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(American Journal of Pathology. 2001;158:259-264.)
© 2001 American Society for Investigative Pathology

Regular Articles

In Situ Detection of Hepatitis C Virus RNA in Salivary Glands

Juan José Arrieta^*, Elena Rodríguez-Iñigo, Nuria Ortiz-Movilla, Javier Bartolomé, Margarita Pardo, Félix Manzarbeitia^§, Horacio Oliva^§, David Mariscal Macías and Vicente Carreño

From the Departments of Dentistry ^*
and Pathology,^§
Fundación Jiménez Díaz, Madrid; the Instituto de Hepatología,
Hospital Pardo de Aravaca, Madrid; and the Fundación para el Estudio de las Hepatitis Virales,
Madrid, Spain

Chronic hepatitis C virus (HCV) infection has been associated with several extrahepatic manifestations, among these, to diseases with oral manifestations such as Sjögren’s syndrome or sialadenitis. HCV-RNA has been detected in saliva and in salivary glands from patients with sialadenitis by polymerase chain reaction. However, morphological evidence of HCV replication in salivary gland cells is needed to support a role for HCV in causing sialadenitis or Sjögren’s syndrome. We have used in situ hybridization and immunohistochemistry to analyze the presence of HCV-RNA of sense and antisense polarity and HCV core antigen, respectively, in salivary gland biopsies from 19 patients with chronic sialadenitis or Sjögren’s syndrome (eight anti-HCV-positive; 11 anti-HCV-negative). HCV-RNA of both positive and negative polarity as well as HCV core antigen were detected in the epithelial cells of the salivary gland biopsies from all of the anti-HCV-positive patients but in none of the anti-HCV-negative cases. The percentage of HCV-infected cells ranged from 25 to 48.8% in the patients studied. In conclusion, we have shown that HCV infects and replicates in the epithelial cells from salivary glands of patients with Sjögren’s syndrome or chronic sialadenitis. However, its implication in the pathogenesis of these diseases deserves future research.

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