Naturally occurring core immune-escape and carboxy-terminal mutations\truncations in patients with e antigen negative

Ranjit Chauhan1,2, Shiv K Sarin3, Manoj Kumar1

  • 1Department of Gastroenterology and Advanced Centre for Liver Diseases, G.B. Pant Hospital, Room No. 201, New Delhi, 110002, India.

Insights

Core immune escape mutations are more prevalent in decompensated liver disease patients with hepatitis B e antigen negative chronic hepatitis B (HBeAg -ve CHB). These mutations may contribute to disease severity in HBeAg -ve CHB.

Area of Science:

  • Hepatology
  • Virology
  • Genetics

Background:

  • Hepatocellular injury in HBeAg -ve CHB is often progressive.
  • Limited data exists on core mutations and liver disease severity in HBeAg -ve CHB.

Purpose of the Study:

  • To investigate the association between core mutations and liver disease severity in HBeAg -ve CHB patients.

Main Methods:

  • Sequencing and analysis of precore and core regions in 118 HBeAg -ve CHB patients.
  • Detection of precore, T helper, CTL, B-cell epitope, and core mutations.

Main Results:

  • HBV genotype D was predominant (81%).
  • Core immune escape mutations were found in 52% of patients.
  • Specific mutations (cT12S, cS21T, cE77D) were higher in patients with precore stop codon mutations.
  • Several core immune escape mutations (cT12S, cS21T, cT67P/N, cE113D, cP130T/Q) were significantly higher in decompensated patients.

Conclusions:

  • Core immune-escape mutations cT12S, cS21T, cT67P, cE113D, and cP130T/Q are more frequent in decompensated liver disease.
  • These mutations may influence liver disease severity in HBeAg -ve CHB.
Abstract

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