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Real-Time Polymerase Chain Reaction-Based Detection and Quantification of Hepatitis B Virus DNA
Published on: December 15, 2023
Heterogeneity of hepatitis B virus genotype D in Japan
Kojiro Michitaka1, Norio Horiike, Tran Nhu Duong
1Department of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Ehime, Japan. mich@m.ehime-u.ac.jp
Insights
Hepatitis B virus genotype D (HBV/D) infections in Japan show genetic diversity. This study found HBV/D isolates from Tokyo and Ehime areas are not uniformly related, indicating heterogeneous HBV/D epidemiology.
Area of Science:
- Virology
- Hepatology
- Infectious Diseases
Background:
- Hepatitis B virus (HBV) genotypes B and C are most common in Japan.
- Previous studies identified Hepatitis B virus genotype D (HBV/D) in 9% of carriers in western Japan, with closely related sequences.
- Recent identification of HBV/D infections in the Tokyo area prompted further investigation.
Purpose of the Study:
- To determine the genetic relatedness of HBV/D isolates from different regions of Japan.
- To compare HBV/D sequences from Tokyo area patients with those previously identified in the Ehime area.
Main Methods:
- Whole genome sequencing of HBV/D isolates from three patients in the Tokyo area.
- Phylogenetic analysis to compare sequences with isolates from the Ehime area.
Main Results:
- All three HBV/D isolates from the Tokyo area had a genome length of 3,182 bases and were subtype ayw3.
- Phylogenetic analysis showed one isolate was closely related to Ehime isolates, one was similar, and one was distinct.
Conclusions:
- Hepatitis B virus genotype D infections in Japan exhibit genetic heterogeneity.
- The findings suggest diverse origins or evolutionary pathways for HBV/D in Japan.
Objective:
Hepatitis B virus (HBV) genotypes B and C are predominant in Japan. Previously, we reported that approximately 9% of HBV carriers in the Ehime area of western Japan were infected with genotype D (HBV/D) and their sequences closely related. Recently, serum samples from 3 patients with chronic HBV/D infections living in Tokyo and the surrounding area became available for testing. The purpose of this study was to determine whether the HBV/D isolates from these different areas of Japan are closely related.
Methods:
Of the 3 Tokyo area patients infected with HBV/D, 2 had chronic hepatitis, and 1 had hemophilia with a history of frequent coagulation factor injections. The complete HBV/D genome sequences of each were determined, and compared with those of subjects from the Ehime area.
Results:
All 3 HBV/D sequences had a genomic length of 3,182 bases, and the hepatitis B surface antigen subtype was ayw3. Phylogenetic analysis revealed that the 1 of the HBV/D isolates was closely related to the isolates from Ehime Prefecture, while 1 was similar and 1 was clearly distinct.
Conclusion:
Our results indicate that HBV/D infections in Japan are heterogeneous.
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