The organ where the GB virus (GBV)-C/hepatitis G virus (HGV) localizes and
proliferates is not known. We examined the digestive organs for HGV RNA to
determine the localization of the HGV. Two cases of patients with serum-pos
itive HGV RNA were investigated. We embedded surgically excised materials a
nd digestive secretion materials from cases 1 and 2 in paraffin blocks. The
tissue specimens investigated included lymph nodes No, 201 and 202, ascend
ing colon (nontumor and tumor area), ileocecum, appendix, liver (nontumor a
nd tumor area) and gall bladder. We made cDNA after extraction of total RNA
from thin tissue sections and detected HGV RNA with a reverse transcriptio
n polymerase chain reaction method. No HGV RNA was detected in liver, colon
and gall bladder tissues. HGV RNA was only detected in the appendix tissue
. Comparison of nucleotide sequences of PCR products from serum and appendi
x was almost the same. Homology between US type (PNF2161) and the serum and
appendix PCR products was 92.6 and 93.6%, respectively. These results sugg
est that HGV proliferates in the appendix and is carried by the portal bloo
d flow to the liver, and may cause a hepatitis reaction in the liver. Copyr
ight (C) 2001 S. Karger AG, Basel.