Prevalence of hepatitis B antiviral drug resistance variants in North American patients with chronic hepatitis B not receiving antiviral treatment

© 2017 John Wiley & Sons Ltd..

Antiviral drug resistance hepatitis B virus (HBV) variants (HBV-DR) occur spontaneously in chronic hepatitis B (CHB) patients and after exposure to nucleos(t)ide analogues (NUCs). We determined the prevalence of HBV-DR variants among participants of the Hepatitis B Research Network (HBRN) Cohort Study conducted at 21 sites in the United States (US) and Canada. Samples obtained from 1342 CHB participants aged ≥18 years, and who were currently not receiving NUCs, were tested for HBV-DR variants by Sanger sequencing. In addition, next generation sequencing (NGS) was used to characterize HBV-DR variants from 66 participants with and 66 participants with no prior NUC exposure matched for HBV genotype and HBV DNA level. Half the participants were men, 75% Asian, 26% HBeAg positive. Primary HBV-DR variants were detected by Sanger sequencing in 16 (1.2%) participants: 2/142 (1.4%) with and 14/1200 (1.2%) without prior NUC exposure; only 1 of these 16 had a secondary variant. In total, 23 (1.7%) participants had secondary variants, including 1 with prior NUC experience. In the subset of 132 participants, NGS detected HBV-DR variants in a higher proportion of participants: primary variants in 18 (13.6%) (8 [12.1%] with, and 10 [15.2%] without prior NUC therapy) and secondary variants in 10 (7.6%) participants. Based on Sanger sequencing, prevalence of primary HBV-DR variants is low (1.2%) among adults with CHB in US/Canada. The similar low prevalence of HBV-DR variants in participants with and without NUC treatment suggests transmission of these variants is uncommon.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

Journal of viral hepatitis - 24(2017), 11 vom: 24. Nov., Seite 1032-1042

Sprache:

Englisch

Beteiligte Personen:

Lok, A S [VerfasserIn]
Ganova-Raeva, L [VerfasserIn]
Cloonan, Y [VerfasserIn]
Punkova, L [VerfasserIn]
Lin, H-H S [VerfasserIn]
Lee, W M [VerfasserIn]
Ghany, M G [VerfasserIn]
Hepatitis B Research Network (HBRN) [VerfasserIn]
Lau, Daryl T-Y [Sonstige Person]
Chung, Raymond T [Sonstige Person]
Roberts, Lewis R [Sonstige Person]
Smith, Coleman I [Sonstige Person]
Di Bisceglie, Adrian M [Sonstige Person]
-Melman, Mauricio [Sonstige Person]
Janssen, L A [Sonstige Person]
Wong, David K [Sonstige Person]
Juan, Joshua [Sonstige Person]
Feld, Jordan [Sonstige Person]
Yim, Colina [Sonstige Person]
Heathcote, Jenny [Sonstige Person]
Perrillo, Robert [Sonstige Person]
Do, Son [Sonstige Person]
Han, Steven-Huy B [Sonstige Person]
Tran, Tram T [Sonstige Person]
Terrault, Norah A [Sonstige Person]
Khalili, Mandana [Sonstige Person]
Cooper, Stewart L [Sonstige Person]
Fontana, Robert J [Sonstige Person]
Tsai, Naoky [Sonstige Person]
Fried, Michael W [Sonstige Person]
Patel, Keyur [Sonstige Person]
Evon, Donna [Sonstige Person]
Carithers, Robert C [Sonstige Person]
Shuhart, Margaret [Sonstige Person]
Kowdley, Kris V [Sonstige Person]
Wang, Chia C [Sonstige Person]
Sterling, Richard K [Sonstige Person]
Jake Liang, T [Sonstige Person]
Hoofnagle, Jay H [Sonstige Person]
Doo, Edward [Sonstige Person]
Chang, Kyong-Mi [Sonstige Person]
Park, Jang-June [Sonstige Person]
Belle, Steven H [Sonstige Person]
Wahed, Abdus [Sonstige Person]
Kleiner, David [Sonstige Person]

Links:

Volltext

Themen:

Antiviral Agents
Antiviral treatment
DNA, Viral
Hepatitis B virus
Journal Article
Multicenter Study
Next generation sequencing
Nucleos(t)ide analogues
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Sanger sequencing

Anmerkungen:

Date Completed 24.05.2018

Date Revised 16.08.2019

published: Print-Electronic

GENBANK: DK082863, DK082864, DK082866, DK082867, DK082871, DK082872, DK082874, DK082919, DK082923, DK082927, DK082943, DK082944

Citation Status MEDLINE

doi:

10.1111/jvh.12732

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM272615064