|
Basic Characteristics of Mutations
|
|
Mutation Site
|
G1896A |
|
Mutation Site Sentence
|
Regarding the presence (mutant) or absence (wild type) of the main precore mutation G1896A, a signifi-cant difference in Av12 was observed in the B74–84 region (mean [range] 0.43 [0–2] wild type versus 1.35 [0–6] mutant; P=0.02) and a trend approaching sig-nificance was observed in the Th50–69 region (mean [range] 0.7 [0–6] wild type versus 1.13 [0–4] mutant; P=0.07). |
|
Mutation Level
|
Nucleotide level |
|
Mutation Type
|
Nonsense mutation |
|
Gene/Protein/Region
|
PreC |
|
Standardized Encoding Gene
|
C
|
|
Genotype/Subtype
|
D;A |
|
Viral Reference
|
-
|
|
Functional Impact and Mechanisms
|
|
Disease
|
Hepatitis B, Chronic
|
|
Immune
|
- |
|
Target Gene
|
-
|
|
Clinical and Epidemiological Correlations
|
|
Clinical Information
|
- |
|
Treatment
|
- |
|
Location
|
Spain |
|
Literature Information
|
|
PMID
|
21311107
|
|
Title
|
HBV core region variability: effect of antiviral treatments on main epitopic regions
|
|
Author
|
Homs M,Jardi R,Buti M,Schaper M,Tabernero D,Fernandez-Fernandez P,Quer J,Esteban R,Rodriguez-Frias F
|
|
Journal
|
Antiviral therapy
|
|
Journal Info
|
2011;16(1):37-49
|
|
Abstract
|
BACKGROUND: Amino acid (AA) changes in specific hepatitis B core antigen (HBcAg) regions were assessed in patients infected with chronic hepatitis B (CHB) after a 12-month untreated period and after receiving antiviral therapy (interferon, lamivudine or adefovir dipivoxil), and in inactive hepatitis B surface antigen-positive carriers. METHODS: Samples corresponding to different time points in 76 CHB cases (64 on-treatment) and 4 inactive carriers were included. The main precore mutation, T-helper immunodominant epitope at AA 50-69 (Th50-69), minor T-helper epitope (Th28-47), B-cell immunodominant epitope (B74-84) and a conserved region of HBcAg at AA 1-11 (AA1-11) were directly sequenced. For comparisons, the average number of AA changes in each region was standardized to 12 months (Av12). RESULTS: AA changes clustered mainly in immunodominant regions (69%). The highest percentage of cases (%n) with changes and highest Av12 changes were detected after interferon treatment (%n=73%, Av12=3.1 in Th50-69 and %n=86%, Av12=2.7 in B74-84). At baseline, immunodominant regions had higher Av12 changes in hepatitis B e antigen-negative patients and those with main precore mutations. Changes in the Th28-47 region were more frequent after nucleoside/nucleotide analogue treatment (40%) than before treatment (9%). Codons 74 and 77 were the most polymorphic, and the double change E64D-N67T was significantly observed. Codon 84 substitutions were mainly associated with interferon treatment (P=0.05). CONCLUSIONS: Natural and treatment-induced substitutions in HBV core protein, occurring especially with interferon treatment, were characterized. Some immune-stimulating activity related to the minor Th28-47 epitope might be associated with nucleoside/nucleotide analogues; this activity was also seen in inactive carriers.
|
|
Sequence Data
|
-
|
|
|