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Correlation Between Hepatitis B G1896A Precore Mutations and HBeAg in Chronic HBV Patients.

ABSTRACT: BACKGROUND:Hepatitis B virus (HBV) infection is an important health concern worldwide, with critical outcomes. Hepatitis B e antigen (HBeAg) negative chronic hepatitis B is frequently caused by a mutation (G1896A) in the hepatitis B virus (HBV) precore (PC) reading frame, which creates a stop codon, causing premature termination of the HBe protein. OBJECTIVES:This study aimed to investigate the G1896A PC mutation and its effect on HBeAg detection in chronic HBV patients. PATIENTS AND METHODS:In this study, 120 chronic HBV patients neither vaccinated or who had benefited from immunoglobulin therapy, were recruited. The HBV-DNA was extracted from plasma and polymerase chain reaction (PCR) was performed. Positive PCR products were subjected to automated sequencing. The HBV serological markers [hepatitis B s antigen (HBsAg), HBeAg] were tested. RESULTS:One hundred out of 120 (83.3%) patients were HBeAg negative and 100% were HBsAg positive. The comparison of nucleotide sequences with the reference sequence (Accession number: AB033559) in HBeAg negative patients showed that there was a high rate of mutations in G1896A (93.18%). CONCLUSIONS:This study indicates that the rate of G1896A mutation at the PC region among HBeAg negative patients, in the Golestan province of Iran, was similar to the average rate encountered in other parts of Iran. The PC stop codon mutation was detected in 93.18% of HBeAg negative patients. Further studies with larger sample sizes are required to elucidate the exact role of these mutations in the clinical course of chronic HBV infection.

SUBMITTER: Zhand S

PROVIDER: S-EPMC4376977 | biostudies-literature | 2015 Feb

REPOSITORIES: biostudies-literature

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Correlation Between Hepatitis B G1896A Precore Mutations and HBeAg in Chronic HBV Patients.

Zhand Sareh S Karami Chiman C Hosseinzadeh Adli Ahmad A Tabarraei Alijan A Khodabakhshi Behnaz B Moradi Abdolvahab A

Jundishapur journal of microbiology 20150201 2

<h4>Background</h4>Hepatitis B virus (HBV) infection is an important health concern worldwide, with critical outcomes. Hepatitis B e antigen (HBeAg) negative chronic hepatitis B is frequently caused by a mutation (G1896A) in the hepatitis B virus (HBV) precore (PC) reading frame, which creates a stop codon, causing premature termination of the HBe protein.<h4>Objectives</h4>This study aimed to investigate the G1896A PC mutation and its effect on HBeAg detection in chronic HBV patients.<h4>Patien ...[more]

PMID: 25825644

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Project description:The purpose of this study was to explore the correlations of serum hepatitis B core-related antigen (HBcrAg) with intrahepatic Hepatitis B virus (HBV) covalently closed circular DNA (cccDNA) and HBV total DNA in hepatitis B e antigen (HBeAg)-positive chronic hepatitis B (CHB) patients. Serum HBcrAg and other parameters, including HBV DNA, HBV RNA, HBeAg, hepatitis B surface antigen (HBsAg), hepatitis B core antibody (anti-HBc), alanine aminotransferase (ALT), and aspartate aminotransferase (AST) were quantitatively measured at baseline and follow-up time points. Intrahepatic HBV cccDNA and total DNA were quantitatively detected at baseline and 96?weeks. Grading of liver necroinflammation and staging of hepatic fibrosis were assessed at baseline and 96?weeks. Correlations between serum HBcrAg and other parameters were analyzed by Pearson's correlation analysis. The results showed that pretreatment HBcrAg correlated significantly with HBV total DNA levels (r?=?0.328, P? =?0.003) in 82 CHB patients, and, after removing three outliers, with intrahepatic HBV cccDNA (r?=?0.323, P? =?0.004; n?=?79). Serum HBcrAg correlated better with HBV cccDNA in patients with lower levels of serum HBV DNA (stratified by 7?log IU/ml of HBV DNA; r?=?0.656, P? =?0.003 versus r?=?-0.02, P = 0.866). Significant inverse correlations were found between HBcrAg and grade of liver necroinflammation (r?=?-0.245, P? =?0.037), stage of hepatic fibrosis (r?=?-0.360, P? =?0.002) at baseline. Serum HBcrAg presented significant correlation with intrahepatic HBV cccDNA in patients with HBeAg seroconversion at 96?weeks (r?=?0.622, P? =?0.006). The decrease in HBcrAg showed significant correlation with the decrease in HBV cccDNA after 96-week NA therapy (r?=?0.282, P? =?0.043). Serum HBcrAg also correlated significantly with other serum markers at baseline and 96 weeks of NA therapy. In conclusion, baseline HBcrAg and its decreased value were significantly correlated with the corresponding intrahepatic HBV cccDNA.

Dataset Information

Correlation Between Hepatitis B G1896A Precore Mutations and HBeAg in Chronic HBV Patients.

Publications

Correlation Between Hepatitis B G1896A Precore Mutations and HBeAg in Chronic HBV Patients.

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