First report of serological, molecular detection, and characterization of human parvovirus B19 infections among sickle cell anaemia patients in Khartoum State, Sudan

BackgroundPatients with haematological disorders, such as sickle cell anaemia, are at an elevated risk of transient aplastic crisis due to parvovirus B19 infection. The virus targets specific integration sites in the human genome, disrupting cellular division. However, the molecular mechanisms of in...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Khalid, Salman (author)
مؤلفون آخرون: El Nagar, Sittna Hayder (author), El Hussein, Abdel Rahim M. (author), El Hussein, Mohammed A. (author), Yassine, Hadi M. (author), Al Khatib, Hebah A. (author), Ali Al- Badr, Mashael (author), Farah, Ibrahim (author), Enan, Khalid A. (author)
التنسيق: article
منشور في: 2025
الموضوعات:
الوصول للمادة أونلاين:http://dx.doi.org/10.1016/j.jiph.2025.102682
https://www.sciencedirect.com/science/article/pii/S1876034125000310
http://hdl.handle.net/10576/64067
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author Khalid, Salman
author2 El Nagar, Sittna Hayder
El Hussein, Abdel Rahim M.
El Hussein, Mohammed A.
Yassine, Hadi M.
Al Khatib, Hebah A.
Ali Al- Badr, Mashael
Farah, Ibrahim
Enan, Khalid A.
author2_role author
author
author
author
author
author
author
author
author_facet Khalid, Salman
El Nagar, Sittna Hayder
El Hussein, Abdel Rahim M.
El Hussein, Mohammed A.
Yassine, Hadi M.
Al Khatib, Hebah A.
Ali Al- Badr, Mashael
Farah, Ibrahim
Enan, Khalid A.
author_role author
dc.creator.none.fl_str_mv Khalid, Salman
El Nagar, Sittna Hayder
El Hussein, Abdel Rahim M.
El Hussein, Mohammed A.
Yassine, Hadi M.
Al Khatib, Hebah A.
Ali Al- Badr, Mashael
Farah, Ibrahim
Enan, Khalid A.
dc.date.none.fl_str_mv 2025-04-08T09:20:49Z
2025-04
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://dx.doi.org/10.1016/j.jiph.2025.102682
Salman, K., El Nagar, S. H., El Hussein, A. R. M., El Hussein, M. A., Yassine, H. M., Al Khatib, H. A., ... & Enan, K. A. (2025). First Report of Serological, Molecular Detection, and Characterization of Human Parvovirus B19 Infections Among Sickle Cell Anaemia Patients in Khartoum State, Sudan. Journal of Infection and Public Health, 102682.
1876-0341
https://www.sciencedirect.com/science/article/pii/S1876034125000310
http://hdl.handle.net/10576/64067
4
18
1876-035X
dc.language.none.fl_str_mv en
dc.publisher.none.fl_str_mv Elsevier
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Sickle cell anaemia
Parvovirus B19
Seroprevalence
Genotypes
Nested PCR
dc.title.none.fl_str_mv First report of serological, molecular detection, and characterization of human parvovirus B19 infections among sickle cell anaemia patients in Khartoum State, Sudan
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description BackgroundPatients with haematological disorders, such as sickle cell anaemia, are at an elevated risk of transient aplastic crisis due to parvovirus B19 infection. The virus targets specific integration sites in the human genome, disrupting cellular division. However, the molecular mechanisms of infection remain poorly understood. AimThis study aimed to determine the prevalence of human parvovirus B19 among patients with sickle cell anaemia in Khartoum State, Sudan. MethodsNinety patients (aged <5 to >15 years) with sickle cell disease attending Gaafer Ibnouaf Children’s Hospital between November 2016 and February 2017 were recruited. Sera and plasma samples were analyzed. IgG and IgM antibodies were measured using ELISA, and viral DNA was detected in plasma using nested-PCR. Phylogenetic analysis of sequenced B19 strains focused on the overlapping region of the minor (VP1) and major (VP2) capsid protein genes. ResultsAnti-parvovirus B19 IgG antibodies were detected in 57 of 90 patients (63.3 %), while IgM antibodies were present in 7 (7.8 %). Viral DNA was identified in 23 (25.5 %) patients. Among the 23 DNA-positive patients, 7 (30 %) were seronegative for both IgG and IgM antibodies, highlighting the importance of molecular diagnostics in identifying active infections, especially in early stages. Children under 5 years of age exhibited a higher nucleic acid detection rate compared to older age groups, suggesting the importance of molecular testing in younger patients particularly in the early detection of Parvovirus B19 during the acute phase of infection, before the body has developed detectable antibodies and also in immunocompromised children, who may not mount an antibody response detectable by serological methods. Phylogenetic analysis revealed two distinct Sudanese clusters: one (50 % of sequences) formed a unique clade with low similarity to existing genotypes, while the other (50 %) closely resembled genotype 1 A sequences from Iraq, Iran, and Tanzania. ConclusionParvovirus B19 antibodies and DNA were detected at high prevalence among Sudanese children with sickle cell anaemia. Screening for parvovirus B19 is critical for patients requiring blood transfusions, particularly those with haematological disorders. This study provides the first report of parvovirus B19 detection, sequencing, and characterization among Sudanese patients with sickle cell anaemia.
eu_rights_str_mv openAccess
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identifier_str_mv Salman, K., El Nagar, S. H., El Hussein, A. R. M., El Hussein, M. A., Yassine, H. M., Al Khatib, H. A., ... & Enan, K. A. (2025). First Report of Serological, Molecular Detection, and Characterization of Human Parvovirus B19 Infections Among Sickle Cell Anaemia Patients in Khartoum State, Sudan. Journal of Infection and Public Health, 102682.
