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越南岘港学生中的肠道外病毒性肝炎以及对新型B型乙型肝炎病毒分类的见解。

Parenteral viral hepatitis among students in Da Nang, Vietnam, and insights into new hepatitis B virus genotype B classification.

作者信息

Kalinina Olga V, Lichnaia Evgeniia V, Bui Nga T T, Starkova Daria A, Petrova Olga A, Tran Nhai T, Vo Cuong V, Dmitriev Alexander V

机构信息

Laboratory of Molecular Epidemiology and Evolutionary Genetics, St. Petersburg Pasteur Institute, St. Petersburg, Russia.

Department of Laboratory Medicine With Clinic, Institute of Medical Education, Almazov National Medical Research Centre, Saint-Petersburg, Russia.

出版信息

Sci Rep. 2025 Jul 1;15(1):21589. doi: 10.1038/s41598-025-05409-y.

Abstract

This cross-sectional study estimated the prevalence of hepatitis B, C, D viruses among adults aged 18-22 years and assessed the impact of viral populations on the epidemiological trends in hepatitis virus transmission. A total of 568 students of Da Nang University were enrolled in the study in 2018. The prevalence of HBsAg, anti-HBs and anti-HBc was 4.2% (24/568), 30.4% (173/568), and 17.6% (100/568), respectively. Anti-HCV was found in 0.2% (1/568) of samples, and no participants tested positive for anti-HDV. HBV DNA was detected in all HBsAg-positive samples: 19 HBV isolates belonged to genotype B, and 5-to genotype C. Eight isolates carried immune escape mutations within the S protein, and one harbored three mutations (1762A > T / 1764G > A, 1858 T > C) in the precore/core region. Most of HBV isolates belonged to subgenotype B4, which is part of the Ba global recombinant group comprising subgenotypes B2, B4 and "quasi-B3", characterized by common recombination sites between positions 1731-1846 and 2200-2252. These findings highlight the high prevalence of HBV and insufficient herd immunity against HBV within this cohort, underscoring the urgent need to expand national HBV vaccination strategies. Widespread distribution of the Ba global recombinant group emphasizes the necessity to revise the current HBV taxonomy.

摘要

这项横断面研究估计了18至22岁成年人中乙型、丙型和丁型肝炎病毒的流行率,并评估了病毒种群对肝炎病毒传播流行病学趋势的影响。2018年,岘港大学共有568名学生参与了该研究。HBsAg、抗-HBs和抗-HBc的流行率分别为4.2%(24/568)、30.4%(173/568)和17.6%(100/568)。在0.2%(1/568)的样本中检测到抗-HCV,没有参与者抗-HDV检测呈阳性。在所有HBsAg阳性样本中均检测到HBV DNA:19株HBV分离株属于B基因型,5株属于C基因型。8株分离株在S蛋白内携带免疫逃逸突变,1株在前核心/核心区域携带三个突变(1762A>T/1764G>A、1858 T>C)。大多数HBV分离株属于B4亚基因型,它是包括B2、B4和“准B3”亚基因型的Ba全球重组组的一部分,其特征是在1731-1846和2200-2252位置之间有共同的重组位点。这些发现突出了该队列中HBV的高流行率以及对HBV的群体免疫力不足,强调了扩大国家HBV疫苗接种策略的迫切需求。Ba全球重组组的广泛分布强调了修订当前HBV分类法的必要性。

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