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