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. (HEPATOLOGY 1991;14:56–62.)
| Original language | English |
|---|---|
| Pages (from-to) | 56-63 |
| Number of pages | 8 |
| Journal | Hepatology |
| Volume | 14 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jul 1991 |
| Externally published | Yes |
