GB virus C (GBV-C), also called hepatitis G virus (HGV), occurs worldwide,
but the clinical significance of this virus is still unclear. Plasma sample
s from 1,001 blood donors were tested by reverse transcription PCR using pr
imers from the NS5 region and by a commercial enzyme-linked immunosorbent a
ssay (ELISA) for the detection of immunoglobulin G antibodies against the p
utative envelope of HGV (anti-HGV E2). GBV-C/HGV RNA was present in the pla
sma from 2.5% of the blood donors, and anti-HGV E2 antibodies could be dete
cted in 10.5% of the samples. Only one of the blood donors with viremia had
elevated levels of alanine aminotransferase, Among ELISA-positive donors,
there was a significantly higher percentage (16.5%) of individuals who had
been treated by acupuncture than individuals who had not been given this tr
eatment (9.4%). No other variables showed significant differences, Screenin
g of medical records from 401 recipients of blood from PCR-positive donors
revealed no association with liver disease. Four of 12 partners (33%) were
HGV RNA positive, and sequence analyses of the strains showed that four of
the couples probably were infected with the same strains, while strains fro
m different couples were not identical. Anti-HGV E2 antibodies were detecte
d in serum samples from four other partners. The prevalence of GBV-C/HGV am
ong blood donors in our region is dramatically higher than the prevalence o
f hepatitis C virus (0.03%).