Abstract

Viruses could rapidly diversify into variants, which has long been known to facilitate viral adaption in the host. Recent studies showed that cooperation among variants and wild-type (WT) also increased viral fitness. Here, a mutant of sC69∗ in small hepatitis B surface protein (SHBs) that resulted in premature stop was investigated and the frequency of sC69∗ was 4.37% (19/435), most of which coexisted with the WT (78.95%, 15/19), indicating mixed viral populations. Functional studies showed that sC69∗ mutant was associated with lower viral spread, but could be rescued by coexisting with the WT. The sC69∗ mutant showed to attenuate host innate immune response during infection and poly (I:C) treatment such as IL29, ISG15, and RIG-I (p < 0.05). The lower immune response was not caused by the lower replication of sC69∗ mutant. Our data provide information that sC69∗ coexisting with the WT might facilitate the fitness and persistence of the viral quasispecies in the host.

Highlights

  • Despite the availability of an effective vaccine and the improvement of antiviral treatment, chronic hepatitis B virus (HBV) infection remains a severe public health problem

  • Among 435 chronic hepatitis B (CHB) patients, we identified 19 samples carrying HBV sC69∗ mutant by analyzing entire small hepatitis B surface protein (SHBs) amino acid (AA)

  • In order to know the distribution of sC69∗ mutant in different patient groups, we stratified patients by hepatitis B e antigen (HBeAg) status and LMV exposure and analyzed the SHBs sequences

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Summary

Introduction

Despite the availability of an effective vaccine and the improvement of antiviral treatment, chronic HBV infection remains a severe public health problem. Hepatitis B surface antigen (HBsAg) is a major viral protein of hepatitis B virus (HBV) circulating in patient serum and serves as an important virological marker for the evaluation of chronic HBV infection and antiviral response. We found that 4.37% (19/435) of the studied patients with genotype C HBV chronic infection carried the small hepatitis B surface (SHBs) sC69∗ mutant resulting in the truncated SHBs [about 1/3 length of wild-type (WT) SHBs]. This mutant usually existed in older people with lower HBV DNA levels. These results indicate that HBV sC69∗ coexisting with WT might facilitate the viral fitness and surviving from the host surveillance

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