Seroepidemiology Of Human Herpesvirus-6 In Different Age Groups In Istanbul

Research Article

Authors

DOI:

https://doi.org/10.5281/zenodo.14993774

Keywords:

Human Herpes Viruses (HHV-6), Febrile infectious, Ig M, Ig G, Exanthem subitum

Abstract

Objective: This research aimed to elucidate the HHV-6 IgM and HHV-6 IgG antibodies in febrile and healthy individuals using ELISA to determine the distribution rates of HHV-6 antibodies in Istanbul.

Method: This research has enrolled 149 individuals (Group 1) admitted to the hospital with fever and had at least two symptoms, such as sore throat, swollen lymph nodes, and increased leukocyte count together with fever, with suspicion of herpes infection and 121 healthy individuals (Group 2) who had no complaints or findings and were admitted to the hospital for routine check-ups—the presence of HHV-6 Ig M and HHV-6 Ig G antibodies in two different groups.

Results: According to the study, HHV-6 IgG antibody was detected in 86 (57%), and HHV-6 IgM antibody in 28 (19%) of 149 febrile individuals. HHV-6 IgM antibody was detected in febrile patients. HHV-6 IgG antibody was found in 48% of healthy individuals, and HHV-6 IgM antibody in 6%. HHV-6 IgM was not detected among healthy individuals in the 0-5 month group. The findings were consistent with the HHV-6 IgM and HHV-6 IgG rates reported in the literature. This study shows that HHV-6 was encountered in 48% of healthy individuals.

Conclusion: This study's results are consistent with the information in the literature. Based on the data, it was thought that organ transplant recipients and donors should be evaluated for HHV-6 infection and that HHV-6 infection should not be ignored in children admitted to the hospital with fever.

References

Grut V, Biström M, Salzer J, et al. Interactions between High Seroreactivity to Human Herpes Virus 6A and Epstein-Barr Virus in MS Development: A Presymptomatic Case-Control Study. Ann Neurol. 2024;96(2):302-305. doi:10.1002/ana.27009

Leung AK, Lam JM, Barankin B, Leong KF, Hon KL. Roseola Infantum: An Updated Review. Curr Pediatr Rev. 2024;20(2):119-128. doi:10.2174/1573396319666221118123844

Mullins TB, Krishnamurthy K. Roseola Infantum. In: StatPearls. Treasure Island (FL): StatPearls Publishing; July 4, 2023.

Agut H, Bonnafous P, Gautheret-Dejean A. Human Herpesviruses 6A, 6B, and 7. Microbiol Spectr. 2016;4(3):10.1128/microbiolspec.DMIH2-0007-2015. doi:10.1128/microbiolspec.DMIH2-0007-2015

King O, Al Khalili Y. Herpes Virus Type 6. In: StatPearls. Treasure Island (FL): StatPearls Publishing; August 8, 2023.

Agut H, Bonnafous P, Gautheret-Dejean A. Laboratory and clinical aspects of human herpesvirus 6 infections. Clin Microbiol Rev. 2015;28(2):313-335. doi:10.1128/CMR.00122-14

Kasai A, Shimizu J, Sato M, Kitamura M, Inaba Y, Motobayashi M. Reduced impact of viral load of HHV-6 in liquor on severity of AESD due to exanthema subitum: A case report and literature review. Brain Dev. 2021;43(8):879-883. doi:10.1016/j.braindev.2021.04.008

Agut H, Bonnafous P, Gautheret-Dejean A. Update on infections with human herpesviruses 6A, 6B, and 7. Med Mal Infect. 2017;47(2):83-91. doi:10.1016/j.medmal.2016.09.004

Poetranto AL, Wakata A, Tjan LH, Nishimura M, Arii J, Mori Y. Human herpesvirus 6A U27 plays an essential role for the virus propagation. Microbiol Immunol. 2020;64(10):703-711. doi:10.1111/1348-0421.12840

