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GB
Virus C Coinfection and Vertical Transmission in HIV Positive Mothers
The objectives of the current study were to investigate the prevalence
of GB
virus C (GBV-C) viremia and GBV-C antibodies in a
cohort of HIV-infected mothers and their infants between 1987 and
1994.
GBV-C
viremia and antibodies were determined by polymerase chain reaction
(PCR) and enzyme-linked immunosorbent assay (ELISA) in 52 HIV-infected
mothers and their 53 infants, who were born before antiretroviral
prophylaxis for reduction of HIV transmission was introduced at
the end of 1994. Ten of these children acquired HIV.
Results
Mothers
of three children had GBV-C viremia and mothers of another 14 children
carried antibodies against GBV-C. No mother had GBV-C antibodies
and GBV-C viremia simultaneously.
GBV-C
viremia was detected in only one infant. This child was delivered
by the vaginal route to a mother with GBV-C viremia, and was not
HIV-infected.
No
vertical transmission of GBV-C occurred from mothers with GBV-C
antibodies. However, four of 10 children who were infected with
HIV had a mother with past or ongoing GBV-C infection.
Conclusions
In
conclusion, the authors write, “Our findings suggest that the risk
of vertical transmission
of GBV-C is not elevated in HIV-infected mothers. Furthermore, although
the number of HIV-1-infected children was low, we saw no evidence
that the presence of ongoing or past GBV-C infection influenced
the probability of vertical HIV transmission.”
Department
of Clinical Virology, Karolinska Insitutet, Karolinska University
Hospital, Stockholm, Sweden.
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Reference
B
Barqasho and others. GB virus C coinfection and vertical transmission in HIV-infected
mothers before the introduction of antiretroviral prophylaxis. HIV
Medicine 5(6): 427-30. November 2004.
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