Hepatitis B virus genotypes in southwest Iran: Molecular, serological and clinical outcomes

AIM: To investigate the associations of hepatitis B virus (HBV) genotype with HBeAg and anti-HBe status, alanine aminotransferase (ALT) levels and HBV-DNA detection in different groups of HBV-infected patients in southwest Iran. METHODS: A total of 89 HBsAg-positive serum samples were collected from...

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Published in:World journal of gastroenterology : WJG Vol. 14; no. 10; pp. 1510 - 1513
Main Authors: Mojiri, Anahita, Behzad-Behbahani, Abbas, Saberifirozi, Mehdei, Ardabili, Maryam, Beheshti, Mahmood, Rahsaz, Marjan, Banihashemi, Mehrdad, Azarpira, Negar, Geramizadeh, Bita, Khadang, Baharak, Moaddeb, Afsaneh, Ghaedi, Mojgan, Heidari, Tahereh, Torab, Ardeshir, Salah, Alireza, Amirzadeh, Saeid, Jowkar, Zahra, Mehrabani, Davood, Amini-Bavil-Olyaee, Samad, Dehyadegari, Mohammad-Ali
Format: Journal Article
Language:English
Published: United States Gastroenterology and Hepatology Research Center,Namazi Hospital,Shiraz University of Medical Sciences,Shiraz,Iran%Organ Transplant Research Center,Namazi Hospital,Shiraz University of Medical Sciences,Shiraz,Iran%Department of Microbiology,School of Medicine,Shiraz University of Medical Sciences,Shiraz,Iran%Iranian Blood Transfusion Organization,Shiraz,Iran%Biotechnology Department,Pasteur Institute of Iran,Tehran,Iran%Professor Alborzi Clinical Microbiology Research Center,Shiraz University of Medical Sciences,Shiraz,Iran 14-03-2008
The WJG Press and Baishideng
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Summary:AIM: To investigate the associations of hepatitis B virus (HBV) genotype with HBeAg and anti-HBe status, alanine aminotransferase (ALT) levels and HBV-DNA detection in different groups of HBV-infected patients in southwest Iran. METHODS: A total of 89 HBsAg-positive serum samples were collected from the same number of patients. All sera were then investigated to determine HBV DNA and serological markers. For all the polymerase chain reaction (PCR)-positive samples, biochemical, histopathological assays and genotyping were also performed. RESULTS: Genotype D was the only type of HBV foundin different clinical forms of acute and chronic infections. There was a high prevalence of HBeAg-negative HBV- infected patients with chronic hepatitis (52.7%). Out of 55 patients with chronic hepatitis, seven (12.7%) were diagnosed with cirrhosis. A significant association between the presence of anti-HBe antibody and an increase in ALT level, among either HBeAg-negative (P = 0.01) or HBeAg-positive (P = 0.026) patients, was demonstrated. No significant differences were observed between the clinical outcomes of HBeAg-positive and -negative individuals (P = 0.24). CONCLUSION: Genotype D has been recognized as the only type of HBV found in different clinical forms of HBV infections, including cirrhosis, among the residents of southwest Iran. Anti-HBe possibly plays a role in disease progression in some patients with chronic hepatitis, at least for a period of disease.
Bibliography:Polymerase chain reaction
Cirrhosis
Iran
14-1219/R
R373.21
Anti-HBe
Hepatitis B virus-D
Hepatitis B virus-D; Cirrhosis; Iran; Anti-HBe;Polymerase chain reaction
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SourceType-Scholarly Journals-1
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Telephone: +98-711-2295023
Author contributions: Mojiri A, Rahsaz M, Salah AR, Dehyadegari MA, Jowkar Z, Ghaedi M, Heidari T and Moaddeb A performed the research; Amini-Bavil-Olyaee S, Torab A and Amirzadeh S contributed new reagents/analytic tools; Behzad-Behbahani A, Saberifirozi M and Geramizadeh B designed the research; Ardabili M, Beheshti M and Azarpira N analyzed the data; Mehrabani D afforded financial support; Behzad-Behbahani A and Mojiri A contributed equally to this work.
Correspondence to: Abbas Behzad-Behbahani, School of Paramedical Sciences, Shiraz University of Medical Sciences, Meshkinfam St. 7143914693, Shiraz, Iran. behbahani_2000@yahoo.com
Fax: +98-711-2289113
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.14.1510