepatocytes from chimeric mice with humanized livers were co-cultured with serum, tears and feces from the HBV carriers. Four chimeric mice were inoculated intravenously with sterilized feces from HBV carriers.

resultsHBV DNA was detected in the feces of 37 (74%) of the 50 patients. The fecal HBV DNA levels ranged from 2.8 to 8.4 log copies/mL (mean ± SD  =  5.6 ± 1.2 log copies/mL). A significant correlation was observed in the levels of HBV DNA between serum and feces (r  =  0.54, p < 0.05). Of the 13 HBV carries, 7 (54%) were positive for fecal HBsAg. The fecal HBsAg levels ranged from 0.06 to 1.0 IU/mL (median 0.28 IU/mL). Immunogold electron microscopy showed Dane particles in feces. HBV DNA was detected in the human hepatocytes co-cultured with serum and tears, but not in those co-cultured with feces. HBV DNA was not detected in the serum of the chimeric mice after oral or intravenous inoculation with sterilized fecal samples, which contained 5 log copies/mL of HBV DNA levels.

conclusionsAlthough the positive rate of fecal HBV DNA was high, the fecal HBsAg levels were extremely low. The chimeric mice were not infected with HBV after oral or intravenous inoculation with sterilized fecal samples. Therefore, feces from HBV carriers seem not to serve as an infectious vehicle for the transmission of HBV.

Indexed as

AdolescentAdultAnimalsCells, CulturedChildChild, PreschoolDNA, ViralFecesFemaleHepatitis B, ChronicHepatitis B Surface AntigensHepatitis B virusHepatocytesHumansInfantInfant, NewbornDNA, ViralHepatitis B Surface Antigens

Identifiers

PMID26289533
PMCPMC4545881
OpenAlexW1682521500

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.