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. 2021 Jan 25;5:240. Originally published 2020 Oct 14. [Version 2] doi: 10.12688/wellcomeopenres.16157.2

Table 1. Comparison of Hepatitis B virus (HBV) mutations described in the literature with those found in the HBV sequence of a patient presenting with acute biochemical hepatitis (patient 1745).

Mutations are relating to chronic HBV with acute reactivation (CHB-AR), acute hepatitis B (AHB) and HBV associated acute on chronic liver failure. Mutations present in >10% of sequences are marked in bold, mutations present in <10% of sequences are not represented.

Gene (Protein) Site Polymorphisms
reported in the
literature
Disease Association and References Sequencing
Methods Used
Genes Sequenced Genotype
studied
Patient 1745
sequence
Precore/
core
1896 G1896A CHB-AR during cytotoxic chemotherapy
or SCT ** 23, 40
Sanger 23
Sanger 40
Basal core promotor +
precore 23
Surface, RT ***, precore 40
Not stated
C/D
G1896: 66%
G1896A: 25%
Hepatitis B Related Acute-on-Chronic
Liver Failure 41
Sanger Basal core promotor, precore B/C
Distinguish CHB-AR from AHB 24, 42 Enzyme linked
assays 24
Sanger 42
Specific mutations only:
G1896A + A1762T, G1764A 24
Pre-core 42
B/C
Not stated
Comparing CHB with CHB-AR 43 Sanger Basal core promotor, precore B/C
CHB-AR and Fulminant hepatic failure
during chemotherapy 26
Sanger Full length genome A/B/C
1899 G1899A Hepatitis B-Related Acute-on-Chronic
Liver Failure 41
Sanger Basal core promotor, precore B/C G1899: 85%
G1899A: 14%
CHB-AR during chemotherapy or SCT 40 Sanger Surface, RT, precore C/D
Precore
Promoter
Regions
1742 G1742A CHB-AR during chemotherapy 44 Sanger Basal core promotor, precore Unknown G1742: 95%
1752 A1752G CHB-AR during chemotherapy 44 Sanger Basal core promotor, precore Unknown A1752: 98%
1753 T1753V (C/A/G) Hepatitis B-Related Acute-on-Chronic
Liver Failure 41
Sanger Basal core promotor, precore B/C T1753: 99%
CHB-AR during chemotherapy 44 Sanger Basal core promotor precore Unknown
1754 T1754G CHB-AR during chemotherapy 44 Sanger Basal core promotor, precore Unknown T1754: 99%
1762 A1762T Hepatitis B-Related Acute-on-Chronic
Liver Failure 41
Sanger Basal core promotor, precore B/C A1762: 99%
Distinguish CHB-AR from AHB 24 Enzyme linked
assays
Specific mutations only:
G1896A + A1762T, G1764A
B/C
CHB-AR 25 Sanger Basal core promotor, precore B/C
CHB-AR during chemotherapy 44 Sanger Basal core promotor, precore Unknown
1764 G1764A Hepatitis B-Related Acute-on-Chronic
Liver Failure 41
Sanger Basal core promotor, precore B/C G1764: 84%
G1764A: 14%
Distinguish CHB-AR from AHB 24 Enzyme linked assays Specific mutations only:
G1896A + A1762T, G1764A
B/C
CHB-AR 25 Sanger Basal core promotor, precore B/C
CHB-AR during chemotherapy 44 Sanger Basal core promotor, precore Unknown
1766
1768
C1766T/T1768A
double mutation &
T1768A alone
Distinguish CHB-AR from AHB 28 Sanger Surface, basal core promotor,
precore, X-gene.
A/C/D C1766: 97%
T1768: 98%
1799 G1799A/C1799G CHB-AR during chemotherapy 44 Sanger Basal core promotor, precore Unknown C1799: 98%
Surface Antigen
(amino acid
locations)
190 V190A CHB-AR on immunosuppression 45 Sanger Surface D V190A: 97%
127 T127P CHB-AR in aHSCT 46 Next generation
deep sequencing
Full length genome A/D/E T127P: 98%
118
120
128
133
145
172
T118A
P120S/T
A128V
M133I
G145R
W172*
Immune escape mutations associated
with AHB 36
Ultradeep
pyro-sequencing
Surface and RT A/D No mutations
present

**Stem cell transplant.

*** Reverse transcriptase