Characteristics of Patients With Chronic Hepatitis B Virus Infection With Genotype E Predominance in Burkina Faso

Hepatitis B virus (HBV) genotype E (HBV‐E) accounts for the majority of chronic hepatitis B (CHB) infections in West Africa. We aimed to determine factors associated with HBV‐E‐induced hepatocellular carcinoma (HCC) in West Africa. Data on patients from Burkina Faso who were hepatitis B surface anti...

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Veröffentlicht in:Hepatology communications 2020-12, Vol.4 (12), p.1781-1792
Hauptverfasser: Wongjarupong, Nicha, Yonli, Albert Theophane, Nagalo, Bolni Marius, Djigma, Florencia Wendkuuni, Somda, Sosthene Kounpielime, Hassan, Mohamed A., Mohamed, Essa A., Sorgho, Abel Pegdwende, Compaore, Tegwinde Rebeca, Soubeiga, Serge Theophile, Kiendrebeogo, Isabelle, Sanou, Mahamoudou, Diarra, Birama, Yang, Hwai‐I, Chen, Chien‐Jen, Ouattara, Abdoul K., Zohoncon, Théodora M., Martinson, Jeremy J., Buetow, Kenneth, Chamcheu, Jean Christopher, Antwi, Samuel O., Borad, Mitesh J., Simpore, Jacques, Roberts, Lewis R.
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container_end_page 1792
container_issue 12
container_start_page 1781
container_title Hepatology communications
container_volume 4
creator Wongjarupong, Nicha
Yonli, Albert Theophane
Nagalo, Bolni Marius
Djigma, Florencia Wendkuuni
Somda, Sosthene Kounpielime
Hassan, Mohamed A.
Mohamed, Essa A.
Sorgho, Abel Pegdwende
Compaore, Tegwinde Rebeca
Soubeiga, Serge Theophile
Kiendrebeogo, Isabelle
Sanou, Mahamoudou
Diarra, Birama
Yang, Hwai‐I
Chen, Chien‐Jen
Ouattara, Abdoul K.
Zohoncon, Théodora M.
Martinson, Jeremy J.
Buetow, Kenneth
Chamcheu, Jean Christopher
Antwi, Samuel O.
Borad, Mitesh J.
Simpore, Jacques
Roberts, Lewis R.
description Hepatitis B virus (HBV) genotype E (HBV‐E) accounts for the majority of chronic hepatitis B (CHB) infections in West Africa. We aimed to determine factors associated with HBV‐E‐induced hepatocellular carcinoma (HCC) in West Africa. Data on patients from Burkina Faso who were hepatitis B surface antigen positive (HBsAg+) and had CHB were analyzed. HBV viral load and hepatitis B e antigen (HBeAg) status were measured in 3,885 individuals with CHB without HCC (CHB HCC−) and 59 individuals with CHB with HCC (CHB HCC+). HBV genotyping was performed for 364 subjects with CHB HCC− and 41 subjects with CHB HCC+. Overall, 2.5% of the CHB HCC− group was HBeAg+ compared with 0% of the CHB HCC+ group. Of the 364 patients who were CHB HCC− with available genotyping, the frequencies of HBV genotypes E and C/E were 70.3% and 12.9%, respectively. Age (odds ratio [OR] for older age, 1.08; 95% confidence interval [CI], 1.06‐1.10 per 1‐year increase in age), male sex (OR, 2.03; 95% CI, 1.11‐3.69), and HBV viremia (OR, 1.48; 95% CI, 1.31‐1.67 per 1 log10 IU/mL) were each associated with HCC diagnosis. Patients with genotype E had a lower HBeAg prevalence (6.3% vs. 14.9%), lower HBV viral load, and higher prevalence of cirrhosis (14.5% vs. 4.8%) than patients with genotype C/E. Conclusion: HBV‐E is the most common circulating strain (70.3%) in West African patients. HCC was associated with older age, male sex, and high HBV viral load. It is expected that these results will further inform guidance on clinical management of HBV infection in West Africa.
