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Table 1 Quantification of HBV variants and its clinical application

From: Elimination of Hepatitis B: Is It a Mission Possible?

 

Nie et al. [19]

Yang et al. [20]

Tseng et al. [21]

Bayliss et al. [22]

Quantification assay

Selective inhibitory polymerase chain reaction

Pyrosequencing

Pyrosequencing

Next generation sequencing

Target region

PC (G1896A) & BCP (A1762T/G1764A) mutants

PC (G1896A) & BCP (A1762T/G1764A) mutants

BCP mutants (A1762T/G1764A)

HBV whole genome

Sensitivity to detect minor strains

<1%

10%

10%

<1%

Enrolled patients

18 HBeAg-positive patients

203 HBeAg-positive patients receiving interferon-based treatment

151 HBeAg-negative patients with a median follow-up period of 9 years.

157 HBeAg-positive patients receiving 4-year tenofovir treatment

Main finding

Levels of PC and BCP mutants may predict the time of HBeAg seroconversion

Quantitative analysis of PC and BCP mutants can predict interferon-induced

HBeAg seroconversion

A higher percentage of BCP mutant is associated with higher risks of cirrhosis development

Detectable BCP or PC mutants are associated with a lower probability of HBsAg loss during tenofovir therapy.

  1. Note
  2. PC precore stop codon, BCP basal core promoter, HBeAg hepatitis B e antigen, HBsAg hepatitis B surface antigen