Peer Reviewed

1

Document Type

Article

Publication Date

8-2008

Keywords

Carcinoma, Hepatocellular, Gambia, Hepatitis B Core Antigens, Hepatitis B virus, Humans, Ligation, Liver, Liver Cirrhosis, Oligonucleotide Probes, Point Mutation, Promoter Regions, Genetic, Severity of Illness Index, Statistics as Topic

Funder/Sponsor

Medical Research Council (United Kingdom), International Agency for Research on Cancer, Lyon, National Cancer Institute, NIH, DHHS, Bethesda,MD.

Comments

The original article is available at http://jcm.asm.org

Abstract

Hepatocellular carcinoma (HCC) and cirrhosis are important causes of mortality worldwide. Persistent hepatitis B virus (HBV) infection is a major cause of these diseases. Double mutations in the basal core promoter (BCP) (A1762T and G1764A) and precore (pre-C) (G1896A) regions of the virus are associated with progression to HCC. The current study is aimed at developing a simple method for screening and detecting BCP and pre-C mutations in HBV carriers. We have developed and validated an oligonucleotide ligation assay (OLA) to detect point mutations in the HBV core gene. We have applied OLA methods to samples from HBV-infected carriers recruited from the Gambia Liver Cancer Study (GLCS) comprising asymptomatic HBsAg carriers, patients with cirrhosis, and patients with HCC. We observed an 89.3% and 95.8% concordance between the OLA and DNA sequencing for BCP and pre-C mutations, respectively. OLA detected the mutations in single-strain infections and in infections with mixtures of wild-type and mutant viruses under conditions where sequencing detected only the single dominant strains. BCP mutations were detected in 75.7% of patients with advanced liver disease (cirrhosis/HCC) compared to 47.6% of asymptomatic carriers, while pre-C mutations were detected in 34.5% of advanced liver disease patients and in 47.6% of asymptomatic HBsAg carriers. There was a significant association between the presence of BCP mutations and advanced liver disease. In conclusion, OLA is a simple, economical, and reliable assay for detection of pre-C and BCP mutations. Its application can lead to improvement in diagnosis and clinical care in regions where HBV is endemic.

Disciplines

International Public Health | Medicine and Health Sciences

Citation

Mendy ME, Kaye S, Le Roux E, Kirk GD, Jeng-Barry A, McConkey S, Cotten M, Kuniholm MH, Leligdowicz A, Hainaut P, Rowland-Jones S, Whittle H. Journal of Clinical Microbiology. 2008;46(8):2723-30.

PubMed ID

18508941

DOI Link

10.1128/JCM.01622-07

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.

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