doi_str_mv 10.1002/hep4.1595
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We aimed to determine factors associated with HBV‐E‐induced hepatocellular carcinoma (HCC) in West Africa. Data on patients from Burkina Faso who were hepatitis B surface antigen positive (HBsAg+) and had CHB were analyzed. HBV viral load and hepatitis B e antigen (HBeAg) status were measured in 3,885 individuals with CHB without HCC (CHB HCC−) and 59 individuals with CHB with HCC (CHB HCC+). HBV genotyping was performed for 364 subjects with CHB HCC− and 41 subjects with CHB HCC+. Overall, 2.5% of the CHB HCC− group was HBeAg+ compared with 0% of the CHB HCC+ group. Of the 364 patients who were CHB HCC− with available genotyping, the frequencies of HBV genotypes E and C/E were 70.3% and 12.9%, respectively. Age (odds ratio [OR] for older age, 1.08; 95% confidence interval [CI], 1.06‐1.10 per 1‐year increase in age), male sex (OR, 2.03; 95% CI, 1.11‐3.69), and HBV viremia (OR, 1.48; 95% CI, 1.31‐1.67 per 1 log10 IU/mL) were each associated with HCC diagnosis. Patients with genotype E had a lower HBeAg prevalence (6.3% vs. 14.9%), lower HBV viral load, and higher prevalence of cirrhosis (14.5% vs. 4.8%) than patients with genotype C/E. Conclusion: HBV‐E is the most common circulating strain (70.3%) in West African patients. HCC was associated with older age, male sex, and high HBV viral load. 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Patients with genotype E had a lower HBeAg prevalence (6.3% vs. 14.9%), lower HBV viral load, and higher prevalence of cirrhosis (14.5% vs. 4.8%) than patients with genotype C/E. Conclusion: HBV‐E is the most common circulating strain (70.3%) in West African patients. HCC was associated with older age, male sex, and high HBV viral load. 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We aimed to determine factors associated with HBV‐E‐induced hepatocellular carcinoma (HCC) in West Africa. Data on patients from Burkina Faso who were hepatitis B surface antigen positive (HBsAg+) and had CHB were analyzed. HBV viral load and hepatitis B e antigen (HBeAg) status were measured in 3,885 individuals with CHB without HCC (CHB HCC−) and 59 individuals with CHB with HCC (CHB HCC+). HBV genotyping was performed for 364 subjects with CHB HCC− and 41 subjects with CHB HCC+. Overall, 2.5% of the CHB HCC− group was HBeAg+ compared with 0% of the CHB HCC+ group. Of the 364 patients who were CHB HCC− with available genotyping, the frequencies of HBV genotypes E and C/E were 70.3% and 12.9%, respectively. Age (odds ratio [OR] for older age, 1.08; 95% confidence interval [CI], 1.06‐1.10 per 1‐year increase in age), male sex (OR, 2.03; 95% CI, 1.11‐3.69), and HBV viremia (OR, 1.48; 95% CI, 1.31‐1.67 per 1 log10 IU/mL) were each associated with HCC diagnosis. Patients with genotype E had a lower HBeAg prevalence (6.3% vs. 14.9%), lower HBV viral load, and higher prevalence of cirrhosis (14.5% vs. 4.8%) than patients with genotype C/E. Conclusion: HBV‐E is the most common circulating strain (70.3%) in West African patients. HCC was associated with older age, male sex, and high HBV viral load. It is expected that these results will further inform guidance on clinical management of HBV infection in West Africa.</abstract><cop>United States</cop><pub>Wolters Kluwer Health Medical Research, Lippincott Williams &amp; Wilkins</pub><pmid>33305149</pmid><doi>10.1002/hep4.1595</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-7885-8574</orcidid><orcidid>https://orcid.org/0000-0001-8676-413X</orcidid><oa>free_for_read</oa></addata></record>
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source DOAJ Directory of Open Access Journals; Access via Wiley Online Library; EZB-FREE-00999 freely available EZB journals; Wiley Online Library (Open Access Collection); PubMed Central
subjects Antibodies
Antigens
Biomedical research
Deoxyribonucleic acid
DNA
Enzymes
Genetic testing
Genotype & phenotype
Hepatitis B
Infections
Liver cancer
Liver cirrhosis
Liver diseases
Mortality
Original
Patients
Polymerase chain reaction
Software
title Characteristics of Patients With Chronic Hepatitis B Virus Infection With Genotype E Predominance in Burkina Faso
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