1876-0341
4
18
1876-035X
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publisher.none.fl_str_mv Elsevier
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spelling First report of serological, molecular detection, and characterization of human parvovirus B19 infections among sickle cell anaemia patients in Khartoum State, SudanKhalid, SalmanEl Nagar, Sittna HayderEl Hussein, Abdel Rahim M.El Hussein, Mohammed A.Yassine, Hadi M.Al Khatib, Hebah A.Ali Al- Badr, MashaelFarah, IbrahimEnan, Khalid A.Sickle cell anaemiaParvovirus B19SeroprevalenceGenotypesNested PCRBackgroundPatients with haematological disorders, such as sickle cell anaemia, are at an elevated risk of transient aplastic crisis due to parvovirus B19 infection. The virus targets specific integration sites in the human genome, disrupting cellular division. However, the molecular mechanisms of infection remain poorly understood. AimThis study aimed to determine the prevalence of human parvovirus B19 among patients with sickle cell anaemia in Khartoum State, Sudan. MethodsNinety patients (aged <5 to >15 years) with sickle cell disease attending Gaafer Ibnouaf Children’s Hospital between November 2016 and February 2017 were recruited. Sera and plasma samples were analyzed. IgG and IgM antibodies were measured using ELISA, and viral DNA was detected in plasma using nested-PCR. Phylogenetic analysis of sequenced B19 strains focused on the overlapping region of the minor (VP1) and major (VP2) capsid protein genes. ResultsAnti-parvovirus B19 IgG antibodies were detected in 57 of 90 patients (63.3 %), while IgM antibodies were present in 7 (7.8 %). Viral DNA was identified in 23 (25.5 %) patients. Among the 23 DNA-positive patients, 7 (30 %) were seronegative for both IgG and IgM antibodies, highlighting the importance of molecular diagnostics in identifying active infections, especially in early stages. Children under 5 years of age exhibited a higher nucleic acid detection rate compared to older age groups, suggesting the importance of molecular testing in younger patients particularly in the early detection of Parvovirus B19 during the acute phase of infection, before the body has developed detectable antibodies and also in immunocompromised children, who may not mount an antibody response detectable by serological methods. Phylogenetic analysis revealed two distinct Sudanese clusters: one (50 % of sequences) formed a unique clade with low similarity to existing genotypes, while the other (50 %) closely resembled genotype 1 A sequences from Iraq, Iran, and Tanzania. ConclusionParvovirus B19 antibodies and DNA were detected at high prevalence among Sudanese children with sickle cell anaemia. Screening for parvovirus B19 is critical for patients requiring blood transfusions, particularly those with haematological disorders. This study provides the first report of parvovirus B19 detection, sequencing, and characterization among Sudanese patients with sickle cell anaemia.Elsevier2025-04-08T09:20:49Z2025-04Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1016/j.jiph.2025.102682Salman, K., El Nagar, S. H., El Hussein, A. R. M., El Hussein, M. A., Yassine, H. M., Al Khatib, H. A., ... & Enan, K. A. (2025). First Report of Serological, Molecular Detection, and Characterization of Human Parvovirus B19 Infections Among Sickle Cell Anaemia Patients in Khartoum State, Sudan. Journal of Infection and Public Health, 102682.1876-0341https://www.sciencedirect.com/science/article/pii/S1876034125000310http://hdl.handle.net/10576/640674181876-035Xenhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:qspace.qu.edu.qa:10576/640672025-04-08T19:06:52Z
spellingShingle First report of serological, molecular detection, and characterization of human parvovirus B19 infections among sickle cell anaemia patients in Khartoum State, Sudan
Khalid, Salman
Sickle cell anaemia
Parvovirus B19
Seroprevalence
Genotypes
Nested PCR
status_str publishedVersion
title First report of serological, molecular detection, and characterization of human parvovirus B19 infections among sickle cell anaemia patients in Khartoum State, Sudan
title_full First report of serological, molecular detection, and characterization of human parvovirus B19 infections among sickle cell anaemia patients in Khartoum State, Sudan
title_fullStr First report of serological, molecular detection, and characterization of human parvovirus B19 infections among sickle cell anaemia patients in Khartoum State, Sudan
title_full_unstemmed First report of serological, molecular detection, and characterization of human parvovirus B19 infections among sickle cell anaemia patients in Khartoum State, Sudan
title_short First report of serological, molecular detection, and characterization of human parvovirus B19 infections among sickle cell anaemia patients in Khartoum State, Sudan
title_sort First report of serological, molecular detection, and characterization of human parvovirus B19 infections among sickle cell anaemia patients in Khartoum State, Sudan
topic Sickle cell anaemia
Parvovirus B19
Seroprevalence
Genotypes
Nested PCR
url http://dx.doi.org/10.1016/j.jiph.2025.102682
https://www.sciencedirect.com/science/article/pii/S1876034125000310
http://hdl.handle.net/10576/64067