Mutations of Basal core promoter and precore regions in hepatitis B virus genotypes B and C

Yong Huang1, Haijun Deng2, Zhi Peng3

  • 1The Key Laboratory of Molecular Biology of Infectious Diseases Designated by the Chinese Ministry of Education, Chongqing Medical University, Chongqing, China ; Department of Clinical Laboratory, Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.

Hepatitis Monthly
|March 6, 2015
PubMed

Insights

Hepatitis B virus (HBV) basal core promoter (BCP) and precore mutations differ significantly between genotypes B and C in children, with unique combined mutations found in genotype C children. These mutations are linked to higher viral loads and younger age.

Area of Science:

  • Hepatology and Virology
  • Molecular Biology
  • Pediatric Infectious Diseases

Background:

  • Mutations in the basal core promoter (BCP) and precore regions of the hepatitis B virus (HBV) are linked to disease progression and treatment response in chronic HBV infection.
  • Previous studies have focused on BCP and precore mutation analysis in adults across different HBV genotypes.
  • Such analyses are notably underrepresented in chronically infected pediatric populations.

Purpose of the Study:

  • To investigate and compare the mutation profiles within the BCP and precore regions of the HBV genome across different HBV genotypes in chronically infected children.
  • To identify genotype-specific mutation patterns in pediatric HBV infections.

Main Methods:

  • A cohort study involving 245 chronically infected children and 92 infected adults.
  • Analysis of BCP and precore regions using Polymerase Chain Reaction (PCR) amplification followed by sequencing.

Main Results:

  • Significantly higher mutation frequencies at ten nucleotide positions (nt1679, nt1721, nt1753, nt1757, nt1758, nt1762, nt1764, nt1775, nt1856, nt1858) were observed in genotype C subjects compared to genotype B subjects among children.
  • In contrast, only three positions (nt1679, nt1758, nt1775) showed higher mutation frequencies in genotype C adults versus genotype B adults.
  • Several combined mutations, including a novel triple mutation (G1721A/A1775G/T1858C), were highly prevalent in children with genotype C infection and were exclusively detected in this group.
  • The G1721A/A1775G/T1858C mutation was associated with higher viral load and a younger age distribution in the pediatric cohort.

Conclusions:

  • The mutation ratio difference between HBV genotypes B and C is more pronounced in children than in adults.
  • Specific combined mutations in the BCP and precore regions were uniquely identified in children with chronic HBV genotype C infection.
  • These pediatric-specific mutations are associated with increased viral load, highlighting potential implications for disease management in children.
Abstract

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