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Real-Time Polymerase Chain Reaction-Based Detection and Quantification of Hepatitis B Virus DNA
Published on: December 15, 2023
[Distribution of hepatitis B virus genotypes in Korea]
Ji-Hyun Cho1, Kui-Hyun Yoon, Key-Earn Lee
1Department of Laboratory Medicine, College of Medicine, Wonkwang University, Iksan, Korea.
Insights
Hepatitis B virus (HBV) genotype C2 is overwhelmingly predominant in Korea, with other genotypes rarely detected. This nationwide study confirms genotype C2's prevalence, impacting public health strategies for HBV infection control.
Area of Science:
- Virology
- Hepatology
- Epidemiology
Context:
- Hepatitis B virus (HBV) infections pose a significant global health burden.
- Understanding HBV genotype distribution is crucial for effective treatment and prevention strategies.
- Previous data suggested a unique HBV genotype prevalence in Korea, necessitating a comprehensive national investigation.
Purpose:
- To conduct a nationwide investigation to confirm the predominant hepatitis B virus (HBV) genotype in Korea.
- To determine the prevalence of HBV genotypes A-G among infected individuals across the Korean peninsula.
- To perform whole-genome sequencing and phylogenetic analysis for detailed characterization of circulating HBV strains.
Summary:
- A nationwide multiplex PCR analysis of 510 serum samples revealed that 98.1% of hepatitis B virus (HBV) infections were caused by genotype C.
- Whole-genome sequencing of 62 Korean HBV strains confirmed the predominance of subgenotype C2, with only rare occurrences of other genotypes, including a single case of subgenotype A2.
- Phylogenetic analysis further supported the widespread circulation of HBV subgenotype C2 throughout Korea.
Impact:
- This study definitively establishes HBV genotype C2 as the dominant strain in Korea, providing critical data for public health policy.
- The findings highlight the need for targeted surveillance and treatment strategies tailored to the prevalent genotype C2.
- Future research should focus on confirming the rare detection of non-C genotypes and understanding their epidemiological significance.
Background/Aims:
Considering the incidence of prevailing hepatitis B virus (HBV) genotypes in neighboring nations, the predominance of genotype C in Korea is exceptional and needs to be confirmed by nationwide investigation.
Methods:
A total of 510 HBsAg (+) or HBeAg (+) serum samples was collected from subjects in several cities and harbors throughout the Korean peninsula for genotype (A-G)-specific multiplex PCR analysis. Another 40 serum samples from chronic HBV carriers from Iksan city were selected for sequencing of the entire HBV genome. Phylogenetic analysis was performed with 22 whole genomic sequences of Korean HBV strains enrolled in GenBank.
Results:
An amplicon was found in 377 specimens and genotype C occupied 98.1% (370 cases); none of the other genotypes were found. A mixed pattern of genotypes B and C was seen in seven specimens (1.9%), of which five were tested using PCR targeting the X fragment; no genotype B bands were found. With the exception of 1 case, which was subgenotype A2, whole sequences of Korean HBV strains (n=62) belonged to subgenotype C2.
Conclusions:
The prevailing HBV genotype in Korea is C2; the other genotypes occur only rarely. Future studies should include confirmation of the detection of genotypes other than C.
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