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印度北部乙肝病毒感染人群中D基因型及前核心/核心启动子突变的流行情况

Prevalence of Genotype D and Precore/Core Promoter Mutations in Hepatitis B Virus-infected Population of North India.

作者信息

Kumar Rajesh, Pahal Vikas, Singh Jasbir

机构信息

Department of Biochemistry, Kurukshetra University, Kurukshetra - 136119, Haryana, India.

出版信息

J Clin Exp Hepatol. 2011 Sep;1(2):73-6. doi: 10.1016/S0973-6883(11)60125-4. Epub 2011 Nov 9.

DOI:10.1016/S0973-6883(11)60125-4
PMID:25755318
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3940627/
Abstract

Hepatitis B virus (HBV) isolates (21) from Punjab (North India) were studied for genotype distribution and precore/core promoter mutations. Assays of alanine aminotransaminase (ALT) and HBeAg were performed in all isolates. Genotypes were determined in all the samples by restriction fragment length polymorphism and the precore/core promoter mutations were studied by amplification and by direct sequencing of precore/core promoter region. Sixty-two percent of the isolates had higher ALT levels and 57% of the isolates were HBeAg negative. It was observed that 90% of the isolates were HBV D genotype (subgenotype D1 and D2) and 10% of the isolates were HBV A genotype (subgenotype A1). Amplification and sequencing of the precore/core promoter region showed 1762(A-T) and 1764(G-A) mutations in 29% and 19% of the isolates, respectively. 1809(C/T) mutation was observed in 71% of the isolates under study. Novel precore and core promoter mutations like 1690(A), 1695(A/T/G), 1700(A/C), 1703(c), 1850(A) and 1915(A/G) were observed in HBV-infected population of the state of Punjab (North India). Deletion and insertional mutations were also observed in some patients. (J CLIN EXP HEPATOL 2011;1:73-76).

摘要

对来自旁遮普邦(印度北部)的21株乙型肝炎病毒(HBV)分离株进行了基因型分布和前核心/核心启动子突变研究。对所有分离株进行了丙氨酸氨基转移酶(ALT)和HBeAg检测。通过限制性片段长度多态性确定所有样本的基因型,并通过扩增和前核心/核心启动子区域的直接测序研究前核心/核心启动子突变。62%的分离株ALT水平较高,57%的分离株HBeAg阴性。观察到90%的分离株为HBV D基因型(D1和D2亚基因型),10%的分离株为HBV A基因型(A1亚基因型)。前核心/核心启动子区域的扩增和测序显示,分别有29%和19%的分离株存在1762(A-T)和1764(G-A)突变。在71%的研究分离株中观察到1809(C/T)突变。在旁遮普邦(印度北部)的HBV感染人群中观察到了新的前核心和核心启动子突变,如1690(A)、1695(A/T/G)、1700(A/C)、1703(c)、1850(A)和1915(A/G)。在一些患者中还观察到了缺失和插入突变。(《临床与实验肝脏病学杂志》2011年;1:73 - 76)

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