利用新一代测序技术确定不同阶段 HBV 感染的非治疗患者 BCP/PreC/C 区准物种的特征

IF 4.5 3区 医学 Q1 MICROBIOLOGY International Journal of Medical Microbiology Pub Date : 2024-03-27 DOI:10.1016/j.ijmm.2024.151619
Chenggong Zhu , Minjie Tang , Ya Fu , Zhen Xun , Caorui Lin , Songhang Wu , Tianbin Chen , Yongbin Zeng , Bin Yang , Qishui Ou , Can Liu
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引用次数: 0

摘要

背景分析乙型肝炎病毒(HBV)感染不同阶段患者BCP/PreC/C区的类群(QS)变化和高频突变,并为慢性乙型肝炎(CHB)患者的诊断提供新的生物标志物。方法应用新一代测序技术,我们对40例HBV感染不同阶段患者的HBV BCP/PreC/C区进行了测序。结果表明,HBeAg 阳性 CHB 患者 BCP/PreC/C QS 的复杂性和多样性显著高于 HBeAg 阳性慢性感染患者,而 HBeAg 阴性慢性感染患者的 QS 复杂性和多样性显著高于 HBeAg 阴性 CHB 患者。此外,与 HBeAg 阳性患者相比,HBeAg 阴性患者的 QS 复杂性降低,但多样性增加。接收者操作特征曲线显示,G1764A、C2102T、dN 和 QS 的复杂性可作为诊断 HBeAg 阳性 CHB 的潜在生物标记物,而 A2189C、dS 和 QS 的复杂性可作为诊断 HBeAg 阴性慢性肝炎的潜在生物标记物。最后,我们的研究还发现,G1896A 和 A2159G 可能是影响 HBeAg 血清转换的热点突变。 结论:我们的研究通过分析 QS 的异质性和突变模式,阐明了 HBV 的演变过程,为加强临床诊断和疾病预后提供了新的血清生物标志物。这种综合方法揭示了 HBV 演变的复杂动态,为更精确的医疗干预铺平了道路。
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Characterization of BCP/PreC/C region quasispecies in treatment-naive patients with different phases of HBV infection using next-generation sequencing

Background

To analysis of quasispecies (QS) changes and high-frequency mutations in the BCP/PreC/C region of patients at different phases of hepatitis B virus (HBV) infection and provides novel biomarkers for the diagnosis of chronic hepatitis B (CHB) patients.

Methods

With the application of next-generation sequencing technology, we were able to sequence the HBV BCP/PreC/C regions in 40 patients, each at different phases of the HBV infection. The heterogeneity of QS and the frequency of mutations were calculated using MEGA 7 software.

Results

Our results show that the complexity and diversity of the BCP/PreC/C QS in HBeAg-positive CHB patients are significantly higher than those in HBeAg-positive chronic infection patients, while HBeAg-negative chronic infection patients had significantly higher QS complexity and diversity than HBeAg-negative CHB patients. In addition, HBeAg-negative patients showed reduced complexity but increased diversity compared with HBeAg-positive patients. Receiver operating characteristic curves showed that G1764A, C2102T, dN and complexity of QS could be used as potential biomarkers for diagnosing HBeAg-positive CHB, while the A2189C, dS and complexity of QS could be used as potential biomarkers for diagnosing HBeAg-negative chronic hepatitis. Finally, our study also found that G1896A and A2159G may be hotspot mutations affecting HBeAg seroconversion.

Conclusion

Our research elucidates the evolution of HBV by analyzing QS heterogeneity and mutation patterns, offering novel serum biomarkers for enhancing clinical diagnosis and disease prognosis. This comprehensive approach sheds light on the intricate dynamics of HBV progression and paves the way for more precise medical interventions.

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来源期刊
CiteScore
9.70
自引率
0.00%
发文量
18
审稿时长
45 days
期刊介绍: Pathogen genome sequencing projects have provided a wealth of data that need to be set in context to pathogenicity and the outcome of infections. In addition, the interplay between a pathogen and its host cell has become increasingly important to understand and interfere with diseases caused by microbial pathogens. IJMM meets these needs by focussing on genome and proteome analyses, studies dealing with the molecular mechanisms of pathogenicity and the evolution of pathogenic agents, the interactions between pathogens and host cells ("cellular microbiology"), and molecular epidemiology. To help the reader keeping up with the rapidly evolving new findings in the field of medical microbiology, IJMM publishes original articles, case studies and topical, state-of-the-art mini-reviews in a well balanced fashion. All articles are strictly peer-reviewed. Important topics are reinforced by 2 special issues per year dedicated to a particular theme. Finally, at irregular intervals, current opinions on recent or future developments in medical microbiology are presented in an editorial section.
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