Virologic characteristics of hepatitis B virus in patients infected via maternal-fetal transmission

World J Gastroenterol. 2008 Oct 7;14(37):5674-82. doi: 10.3748/wjg.14.5674.

Abstract

Aim: To determine whether HBV with the same characteristics causes dissimilar mutations in different hosts.

Methods: Full-length HBV genome was amplified and linked with pMD T18 vector. Positive clones were selected by double-restriction endonuclease digestion (EcoRI and HindIII) and PCR. Twenty seven clones were randomly selected from an asymptomatic mother [at two time points: 602 (1 d) and 6022 (6 mo)] and her son [602 (S)], and the phylogenetic and mutational analysis was performed using BioEditor, Clustal X and MEGA software. Potential immune epitopes were determined by the Stabilized Matrix Method (SMM), SMM-Align Method and Emini Surface Accessibility Prediction.

Results: All of the 27 sequences were genotype C, the divergence between the mother and son was 0%-0.8%. Compared with another 50 complete sequences of genotype C, the mother and her son each had 13 specific nucleotides that differed from the other genotype C isolates. AA 1-11 deletion in preS1 was the dominant mutation in the mother (14/18). The 1762T/1764A double mutation existed in all clones of the mother, 3 of them were also coupled with G1896A mutation, but none were found in the son. 17 bp deletion starting at nucleotide 2330 was the major mutation (5/9) in the son, which caused seven potential HLA class I epitopes and one B cell epitope deletion, and produced a presumptive new start codon, downstream from the original one of the P gene.

Conclusion: The HBV strain in the son came from his mother, and discrepant mutation occurred in the mother and her son during infection.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Amino Acid Sequence
  • Base Sequence
  • Child
  • Codon, Initiator
  • DNA, Viral / blood*
  • Epitopes / genetics*
  • Female
  • Genotype
  • Hepatitis B Antibodies / blood
  • Hepatitis B Surface Antigens / blood
  • Hepatitis B Surface Antigens / genetics*
  • Hepatitis B e Antigens / blood
  • Hepatitis B e Antigens / genetics*
  • Hepatitis B virus / genetics*
  • Hepatitis B virus / immunology
  • Hepatitis B, Chronic / transmission*
  • Hepatitis B, Chronic / virology
  • Humans
  • Infectious Disease Transmission, Vertical*
  • Male
  • Molecular Sequence Data
  • Mutation*
  • Phenotype
  • Phylogeny
  • Time Factors
  • Viral Load

Substances

  • Codon, Initiator
  • DNA, Viral
  • Epitopes
  • Hepatitis B Antibodies
  • Hepatitis B Surface Antigens
  • Hepatitis B e Antigens