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Subgenotype D5, BCP and MHR mutations in hepatic complications among hepatitis B virus infected patients from Orissa, India

► Unique relation of hepatocellular carcinoma (HCC) with HBV/D5. ► High prevalence of BCP and C1753/T1762/A1764 mutation among HBV/D5 in LC and HCC. ► Increasing S gene mutation observed from inactive carrier to cirrhosis and HCC. The study was undertaken to investigate the clinical implications of...

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Published in:Infection, genetics and evolution genetics and evolution, 2012-12, Vol.12 (8), p.1622-1629
Main Authors: Panigrahi, Rajesh, Biswas, Avik, Banerjee, Arup, Singh, Shivaram Prasad, Panigrahi, Manas K., Roque-Afonso, Anne Marie, Das, Haribhakti Seba, Mahapatra, Pradip K., Chakrabarti, Sekhar, Chakravarty, Runu
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description ► Unique relation of hepatocellular carcinoma (HCC) with HBV/D5. ► High prevalence of BCP and C1753/T1762/A1764 mutation among HBV/D5 in LC and HCC. ► Increasing S gene mutation observed from inactive carrier to cirrhosis and HCC. The study was undertaken to investigate the clinical implications of hepatitis B virus (HBV) genotypes, basal core promoter (BCP), precore (PC) and surface gene mutations in HBV infected patients from Orissa, southeastern India. HBV infections were identified by serology testing and HBV DNA amplification by polymerase chain reaction among the 152 patients. After sequencing, surface gene mutation were studied by sequence analysis as well as by using BLOSUM scores and BCP mutations were studied only by sequence analysis. A high proportion of HBV/D5 (66.0%) was found among the study samples having significant relation with liver cirrhosis (LC) and hepatocellular carcinoma (HCC) patients (p
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The study was undertaken to investigate the clinical implications of hepatitis B virus (HBV) genotypes, basal core promoter (BCP), precore (PC) and surface gene mutations in HBV infected patients from Orissa, southeastern India. HBV infections were identified by serology testing and HBV DNA amplification by polymerase chain reaction among the 152 patients. After sequencing, surface gene mutation were studied by sequence analysis as well as by using BLOSUM scores and BCP mutations were studied only by sequence analysis. A high proportion of HBV/D5 (66.0%) was found among the study samples having significant relation with liver cirrhosis (LC) and hepatocellular carcinoma (HCC) patients (p&lt;0.05). The BCP mutation, TA (81.4%) and C1753/TA (75.0%) was found in significant proportion (p&lt;0.05) among HCC cases and in fact a gradual increase in these mutations were noted between inactive carriers (IC) to HCC group and also showed higher viral load. An increasing trend of major hydrophilic region (MHR) mutations in S gene was also observed from IC (56.0%) to chronic liver disease (CLD) (60.4%) to LC (72.4%) to HCC (95.0%) patients. In conclusion, our study suggests that the predominant HBV subgenotype HBV/D5 with high viral load and BCP mutations (double and triple) and high mutations in MHR region was significantly associated with advanced liver disease (LC and HCC) and might act as predictor of severe hepatic complications.</description><identifier>ISSN: 1567-1348</identifier><identifier>EISSN: 1567-7257</identifier><identifier>DOI: 10.1016/j.meegid.2012.06.015</identifier><identifier>PMID: 22820088</identifier><language>eng</language><publisher>Kidlington: Elsevier B.V</publisher><subject>Adult ; Aged ; Amino Acid Sequence ; BCP mutations ; Biological and medical sciences ; Carcinoma, Hepatocellular - virology ; Chi-Square Distribution ; Consensus Sequence ; DNA ; DNA, Viral - genetics ; Epidemiology. 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source Elsevier:Jisc Collections:Elsevier Read and Publish Agreement 2022-2024:Freedom Collection (Reading list)
subjects Adult
Aged
Amino Acid Sequence
BCP mutations
Biological and medical sciences
Carcinoma, Hepatocellular - virology
Chi-Square Distribution
Consensus Sequence
DNA
DNA, Viral - genetics
Epidemiology. Vaccinations
Female
General aspects
genes
Genes, Viral
Genotype
HBV subgenotype D5
Hepatitis B - complications
Hepatitis B - epidemiology
Hepatitis B - virology
Hepatitis B virus
Hepatitis B virus - genetics
hepatoma
Human viral diseases
Humans
Hydrophobic and Hydrophilic Interactions
immunology
India - epidemiology
Infectious diseases
liver
liver cirrhosis
Liver Cirrhosis - complications
Liver Cirrhosis - virology
Liver Neoplasms - virology
Male
Medical sciences
MHR mutations
Middle Aged
Molecular Sequence Data
Mutation
Orissa
patients
Phylogeny
polymerase chain reaction
sequence analysis
Viral diseases
Viral hepatitis
Viral Load
Viral Proteins - chemistry
Viral Proteins - genetics
title Subgenotype D5, BCP and MHR mutations in hepatic complications among hepatitis B virus infected patients from Orissa, India
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