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. 2018 Feb;90(2):338-343.
doi: 10.1002/jmv.24937. Epub 2017 Sep 22.

Seroprevalence of human herpesvirus 8 and its impact on the hemoglobin level in patients of end stage of renal diseases

Qiwen Fang  1   2 , Xiaoyi Wang  3 , Zhenqiu Liu  1   2 , Ming Zhu  3 , Min Ding  3 , Veenu Minhas  4 , Charles Wood  4 , Tiejun Zhang  1   2
Affiliations

Seroprevalence of human herpesvirus 8 and its impact on the hemoglobin level in patients of end stage of renal diseases

Qiwen Fang et al. J Med Virol. 2018 Feb.

Abstract

The incidence of Kaposi's sarcoma (KS) is increasing among renal transplant recipients. Patients with end-stage renal disease (ESRD) are immunocompromised and are candidates for renal transplantation, but HHV8 seroprevalence in ESRD patients has not been well documented. A cross-sectional study of 286 ESRD patients and 281 matched subjects without kidney disease was conducted at the First People's Hospital of Huzhou, Zhejiang province to explore the epidemiologic features of HHV8 among ESRD patients in China. Blood samples were collected and HHV8 antibodies and serologic indices were measured. The seroprevalence of HHV8 was 15.3% for ESRD patients and 8.9% for the comparison group. A significant difference in the geometric mean titer (GMT) of the HHV8 antibodies was detected between ESRD patients and the comparison group (617.1 vs 291.7; P = 0.042). The average level of hemoglobin was 11.56 ± 1.78 g/dL for the ESRD group and 13.73 ± 1.42 g/dL for the comparison group, (P > 0.05). Multiple linear regression revealed a negative association between HHV8 infection and plasma hemoglobin concentration (β = -0.682, P = 0.036). We found a higher HHV8 prevalence and a higher level of HHV8 antibody GMT in ESRD patients than the comparison group, which indicate a high risk of posttransplantation KS.

Keywords: end-stage renal disease; human herpesvirus 8; prevalence.

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Conflict of interest statement

Competing interests Author certifies no conflicts of interest.

Figures

Figure 1
Figure 1
The titer distribution of HHV8 among the ESRD and comparison groups.
Figure 2
Figure 2
The titer distribution of hemoglobin across groups. Participants were grouped according to their HHV8 serostatus into HHV8-seronegative and HHV8-seropositive subjects. Individual hemoglobin levels are plotted.
See this image and copyright information in PMC

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