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Updated: Jul 17, 2026

Real-Time Polymerase Chain Reaction-Based Detection and Quantification of Hepatitis B Virus DNA
Published on: December 15, 2023
[Clinical examinations based on nucleic acids of hepatitis viruses]
Yasuhito Tanaka1, Masashi Mizokami
1Department of Clinical Molecular Informative Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya.
Insights
Hepatitis B (HBV) and Hepatitis C (HCV) cause chronic liver disease. Understanding their genotypes is crucial for early diagnosis, effective treatment, and preventing liver cancer.
Area of Science:
- Hepatology
- Virology
- Genetics
Context:
- Viral hepatitis, particularly hepatitis B (HBV) and hepatitis C (HCV), is a leading cause of acute and chronic liver inflammation.
- HBV and HCV infections are significant risk factors for developing chronic liver disease and hepatocellular carcinoma.
- Early detection, prevention strategies, and viral eradication are critical for managing HBV and HCV.
Purpose:
- To review diagnostic methods based on viral nucleic acids for HBV and HCV genotypes.
- To correlate clinical manifestations with specific HBV and HCV genotypes.
- To provide an overview of the impact of different HBV and HCV genotypes on disease progression and treatment response.
Summary:
- Eight HBV genotypes (A-H) and at least six HCV genotypes exist, with distinct geographical distributions.
- HBV and HCV genotypes influence liver disease severity and the effectiveness of antiviral therapies.
- Current interferon-based therapy can eradicate HCV, with treatment success dependent on genotype and viral load.
Impact:
- Highlights the importance of genotype identification for personalized treatment strategies in viral hepatitis.
- Emphasizes the need for early diagnosis and prevention to reduce the burden of chronic liver disease and liver cancer.
- Informs clinical practice and future research directions in the management of HBV and HCV infections.
Abstract:
Viral hepatitis is the most common cause of acute and chronic hepatitis. The term, viral hepatitis, generally refers to infections resulting from one of the hepatotrophic viruses: hepatitis A, B, C, D and E. As hepatitis B virus (HBV) and hepatitis C virus (HCV) mainly cause chronic hepatitis and hepatocellular carcinoma, early diagnosis, prevention and viral elimination are necessary. Eight genotypes of HBV have been detected by sequence divergence of >8% in the entire HBV genome, and designated by capital letters from A to H in the order of documentation. They have distinct geographical distribution and influence the severity of liver disease as well as the response to antiviral therapies. Similarly, HCV has at least six genotypes, of which HCV-1 and -2 are the major genotypes worldwide. Only interferon therapy can eradicate HCV at present, and the sustained virological response depends on HCV genotypes and viral loads. Here, we summarize examinations based on viral nucleic acids and the clinical manifestations of HBV and HCV genotypes.
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