Deteksi Gen sHBsAg sebagai Penanda Koinfeksi Hepatitis B pada Pengidap HIV

Authors

  • Patricia Gita Naully Stikes Jenderal Achmad Yani
  • Sitti Romlah Stikes Jenderal Achmad Yani

DOI:

https://doi.org/10.26630/jk.v10i2.1381

Keywords:

Coinfection, HBV, HIV, Nested PCR, sHBsAg

Abstract

Bandung is the city with the highest number of Human Immunodeficiency Virus (HIV) sufferers in West Java. HIV patients often have co-infection with Hepatitis B Virus (HBV). This condition can increase the risk of cirrhosis, liver cancer, and death. Co-infection status can be detected by the presence of the HBsAg gene amplified using the nested Polymerase Chain Reaction (nested PCR) method. This study aimed to decide the number of HBV co-infection cases with the sHBsAg gene as a marker and factor influencing the presence of the gene in HIV patients in Bandung. This research used 50 human samples domiciled in Bandung which have been infected with HIV and never had a hepatitis test. Taking blood specimens was done on the people who had signed the informed consent. The detection of the sHBsAg gene started with genomic DNA isolation. Moreover, the purity and concentration of DNA isolation results were measured by the Nanodrop. The amplification process of the sHBsAg gene was done twice using two pairs of the specific primary. The amplification results were visualized by agarose electrophoresis method. Then, the data collected was analyzed by a logistic regression method. The laboratory results showed that 18 people (36%) had HIV-HBV co-infection, marked by the presence of the sHBsAg gene in their blood. Unsafe sexual activity, syringe drug use, and a vaccination profile were factors that significantly influence (p<0.05) on this co-infection.

References

Agyeman, A. A., & Ofori-Asenso, R. (2016). Prevalence of HIV and hepatitis B coinfection in Ghana: a systematic review and meta-analysis. AIDS Research and Therapy, 13(1). https://doi.org/10.1186/s12981-016-0107-x

ALMalki, B. (2014). Knowledge and awareness of sexually transmitted disease among male university students in Taif, Saudi Arabia. International Journal of Medical Science and Public Health, 3(3), 342. https://doi.org/10.5455/ijmsph.2014.070120141

Bautista-Amorocho, H., Castellanos-Domínguez, Y. Z., Rodríguez-Villamizar, L. A., Velandia-Cruz, S. A., Becerra-Peña, J. A., & Farfán-García, A. E. (2014). Epidemiology, Risk Factors and Genotypes of HBV in HIV-Infected Patients in the Northeast Region of Colombia: High Prevalence of Occult Hepatitis B and F3 Subgenotype Dominance. PLoS ONE, 9(12), e114272. https://doi.org/10.1371/journal.pone.0114272

Bolad, A., Hashim, M., & Lutfi, M. (2011). Reliability of Polymerase Chain Reaction (PCR) for Detection of Hepatitis B virus (HBV) in Healthy Blood Donors as Compared to That of Enzyme-Linked Immuno-Sorbent Assay (ELISA). NMJ, 1(3), 33–37.

Bratanata, J., Gani, R. A., & Karjadi, T. H. (2015). Proporsi Infeksi Virus Hepatitis B Tersamar pada Pasien yang Terinfeksi Human Immunodeficiency Virus. Jurnal Penyakit Dalam Indonesia, 2(3), 126. https://doi.org/10.7454/jpdi.v2i3.77

Daw, M. A., Shabash, A., El-Bouzedi, A., & Dau, A. A. (2014). Seroprevalence of HBV, HCV & HIV Co-Infection and Risk Factors Analysis in Tripoli-Libya. PLoS ONE, 9(6), e98793. https://doi.org/10.1371/journal.pone.0098793

Dharel, N., & Sterling, R. K. (2014). Hepatitis B Virus–HIV Coinfection: Forgotten but Not Gone. Gastroenterology & Hepatology, 10(12), 780-788.

Dinas Kesehatan Provinsi Jawa Barat. (2016). Profil Kesehatan. Bandung: Dinas Kesehatan Provinsi Jawa Barat.

Ew, M. M. R., & Prasetyo, A. A. (2015). Koinfeksi Virus Hepatitis B Terdeteksi pada Pasien HIV di Rumah Sakit Umum Dr. Moewardi di Surakarta. El Vivo, Vol. 3, No.2.

Ghasemzadeh, I., Roshanfekr, R., Jafaripour, A., Hamadiyan, H., & Rasekhi, S. (2016). Analysis of Hepatitis B Transmission Risk Factors in HIV Patients. International Journal of Medical Research & Health Sciences.

Glynn, T. R., Operario, D., Montgomery, M., Almonte, A., & Chan, P. A. (2017). The Duality of Oral Sex for Men Who Have Sex with Men: An Examination Into the Increase of Sexually Transmitted Infections Amid the Age of HIV Prevention. AIDS Patient Care and STDs, 31(6), 261-267.

https://doi.org/10.1089/apc.2017.0027

Halimah, L., & Chintiawati, R. (2016). Studi Deskriptif Mengenai Religious Coping pada Penderita HIV/AIDS Komunitas Rumah Cemara Bandung. Prosiding Seminar Nasional Penelitian dan PKM Kesehatan, 6(1), 8.

