National survey of hepatitis B virus (HBV) polymorphism in asymptomatic HBV blood donors from 1999 to 2007 in France
BACKGROUND: Hepatitis B virus (HBV) diversity is characterized by eight genotypes correlated to eight hepatitis B surface antigen (HBsAg) subtypes, which differ in their geographical distribution. STUDY DESIGN AND METHODS: To establish virologic characteristics and the evolution of HBV diversity, we...
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Published in | Transfusion (Philadelphia, Pa.) Vol. 50; no. 12; pp. 2607 - 2618 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Malden, USA
Blackwell Publishing Inc
01.12.2010
Wiley |
Subjects | |
Online Access | Get full text |
ISSN | 0041-1132 1537-2995 1537-2995 |
DOI | 10.1111/j.1537-2995.2010.02725.x |
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Abstract | BACKGROUND: Hepatitis B virus (HBV) diversity is characterized by eight genotypes correlated to eight hepatitis B surface antigen (HBsAg) subtypes, which differ in their geographical distribution.
STUDY DESIGN AND METHODS: To establish virologic characteristics and the evolution of HBV diversity, we carried out a study over a 9‐year period in HBV‐infected French blood donors. HBsAg subtyping based on specific antibody method concerned 2901 donors, from whom 940 have been analyzed by an S‐gene sequencing to determine genotypes and S‐gene mutations.
RESULTS: HBsAg subtypes were distributed as follows: ayw2, 34.4%; adw2, 25.7%; ayw1, 10.2%; ayw4, 14.9%; adr, 7.8%; ayw3, 6.4%; and adw4, 0.7%. Ayw4 (Genotype E) proportion increased over time in correlation with an increased proportion of subjects originated from sub‐Saharan Africa. The genotype observed with the highest proportion was D (43.0%), then A (26.2%), E (17.5%), B (6.5%), C (6.4%), and F (0.4%). Genotype B had the highest proportion of hepatitis B e antigen (39.2%) and the highest viral loads (VLs). Forty‐three (5.5%) isolates presented one (n = 35) or multiple (n = 8) amino acid envelope substitutions. Donors infected with mutated isolates had lowest VLs. rtA181T/sW172 stop mutation associated with resistance to nucleos(t)ide analogs was detected in two donors suggesting a transmission of these isolates.
CONCLUSION: This extensive study shows that HBV genotype evolution is closely linked to the geographical origin of subjects and that the occurrence of viral envelope mutants is not an exceptional event in healthy HBV chronic carriers. Blood donors rarely recruited in HBV studies provide further relevant information on the characteristics of HBV diversity. |
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AbstractList | BACKGROUND: Hepatitis B virus (HBV) diversity is characterized by eight genotypes correlated to eight hepatitis B surface antigen (HBsAg) subtypes, which differ in their geographical distribution.
STUDY DESIGN AND METHODS: To establish virologic characteristics and the evolution of HBV diversity, we carried out a study over a 9‐year period in HBV‐infected French blood donors. HBsAg subtyping based on specific antibody method concerned 2901 donors, from whom 940 have been analyzed by an S‐gene sequencing to determine genotypes and S‐gene mutations.
RESULTS: HBsAg subtypes were distributed as follows: ayw2, 34.4%; adw2, 25.7%; ayw1, 10.2%; ayw4, 14.9%; adr, 7.8%; ayw3, 6.4%; and adw4, 0.7%. Ayw4 (Genotype E) proportion increased over time in correlation with an increased proportion of subjects originated from sub‐Saharan Africa. The genotype observed with the highest proportion was D (43.0%), then A (26.2%), E (17.5%), B (6.5%), C (6.4%), and F (0.4%). Genotype B had the highest proportion of hepatitis B e antigen (39.2%) and the highest viral loads (VLs). Forty‐three (5.5%) isolates presented one (n = 35) or multiple (n = 8) amino acid envelope substitutions. Donors infected with mutated isolates had lowest VLs. rtA181T/sW172 stop mutation associated with resistance to nucleos(t)ide analogs was detected in two donors suggesting a transmission of these isolates.
