1. Prevalence of occult hepatitis B in a population from the Brazilian Amazon region.
- Author
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de Castro Sant' Anna C, de Almeida MKC, Ferreira P, de Oliveira RG, Ferreira Baraúna AR, Costa Gonçalvez E, Marinho da Silva A, de Souza Pereira C, and Martins LC
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Amino Acid Substitution, Brazil epidemiology, Cross-Sectional Studies, DNA, Viral genetics, Female, Genotype, Genotyping Techniques, Hepatitis B pathology, Hepatitis B Antibodies blood, Hepatitis B Surface Antigens blood, Hepatitis B virus classification, Hepatitis B virus genetics, Hepatitis B virus isolation & purification, Humans, Male, Middle Aged, Prevalence, Sequence Analysis, DNA, Young Adult, DNA, Viral blood, Hepatitis B epidemiology, Hepatitis B Surface Antigens genetics
- Abstract
In the present study, we evaluated the prevalence of occult hepatitis B (OBI) in a population from the Brazilian Amazon region, identify circulating genotypes, and mutations in the S gene. One hundred eighty-one patients with negative serology for HBsAg and anti-HBs and positive serology for anti-HBc participated in the study. Detection of viral DNA, genotyping by sequencing, and analysis of nucleotide sequences to detect possible mutations were performed. HBV DNA was detected in 14.36% of the patients. Genotyping revealed genotype A in 88.46% of HBV DNA-positive subjects, with subgenotype A1 being the most prevalent (78.26%) followed by subgenotype A2 (21.74%). Genotype F was detected in 11.54% (all of them subgenotype F2). Amino acid substitutions were observed in the amplified S gene in individuals with OBI compared to HBsAg-positive individuals (evident infection). In conclusion, the results show a high prevalence of OBI in the population studied, with a pattern of genotypes A and F that circulate in the Brazilian Amazon region. Amino acid substitutions were detected in part of the S gene in patients with OBI. Further studies on the molecular epidemiology of HBV in this region are important to identify patients considered healthy but who are potential transmitters of the disease., (© 2018 Wiley Periodicals, Inc.)
- Published
- 2018
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