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Author Spotlight: Advancements and Challenges in Hepatitis B Virus Detection
Published on: December 15, 2023
Conservation and variability of hepatitis B core at different chronic hepatitis stages
Marçal Yll1, Maria Francesca Cortese1, Mercedes Guerrero-Murillo2
1Liver Pathology Unit, Departments of Biochemistry and Microbiology, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona 08035, Spain.
Insights
Researchers identified conserved regions in the hepatitis B virus (HBV) core gene (HBC) and protein. These regions, along with a specific P79Q substitution, may indicate disease progression and offer targets for new HBV therapies.
Area of Science:
- Virology and Molecular Biology
- Hepatitis B Virus (HBV) Pathogenesis
- Genomic and Proteomic Analysis
Background:
- Current hepatitis B virus (HBV) treatments cannot eradicate the infection, necessitating novel therapeutic strategies.
- The HBV core protein, encoded by the HBV core gene (HBC), plays a crucial role in the HBV life cycle and is a potential target for new therapies.
- Alterations in HBC protein sequence may serve as biomarkers for HBV disease progression.
Purpose of the Study:
- To identify hyper-conserved regions within the HBV core gene (HBC) using next-generation sequencing.
- To evaluate these conserved regions as potential prognostic factors for HBV infection.
- To explore these regions as targets for novel therapeutic and diagnostic approaches against HBV.
Main Methods:
- Next-generation sequencing (Illumina MiSeq) was employed to analyze the HBV core gene (HBC) region (nt 1863-2483) from 38 chronic HBV patients.
- Patients were categorized into chronic hepatitis B (CHB), liver cirrhosis (LC), and hepatocellular carcinoma (HCC) groups.
- Nucleotide and amino acid conservation patterns were analyzed using sliding window analysis, and sequence variations were compared across groups.
Main Results:
- Three hyper-conserved nucleotide regions and two hyper-conserved amino acid regions in HBC were identified across all patient groups.
- Differential conservation patterns were observed in specific nucleotide and amino acid regions between CHB, LC, and HCC groups.
- A significant P79Q amino acid substitution was found predominantly in the HCC group, suggesting a potential link to disease progression.
Conclusions:
- The identified differentially conserved HBC regions and the P79Q substitution are potentially associated with HBV disease progression.
- These specific conserved regions represent promising targets for the development of future therapeutic and diagnostic strategies for HBV infection.
- Next-generation sequencing effectively identified key genetic markers within the HBV core gene related to disease severity.
Background:
Since it is currently not possible to eradicate hepatitis B virus (HBV) infection with existing treatments, research continues to uncover new therapeutic strategies. HBV core protein, encoded by the HBV core gene (HBC), intervenes in both structural and functional processes, and is a key protein in the HBV life cycle. For this reason, both the protein and the gene could be valuable targets for new therapeutic and diagnostic strategies. Moreover, alterations in the protein sequence could serve as potential markers of disease progression.
Aim:
To detect, by next-generation sequencing, HBC hyper-conserved regions that could potentially be prognostic factors and targets for new therapies.
Methods:
Thirty-eight of 45 patients with chronic HBV initially selected were included and grouped according to liver disease stage [chronic hepatitis B infection without liver damage (CHB, n = 16), liver cirrhosis (LC, n = 5), and hepatocellular carcinoma (HCC, n = 17)]. HBV DNA was extracted from patients' plasma. A region between nucleotide (nt) 1863 and 2483, which includes HBC, was amplified and analyzed by next-generation sequencing (Illumina MiSeq platform). Sequences were genotyped by distance-based discriminant analysis. General and intergroup nt and amino acid (aa) conservation was determined by sliding window analysis. The presence of nt insertion and deletions and/or aa substitutions in the different groups was determined by aligning the sequences with genotype-specific consensus sequences.
Results:
Three nt (nt 1900-1929, 2249-2284, 2364-2398) and 2 aa (aa 117-120, 159-167) hyper-conserved regions were shared by all the clinical groups. All groups showed a similar pattern of conservation, except for five nt regions (nt 1946-1992, 2060-2095, 2145-2175, 2230-2250, 2270-2293) and one aa region (aa 140-160), where CHB and LC, respectively, were less conserved (P < 0.05). Some group-specific conserved regions were also observed at both nt (2306-2334 in CHB and 1935-1976 and 2402-2435 in LC) and aa (between aa 98-103 in CHB and 28-30 and 51-54 in LC) levels. No differences in insertion and deletions frequencies were observed. An aa substitution (P79Q) was observed in the HCC group with a median (interquartile range) frequency of 15.82 (0-78.88) vs 0 (0-0) in the other groups (P < 0.05 vs CHB group).
Conclusion:
The differentially conserved HBC and HBV core protein regions and the P79Q substitution could be involved in disease progression. The hyper-conserved regions detected could be targets for future therapeutic and diagnostic strategies.
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