Tzannou I, Papadopoulou A, Naik S, et al. Off-the-Shelf Virus-Specific T Cells to Treat BK Virus, Human Herpesvirus 6, Cytomegalovirus, Epstein-Barr Virus, and Adenovirus Infections After Allogeneic Hematopoietic Stem-Cell Transplantation. J Clin Oncol. 2017;35(31):3547-3557. doi:10.1200/JCO.2017.73.0655

Lareau CA, Yin Y, Maurer K, et al. Latent human herpesvirus 6 is reactivated in CAR T cells. Nature. 2023;623(7987):608-615. doi:10.1038/s41586-023-06704-2

Clark DA. Clinical and laboratory features of human herpesvirus 6 chromosomal integration. Clin Microbiol Infect. 2016;22(4):333-339. doi:10.1016/j.cmi.2015.12.022

Munawwar A, Singh S. Human Herpesviruses as Copathogens of HIV Infection, Their Role in HIV Transmission, and Disease Progression. J Lab Physicians. 2016;8(1):5-18. doi:10.4103/0974-2727.176228

Arnež M, Avšič-Županc T, Uršič T, Petrovec M. Human Herpesvirus 6 Infection Presenting as an Acute Febrile Illness Associated with Thrombocytopenia and Leukopenia. Case Rep Pediatr. 2016;2016:2483183. doi:10.1155/2016/2483183

Yoshizato R, Koga H. Comparison of initial and final diagnoses in children with acute febrile illness: A retrospective, descriptive study: Initial and final diagnoses in children with acute fever. J Infect Chemother. 2020;26(3):251-256. doi:10.1016/j.jiac.2019.09.015

Corona-Rodarte E, Torres-Guillen VM, Teran-De-la-Sancha K, Barrera-Godínez A, Gatica-Torres M. Successful management with ganciclovir of drug reaction with eosinophilia and systemic symptoms secondary to antituberculous drugs associated to human herpesvirus-6 reactivation. JAAD Case Rep. 2023;34:90-93. Published 2023 Jan 26. doi:10.1016/j.jdcr.2022.12.021

Leung AK, Lam JM, Barankin B, Leong KF, Hon KL. Roseola Infantum: An Updated Review. Curr Pediatr Rev. 2024;20(2):119-128. doi:10.2174/1573396319666221118123844

Huang LM, Kuo PF, Lee CY, Chen JY, Liu MY, Yang CS. Detection of human herpesvirus-6 DNA by polymerase chain reaction in serum or plasma. J Med Virol. 1992;38(1):7-10. doi:10.1002/jmv.1890380103

Eizuru Y, Minematsu T, Minamishlma Y, Kikuchi M, Yamanishi K, Takahashi M, Kurata T. Human herpesvirus 6 in lymph nodes. Lancet. 1989;1(8628):40-41.

Couillard M, Joly JR, Deschênes L, Richer G. Evaluation of variables in immunofluorescence procedures for the detection of antibodies against human herpesvirus 6 (HHV-6). Diagn Microbiol Infect Dis. 1992;15(4):313-320. doi:10.1016/0732-8893(92)90017-n

Fox JD, Tedder RS, Birggs EM: Human herpesviruses 6 and 7. " Zuckerman AJ, Banatvala JE,. Pattison JR (eds)" Principles and Practice Clinical Virology 3. press: 135 John Wiley and Sons Ltd, Chichester, New York, Brisbane, Toronto, Singapore

Asano Y, Yoshikawa T, Suga S, et al. Enzyme-linked immunosorbent assay for detection of IgG antibody to human herpesvirus 6. J Med Virol. 1990;32(2):119-123. doi:10.1002/jmv.1890320209

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Published

2025-04-20

How to Cite

Aykaç Yazıcıoğlu, S., & Çelik (Yılmaz), G. (2025). Seroepidemiology Of Human Herpesvirus-6 In Different Age Groups In Istanbul: Research Article. Europeanatolia Health Sciences Journal, 3(1), 1–7. https://doi.org/10.5281/zenodo.14993774