%0 Journal Article %T Tissue presentation of human pegivirus infection in liver transplanted recipients. %A Lankarani KB %A Yaghobi R %A Pourkarim MR %A Moayedi J %A Mohammadi ZA %A Thijssen M %A Geramizadeh B %A Malekhosseini SA %A Maharlouei N %A Shahraki HR %A Lankarani KB %A Yaghobi R %A Pourkarim MR %A Moayedi J %A Mohammadi ZA %A Thijssen M %A Geramizadeh B %A Malekhosseini SA %A Maharlouei N %A Shahraki HR %A Lankarani KB %A Yaghobi R %A Pourkarim MR %A Moayedi J %A Mohammadi ZA %A Thijssen M %A Geramizadeh B %A Malekhosseini SA %A Maharlouei N %A Shahraki HR %J Microb Pathog %V 167 %N 0 %D Jun 2022 %M 35550845 %F 3.848 %R 10.1016/j.micpath.2022.105571 %X Human pegivirus-1 (HPgV-1) is known for its protective role in HIV co-infected individuals. This immunomodulatory effect raised questions concerning the possible role of HPgV-1 infection and the risk of rejection in liver transplanted patients. We aimed to evaluate the possible protective effect of HPgV-1 on graft outcome of liver transplanted patients. A total of 283 patients were recruited. Formalin-fixed paraffin-embedded tissue samples were collected from the explanted liver. HBV-DNA, HCV-RNA, and HPgV-1-RNA were determined using PCR and multiplex RT-PCR assays. The clinical course of patients including the occurrence of acute cellular rejection was compared between HPgV-1-infected vs. uninfected patients. HBV-DNA, HCV-RNA and HPgV-1-RNA were detected in 42.6%, 4.9%, and 7.8% of samples, respectively. None of the HPgV-1-infected patients experienced graft rejection. Group LASSO logistic regression revealed that HPgV-1 infection was the only factor which significantly reduced the odds of graft rejection (OR = 0.5, 95% CI = 0.29-0.89). No significant association was found between the presence of HPgV-1 with HBV and HCV infections. The lack of graft rejection in HPgV-1-infected liver transplanted patients might indicate a possible role of this virus for graft surveillance. Since these are still preliminary findings, prospective studies should further elucidate the role of HPgV-1 in liver transplantation outcomes.