Persistence of hepatitis B viral DNA after serological recovery from hepatitis B virus infection

Hubert E. Blum, T. Jake Liang, Eithan Galun, Jack R. Wands

Research output: Contribution to journalArticlepeer-review

Abstract

Chronic hepatitis B virus infection is a major medical problem worldwide. Apart from HBsAg carriers, hepatitis B virus has also been identified in some HBsAg- individuals with or without antibodies to viral antigens. The molecular mechanisms underlying hepatitis B virus persistence in HBsAg- individuals are unresolved, however. To identify a possible genetic basis for viral persistence, we cloned the viral genome from the liver of a patient serologically immune to hepatitis B virus infection. DNA sequence analysis of the complete viral genome identified numerous mutations in all viral genes. Analysis of the biological effects of these mutations revealed three major findings: a low level of HBsAg synthesis, absence of HBeAg production and a defect terminating viral replication. These data suggest that mutations accumulating during the natural course of hepatitis B virus infection may be a mechanism underlying viral persistence in HBsAg-individuals, presumably through escape from immune surveillance.

Original languageEnglish (US)
Pages (from-to)56-63
Number of pages8
JournalHepatology
Volume14
Issue number1
StatePublished - Jul 1991
Externally publishedYes

ASJC Scopus subject areas

  • Hepatology

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