A long-term follow-up analysis of serial core promoter and precore sequences in Japanese patients chronically infected by hepatitis B virus

To investigate the association of hepatitis B virus (HBV) with core promoter mutation (T1762A1764) or precore mutation (A1896) with the clinical course of illness, we analyzed serial core promoter and precore sequences in 22 patients with HBV-associated chronic liver disease who were followed for 12...

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Veröffentlicht in:Digestive diseases and sciences 2001-03, Vol.46 (3), p.509-515
Hauptverfasser: KAJIYA, Yuji, HAMASAKI, Keisuke, EGUCHI, Katsumi, NAKATA, Keisuke, MIYAZOE, Seiji, TAKEDA, Yoshio, HIGASHI, Shinichirou, OHKUBO, Kazuaki, ICHIKAWA, Tatsuki, NAKAO, Kazuhiko, KATO, Yuji
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container_end_page 515
container_issue 3
container_start_page 509
container_title Digestive diseases and sciences
container_volume 46
creator KAJIYA, Yuji
HAMASAKI, Keisuke
EGUCHI, Katsumi
NAKATA, Keisuke
MIYAZOE, Seiji
TAKEDA, Yoshio
HIGASHI, Shinichirou
OHKUBO, Kazuaki
ICHIKAWA, Tatsuki
NAKAO, Kazuhiko
KATO, Yuji
description To investigate the association of hepatitis B virus (HBV) with core promoter mutation (T1762A1764) or precore mutation (A1896) with the clinical course of illness, we analyzed serial core promoter and precore sequences in 22 patients with HBV-associated chronic liver disease who were followed for 12+/-4 years (mean +/- SD). Sixteen of 22 patients were positive for HBeAg at baseline, and 15 of the 16 patients seroconverted to anti-HBe during the observation period. T1762A1764 mutation was detected in 16 of 22 patients, including 11 patients positive for HBeAg, at baseline. During the follow-up period, A1896 mutation emerged in 7 of 16 patients who had the wild-type HBV or only the T1762A1764 mutation at baseline. Sustained remission of hepatitis correlated with the low level of viremia, but did not with type of mutations. These results indicate that HBV with T1762A1764 mutation tends to precede A1896 mutation during the course of infection in Japanese patients with chronic liver disease.
doi_str_mv 10.1023/A:1005582812466
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subjects Adult
Base Sequence
Biological and medical sciences
Female
Follow-Up Studies
Hepatitis B Antibodies - blood
Hepatitis B e Antigens - blood
Hepatitis B virus - genetics
Hepatitis B, Chronic - virology
Human viral diseases
Humans
Infectious diseases
Kruppel-Like Factor 6
Kruppel-Like Transcription Factors
Male
Medical sciences
Middle Aged
Mutation
Polymerase Chain Reaction
Proto-Oncogene Proteins
Trans-Activators - blood
Trans-Activators - genetics
Viral diseases
Viral hepatitis
title A long-term follow-up analysis of serial core promoter and precore sequences in Japanese patients chronically infected by hepatitis B virus
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