Mutations in reverse transcriptase region of HBV affect Hepatitis B surface antigen titers and its correlation with HBV DNA

  • Hongyu Shen Department of Clinical Laboratory, the Third peoples’ Hospital of Changzhou, Changzhou, Jiangsu, China
  • Chunhua Chen Department of Clinical Laboratory, the Third peoples’ Hospital of Changzhou, Changzhou, Jiangsu, China
  • Chunyan Ye Institute of Hepatology, the Third People’s Hospital of Changzhou, Changzhou, Jiangsu, China
  • Hongyu Zhang Department of Clinical Laboratory, the Third peoples’ Hospital of Changzhou, Changzhou, Jiangsu, China
  • Shuangxiong Hang Department of Clinical Laboratory, the Third peoples’ Hospital of Changzhou, Changzhou, Jiangsu, China
  • Min Chen Department of Clinical Laboratory, the Third peoples’ Hospital of Changzhou, Changzhou, Jiangsu, China
  • Zhen Zhu Department of Clinical Laboratory, the Third peoples’ Hospital of Changzhou, Changzhou, Jiangsu, China
  • Yuan Xue Institute of Hepatology, the Third People’s Hospital of Changzhou, Changzhou, Jiangsu, China
  • Longgen Liu Institute of Hepatology, the Third People’s Hospital of Changzhou, Changzhou, Jiangsu, China
Keywords: hepatitis B virus, hepatitis B surface antigen, mutation, drug resistance

Abstract

Introduction: The impact of mutations in the reverse transcriptase region of HBV on serum HBsAg titer and its correlation with HBV DNA is largely unknown.

Methodology: A total of 644 patients, with a history of lamivudine or adefovir dipivoxil resistance who underwent genotypic resistance tests, were enrolled in this study. Serum HBsAg, hepatitis B e antigen and HBV DNA were quantified, and the HBV RT region was sequenced and analyzed. Then, the patients were divided into five sub-groups, including M204I/V, L180M+M204I/V, A181T/V, N236T and A181T/V+N236T according to the mutation spectra.

Results: HBsAg was lower in the wild-type and A181T/V+N236T groups as compared to the M204I/V, L180M+M204I/V and N236T groups. HBsAg was positively correlated with HBV DNA levels in the wild-type group (r = 0.322, p < 0.01), as well as in the M204I/V, L180M+M204I/V, A181T/V, and N236T subgroups, while no correlation was found in the A181T/V+N236T subgroup (r = 0.159, p = 0.217). Moreover, for patients with N236T mutation, HBsAg was positively correlated with HBV DNA level in the HBeAg negative group (r = 0.435, p = 0.016), but not in the HBeAg positive group (r = 0.105, p = 0.594). For patients with A181T/V or N236T mutation, HBsAg was positively correlated with HBV DNA in older patients (≥ 40 years), but not in younger patients (< 40 years).

Conclusions: Serum HBsAg titer and its correlation with HBV DNA may be affected by mutations in the reverse transcriptase region of HBV, that should be re-evaluated in patients with antiviral resistance.

Published
2019-11-30
How to Cite
1.
Shen H, Chen C, Ye C, Zhang H, Hang S, Chen M, Zhu Z, Xue Y, Liu L (2019) Mutations in reverse transcriptase region of HBV affect Hepatitis B surface antigen titers and its correlation with HBV DNA. J Infect Dev Ctries 13:1062-1067. doi: 10.3855/jidc.11447
Section
Brief Original Articles