Hoffmann, C. J., Seaberg, E. C., Young, S., Witt, M. D., D’Acunto, K., Phair, J., & Thio, C. L. (2009). Hepatitis B and long-term HIV outcomes in coinfected HAART recipients. AIDS, 23(14), 1881-1889. https://doi.org/10.1097/QAD.0b013e32832e463a

Jenness, S. M., Begier, E. M., Neaigus, A., Murrill, C. S., Wendel, T., & Hagan, H. (2011). Unprotected Anal Intercourse and Sexually Transmitted Diseases in High-Risk Heterosexual Women. American Journal of Public Health, 101(4), 745–750. https://doi.org/10.2105/AJPH.2009.181883

Kementerian Kesehatan Republik Indonesia. (2018). Laporan Situasi Perkembangan HIV-AIDS & PIMS di Indonesia Januari - Desember 2017. Jakarta: Kementerian Kesehatan Republik Indonesia.

King, J., & Hagemeister, D. T. (2016). Hepatitis B co-infection in HIV-infected patients receiving antiretroviral therapy at the TC Newman Anti Retroviral Treatment Clinic in Paarl, Western Cape. Southern African Journal of HIV Medicine, 17(1), 3. https://doi.org/10.4102/sajhivmed.v17i1.336

Knight, D. A., & Jarrett, D. (2015). Preventive Health Care for Men Who Have Sex with Men. Interventions, 91(12), 9.

Kourtis, A. P., & Jamieson, D. J. (2012). HIV–HBV Coinfection — A Global Challenge. N Engl j Med, 4.

Kudesia, G., & Wreghitt, T. (2009). Clinical and Diagnostic Virology. Cambridge: Cambridge University Press.

Kurdi, M., Abughararah, M., Mulike, M., Yamani, O., Bugdady, M., & Noor, M. (2014). Molecular detection of hepatitis B virus (HBV) among voluntary ELISA positive blood donors in Almadinah Almunawwarah. Journal of Taibah University Medical Sciences, 9(2), 166–170. https://doi.org/10.1016/j.jtumed.2014.01.002

Kye-Duodu, G., Nortey, P., Malm, K., Nyarko, K. M., Sackey, S. O., Ofori, S., & Afari, E. A. (2016). Prevalence of hepatitis B virus co-infection among HIV-seropositive persons attending antiretroviral clinics in the Eastern Region of Ghana. Pan African Medical Journal, 25. https://doi.org/10.11604/pamj.supp.2016.25.1.6172

Liu, Y., Li, P., Li, C., Zhou, J., Wu, C., & Zhou, Y.-H. (2010). Detection of hepatitis B virus DNA among accepted blood donors in Nanjing, China. Virology Journal, 7(1), 193. https://doi.org/10.1186/1743-422X-7-193

Mayer, K. H. (2011). Sexually Transmitted Diseases in Men Who Have Sex With Men. Clinical Infectious Diseases, 53(3), S79–S83. https://doi.org/10.1093/cid/cir696

Naully, P. G., & Romlah, S. (2018). Prevalensi HIV dan HBV pada Kalangan Remaja. Jurnal Kesehatan, 9(2), 280–288.

Ooi, C., & Lewis, D. (2015). Updating the management of sexually transmitted infections. Australian Prescriber, 38(6), 204-208. https://doi.org/10.18773/austprescr.2015.070

Owolabi, L. F. (2014). Prevalence and Burden of Human Immunodeficiency Virus and Hepatitis B Virus Co-infection in Nigeria: A Systematic Review and Meta-Analysis. Journal of AIDS & Clinical Research, 05(06). https://doi.org/10.4172/2155-6113.1000308

Ranjbar, R., Davari, A., Izadi, M., Jonaidi, N., & Alavian, S. M. (2011). HIV/HBV Co-Infections: Epidemiology, Natural History, and Treatment: A Review Article. Iranian Red Crescent Medical Journal, 13(12), 855-862.

Saraswati, L. R., Sarna, A., Sebastian, M. P., Sharma, V., Madan, I., Thior, I., … Tun, W. (2015). HIV, Hepatitis B and C among people who inject drugs: high prevalence of HIV and Hepatitis C RNA positive infections observed in Delhi, India. BMC Public Health, 15(1), 1–9. https://doi.org/10.1186/s12889-015-2003-z

Sepsatya, F. (2011). Spektrum klinis koinfeksi Human Immunodeficiency Virus (HIV) dengan Hepatitis B Virus (HBV) dan Hepatitis C Virus (HCV) di RSUP dr. Kariadi Semarang (Skripsi, Universitas Diponegoro). Semarang.

Taffon, S., Genovese, D., Blasi, M., Pierotti, P., Degli Esposti, A., Catone, S., … Rapicetta, M. (2014). HBV whole-genome mutation profile in HIV-1/HBV coinfected patients in a long-term follow-up study. Infection, 42(4), 675–687. https://doi.org/10.1007/s15010-014-0616-2

Xiang, K.-H., Michailidis, E., Ding, H., Peng, Y.-Q., Su, M.-Z., Li, Y., … Li, T. (2017). Effects of amino acid substitutions in hepatitis B virus surface protein on virion secretion, antigenicity, HBsAg and viral DNA. Journal of Hepatology, 66(2), 288–296. https://doi.org/10.1016/j.jhep.2016.09.005

Zhou, Y.-H., Yao, Z.-H., Liu, F.-L., Li, H., Jiang, L., Zhu, J.-W., & Zheng, Y.-T. (2012). High Prevalence of HIV, HCV, HBV and Co-Infection and Associated Risk Factors among Injecting Drug Users in Yunnan Province, China. PLoS ONE, 7(8), e42937. https://doi.org/10.1371/journal.pone.0042937

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Published

13-09-2019