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Provedor de dados:  BJID
País:  Brazil
Título:  Identification of hepatitis B virus A1762T/G1764A double mutant strain in patients in Southern Brazil
Autores:  Silva Souza,Adaliany Cecília da
Souza Marasca,Giórgia de
Kretzmann-Filho,Nélson Alexandre
Dall-Bello,Aline
Kliemann,Dimas Alexandre
Tovo,Cristiane Valle
Veiga,Ana Beatriz Gorini da
Data:  2017-10-01
Ano:  2017
Palavras-chave:  Hepatitis B
HBV
A1762T/G1764A mutation
Resumo:  Abstract Infection by hepatitis B virus (HBV) is a worldwide public health problem. Chronic HBV infection with high viral replication may lead to cirrhosis and/or hepatocellular carcinoma. Mutant HBV strains, such as the HBV A1762T/G1764A double mutant, have been associated with poor prognosis and higher risk of the patient for developing cirrhosis and/or hepatocellular carcinoma. This study analyzed the presence of the HBV A1762T/G1764A double mutant in patients with chronic HBV and its association with clinical parameters such as viral load, aminotransferases, and HBV antigens. A total of 49 patients with chronic hepatitis B were included in the study, and the HBV A1762T/G1764A double mutant strain was detected in four samples (8.16%) by polymerase chain reaction followed by restriction fragment length analysis (PCR-RFLP). The viral load was not significantly different between patients with or without the double mutant strain (p = 0.43). On the other hand, carriers of the HBV A1762T/G1764A double mutant had higher levels of ALT (p = 0.0028), while AST levels did not differ between groups (p = 0.051). In this study, 75% of the samples with the HBV A1762T/G1764A double mutation were HBeAg negative and anti-HBe positive, reflecting seroconversion even though they still displayed high viral loads. Our study has shown that the HBV A1762T/G1764A double mutant strain circulates in Brazilian patients, and is associated with elevated levels of ALT and HBeAg seroconversion.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702017000500525
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1016/j.bjid.2017.05.002
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.21 n.5 2017
Direitos:  info:eu-repo/semantics/openAccess
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