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- Title
Hepatitis B virus genotypes and hepatitis B surface antigen mutations in family contacts of hepatitis B virus infected patients with occult hepatitis B virus infection.
- Authors
Kumar, Gollapudi Tarun; Kazim, Syed Naqui; Kumar, Manoj; Hissar, Syed; Chauhan, Ranjit; Basir, Seemi Farhat; Sarin, Shiv Kumar
- Abstract
Background: The association and profile of surface gene mutations with viral genotypes have been studied in patients with chronic hepatitis B virus (HBV) but not in subjects with occult HBV infection. Aim: This study aimed to investigate the association of surface gene mutations with viral genotypes in occult HBV infection. Materials & Methods: Of 293 family contacts of 90 chronic HBV index patients, 110 consented for the study. Of 110 subjects, 97 were hepatitis B surface antigen (HBsAg) negative. HBV genotyping was done using direct DNA sequencing. The S-gene was also sequenced in 13 chronic hepatitis B patients to serve as controls. Results: Twenty-eight (28.8%) of the 97 subjects had occult HBV infection. Bidirectional sequencing of partial S-gene was successful in 13 of them. Seven (53.8%) of the viral sequences are genotype A1, two (15.3%) each having genotypes D5&D2 and one each (7.6%) having D1&G genotypes. Seven (53.8%) of the 13 HBsAg positive patients, had genotype D&6 (46.1%) genotype A. A128V & T143M mutations were observed in 5 of 13 (38.4%) subjects and A128V & P127S in 2 of 13 (15.3%) patients ( P = 0.385). A128V mutation was seen in two (15.3%) subjects with D2 genotype, while T143M mutation was seen in three (23.07%) subjects with A1genotype. At aa125, three (23.07%) subjects with D5 genotype had methionine instead of threonine. There were wild type sequences in five (38.4%) subjects, one each of D1, G genotypes (20%) and four A1 (80%) genotypes. None of the subjects had G145R mutation. Conclusions: Occult HBV infection may be common in household contacts of chronic HBV infected patients. Equal prevalence of A&D sub-genotypes was present in occult HBV subjects and in chronic HBV patients. Mutations of the S-gene are genotype specific in both occult as well as chronic HBV infection.
- Subjects
INDIA; HEPATITIS B virus; GENETIC mutation; GENETIC polymorphisms; VIRUS disease transmission; METHIONINE; PATIENTS
- Publication
Journal of Gastroenterology & Hepatology, 2009, Vol 24, Issue 4, p588
- ISSN
0815-9319
- Publication type
Article
- DOI
10.1111/j.1440-1746.2008.05727.x