Variability of the hepatitis B surface protein in HBV-infected liver transplant recipients

Schätzl, Hermann M. and Sieger, Emilia and Jilg, Wolfgang and Nitschko, Hans and Zachoval, Reinhart (1997) Variability of the hepatitis B surface protein in HBV-infected liver transplant recipients. JOURNAL OF BIOMEDICAL SCIENCE, 4 (4). pp. 146-154. ISSN 1021-7770, 1423-0127

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Abstract

Variations in the major surface proteins (HBsAg) of hepatitis B virus (HBV) have been implicated in the high rate of reinfection in HBV-infected recipients of orthotopic liver transplantations (OLT), Sera from 6 OLT patients positive for HBsAg and from 3 recipients negative for it prior to transplantation were analyzed over several years, and 39 HBsAg sequences were compared. Despite anti-HBs immunoprophylaxis resulting in the disappearance of HBsAg, HBV DNA was detectable by a sensitive nested PCR in almost all sera, In 1 patient, a significant temporary shift in HBV subtypes was observed, indicating a mixed infection or the presence of multiple HBV populations in this patient; this was also true for other patients. Amino acid substitutions compared to wild-type HBV subtypes in 7 patients and variations within patients in 5 patients were detectable over time; the 'escape mutation' at amino acid position 145 was detected in 2 patients, Our data suggest that the high rate of reinfection in OLT recipients seems not to be associated with specific sequence variations in the major HBs gene, but shows a remarkable inter-and intraindividual variability, Obviously, no correlation between heterogeneity in this gene and clinical outcome was present.

Item Type: Article
Uncontrolled Keywords: RECURRENT INFECTION; VIRUS-INFECTION; MOLECULAR-BASIS; C VIRUS; GENOME; CARRIERS; ANTIGEN; DNA; INDIVIDUALS; MUTANT; hepatitis B surface protein; genomic variability; escape mutation; liver transplantation; hepatitis B virus
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Medizinische Mikrobiologie und Hygiene
Depositing User: Dr. Gernot Deinzer
Date Deposited: 25 Oct 2023 06:24
Last Modified: 25 Oct 2023 06:24
URI: https://pred.uni-regensburg.de/id/eprint/50716

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