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Insights From Deep Sequencing of the HBV Genome—Unique, Tiny, and Misunderstood
Anna L. McNaughton
, Valentina D’Arienzo
, M. Azim Ansari
, Sheila F. Lumley
, Margaret Littlejohn
, Peter Revill
, Jane A. McKeating
, Philippa C. Matthews'Correspondence information about the author Philippa C. MatthewsEmail the author Philippa C. Matthews
Open Access
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DOI: https://doi.org/10.1053/j.gastro.2018.07.058 |
Hepatitis B virus (HBV) is a unique, tiny, partially double-stranded, reverse-transcribing DNA virus with proteins encoded by multiple overlapping reading frames. The substitution rate is surprisingly high for a DNA virus, but lower than that of other reverse transcribing organisms. More than 260 million people worldwide have chronic HBV infection, which causes 0.8 million deaths a year. Because of the high burden of disease, international health agencies have set the goal of eliminating HBV infection by 2030. Nonetheless, the intriguing HBV genome has not been well characterized. We summarize data on the HBV genome structure and replication cycle, explain and quantify diversity within and among infected individuals, and discuss advances that can be offered by application of next-generation sequencing technology. In-depth HBV genome analyses could increase our understanding of disease pathogenesis and allow us to better predict patient outcomes, optimize treatment, and develop new therapeutics.
Keywords:
Hepatitis B Virus, Genotype, Diversity, Evolution
Abbreviations used in the paper:
cccDNA (covalently closed circular DNA), dsDNA (double-stranded DNA), HBsAg (hepatitis B surface antigen), HBeAg (hepatitis B e antigen), HBV (hepatitis B virus), HCC (hepatocellular carcinoma), HIV (human immunodeficiency virus), NGS (next-generation sequencing), ORF (open reading frame), P (reverse transcriptase polymerase), RC-DNA (relaxed circular DNA), RT (reverse transcriptase), S (surface) |
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