Variability of the PreS1/PreS2/S regions of hepatitis B virus in Hungary

Arch Virol. 2007;152(4):697-704. doi: 10.1007/s00705-006-0902-0. Epub 2007 Jan 3.

Abstract

Infection with the hepatitis B virus can occur perinatally, parenterally, or sexually, and it can cause acute or chronic liver diseases. Phylogenetic analysis of the virus has led to its classification into eight genotypes (A-H), which show a characteristic worldwide distribution. The aim of this study was to reveal the HBV genotypes present in Hungary and to investigate a nosocomial and an intrafamilial outbreak. The collected samples were tested by nested PCR, and a 650-nucleotide-long segment of the preS1/preS2/S region was sequenced. As no previous genotype data were available from Hungary, sera of 24 HBsAg-positive patients were collected from different regions of the country. They also served as control samples for the molecular epidemiologic study. Nineteen of them carried genotype D of hepatitis B virus, and five of them carried genotype A. Twenty-nine patients from a haemato-oncology unit were affected in a nosocomial outbreak. The patients had haematological and/or oncological diseases, most of them were immunosuppressed. In twenty-eight cases, based on phylogenetic analysis of the viruses, there was presumably a common source of infection, and an epidemiological investigation showed that the infections seemed to be hospital-acquired. In the intrafamilial outbreak, two asymptomatic carrier children infected their foster mother. The three sequences were totally identical.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Acid Sequence
  • Base Sequence
  • Cross Infection / epidemiology
  • Cross Infection / virology
  • DNA, Viral / genetics*
  • Disease Outbreaks
  • Family Health
  • Hematologic Diseases / complications
  • Hepatitis B / epidemiology
  • Hepatitis B / virology*
  • Hepatitis B Surface Antigens / chemistry
  • Hepatitis B Surface Antigens / genetics*
  • Hepatitis B virus / genetics*
  • Humans
  • Hungary
  • Immunocompromised Host
  • Molecular Epidemiology
  • Molecular Sequence Data
  • Neoplasms / complications
  • Phylogeny
  • Polymorphism, Genetic*
  • Protein Precursors / chemistry
  • Protein Precursors / genetics*
  • Sequence Analysis, DNA
  • Sequence Homology

Substances

  • DNA, Viral
  • Hepatitis B Surface Antigens
  • Protein Precursors
  • presurface protein 1, hepatitis B surface antigen
  • presurface protein 2, hepatitis B surface antigen

Associated data

  • GENBANK/AM040674
  • GENBANK/AM040675
  • GENBANK/AM040676
  • GENBANK/AM040677
  • GENBANK/AM040678
  • GENBANK/AM040679
  • GENBANK/AM040680
  • GENBANK/AM040681
  • GENBANK/AM040682
  • GENBANK/AM040683
  • GENBANK/AM040684
  • GENBANK/AM040685
  • GENBANK/AM040686
  • GENBANK/AM040687
  • GENBANK/AM040688
  • GENBANK/AM040689
  • GENBANK/AM040690
  • GENBANK/AM040691
  • GENBANK/AM040692
  • GENBANK/AM040693
  • GENBANK/AM040694
  • GENBANK/AM040695
  • GENBANK/AM040696
  • GENBANK/AM040697
  • GENBANK/AM040698
  • GENBANK/AM040699
  • GENBANK/AM040700
  • GENBANK/AM040701
  • GENBANK/AM040702
  • GENBANK/AM040703
  • GENBANK/AM040704
  • GENBANK/AM040705