Point mutations in the S and pre-S2 genes observed in two hepatitis B virus carriers positive for antibody to hepatitis B surface antigen

Hepatogastroenterology. 1998 Mar-Apr;45(20):500-2.

Abstract

Two hepatitis B virus (HBV) carriers who had antibodies to HBV surface antigen (anti-HBs) were studied. Case 1 was a 47 year old woman positive for hepatitis B e antigen (HBeAg), and case 2 was a 61 year old man positive for antibody to HBeAg (anti-HBe) and DNA-polymerase (DNA-p). Neither case had received the HBV vaccine. The nucleotide sequences of the HBV-DNA extracted from the patients' sera were determined within the pre-S2 and S genes. Seven out of nine S gene clones from case 1 and six out of nine S gene clones from case 2 had an amino acid replacement from Thr or Ile to Ser at codon 126 in the alpha-determinant of the S gene. Amino acid substitution of codon 145 of the S gene previously reported was not observed. Although two previous reports on HBV escape mutant carriers with both anti-HBs and HBeAg described some deletions in the pre-S2 gene, our cases did not show these deletions. Our analysis indicated that carriers with the HBV escape mutant did not always have pre-S2 gene deletions. We found two HBV escape mutant carriers who had amino acid substitutions at codon 126 in the S gene due to point mutation without any deletions in the pre-S2 gene.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • DNA, Viral / genetics
  • Female
  • Genes, Viral / genetics*
  • Hepatitis B / immunology
  • Hepatitis B / virology*
  • Hepatitis B Antibodies / immunology
  • Hepatitis B Surface Antigens / genetics*
  • Hepatitis B Surface Antigens / immunology*
  • Hepatitis B e Antigens / immunology
  • Hepatitis B virus / genetics
  • Humans
  • Male
  • Middle Aged
  • Point Mutation / genetics*
  • Protein Precursors / genetics*
  • Viral Envelope Proteins / genetics*

Substances

  • DNA, Viral
  • Hepatitis B Antibodies
  • Hepatitis B Surface Antigens
  • Hepatitis B e Antigens
  • Protein Precursors
  • Viral Envelope Proteins
  • presurface protein 2, hepatitis B surface antigen