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Use of the Polymerase Chain Reaction to Detect Viral Contamination of Clotting Factor Concentrates

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24. Hämophilie-Symposion
  • 26 Accesses

Abstract

Although the introduction of viral inactivation methods has dramatically reduced the capacity of clotting factors to transmit viral infections, rare transmissions continue to occur. The polymerase chain reaction (PGR) is an extremely sensitive technique that can detect minute amounts of viral genomic material in these products. It has been used to show contamination of factor VIII concentrates with hepatitis C (HCV), human immunodeficiency virus (HIV), hepatitis A (HAV) and parvovirus B19. In the case of HCV and HAV it has been shown that detection of viral product in the concentrate is associated with transmission of infection to the recipient.

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References

  • Anderson MJ, Pattison JR (1987) Parvoviruses. In: Weatherall DJ, Ledingham JGG, Warrell DA (eds) Oxford textbook of medicine, 2nd edn. Oxford Medical, pp 5.162–5.164

    Google Scholar 

  • Barbara JAJ, Garson JA (1993) Polymerase chain reaction and transfusion microbiology. Vox Sang 64: 73–81

    Article  PubMed  CAS  Google Scholar 

  • Brackmann HH, Egli H (1988) Acute hepatitis B infection after treatment with heat-inactivated factor VIII concentrate. Lancet II: 967

    Article  Google Scholar 

  • Carman WF, Zanetti AR, Karayiannis P et al (1990) Vaccine-induced escape mutant of hepatitis B virus. Lancet 336: 325–329

    Article  PubMed  CAS  Google Scholar 

  • Choo QL, Kuo G, Weiner AJ, Overby LR, Bradley DW, Houghton M (1989) Isolation of cDNA clone from a blood borne non-A, non-B viral hepatitis genome. Science 244: 359–362

    Article  PubMed  CAS  Google Scholar 

  • Fletcher ML, Trowell JM, Craske J, Pavier K, Rizza CR (1983) Non-A, non-B hepatitis after transfusion of factor VIII in infrequently treated patients. Br Med J 287: 1754

    Article  CAS  Google Scholar 

  • Garson JA, Tedder RS, Briggs M et al (1990a) Detection of hepatitis C viral sequences in blood donation by “nested” polymerase chain reaction and prediction of infectivity. Lancet 335: 1419

    Article  PubMed  CAS  Google Scholar 

  • Garson JA, Ring C, Tuke P, Tedder RS (1990b) Enhanced detection by PCR of hepatitis C virus RNA. Lancet 336: 1022

    Article  PubMed  CAS  Google Scholar 

  • Gerritzen A, Schneweis KE, Scholt B et al (1992) Acute hepatitis C in haemophiliacs due to “virus-inactivated” clotting factor concentrates. Thromb Haemostas 68: 781

    CAS  Google Scholar 

  • Kernoff PBA, Lee CA, Karayiannis P, Thomas HC (1985) High risk of non-A, non-B hepatitis after a first exposure to volunteer or commercial clotting factor concentrates; effect of prophylactic immune serum globulin. Br Haematol 80: 469

    Article  Google Scholar 

  • Kleim JP, Bailly E, Schneweis KE et al (1990) Acute HIV-1 infection in patients with haemophilia B treated with beta-propiolactone-UV-inactivated clotting factor. Thromb Haemostas 64: 336–337

    CAS  Google Scholar 

  • Kwok S, Higuchi R (1989) Avoiding false positives with PCR. Nature 339: 237–328

    Article  PubMed  CAS  Google Scholar 

  • Lefrere JJ, Mariotti M, Thauvin M (1994) B19 parvovirus DNA in solvent/detergent-treated anti-haemophilia concentrates. Lancet 343: 211–212

    Article  PubMed  CAS  Google Scholar 

  • Makris M, Garson JA, Ring CJA, Tuke PW, Tedder RS, Preston FE (1993) Hepatitis C viral RNA in clotting factor concentrates and the development of hepatitis in recipients. Blood 81: 1898–1902

    PubMed  CAS  Google Scholar 

  • Mannucci PM (1992) Outbreak of hepatitis A among Italian patients with haemophilia. Lancet 339: 819

    Article  PubMed  CAS  Google Scholar 

  • Mannucci PM, Colombo M (1989) Revision of the protocol recommended for studies of safety from hepatitis of clotting factor concentrates. Thromb Haemostas 61: 532–534

    CAS  Google Scholar 

  • Mannucci PM, Gdovin S, Gringeri A et al (1994) Transmission of hepatitis A to patients with haemophilia by factor VIII concentrates treated with organic solvent and detergent to inactivate viruses. Ann Intern Med 120: 1–7

    PubMed  CAS  Google Scholar 

  • Naides SJ, Howard EJ, Swack NS, True CA, Stapleton JT (1993) Parvovirus B19 infection in human immunodeficiency virus type-1 infected persons failing or intolerant to zidovudine therapy. J Infect Dis 168: 101–105

    Article  PubMed  CAS  Google Scholar 

  • Rizza CR, Spooner RJD (1983) Treatment of haemophilia and related disorders in Britain and Northern Ireland during 1976–1980: report on behalf of the directors of haemophilia centres in the United Kingdom. Br Med J 286: 929–933

    Article  CAS  Google Scholar 

  • Semple MG, Loveday C, Preston FE, Tedder RS (1991) Detection of HIV-1 RNA in factor FVIII concentrate. AIDS 5: 597–598

    Article  PubMed  CAS  Google Scholar 

  • Simmonds P, Zhang LQ, Watson HG et al (1990) Hepatitis C quantification and sequencing in blood products, haemophiliacs and drug users. Lancet 336: 1469–1472

    Article  PubMed  CAS  Google Scholar 

  • Tedder RS, Briggs M, Ring C, Tuke PW, Jones P, Savidge GF, Rodgers B, Garson JA (1991) Hepatitis C antibody profile and viraemia prevalence in adults with severe haemophilia. Br J Haematol 79: 512

    Article  PubMed  CAS  Google Scholar 

  • Watson HG, Ludlam CA, Rebus S, Zhang LQ, Peutherer JF, Simmonds P (1992) Use of several second generation serological assays to determine the true prevalence of hepatitis C virus infection in haemophiliacs treated with non-virus inactivated factor VIII and IX concentrates. Br J Haematol 80: 514–518

    Article  PubMed  CAS  Google Scholar 

  • Zakrzewska K, Azzi A, Patou G, Morfini M, Rafanelli D, Pattison JR (1992) Human parvovirus B19 in clotting factor concentrates: B19 DNA detection by the nested polymerase chain reaction. Br J Haematol 81: 407–412

    Article  PubMed  CAS  Google Scholar 

  • Zhang LQ, Simmonds P, Ludlam CA, Leigh Brown AJ (1991) Detection, quantification and sequencing of HIV-1 from the plasma of seropositive individuals and from factor VIII concentrates. AIDS 5: 675–681

    Article  PubMed  CAS  Google Scholar 

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© 1994 Springer-Verlag Berlin Heidelberg

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Makris, M. (1994). Use of the Polymerase Chain Reaction to Detect Viral Contamination of Clotting Factor Concentrates. In: Scharrer, I., Schramm, W. (eds) 24. Hämophilie-Symposion. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79009-6_12

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  • DOI: https://doi.org/10.1007/978-3-642-79009-6_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-57999-1

  • Online ISBN: 978-3-642-79009-6

  • eBook Packages: Springer Book Archive

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