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The Global Hepatitis B Virus Genotype Distribution Approximated from Available Genotyping Data
Stoyan Velkov1, Jördis J Ott2, Ulrike Protzer3,4
1Institute of Virology, Technische Universität München/Helmholtz Zentrum München, Trogerstrasse 30, D-81675 München, Germany. stoyan.velkov@tum.de.
Hepatitis B virus (HBV) genotypes C, D, E, A, and B cause 96% of the 250 million chronic HBV infections globally. Research highlights the need for models representing these common genotypes to develop new treatments.
Area of Science:
- Hepatology
- Virology
- Epidemiology
Background:
- Hepatitis B virus (HBV) infection affects an estimated 250 million people worldwide.
- Nine distinct HBV genotypes (A-I) exist, but their global distribution and contribution to chronic infections are not fully understood.
Purpose of the Study:
- To analyze global HBV genotyping data and estimate the proportion of chronic infections attributed to each genotype.
- To identify the most prevalent HBV genotypes contributing to the global disease burden.
Main Methods:
- A comprehensive literature search was conducted, assessing over 900 publications.
- Data from 213 studies across 125 countries were extracted.
- HBV prevalence and population data were used to approximate genotype-specific infection numbers globally.
Main Results:
- Five genotypes (C, D, E, A, B) account for 96% of all chronic HBV infections.
- Genotype C is the most prevalent (26%), followed by D (22%), E (18%), A (17%), and B (14%).
- Genotypes F through I collectively cause less than 2% of global chronic HBV infections.
Conclusions:
- This study provides an updated analysis of global HBV genotype distribution and their contribution to the chronic infection burden.
- Developing HBV cell culture and animal models for genotypes A-E is crucial for testing novel therapeutic strategies against prevalent strains.
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