Roles of Hepatitis B Virus Mutations in the Viral Reactivation after Immunosuppression Therapies

Autor: Jun Inoue, Takuya Nakamura, Atsushi Masamune
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Viruses, Vol 11, Iss 5, p 457 (2019)
Druh dokumentu: article
ISSN: 1999-4915
DOI: 10.3390/v11050457
Popis: Reactivation of hepatitis B virus (HBV) is a major problem in patients receiving chemotherapy for malignant diseases or immunosuppression therapies. It has been thought that a reduction in the immune responses might result in the reactivation of HBV replication from covalently closed circular DNA (cccDNA) residing in hepatocytes. However, not only the host’s immune status, but also viral mutations have been reported to be associated with reactivation. Especially, several case reports about amino acid mutations in hepatitis B surface antigen (HBsAg) that escape from immune reactions have been reported, and recent reports showed that the frequencies of such mutations are higher than previously expected. In this review, we summarize the characteristics of viral mutations, including immune escape mutations in HBV-reactivated patients, and discuss their significance.
Databáze: Directory of Open Access Journals
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