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A336C/A336T/T337C variations in HBV core gene and spontaneous hepatitis B e antigen loss in chronic hepatitis B
Wen Fan1, Lu Huang, Zhiming Zhou
1Laboratory Department, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China 430022.
Insights
Hepatitis B virus (HBV) core gene variations, specifically A336C/A336T/T337C, are linked to spontaneous HBeAg loss in chronic hepatitis B patients. These genetic variations are identified as independent factors associated with this significant clinical outcome.
Area of Science:
- Virology
- Hepatology
- Genetics
Background:
- Hepatitis B virus (HBV) core gene variations A336C/A336T/T337C correlate with reduced HBV DNA levels and replication.
- Spontaneous loss of Hepatitis B e-antigen (HBeAg) is typically associated with a significant decrease in serum HBV DNA levels.
Purpose of the Study:
- To investigate the association between A336C/A336T/T337C variations in the HBV core gene and spontaneous HBeAg loss in chronic hepatitis B patients.
Main Methods:
- A modified PCR-RFLP assay was used to detect A336C/A336T/T337C variations.
- ELISA determined serum HBeAg levels, while Taqman-PCR identified G1896A variation and HBV genotype.
- Statistical analyses, including Chi-square and binary logistic regression, were employed.
Main Results:
- A336C/A336T/T337C variations were found in 24.1% of chronic hepatitis B patients.
- These variants were more frequent in patients with the A1896 variation and were associated with a lower HBeAg-positive percentage.
- Genotype B, C336/T336/C337 variants, and A1896 variants were identified as independent factors for spontaneous HBeAg loss.
Conclusions:
- A336C/A336T/T337C represent naturally occurring polymorphisms in the HBV core gene.
- The presence of C336/T336/C337 variants is a novel, independent predictor of spontaneous HBeAg loss in chronic hepatitis B.
Background:
A336C/A336T/T337C variations in HBV core gene were demonstrated to relate to the decreases in serum HBV DNA levels and HBV replication in chronic hepatitis B patients. Usually the drastic decrease in serum HBV DNA levels correlates with spontaneous HBeAg loss during the course of chronic HBV infection. The aim of the present study was to investigate whether there was correlation between A336C/A336T/T337C variations and spontaneous HBeAg loss
Methodology/Principal Findings:
A modified PCR-RFLP assay and ELISA were adopted to determine A336C/A336T/T337C variations and serum HBeAg levels in chronic hepatitis B patients without any antiviral therapy, respectively, whereas G1896A variation and HBV genotype were detected using Taqman-PCR assay. RFLP pattern C, E, G, C/G mixture and a new pattern C' were found in this study. A336C/A336T/T337C variations occurred in 40/166(24.1%) chronic hepatitis B patients. Chi-square test showed that C336/T336/C337 variants was more frequent in chronic hepatitis B patients with A1896 variants than those with the wild type G1896 (χ2 = 4.7, P = 0.03), and moreover, patients with C336/T336/C337 variants had a significantly lower HBeAg-positive percentage than those with the wild type A336/T337. Binary logistic regression identified genotype B (OR = 4.1, 95%CI = 1.8-9.2, P = 0.001), the presence of C336/T336/C337 variants (OR = 3.2, 95%CI = 1.2-8.5, P = 0.02) and A1896 variants (OR = 7.8, 95%CI = 3.3-18.5, P < 0.001) as independent factors associated with spontaneous HBeAg loss.
Conclusion/Significance:
A336C/A336T/T337C were naturally occurring polymorphisms in HBV core gene, and moreover, the presence of C336/T336/C337 variants was first demonstrated to be an independent factor associating with spontaneous HBeAg loss in chronic hepatitis B patients.
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