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Real-Time Polymerase Chain Reaction-Based Detection and Quantification of Hepatitis B Virus DNA
Published on: December 15, 2023
Hepatitis B virus genotypes and hepatocellular carcinoma in Japan
Etsuro Orito1, Masashi Mizokami
1Department of Internal Medicine and Molecular Science, Nagoya City University Graduate School of Medical Sciences, Kawasumi 1, Mizuho, Nagoya 467-8601, Japan. orito@med.nagoya-cu.c.jp
Insights
Hepatitis B virus (HBV) genotypes B and C show distinct clinical and virological differences in hepatocellular carcinoma (HCC) patients between Japan and Taiwan. HBV subtypes may explain these variations, impacting HCC etiology and clinical studies.
Area of Science:
- Hepatology
- Virology
- Oncology
Background:
- Hepatitis B virus (HBV) is a primary cause of hepatocellular carcinoma (HCC), particularly in Southeast Asia.
- HBV genotypes B (HBV/B) and C (HBV/C) are prevalent in the region.
- Clinical and virological characteristics of HCC patients infected with HBV/B and HBV/C can vary geographically.
Purpose of the Study:
- To evaluate clinical and virological differences in HCC patients infected with HBV/B and HBV/C between Japan and Taiwan.
- To investigate the potential role of HBV subtypes in observed differences.
Main Methods:
- Comparative analysis of HCC patient data from Japan and Taiwan.
- Assessment of HBV genotype and subtype prevalence.
- Comparison of mean age at diagnosis for HCC patients based on HBV genotype.
Main Results:
- In Japan, HBV/C is dominant (85%) and associated with younger HCC patients (mean age 55) compared to HBV/B (12%, mean age 70).
- In Taiwan, HBV/B is more prevalent (61%) and associated with younger HCC patients (mean age 50) compared to HBV/C (31%, mean age 59).
- Distinct HBV/B subtype distributions (Ba in Taiwan, Bj in Japan) may explain these epidemiological differences.
Conclusions:
- Significant differences exist in HBV genotype prevalence and associated HCC patient demographics between Japan and Taiwan.
- HBV/B subtypes (Bj vs. Ba) likely contribute to the observed clinical and epidemiological variations in HCC.
- Etiological and clinical studies of HCC must consider HBV genotype and subtype diversity.
Abstract:
Hepatitis B virus (HBV) is one of the major causative agents of hepatocellular carcinoma (HCC) in Southeast Asia where HBV genotype B (HBV/B) and genotype C (HBV/C) are prevalent. Clinical and virological differences were evaluated between HCC patients in Japan and Taiwan, all of whom were infected with HBV/B and HBV/C. In Japan, the prevalence rates of HBV/B and HBV/C were 12 and 85%, respectively, in patients with chronic HBV infection, which is similar to those of 13 and 86% in patients with HCC. In the HCC patients with HBV/B, the mean age was 70 years and higher than that of 55 years in those with HBV/C. In Taiwan, however, HBV/B was detected in 61% and HBV/C in 31% of patients with HCC. Furthermore, the mean age of HCC patients with HBV/B in Taiwan was 50 years and younger compared to the 59 years of those with HBV/C. These differences may be explained by a distinct distribution of subtypes of HBV/B between the two countries. In Taiwan as well as in most Asian countries only the subtype Ba of HBV/B is found, while the majority of Japanese patients with HBV/B have the subtype Bj. Although the risk factors associated with HCC should be investigated with respect to host and environmental factors, the differences in genotypes and subtypes of HBV would need to be taken into consideration in etiological and clinical studies on HCC.
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