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Analysis of HBV-Specific CD4 T-cell Responses and Identification of HLA-DR-Restricted CD4 T-Cell Epitopes Based on a Peptide Matrix
Published on: October 20, 2021
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.
Introduction:
Hepatocellular injury is often progressive in patients with hepatitis B e antigen negative chronic hepatitis B (HBeAg -ve CHB). There is scant data on association of core mutations occurring in patients with HBeAg -ve CHB with severity of liver disease.
Materials And Methods:
Hundred and eighteen patients with chronic infection who were HBeAg negative, anti-HBe, and HBV DNA positive were enrolled. Precore and core regions were amplified, sequenced, and analyzed for precore, T helper, cytotoxic T lymphocytes (CTLs), B-cell epitope, and core carboxy-terminal region mutations.
Results:
Majority of patients were infected with HBV genotype D: 96 (81%) [D1: 16, D2: 55 and D5: 25] followed by genotype A1: 15 (13%) and genotype C: 7 (6%) [C1: 5 and unidentified subgenotype C: 2]. Classical (A1896) as well as nonclassical precore region mutations were detected in 30 (25%) and in 9 (7.6%) patients, respectively. Core immune escape, core carboxy-terminal mutations and truncations were detected in 61 (52%), 11 (9.3%), and 14 (12%) patients, respectively. Three core immune escape mutations were significantly higher in patients with coexisting precore stop codon compared with patients without precore stop codon mutation, cT12S (43 vs. 8%, p < 0.001), cS21T (16 vs. 3.4%, p < 0.026), and cE77D (30 vs. 4.5%, p < 0.002). When frequency of core immune escape mutations was compared among CHB and decompensated patients, and cT12S: (27 vs. 10%, p < 0.05), cS21T (16 vs. 1.35%, p < 0.01), cT67P/N: (20 vs. 4%, p < 0.001), cE113D (11.37 vs. 1.35%, p < 0.05), and cP130T/Q (7 vs. 0%, p < 0.001) mutations were found to be significantly higher in decompensated patients.
Conclusion:
Core immune-escape mutations cT12S, cS21T, cT67P, cE113D, and cP130T/Q are significantly higher in decompensated liver disease patients and could influence the severity of liver disease in HBeAg -ve CHB patients.
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