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Variations in the core promoter/pre‐core region in HBV genotype C in Japanese and Northern Vietnamese patients
Author(s) -
Truong Bui Xuan,
Yano Yoshihiko,
Seo Yasushi,
Phuong Tran Minh,
Tanaka Yasuhito,
Kato Hirotaka,
Miki Akira,
Utsumi Takako,
Azuma Takeshi,
Trach Nguyen Khanh,
Mizokami Masashi,
Hayashi Yoshitake,
Kasuga Masato
Publication year - 2007
Publication title -
journal of medical virology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.782
H-Index - 121
eISSN - 1096-9071
pISSN - 0146-6615
DOI - 10.1002/jmv.20934
Subject(s) - vietnamese , genotype , hepatocellular carcinoma , virology , hepatitis b virus , biology , cirrhosis , hepatitis b , medicine , gene , genetics , virus , philosophy , linguistics
Hepatitis B virus (HBV) subgenotypes Cs (C1) and Ce (C2) are common in East Asia. To investigate the genomic difference of HBV genotype C between two separated regions, 50 subgenotype Cs‐infected Vietnamese and 70 subgenotype Ce‐infected Japanese patients were enrolled for analysis. The patients were categorized to either a hepatocellular carcinoma group (HCC) or a non‐HCC group including liver cirrhosis, chronic hepatitis, and asymptomatic carriers. HBV serology, HBV‐DNA level, and variations in core promoter/pre‐core region were examined. Phylogenetic analysis based on the full genome sequences and nucleotide sequences partly in the S gene and in the P gene revealed that all Japanese strains (70/70) were subgenotype Ce, and nearly all of the Vietnamese strains (50/51) were subgenotype Cs, excluding one subgenotype C5. C1858 and G1775 were common in the Vietnamese (64% and 40%) but not in the Japanese (0%). The prevalence of C/A1753 in Vietnamese was higher than that in the Japanese (32% vs. 17.1%), however the frequency of A1896 in the Japanese was significantly higher (32.9% vs. 12%, P < 0.05). Most of the Vietnamese patients with HCC had a high level of HBV‐DNA, the Japanese HCC had a relatively low level. In the Vietnamese, C/A1753 and C1858 were associated closely with T1762A1764, higher HBV‐DNA levels and higher HCC incidence. The multivariate analysis revealed that male, T1653 and C/A1753 were independent risk factors for HCC. The subgenotypes and unique mutations of HBV genotype C in the Vietnamese and Japanese differed, and C/A1753 and C1858 variants might play a role in the pathogenesis of liver disease in Vietnamese patients. J. Med. Virol. 79:1293–1304, 2007. © Wiley‐Liss, Inc.