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Investigation of the Mechanism of Fulminant and Severe Hepatitis Correlated with Hepatitis B Virus Mutations

Research Project

Project/Area Number 03454223
Research Category

Grant-in-Aid for General Scientific Research (B)

Allocation TypeSingle-year Grants
Research Field Gastroenterology
Research InstitutionUniversity of Tokyo (1992-1993)
Chiba University (1991)

Principal Investigator

OMATA Masao  University of Tokyo Second Department of Internal Medicine Professor, 医学部(病), 教授 (90125914)

Co-Investigator(Kenkyū-buntansha) MATSUMURA Masayuki  University of Tokyo Second Department of Internal Medicine Fellow, 医学部(病), 医員
TADA Minoru  University of Tokyo Second Department of Internal Medicine Fellow, 医学部(病), 医員
SHIRATORI Yasushi  University of Tokyo Second Department of Internal Medicine Instructor, 医学部(病), 助手 (70196624)
今関 文夫  千葉大学, 医学部(病), 助手 (40223325)
田川 まさみ  千葉大学, 医学部附属病院, 医員
細田 和彦  千葉大学, 医学部附属病院, 医員
横須賀 収  千葉大学, 医学部, 助手 (90182691)
Project Period (FY) 1991 – 1993
Project Status Completed (Fiscal Year 1993)
Budget Amount *help
¥5,400,000 (Direct Cost: ¥5,400,000)
Fiscal Year 1993: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 1992: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 1991: ¥2,400,000 (Direct Cost: ¥2,400,000)
Keywordshepatitis B virus / core gene / mutation / wild type / HLA / hepatitis / fulminant / HBV / Mutant / 劇症肝炎 / 劇性肝炎 / PreーC変異株 / TCR / 慢性肝炎
Research Abstract

Hepatitis B virus infection leads to a wide spectrum of liver injury, including self-limited acute hepatitis, fulminant hepatitis and chronic hepatitis with progression to cirrhosis or acute exacerbation to liver failure, as well as asymtomatic chronic carrier state. The hepatitis B core antigen could be an immunological target of cytotoxic T lymphocytes (CTL). To investigate the reason why the severe immunological attack occurs, the entire precore and core region was sequenced. No significant change in deduced amino acid residuewas noted in all the asymptomatic healthy carrires and all the self-limited acute hepatitis patients. In contrast, clustering changes in small segments of amino acids were found in all the patients with severe chronic liver disease and the fatal hepatitis cases. These data suggest that these regions with mutation may play an important role in the pathogenesis of hepatitis B viral disease, and such mutations are related to severe liver damage.
Recent studies revealed that the endogenously processed viral peptides bound to the class I human lymphocyte antigen (HLA) are recognized by CTLs and the size of the processed viral peptide could be as small as 9 amino acids. To study the mechanism how CTLs recognize HBV peptides bound to HLA Class I molecules, we have already established a method to separate HLA Class I molecules from hepatocytes using an affinity colum chromatography. We have started to analyze such peptides eluted from purified HLA class I molecules.

Report

(4 results)
  • 1993 Annual Research Report   Final Research Report Summary
  • 1992 Annual Research Report
  • 1991 Annual Research Report
  • Research Products

    (29 results)

All Other

All Publications (29 results)

