|
Basic Characteristics of Mutations
|
|
Mutation Site
|
M204I |
|
Mutation Site Sentence
|
One patient had the M204I and L180M drug-resistance mutations (polymerase). |
|
Mutation Level
|
Amino acid level |
|
Mutation Type
|
Nonsynonymous substitution |
|
Gene/Protein/Region
|
P |
|
Standardized Encoding Gene
|
P
|
|
Genotype/Subtype
|
A |
|
Viral Reference
|
-
|
|
Functional Impact and Mechanisms
|
|
Disease
|
HBV-HIV Coinfection
|
|
Immune
|
- |
|
Target Gene
|
-
|
|
Clinical and Epidemiological Correlations
|
|
Clinical Information
|
Y |
|
Treatment
|
- |
|
Location
|
Brazil |
|
Literature Information
|
|
PMID
|
27061406
|
|
Title
|
Overt and occult hepatitis B virus infection among treatment-naive HIV-infected patients in Brazil
|
|
Author
|
Oliveira MP,Lemes PS,Matos MA,Del-Rios NH,Carneiro MA,Silva AM,Lopes CL,Teles SA,Aires RS,Lago BV,Araujo NM,Martins RM
|
|
Journal
|
Journal of medical virology
|
|
Journal Info
|
2016 Jul;88(7):1222-9
|
|
Abstract
|
Although hepatitis B virus (HBV) and human immunodeficiency virus (HIV) co-infection is common, only few data are available on HBV among HIV patients including occult hepatitis B infection (OBI), regardless of serological markers. This study aims to determine the prevalence of OBI and overall HBV infection, associated factors, HBV genotypes, and surface (S) gene mutations in a population of treatment-naive HIV-infected patients in Brazil. A cross-sectional study was conducted in treatment-naive HIV-infected patients in Central Brazil. All samples were tested for HBV serological markers and HBV DNA. Sequence analysis of the S gene and overlapping polymerase gene was preformed. Overall, 25.1% (127/505) of the patients had markers of current or previous HBV infection, which was associated with age over 40 years, history of injection drug use, and homosexual sex. The hepatitis B surface antigen (HBsAg) seroprevalence was 4.9% (25/505). HBV DNA was detected in 39 out of 505 patients: 20 of them were HBsAg-positive and 19 were HBsAg-negative, resulting in an OBI prevalence of 3.8%. Patients with OBI had significantly higher HCV seropositivity rate compared to HBsAg-positive patients. Sequencing of the S gene revealed Y100C, T131N, and D144A mutations. One patient had the M204I and L180M drug-resistance mutations (polymerase). HBV genotypes A (A1, A2), D (D2, D3), and F (F2) were identified. In conclusion, OBI represented almost half of all HBV infections with detectable HBV DNA, suggesting that hepatitis B diagnosis in HIV patients should include in addition to serological markers the detection of HBV DNA.
|
|
Sequence Data
|
KT630606-KT630643
|
|
|