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Updated: May 8, 2026

Detection of Low Copy Number Integrated Viral DNA Formed by In Vitro Hepatitis B Infection
Published on: November 7, 2018
Novel hepatitis B virus strain developing due to recombination between genotypes H and B strains isolated from a
Yoshihito Uchida1, Jun-Ichi Kouyama, Kayoko Naiki
1Department of Gastroenterology and Hepatology, Faculty of Medicine, Saitama Medical University, Moroyamacho, Japan.
Insights
Novel hepatitis B virus (HBV) strains, including genotype H and recombinant B/H strains, were identified in Japan. Globalization may be driving the emergence of new HBV genotypes with unique sequences.
Area of Science:
- Virology
- Hepatology
- Genetics
Background:
- Hepatitis B virus (HBV) genotypes B and C are common in chronic infections in Japan, while genotype A is prevalent in acute cases.
- Globalization is altering the global distribution of HBV genotypes.
- This study investigated HBV genotypes beyond the common A, B, and C.
Purpose of the Study:
- To characterize unusual hepatitis B virus (HBV) strains identified in Japan.
- To understand the impact of globalization on HBV genotype distribution.
- To explore potential novel HBV genotypes and their genetic characteristics.
Main Methods:
- Genotyping of 222 HBV patients using enzyme immunoassay and/or polymerase chain reaction INVADER.
- Full-length nucleotide sequencing of unusual HBV strains.
- Phylogenetic tree construction for sequence comparison.
Main Results:
- Two unusual HBV strains were isolated from patients in Japan.
- One strain was identified as genotype H, closely related to a Thailand isolate.
- Another strain, classified as genotype H, showed recombination with genotype B and contained novel sequences in the precore/core region.
Conclusions:
- Recombinant HBV strains between genotypes B and H were detected in Japanese chronic hepatitis patients.
- Globalization may contribute to the emergence of novel HBV genotypes with unique nucleotide sequences.
- Further research is needed to monitor and understand these evolving HBV strains.
Aim:
In Japan, genotypes B and C are the predominant genotypes isolated from patients with chronic hepatitis B, while genotype A predominates in patients with acute hepatitis B. Globalization, however, appears to have changed the distribution of the hepatitis B virus (HBV) genotypes. Thus, the viral characteristics of HBV genotypes other than genotypes A, B and C were examined.
Methods:
Screening of genotypes was performed by enzyme immunoassay and/or polymerase chain reaction INVADER method in 222 patients with HBV. The full-length nucleotide sequences of unusual strains were compared to those in the database, followed by construction of a phylogenetic tree.
Results:
Unusual HBV strains were isolated from two patients: a 27-year-old Japanese bisexual man with acute hepatitis B with HIV co-infection and a 52-year-old Japanese man with chronic hepatitis B. The former strain was classified as genotype H, showing an overall identity of 99.8% to the Thailand strain (EU498228), while the nucleotide sequence of the latter strain showed similarity to the genotype B strains isolated in Malaysia (JQ027316) and Indonesia (JQ429079) between DR2 and DR1 in the X region, with identities of 96.9%. However, this strain was classified as genotype H by full-length sequence analysis, and the sequence between nt2023 and nt2262 showed no similarity to that in any previously reported strains.
Conclusion:
HBV strains showing recombination between genotype B and H strains were found even in chronic hepatitis patients in Japan. Globalization may yield HBV strains of possible novel genotypes containing novel nucleotide sequences in the precore/core region.
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