<p>Hepatitis B virus genetic diversity (HBV) evaluation is scarcely done in Tanzania, imposing a crucial knowledge gap toward elimination of HBV infection by 2030. This cross-sectional study was conducted on purposively selected 21 plasma samples with high HBV-deoxyribonucleic acid (DNA) levels of &gt; 300,000IU/mL. DNA extraction was done using Qiagen DNA Blood Mini Kit (Qiagen, Hilden, Germany). Partial amplification of 423&#xa0;bp of pol gene, sequencing and analysis; and statistical analysis by STATA version 15 were done. These patients had mean age of 41 ± 11 years with HBV-DNA median of 979 [185.5–8457.5] IU/mL. The genotypes detected were HBV/A; 76.2% (16/21), HBV/D; 19% (4/21), and lastly HBV/G; 4.8% (1/21). Most of the HBV/As and all of the HBV/Ds identified in this study did not cluster with HBV/As and HBV/Ds from other parts of the world. Overall, 19% (4/21) of the patients had HBV escape mutations (T123V, Y134N, P120T and T123A). In conclusion, HBV/A and HBV/D are predominant over time in North-western Tanzania. Most HBV/A and all HBV/D are unique to Tanzania as had been previously reported. However, the pattern of hepatitis B virus genetic diversity is changing in Northwestern Tanzania with occurrence of HBV/G as new genotype in the region.</p>

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The pattern change of hepatitis B virus genetic diversity in Northwestern Tanzania

  • Mathias Mlewa,
  • Shimba Henerico,
  • Helmut A. Nyawale,
  • Ivon Mangowi,
  • Aminiel Robert Shangali,
  • Anselmo Mathias Manisha,
  • Felix Kisanga,
  • Benson R. Kidenya,
  • Hyasinta Jaka,
  • Semvua B. Kilonzo,
  • Britta Groendahl,
  • Philipp Koliopoulos,
  • Gehring Stephan,
  • Nyanda Elias Ntinginya,
  • Mariam M. Mirambo,
  • Stephen E. Mshana

摘要

Hepatitis B virus genetic diversity (HBV) evaluation is scarcely done in Tanzania, imposing a crucial knowledge gap toward elimination of HBV infection by 2030. This cross-sectional study was conducted on purposively selected 21 plasma samples with high HBV-deoxyribonucleic acid (DNA) levels of > 300,000IU/mL. DNA extraction was done using Qiagen DNA Blood Mini Kit (Qiagen, Hilden, Germany). Partial amplification of 423 bp of pol gene, sequencing and analysis; and statistical analysis by STATA version 15 were done. These patients had mean age of 41 ± 11 years with HBV-DNA median of 979 [185.5–8457.5] IU/mL. The genotypes detected were HBV/A; 76.2% (16/21), HBV/D; 19% (4/21), and lastly HBV/G; 4.8% (1/21). Most of the HBV/As and all of the HBV/Ds identified in this study did not cluster with HBV/As and HBV/Ds from other parts of the world. Overall, 19% (4/21) of the patients had HBV escape mutations (T123V, Y134N, P120T and T123A). In conclusion, HBV/A and HBV/D are predominant over time in North-western Tanzania. Most HBV/A and all HBV/D are unique to Tanzania as had been previously reported. However, the pattern of hepatitis B virus genetic diversity is changing in Northwestern Tanzania with occurrence of HBV/G as new genotype in the region.