CONCLUSION: This extensive study shows that HBV genotype evolution is closely linked to the geographical origin of subjects and that the occurrence of viral envelope mutants is not an exceptional event in healthy HBV chronic carriers. Blood donors rarely recruited in HBV studies provide further relevant information on the characteristics of HBV diversity. Hepatitis B virus (HBV) diversity is characterized by eight genotypes correlated to eight hepatitis B surface antigen (HBsAg) subtypes, which differ in their geographical distribution.BACKGROUNDHepatitis B virus (HBV) diversity is characterized by eight genotypes correlated to eight hepatitis B surface antigen (HBsAg) subtypes, which differ in their geographical distribution.To establish virologic characteristics and the evolution of HBV diversity, we carried out a study over a 9-year period in HBV-infected French blood donors. HBsAg subtyping based on specific antibody method concerned 2901 donors, from whom 940 have been analyzed by an S-gene sequencing to determine genotypes and S-gene mutations.STUDY DESIGN AND METHODSTo establish virologic characteristics and the evolution of HBV diversity, we carried out a study over a 9-year period in HBV-infected French blood donors. HBsAg subtyping based on specific antibody method concerned 2901 donors, from whom 940 have been analyzed by an S-gene sequencing to determine genotypes and S-gene mutations.HBsAg subtypes were distributed as follows: ayw2, 34.4%; adw2, 25.7%; ayw1, 10.2%; ayw4, 14.9%; adr, 7.8%; ayw3, 6.4%; and adw4, 0.7%. Ayw4 (Genotype E) proportion increased over time in correlation with an increased proportion of subjects originated from sub-Saharan Africa. The genotype observed with the highest proportion was D (43.0%), then A (26.2%), E (17.5%), B (6.5%), C (6.4%), and F (0.4%). Genotype B had the highest proportion of hepatitis B e antigen (39.2%) and the highest viral loads (VLs). Forty-three (5.5%) isolates presented one (n=35) or multiple (n=8) amino acid envelope substitutions. Donors infected with mutated isolates had lowest VLs. rtA181T/sW172 stop mutation associated with resistance to nucleos(t)ide analogs was detected in two donors suggesting a transmission of these isolates.RESULTSHBsAg subtypes were distributed as follows: ayw2, 34.4%; adw2, 25.7%; ayw1, 10.2%; ayw4, 14.9%; adr, 7.8%; ayw3, 6.4%; and adw4, 0.7%. Ayw4 (Genotype E) proportion increased over time in correlation with an increased proportion of subjects originated from sub-Saharan Africa. The genotype observed with the highest proportion was D (43.0%), then A (26.2%), E (17.5%), B (6.5%), C (6.4%), and F (0.4%). Genotype B had the highest proportion of hepatitis B e antigen (39.2%) and the highest viral loads (VLs). Forty-three (5.5%) isolates presented one (n=35) or multiple (n=8) amino acid envelope substitutions. Donors infected with mutated isolates had lowest VLs. rtA181T/sW172 stop mutation associated with resistance to nucleos(t)ide analogs was detected in two donors suggesting a transmission of these isolates.This extensive study shows that HBV genotype evolution is closely linked to the geographical origin of subjects and that the occurrence of viral envelope mutants is not an exceptional event in healthy HBV chronic carriers. Blood donors rarely recruited in HBV studies provide further relevant information on the characteristics of HBV diversity.CONCLUSIONThis extensive study shows that HBV genotype evolution is closely