Detecting Hepatitis B Viral Amino Acid Sequence Mutations in Occult Hepatitis B Infections via Bayesian Partition Model

Zhichao Lian,Lei Yang ,Gang Chen ,Romina Salpini ,Valeria Cento ,Q Tian ,Valentina Svicher ,Carlo Federico Perno ,Cong Liu ,Jing Zhang

doi:10.4172/jpb.s6-005

Abstract

Background: With advancements in technology, a number of Hepatitis B virus (HBV) infections, where viral DNA is present in the liver or plasma, without the concomitant detection of HBsAg in plasma have been reported, and have been termed occult Hepatitis B infections (OBI). Unfortunately, the etiology and pathogenesis of OBI remain elusive to date, and the genetic characteristics of HBV sequence that lead to the development of OBI are still poorly understood. Methods: 358 genotype-C (330 chronically infected patients and 28 occult infected patients) and 107 genotype-D (83 chronically infected patients and 24 occult infected patients) HBV Reverse Transcriptase (RT) amino acid sequences were collected. In addition to greedy search, a novel statistical approach, Bayesian Variable Partition Model is applied to pinpoint those positions, where amino acid mutations collaboratively discriminate OBI samples from chronically infected samples, in genotype-C and genotype-D, respectively. Results: Several discriminate and correlated positions were found in genotype-C (high-order position combinations listed in tables) and genotype-D (positions 126+138, 129+131 and 138+139) respectively. By comparing amino acid distributions in these positions between genotype-C and genotype-D, six position combinations were reported to have obvious different amino acid distributions in these two HBV genotypes. Conclusions: This paper furthers the understanding of the correlation between HBV sequence mutations and the differences of OBI in two HBV genotypes, by studying mutations in HBV RT amino acid sequences. Different from other traditional methods, the Bayesian-based method is able to analyze high-order combinations of positions.

Highlights

Each year, Hepatitis B infects 10 to 30 million people worldwide and claims an estimated 600,000 lives [1,2]
In the sensitivity of polymerase chain reactions (PCR), a number of Hepatitis B virus (HBV) infections that exhibited viral DNA, in the absence of detectable levels of HBsAg have been reported [11,12]. These cases have been termed occult Hepatitis B infections (OBI), defined as HBV infections, where viral DNA is present in the liver or plasma, without the concomitant detection of HBsAg in plasma [13,14,15,16]
The etiology and pathogenesis of OBI remain elusive to date, and the genetic characteristics of HBV DNA that lead to the development of OBI are still poorly understood [16]

Summary

Introduction

Hepatitis B infects 10 to 30 million people worldwide and claims an estimated 600,000 lives [1,2]. The rates of developing a chronic Hepatitis B infection are significantly more elevated in younger populations, sitting at 30%-50% for patients between the ages of one and four, and a staggering 90% for infants [2]. One third of those who contract the chronic form of the disease will exhibit clinical symptoms, which can cause irreversible liver damage and lead to cirrhosis, as well as hepatocellular carcinoma [3]. A number of Hepatitis B virus (HBV) infections, where viral DNA is present in the liver or plasma, without the concomitant detection of HBsAg in plasma have been reported, and have been termed occult Hepatitis B infections (OBI). The etiology and pathogenesis of OBI remain elusive to date, and the genetic characteristics of HBV sequence that lead to the development of OBI are still poorly understood

Methods

Results

Conclusion