Identification of a natural intergenotypic recombinant hepatitis delta virus genotype 1 and 2 in Vietnamese HBsAg-positive patients

Summary Hepatitis D virus (HDV) infection is acquired as a co‐ /superinfection of Hepatitis B virus (HBV) and can modulate the pathophysiology of chronic hepatitis B and related liver diseases including hepatocellular carcinoma. Among the eight distinct HDV genotypes reported, relatively few studies...

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Veröffentlicht in:Journal of viral hepatitis 2015-01, Vol.22 (1), p.55-63
Hauptverfasser: Sy, B. T., Nguyen, H. M., Toan, N. L., Song, L. H., Tong, H. V., Wolboldt, C., Binh, V. Q., Kremsner, P. G., Velavan, T. P., Bock, C.-T.
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container_end_page 63
container_issue 1
container_start_page 55
container_title Journal of viral hepatitis
container_volume 22
creator Sy, B. T.
Nguyen, H. M.
Toan, N. L.
Song, L. H.
Tong, H. V.
Wolboldt, C.
Binh, V. Q.
Kremsner, P. G.
Velavan, T. P.
Bock, C.-T.
description Summary Hepatitis D virus (HDV) infection is acquired as a co‐ /superinfection of Hepatitis B virus (HBV) and can modulate the pathophysiology of chronic hepatitis B and related liver diseases including hepatocellular carcinoma. Among the eight distinct HDV genotypes reported, relatively few studies have attempted to investigate the prevalence of HDV mixed genotypes and RNA recombination of HDV. With a recorded prevalence of 10–20% HBV infection in Vietnam, this study investigated the HDV variability, HDV genotypes and HDV recombination among twenty‐one HDV isolates in Vietnamese HBsAg‐positive patients. HDV subgenomic and full‐length genome sequences were obtained using newly established HDV‐specific RT‐PCR techniques. The nucleotide homology was observed from 74.6% to 99.4% among the investigated full‐length genome of the HDV isolates. We observed HDV genotype 1 and HDV genotype 2 in the investigated Vietnamese patients. Although no HDV genotype mixtures were observed, we report here a newly identified recombinant of HDV genotypes (HDV 1 and HDV 2). The identified recombinant HDV isolate C03 revealed sequence homology to both HDV genotype 1 (nt1 to nt907) and HDV genotype 2 (nt908 to nt1675; HDAg coding region) with a breakpoint at nt908. Our findings demonstrate the prevalence of intergenotypic recombination between HDV genotypes 1 and 2 in a Vietnamese HBsAg‐positive patient. Extended investigation on the distribution and prevalence of HDV, HDV mixed genotypes and recombinant HDV genotypes in a larger Vietnamese population offers vital insights into understanding of the micro‐epidemiology of HDV and subsequent pathophysiology in chronic HBV‐ /HDV‐related liver diseases.
doi_str_mv 10.1111/jvh.12228
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T. ; Nguyen, H. M. ; Toan, N. L. ; Song, L. H. ; Tong, H. V. ; Wolboldt, C. ; Binh, V. Q. ; Kremsner, P. G. ; Velavan, T. P. ; Bock, C.-T.</creator><creatorcontrib>Sy, B. T. ; Nguyen, H. M. ; Toan, N. L. ; Song, L. H. ; Tong, H. V. ; Wolboldt, C. ; Binh, V. Q. ; Kremsner, P. G. ; Velavan, T. P. ; Bock, C.-T.</creatorcontrib><description>Summary Hepatitis D virus (HDV) infection is acquired as a co‐ /superinfection of Hepatitis B virus (HBV) and can modulate the pathophysiology of chronic hepatitis B and related liver diseases including hepatocellular carcinoma. Among the eight distinct HDV genotypes reported, relatively few studies have attempted to investigate the prevalence of HDV mixed genotypes and RNA recombination of HDV. With a recorded prevalence of 10–20% HBV infection in Vietnam, this study investigated the HDV variability, HDV genotypes and HDV recombination among twenty‐one HDV isolates in Vietnamese HBsAg‐positive patients. HDV subgenomic and full‐length genome sequences were obtained using newly established HDV‐specific RT‐PCR techniques. The nucleotide homology was observed from 74.6% to 99.4% among the investigated full‐length genome of the HDV isolates. We observed HDV genotype 1 and HDV genotype 2 in the investigated Vietnamese patients. Although no HDV genotype mixtures were observed, we report here a newly identified recombinant of HDV genotypes (HDV 1 and HDV 2). The identified recombinant HDV isolate C03 revealed sequence homology to both HDV genotype 1 (nt1 to nt907) and HDV genotype 2 (nt908 to nt1675; HDAg coding region) with a breakpoint at nt908. Our findings demonstrate the prevalence of intergenotypic recombination between HDV genotypes 1 and 2 in a Vietnamese HBsAg‐positive patient. 