Parvovirus 4 in Individuals with Severe Hemophilia A and Matched Control Group

Sanaz Asiyabi; Seyed Mahdi Marashi; Rouhollah Vahabpour; Ahmad Nejati; Alireza  Azizi-Saraji; Aliyeh Sadat Mustafa; Asgar Baghernejad; Zabiholla Shoja; Hassan Mansouritorghabeh

doi:10.18502/ijhoscr.v15i3.6849

Sanaz Asiyabi Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Seyed Mahdi Marashi Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Rouhollah Vahabpour Department of Medical Lab Technology, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Ahmad Nejati Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Alireza Azizi-Saraji Iranian Comprehensive Hemophilia Care Center, Tehran, Iran
Aliyeh Sadat Mustafa Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Asgar Baghernejad School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Zabiholla Shoja Department of Virology, Pasteur Institute of Iran, Tehran, Iran
Hassan Mansouritorghabeh Central Diagnostic Laboratories, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

DOI: https://doi.org/10.18502/ijhoscr.v15i3.6849

Keywords: Hemophilia; Parvovirus 4; von Willebrand disease; Viral infection

Abstract

Background: Hemophilia is a well-known bleeding disorder with worldwide distribution. Replacement therapy, using plasma-derived or recombinant coagulation factors, comprises a gold standard regimen for the treatment. Regardless of the advancements made in viral inactivation methods in the production of plasma-derived coagulation factors, the possibility of transmission of new viral infections remained as a noticeable concern yet. The aim of the current study was to investigate the status of parvovirus 4 (PARV4) in severe hemophilia A, von Willebrand disease (vWD), and healthy control.

Materials and Methods: In the current case-control study, 76 patients with hemophilia and vWD and 60 individuals from their family members entered the study. Nested PCR used to determine the presence of PARV4 in study subjects (76 cases). To characterize the PARV4 genotype, positive samples subjected to sequencing and phylogenetic analysis.

Results: PARV4 genome detected in 11 (14.47%) patients with bleeding disorders. Among whom, nine patients (14.75%) were with severe hemophilia A and two (13.33%) patients with vWD. Only five healthy controls (8.33%) were positive for PARV4. All PARV4 sequences were found to be genotype 1.

Conclusion: PARV4 infection in patients with hemophilia and vWD was higher than the control group. While detection of PARV4 DNA in patients with bleeding disorders may not necessarily reflect a clinical urgency, future investigations are needed to define the clinical significance of PARV4. It seems the detection of the virus immune signature of PARV4 infection, particularly in the context of acute and persistent infections, needs to focus on cellular and tissue targets.