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Published on: November 7, 2018
Epidemiological and virological characteristics of 2 subgroups of hepatitis B virus genotype C
Henry L Y Chan1, Stephen K W Tsui, Chi-Hang Tse
1Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, People's Republic of China. hlychan@cuhk.edu.hk
Insights
Hepatitis B virus (HBV) genotype C in Hong Kong divides into two subgroups, Cs and Ce, with distinct Asian origins and differing mutation patterns. These findings aid in understanding HBV evolution and transmission dynamics.
Area of Science:
- Virology
- Hepatology
- Genetics
Background:
- Hepatitis B virus (HBV) genotype C is prevalent globally.
- Understanding HBV genotype C subgroups is crucial for effective management and treatment.
Purpose of the Study:
- To investigate the characteristics of HBV genotype C subgroups in Hong Kong.
- To determine the relationship between Hong Kong HBV genotype C and strains from other Asian regions.
Main Methods:
- Phylogenetic analysis of full-genome nucleotide sequences from 49 HBV genotype C isolates from Hong Kong patients.
- Comparison with 69 HBV genotype C and 12 non-genotype C isolates from the GenBank database.
- Subgroup definition based on >4% heterogeneity of the entire HBV genome.
Main Results:
- Two distinct HBV genotype C subgroups were identified in Hong Kong: Cs (80% of cases) and Ce (20% of cases).
- HBV genotype Cs is predominantly found in Southeast Asia, while genotype Ce is prevalent in the Far East.
- HBV genotype Cs showed a higher prevalence of basal core promoter mutations and C at nucleotide 1858, and a lower prevalence of precore stop codon mutations compared to genotype Ce.
Conclusions:
- HBV genotype C can be classified into two distinct subgroups, genotype Ce and genotype Cs.
- These subgroups exhibit different epidemiological distributions and virological characteristics.
- This differentiation provides insights into HBV's genetic diversity and regional variations.
Background:
We aimed to investigate the characteristics of hepatitis B virus (HBV) genotype C subgroups in Hong Kong and their relationship with HBV genotype C in other parts of Asia.
Methods:
Full-genome nucleotide sequences of 49 HBV genotype C isolates from Chinese patients with chronic hepatitis B were compared with the sequences of 69 HBV genotype C isolates and 12 non-genotype C isolates in the GenBank database. Phylogenetic analysis was performed to define the subgroups of HBV genotype C on the basis of >4% heterogeneity of the entire HBV genome.
Results:
HBV in 80% of patients in Hong Kong belonged to a subgroup predominantly found in Southeast Asia (Vietnam, Thailand, Myanmar, and southern China) designated as HBV genotype "Cs," and HBV in the remaining 20% of patients belonged to another subgroup, predominantly found in the Far East (Korea, Japan, and northern China), designated as HBV genotype "Ce." Overall, the mean+/-SD nucleotide sequence difference between HBV genotype Cs and HBV genotype Ce was 4.2%+/-0.3%. When HBV genotype Cs and HBV genotype Ce were compared among patients in Hong Kong, HBV genotype Cs was associated with a higher tendency to develop basal core promoter mutations (80% vs. 50%; P=.14), a higher prevalence of C at nucleotide 1858 (95% vs. 0%; P<.001), and a lower prevalence of precore stop codon mutations (5% vs. 50%; P=.002).
Conclusions:
HBV genotype C can be differentiated into 2 subgroups--namely, genotype Ce and genotype Cs--that have different epidemiological distributions and virological characteristics.
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