Molecular epidemiology of hepatitis B virus in an isolated Afro-Brazilian community

Arch Virol. 2008;153(12):2197-205. doi: 10.1007/s00705-008-0237-0. Epub 2008 Nov 8.

Abstract

This study was conducted in an Afro-Brazilian, slave-descendant community with high (42.4%) hepatitis B virus (HBV) prevalence. Twenty (8.4%) out of the 239 subjects under study were HBsAg-positive, and HBV-DNA was detected in 59 (25%) individuals. A high rate (18.3%) of occult infection was therefore observed that was associated to low HBV loads (mean, 1.8 x 10(4) copies/ml) and to a specific amino acid substitution (C100Y) in the small surface antigen. Genotyping of 50 isolates showed that 43 (86%) were of subgenotype A1, one (2%) from subgenotype A2, and five (10%) from subgenotype D. Mixed genotypes A1 and E were observed in one (2%) sample. The genetic distance (0.8 +/- 0.3%) among the HBV/A1 isolates from the community was smaller than the intragroup divergence among A1 isolates from Brazil as a whole, but it was similar to that found between A2 isolates from different countries, suggesting that HBV/A1 was introduced in the community through different sources. The substitution W501R (polymerase), previously reported only in Gambia, was observed in 46% of the HBV/A1 isolates. The precore/core promoter region of HBsAg-positive isolates showed several substitutions that could explain the anti-HBe phenotype found in 18 of 20 (90%) of the HBsAg-positive subjects.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Base Sequence
  • Brazil / epidemiology
  • Child
  • Child, Preschool
  • Female
  • Genotype
  • Hepatitis B / epidemiology*
  • Hepatitis B / immunology
  • Hepatitis B / virology
  • Hepatitis B Surface Antigens / genetics
  • Hepatitis B Surface Antigens / immunology
  • Hepatitis B virus / classification*
  • Hepatitis B virus / genetics
  • Hepatitis B virus / immunology
  • Hepatitis B virus / isolation & purification
  • Humans
  • Male
  • Middle Aged
  • Molecular Epidemiology
  • Molecular Sequence Data
  • Phylogeny
  • Prevalence
  • Young Adult

Substances

  • Hepatitis B Surface Antigens

Associated data

  • GENBANK/EF547828
  • GENBANK/EF547829
  • GENBANK/EF547830
  • GENBANK/EF547831
  • GENBANK/EF547832
  • GENBANK/EF547833
  • GENBANK/EF547834
  • GENBANK/EF547835
  • GENBANK/EF547836
  • GENBANK/EF547837
  • GENBANK/EF547838
  • GENBANK/EF547839
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  • GENBANK/EF547841
  • GENBANK/EF547842
  • GENBANK/EF547843
  • GENBANK/EF547844
  • GENBANK/EF547845
  • GENBANK/EF547846
  • GENBANK/EF547847
  • GENBANK/EF547848
  • GENBANK/EF547849
  • GENBANK/EF547850
  • GENBANK/EF547851
  • GENBANK/EF547852
  • GENBANK/EF547853
  • GENBANK/EF547854
  • GENBANK/EF547855
  • GENBANK/EF547856
  • GENBANK/EF547857
  • GENBANK/EF547858
  • GENBANK/FJ174794
  • GENBANK/FJ174795
  • GENBANK/FJ174796
  • GENBANK/FJ174797
  • GENBANK/FJ174798
  • GENBANK/FJ174799
  • GENBANK/FJ174800