linked to the geographical origin of subjects and that the occurrence of viral envelope mutants is not an exceptional event in healthy HBV chronic carriers. Blood donors rarely recruited in HBV studies provide further relevant information on the characteristics of HBV diversity. Hepatitis B virus (HBV) diversity is characterized by eight genotypes correlated to eight hepatitis B surface antigen (HBsAg) subtypes, which differ in their geographical distribution. To establish virologic characteristics and the evolution of HBV diversity, we carried out a study over a 9-year period in HBV-infected French blood donors. HBsAg subtyping based on specific antibody method concerned 2901 donors, from whom 940 have been analyzed by an S-gene sequencing to determine genotypes and S-gene mutations. HBsAg subtypes were distributed as follows: ayw2, 34.4%; adw2, 25.7%; ayw1, 10.2%; ayw4, 14.9%; adr, 7.8%; ayw3, 6.4%; and adw4, 0.7%. Ayw4 (Genotype E) proportion increased over time in correlation with an increased proportion of subjects originated from sub-Saharan Africa. The genotype observed with the highest proportion was D (43.0%), then A (26.2%), E (17.5%), B (6.5%), C (6.4%), and F (0.4%). Genotype B had the highest proportion of hepatitis B e antigen (39.2%) and the highest viral loads (VLs). Forty-three (5.5%) isolates presented one (n=35) or multiple (n=8) amino acid envelope substitutions. Donors infected with mutated isolates had lowest VLs. rtA181T/sW172 stop mutation associated with resistance to nucleos(t)ide analogs was detected in two donors suggesting a transmission of these isolates. This extensive study shows that HBV genotype evolution is closely linked to the geographical origin of subjects and that the occurrence of viral envelope mutants is not an exceptional event in healthy HBV chronic carriers. Blood donors rarely recruited in HBV studies provide further relevant information on the characteristics of HBV diversity. BACKGROUND: Hepatitis B virus (HBV) diversity is characterized by eight genotypes correlated to eight hepatitis B surface antigen (HBsAg) subtypes, which differ in their geographical distribution. STUDY DESIGN AND METHODS: To establish virologic characteristics and the evolution of HBV diversity, we carried out a study over a 9‐year period in HBV‐infected French blood donors. HBsAg subtyping based on specific antibody method concerned 2901 donors, from whom 940 have been analyzed by an S‐gene sequencing to determine genotypes and S‐gene mutations. RESULTS: HBsAg subtypes were distributed as follows: ayw2, 34.4%; adw2, 25.7%; ayw1, 10.2%; ayw4, 14.9%; adr, 7.8%; ayw3, 6.4%; and adw4, 0.7%. Ayw4 (Genotype E) proportion increased over time in correlation with an increased proportion of subjects originated from sub‐Saharan Africa. The genotype observed with the highest proportion was D (43.0%), then A (26.2%), E (17.5%), B (6.5%), C (6.4%), and F (0.4%). Genotype B had the highest proportion of hepatitis B e antigen (39.2%) and the highest viral loads (VLs). Forty‐three (5.5%) isolates presented one (n = 35) or multiple (n = 8) amino acid envelope substitutions. Donors infected with mutated isolates had lowest VLs. rtA181T/sW172 stop mutation associated with resistance to nucleos(t)ide analogs was detected in two donors suggesting a transmission of these isolates. CONCLUSION: This extensive study shows that HBV genotype evolution is closely linked to the geographical origin of subjects and that the occurrence of viral envelope mutants is not an exceptional event in healthy HBV chronic carriers. Blood donors rarely recruited in HBV studies provide further relevant information on the characteristics of HBV diversity. |
