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Provedor de dados:  BJMBR
País:  Brazil
Título:  Hepatitis B virus genotype E detected in Brazil in an African patient who is a frequent traveler
Autores:  Sitnik,R
Sette Jr,H
Santana,R.A.F
Menezes,L.C
Graça,C.H.N
Dastoli,G.T.F
Silbert,S
Pinho,J.R.R
Data:  2007-12-01
Ano:  2007
Palavras-chave:  Hepatitis B
HBV genotype E
Precore mutation
Brazil
Africa
African traveler
Resumo:  Genotype E of hepatitis B virus (HBV) has not been described in Brazil and is found mainly in Africa. Genotype A is the most prevalent in Brazil, and genotypes B, C, D, and F have already been reported. We report here an HBV genotype E-infected patient and some characterization of surface (S) protein, DNA polymerase (P) and precore/core (preC/C) coding regions based on the viral genome. The patient is a 31-year-old black man with chronic hepatitis B who was born and raised in Angola. He has been followed by a hepatologist in São Paulo, Brazil, since November 2003, and he is a frequent traveler to Latin America, Africa, and Europe. In 2003, he was diagnosed with HBV infection and started treatment with lamivudine with the later addition of adefovir dipivoxil. No known risk factor was identified. Serologically, he is HBsAg and anti-HBe positive, but HBeAg and anti-HBs negative. DNA sequence analysis of the S/P region confirmed that this patient is infected with genotype E, subtype ayw4. The preC/C region showed G1896A and G1899A mutations but no mutations in the basal core promoter. Nucleotide substitutions common in genotype E were also observed (C1772, T1858 and A1757). Although this is not an autochthonous case and there is no evidence of further spread, the description of this case in Brazil highlights the current risk of viral genotypes spreading with unprecedented speed due to constant travel around the world.
Tipo:  Info:eu-repo/semantics/other
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2007001200013
Editor:  Associação Brasileira de Divulgação Científica
Relação:  10.1590/S0100-879X2006005000185
Formato:  text/html
Fonte:  Brazilian Journal of Medical and Biological Research v.40 n.12 2007
Direitos:  info:eu-repo/semantics/openAccess
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