2008, Cilt 22, Sayı 3, Sayfa(lar) 123-129 |
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DETERMINATION OF GENOTYPE DISTRIBUTION AND PRECORE/CORE REGION MUTATIONS IN HBeAg NEGATIVE, ANTI-HBe POSITIVE CHRONIC HEPATITIS B CASES |
Uğur ARSLAN1, İnci TUNCER1, Duygu FINDIK1, Onur URAL2 |
1 Selçuk Üniversitesi Meram Tıp Fakültesi, Mikrobiyoloji ve Klinik Mikrobiyoloji Anabilim Dalı, Konya 2 Selçuk Üniversitesi Meram Tıp Fakültesi, İnfeksiyon Hastalıkları ve Klinik Bakteriyoloji Anabilim Dalı, Konya |
Keywords: Hepatitis B virus, DNA, precore/core, mutation |
In recent years with the investigation of HBV DNA isolated from patients showing anti-HBe seroconversion without the loss of viral
replication revealed precore/core gene mutations. In this study, we aimed at investigating the relationship between precore/core
mutations and HBV genotype profile in anti-HBe and HBV DNA positive patients. In the sera of these patients HBV DNA levels
were investigated by Real-Time PCR method. In the HBV DNA positive specimens precore/core mutations were detected by
sequence analysis. Of the 100 anti-HBe positive chronic hepatitis B patients' serum samples HBV DNA was found positive in 51.
The median HBV DNA viral load was 4.5x107 copies/mL in HBV DNA positive specimens. All of the HBV (100%) genotyped was
found in genotype D. There were no precore/core mutations by using DNA Sequencing Analysis Software. These results show that
all patients investigated in this study were infected with wild-type HBV and the viral loads obtained belonged to the wild-type HB
virus. Multicenter studies with more cases are needed to investigate the precore/core mutations which play an important role in the
replication rate of HBV and in the control of the HBe production in chronic HBV infections.
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