Author | Pillonel, Josiane Servant-Delmas, Annabelle Mercier, Mélanie Laperche, Syria El Ghouzzi, Marie-Hélène Bouchardeau, Françoise Girault, Annie |
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Keywords | Virus Transfusion Hepadnaviridae Orthohepadnavirus Asymptomatic Hepatitis B virus Blood donor Polymorphism |
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Surve 1993; 67 2006; 78 1995; 38 1994; 68 1971; 123 1978; 35 2007; 31 2008; 100 2007; 79 2009; 49 2007; 37 1972; 109 2004; 73 2002; 83 1999; 19 2002; 40 1999; 180 2005; 75 2000; 60 2005; 76 1983 1981 2003; 125 2005; 79 2001; 98 1976; 42 1989; 5 2004; 42 2004; 40 2007; 127 2006; 13 2004; 47 1997; 26 2000; 118 2005; 43 2007; 12 2005; 88 2010; 82 1974; 27 2004; 53 2006; 80 1984; 132 2004; 50 2006; 44 1973; 25 2002; 68 2001; 8 2008; 48 2000; 81 2005; 54 1999; 30 2001; 34 2008; 80 e_1_2_8_49_2 e_1_2_8_24_2 e_1_2_8_26_2 e_1_2_8_47_2 Stuyver L (e_1_2_8_12_2) 2000; 81 Felsenstein J (e_1_2_8_25_2) 1989; 5 e_1_2_8_3_2 e_1_2_8_5_2 e_1_2_8_20_2 e_1_2_8_41_2 e_1_2_8_22_2 e_1_2_8_43_2 e_1_2_8_17_2 e_1_2_8_38_2 e_1_2_8_19_2 e_1_2_8_13_2 e_1_2_8_34_2 Fleiss J (e_1_2_8_28_2) 1981 e_1_2_8_15_2 e_1_2_8_36_2 e_1_2_8_57_2 e_1_2_8_30_2 e_1_2_8_55_2 Li JS (e_1_2_8_45_2) 1993; 67 e_1_2_8_11_2 Couroucé A (e_1_2_8_31_2) 1983 e_1_2_8_51_2 e_1_2_8_27_2 e_1_2_8_29_2 e_1_2_8_46_2 e_1_2_8_48_2 Moerman B (e_1_2_8_23_2) 2004; 50 e_1_2_8_2_2 Couroucé A (e_1_2_8_7_2) 1976; 42 e_1_2_8_6_2 Roque‐Afonso AM (e_1_2_8_53_2) 2007; 12 e_1_2_8_8_2 INED (e_1_2_8_32_2) e_1_2_8_42_2 e_1_2_8_21_2 e_1_2_8_44_2 Bancroft WH (e_1_2_8_4_2) 1972; 109 e_1_2_8_40_2 e_1_2_8_16_2 e_1_2_8_39_2 e_1_2_8_18_2 e_1_2_8_35_2 e_1_2_8_58_2 e_1_2_8_14_2 e_1_2_8_37_2 e_1_2_8_56_2 Peterson DL (e_1_2_8_9_2) 1984; 132 e_1_2_8_54_2 e_1_2_8_10_2 e_1_2_8_33_2 e_1_2_8_52_2 e_1_2_8_50_2 |
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Snippet | BACKGROUND: Hepatitis B virus (HBV) diversity is characterized by eight genotypes correlated to eight hepatitis B surface antigen (HBsAg) subtypes, which... BACKGROUND: Hepatitis B virus (HBV) diversity is characterized by eight genotypes correlated to eight hepatitis B surface antigen (HBsAg) subtypes, which... Hepatitis B virus (HBV) diversity is characterized by eight genotypes correlated to eight hepatitis B surface antigen (HBsAg) subtypes, which differ in their... |
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SubjectTerms | Adult Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Asymptomatic Infections - epidemiology Biological and medical sciences Blood Donors Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis Data Collection Evolution, Molecular Female France - epidemiology Gene Frequency Genotype Geography Hepatitis B - blood Hepatitis B - epidemiology Hepatitis B - virology Hepatitis B virus - genetics Human viral diseases Humans Infectious diseases Male Medical sciences Polymorphism, Genetic Seroepidemiologic Studies Serotyping Time Factors Transfusions. Complications. Transfusion reactions. Cell and gene therapy Viral diseases Viral hepatitis |
Title | National survey of hepatitis B virus (HBV) polymorphism in asymptomatic HBV blood donors from 1999 to 2007 in France |
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