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Hepatitis B virus Genotypes in West Azarbayjan Province, Northwest Iran
Mohammad Hasan Khadem Ansari1, Yousef Rasmi1,2, Laya Abbasi3
1Department of Biochemistry, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
Insights
Hepatitis B virus (HBV) genotype D is dominant in West Azarbaijan, Iran. This finding aligns with lower rates of chronic liver disease, cirrhosis, and liver cancer, aiding public health strategies.
Area of Science:
- Hepatology
- Virology
- Genetics
Background:
- Hepatitis B virus (HBV) infections pose a significant global health burden, causing millions of deaths annually from chronic hepatitis, cirrhosis, and hepatocellular carcinoma.
- HBV transmission occurs through blood and blood products, highlighting the importance of understanding viral genotypes and mutations.
- Genotyping of HBV is crucial for effective vaccination strategies, antiretroviral therapy, and disease prevention efforts.
Purpose of the Study:
- To determine the prevalent genotypes and sub-genotypes of the Hepatitis B virus in patients residing in West Azarbaijan province, Iran.
- To provide essential epidemiological data for informing public health interventions and disease management strategies.
- To investigate the correlation between HBV genotypes and the incidence of liver-related diseases in the studied population.
Main Methods:
- A cross-sectional study involving 100 Hepatitis B patients (70 male, 30 female) from Urmia University of Medical Sciences.
- Serum samples were tested for Hepatitis B surface antigen (HBsAg) using ELISA.
- DNA extraction, Sanger sequencing of S genes, phylogenetic analysis using Neighbor-joining, and Nested PCR for genotyping accuracy.
Main Results:
- The dominant genotype identified among Hepatitis B patients in West Azarbaijan was genotype D.
- Sequence and phylogenetic analyses confirmed the homogeneity of HBV genotypes in the Iranian population studied.
- Results from sequencing methods were consistent with Nested PCR, ensuring reliable genotyping.
Conclusions:
- Genotype D is the predominant Hepatitis B virus genotype in the West Azarbaijan province of Iran.
- The prevalence of genotype D correlates with a lower incidence of acute liver disease, chronic hepatitis, cirrhosis, and hepatocellular carcinoma in the region.
- These findings underscore the importance of genotype-specific epidemiological data for targeted public health initiatives against Hepatitis B.
Background:
Infections caused by Hepatitis B are one of the world health's most serious problems. According to assessments, nearly 500,000 to 1.2 million people die each year due to chronic hepatitis, cirrhosis of the liver and hepatocellular carcinoma. Hepatitis B is one of the diseases which can be transferred through blood and its products. Clinical importance of genotypes of hepatitis B virus and their relations with mutations are well known.
Aim:
Since epidemiological data resulting from determining genotypes and sub-genotypes of hepatitis B can help a lot in defining a vaccination plan, antiretroviral therapy, detection and prevention of diseases, genotypes of this virus in hepatitis B patients were evaluated in West Azarbaijan province.
Materials And Methods:
In this cross-sectional study, serum samples of 100 hepatitis B patients (70 male/30 female) were taken randomly from Urmia University of Medical Sciences (UMSU) referrals, Urmia, Iran; and were tested positive for the presence of surface antigens of hepatitis B virus (HBsAg) using ELISA method. In the first method, after extracting the DNA of the virus, sequencing of S genes was carried out using Sanger method, and the sequences were aligned and edited using Bioedit software. In the next step, phylogenic analysis of the sequences was done in comparison with the reference sequences which were extracted from a gene bank, utilising Neighbour-joining assay method with CLUSTRAL W software. To ensure genotyping accuracy, the samples were tested once more, using Nested PCR method.
Results:
The results were consistent with the sequence method and the dominant genotype in patients suffering hepatitis was type D. In other words, Iranian's HBV genotypic types are homogeneous and in close coordination with each other.
Conclusions:
The results reveal that D genotype is the main genotype of HBV in West Azarbayjan province, northwest Iran. Presence of this genotype was in conformity conformed withto the low rate of acute liver diseases caused by hepatitis B chronic infection, cirrhosis of the liver and hepatocellular carcinoma.
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