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Published on: November 7, 2018
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.
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.
Background:
Mutations in basal core promoter (BCP) and precore regions of hepatitis B virus (HBV) are associated with course and treatment outcomes of chronic HBV infection. While BCP and precore mutation analysis have been carried out in adult patients between different genotypes, this analysis has rarely been performed for chronically infected children.
Objectives:
The aim of this study was to assess the mutation profiles of BCP and precore regions in different HBV genotypes in chronically infected children.
Patients And Methods:
A cohort of 245 children and 92 adults with chronic HBV infection was included in this study. BCP and precore regions were analyzed by PCR amplification and sequenced.
Results:
Ten nucleotide positions, including nt1679, nt1721, nt1753, nt1757, nt1758, nt1762, nt1764, nt1775, nt1856 and nt1858 in BCP/precore regions of HBV genome, showed obviously higher frequencies of mutation in genotype C subjects than in genotype B subjects among children, while there were only three positions, including nt1679, nt1758 and nt1775 showing higher mutation frequencies in genotype C subjects than in genotype B subjects in adults. Several combined mutations were obviously highly distributed in children with chronic HBV genotype C infection, such as G1721A/A1775G/T1858C triple mutation; a novel combined mutation type, exclusively detected in children with chronic HBV genotype C infection. In addition, G1721A/A1775G/T1858C combined mutation was associated with higher viral load and lower age distribution.
Conclusions:
The mutation ratio difference between genotypes B and C in children was higher than that of adults and several combined mutations were exclusively detected in children with chronic HBV genotype C infection associated with higher viral load.
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