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The identified recombinant HDV isolate C03 revealed sequence homology to both HDV genotype 1 (nt1 to nt907) and HDV genotype 2 (nt908 to nt1675; HDAg coding region) with a breakpoint at nt908. Our findings demonstrate the prevalence of intergenotypic recombination between HDV genotypes 1 and 2 in a Vietnamese HBsAg‐positive patient. 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P.</au><au>Bock, C.-T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Identification of a natural intergenotypic recombinant hepatitis delta virus genotype 1 and 2 in Vietnamese HBsAg-positive patients</atitle><jtitle>Journal of viral hepatitis</jtitle><addtitle>J Viral Hepat</addtitle><date>2015-01</date><risdate>2015</risdate><volume>22</volume><issue>1</issue><spage>55</spage><epage>63</epage><pages>55-63</pages><issn>1352-0504</issn><eissn>1365-2893</eissn><abstract>Summary Hepatitis D virus (HDV) infection is acquired as a co‐ /superinfection of Hepatitis B virus (HBV) and can modulate the pathophysiology of chronic hepatitis B and related liver diseases including hepatocellular carcinoma. Among the eight distinct HDV genotypes reported, relatively few studies have attempted to investigate the prevalence of HDV mixed genotypes and RNA recombination of HDV. With a recorded prevalence of 10–20% HBV infection in Vietnam, this study investigated the HDV variability, HDV genotypes and HDV recombination among twenty‐one HDV isolates in Vietnamese HBsAg‐positive patients. HDV subgenomic and full‐length genome sequences were obtained using newly established HDV‐specific RT‐PCR techniques. The nucleotide homology was observed from 74.6% to 99.4% among the investigated full‐length genome of the HDV isolates. We observed HDV genotype 1 and HDV genotype 2 in the investigated Vietnamese patients. Although no HDV genotype mixtures were observed, we report here a newly identified recombinant of HDV genotypes (HDV 1 and HDV 2). The identified recombinant HDV isolate C03 revealed sequence homology to both HDV genotype 1 (nt1 to nt907) and HDV genotype 2 (nt908 to nt1675; HDAg coding region) with a breakpoint at nt908. Our findings demonstrate the prevalence of intergenotypic recombination between HDV genotypes 1 and 2 in a Vietnamese HBsAg‐positive patient. Extended investigation on the distribution and prevalence of HDV, HDV mixed genotypes and recombinant HDV genotypes in a larger Vietnamese population offers vital insights into understanding of the micro‐epidemiology of HDV and subsequent pathophysiology in chronic HBV‐ /HDV‐related liver diseases.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>24548489</pmid><doi>10.1111/jvh.12228</doi><tpages>9</tpages></addata></record>
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source Wiley-Blackwell Journals; MEDLINE
subjects Adult
Aged
Asian Continental Ancestry Group
Female
Genetic Variation
Genomes
Genotype
Genotype & phenotype
HDV genotype
HDV genotype mixture
HDV recombinant
Hepatitis
Hepatitis B - complications
Hepatitis B Surface Antigens - blood
Hepatitis D - virology
Hepatitis D virus
Hepatitis Delta Virus - classification
Hepatitis Delta Virus - genetics
Hepatitis Delta Virus - isolation & purification
Humans
Liver diseases
Male
Middle Aged
Molecular Sequence Data
phylogenetic analysis
Phylogeny
Recombination, Genetic
Reverse Transcriptase Polymerase Chain Reaction
RNA, Viral - genetics
Sequence Analysis, DNA
Sequence Homology
Studies
variability
Young Adult
title Identification of a natural intergenotypic recombinant hepatitis delta virus genotype 1 and 2 in Vietnamese HBsAg-positive patients
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