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.

Virology Journal
|May 17, 2011
PubMed

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.
Abstract

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