TY - JOUR
T1 - Transmission of a homogeneous hepatitis B virus population of A1896- containing strains leading to mild resolving acute hepatitis and seroconversion to hepatitis B e antigen antibodies in an adult
AU - Mphahlele, M. Jeffrey
AU - Shattock, Alan G.
AU - Boner, Winifred
AU - Quinn, Jacqueline
AU - McCormick, P. Aiden
AU - Carman, William F.
PY - 1997/9
Y1 - 1997/9
N2 - The pre-core variant, A1896, which switches off hepatitis B e antigen (HBeAg) production, is common in hepatitis B e antigen antibody (anti-HBe)-positive chronic hepatitis patients. It has been observed in occasional case reports of acute hepatitis. However, transmission in the absence of HBeAgproducing strains, leading to acute nonfulminant hepatitis and clearance in adults, has not been reported. Here, we show that this event can occur, further confirming that A1896 strains are 'wild-type' and can lead to all the same outcomes as G1896 strains. This is in keeping with phylogenetic evidence that A1896 is transmitted independently on a large scale in the population and explains anti-HBe- positive persons who have not had an HBeAg-positive phase documented.
AB - The pre-core variant, A1896, which switches off hepatitis B e antigen (HBeAg) production, is common in hepatitis B e antigen antibody (anti-HBe)-positive chronic hepatitis patients. It has been observed in occasional case reports of acute hepatitis. However, transmission in the absence of HBeAgproducing strains, leading to acute nonfulminant hepatitis and clearance in adults, has not been reported. Here, we show that this event can occur, further confirming that A1896 strains are 'wild-type' and can lead to all the same outcomes as G1896 strains. This is in keeping with phylogenetic evidence that A1896 is transmitted independently on a large scale in the population and explains anti-HBe- positive persons who have not had an HBeAg-positive phase documented.
UR - http://www.scopus.com/inward/record.url?scp=0030612251&partnerID=8YFLogxK
U2 - 10.1002/hep.510260329
DO - 10.1002/hep.510260329
M3 - Article
C2 - 9303507
AN - SCOPUS:0030612251
SN - 0270-9139
VL - 26
SP - 743
EP - 746
JO - Hepatology
JF - Hepatology
IS - 3
ER -