Objective: To assess the frequency and significance of GB virus-C infe
ction in type 1 autoimmune hepatitis. Material and Methods: Serum spec
imens from 94 patients with type 1 autoimmune hepatitis were tested fo
r GB virus-C RNA by reverse transcription and polymerase chain reactio
n. Serum samples from 50 normal subjects were also assessed. Results:
Three of the 94 specimens from patients with autoimmune hepatitis were
positive for GB virus C RNA in comparison with none of the 50 control
samples (3% versus 0%; P = 0.5). Two patients were seropositive after
variceal hemorrhage and blood transfusion, including one patient who
clearly acquired the infection in this fashion. One patient had no epi
demiologic basis for his seropositivity, Viremia was prolonged in all
infected patients (mean duration, 69 +/- 23 months; range, 36 to 113);
however, no clinical features suggested a concurrent viral infection,
and mortality was similar to that among: the uninfected counterparts
(33% versus 8%; P = 0.2), Liver transplantation was more common in the
infected patients (67% versus 9%; P = 0.03), but the duration of dise
ase was also longer in these patients (277 +/- 29 months versus 106 +/
- 9 months; P = 0.0008). Clinical features and immediate responses to
corticosteroid therapy mere similar in both groups, Conclusion: GB vir
us-C RNA is found infrequently in type 1 autoimmune hepatitis, and GB
virus C is unlikely to be an important etiologic agent or prognostic d
eterminant.