  • [Publications] Ehata T,Omata M,Chuang WL,Yokosuka O,Ito Y,Hosoda K,Ohto M: "Mutations in core nucleotide sequence of hepatitis B virus correlated with fulminant and severe hepatitis" J Clin Invest. 91. 1206-1213 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Ehata T,Omata M,Yokosuka O,Hosoda K,Ohto M: "Variations in codons 84-101 in the core nucleotide sequence correlated with hepatocellular injury in chronic hepatitis B virus infection." J Clin Invest. 89. 332-338 (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Chuang WL,Omata M,Ehata T,Yokosuka O,Ito Y,Imazeki F,Lu SN,Chang WY,Ohto M: "Precore mutations and core clustering inutations in chronic hepatitis B virus infection." Gastroenterology. 104. 263-271 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Chuang WL,Omata M,Ehata T,Yokosuka O,Ohto M: "Concentrating missense mutations in core gene of hepatitis B virus.Evidence for adaptive mutation in chronic hepatitis B virus infection." Dig Dis Sci. 38. 594-611 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Ehata T,Chuang WL,Omata M: "Mutations of hepatitis B virus liver disease." Gastroenterologia Japonica. 28. 7-11 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Omata M,Ehata T: "Mutations of hepatitis B virus correlate with liver disease." Internal Medicine. 32. 940-943 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Toshiki Ehata, Masao Omata, Wan-Long Chuang, Osamu Yokosuka, Yoshimi Ito, Kazuhiko Hosoda, Masao Ohto: "Mutations in Core Nucleotide Sequence of Hepatitis B Virus Correlated with Fulminant and Severe Hepatitis" J Clin Invest. 91. 1206-1213 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Toshiki Ehata, Masao Omata, Osamu Yokosuka, Kazuhiko Hosoda, Masao Ohto: "Variations in Codons 84-101 in the Core Nucleotide Sequence Correlated with Hepatocellular Injury in Chronic Hepatitis B Virus Infection" J Clin Invest. 89. 332-338 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Wan-Long Chuang, Masao Omata, Toshiki Ehata, Osamu Yokosuka, Yoshimi Ito, Fumio Imazeki, Shen-Nan Lu, Wen-Yu Chang, Masao Ohto: "Precore Mutations and Core Clustering Mutations in Chronic Hepatitis B Virus Infection" Gastroenterology. 104. 263-271 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Wan-Long Chuang, Masao Omata, Toshiki Ehata, Osamu Yokosuka, Masao Ohto: "Concentrating Missense Mutations in Core Gene Of Hepatitis B Virus. Evidence for Adaptive Mutation in Chronic Hepatitis B Virus Infection" Dig Dis Sci. 38. 594-611 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Toshiki Ehata, Wan-Long Chuang, Masao Omata: "Mutations of hepatitis B virus liver disease" Gastroenterologia Japonica. 28. 7-11 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Masao Omata, Toshiki Ehata: "Mutations of Hepatitis B Virus Correlate with Liver Disease" Internal Medicine. 32. 940-943 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Ehata T,Omata M et al: "Mutations in core nucleotide sequence of hepatitis B virus correlate with fulminant and severe hepatitis." J Clin Invest. 91. 1206-1213 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Chuang WL,Omata M et al.: "Concentrating missense mutations in core gene of hepatitis B virus:evidence for adaptive mutation in chronic hepatitis B virus infection." Dig Dis Sci. 38. 594-600 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Yokosuka O,Omata M et al.: "Expression of hepatitis C virus core protein as a fusion protein with maltose binding protein:detection of anti-hepatitis C core antibody by western blot." Dig Dis Sci. 38. 626-630 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Kato N,Omata M et al.: "Quantification of hepatitis C virus by competitive reverse transcription-polymerase chain reaction:increase of the virus in advanced liver disease." Hepatology. 18. 16-20 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Takano S,Omata M et al.: "Prospective asseament of donor blood screening for antibody to hepatitis C virus and high-titer antibody to hepatitis B core antigen as a means of preventing post transfuse hepatitis 〓" Hepatology. 18. 235-239 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Kato N,Omata M et al.: "Detection of hepatitis C RNA in acute non-A,non-B hepatitis as an early diagnostic tool." Biochem Biophys Res Commun. 192. 800-807 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Yokosuka O,Omata M et al.: "Anti-viral effect of recombinant interferon alfa-2a on hepatitis C virus." Int Hepatol Commun. 1. 128-132 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Chien DY,Omata M et al.: "Use of recombinant HCV antigen in the serodiagnosis of hepatitis C virus infection:Significant improvement in HCV antibody detection as compared with the first generation HCV C10-3 ELISA and the synthetic peptide ETA tests." J Gastroenterology and Hepatology. 8. S33-S39 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Chuang WL,Omata M et al.: "Precore mutations and core clustering mutations in chronic hepatitis B virus infection." Gastroenterology. 104. 263-271 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Yokosuka O,Omata M et al.: "Expression of HCV E2/NS1 protein as a fusion protein with maltose binding protein:detection of anti-E2/NS1 antibody in chronic liver disease." Gut. 34. S64-S65 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Takano S,Omata M et al.: "Prospective assessment of incidence of ful-minant hepatitis in post-transfusion hepatitis" Dig Dis Sci. 39. 28-32 (1994)

    • Related Report
      1993 Annual Research Report
  • [Publications] Ehata,T.: "Variations in codon 84-101 in the core nucleotide sequence correlate with hepatocellular injury in chronic hepatitis B virus infection." J Clin Invest. 89. 332-338 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] Hosoda,K.: "Nucleotide sequences of 5-1-1 of hepatitis C virus in patients with chronic liver disease." Gastroenterology. 102. 1039-1043 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] Yokosuka,O.: "Detection of antibody to hepatitis C E2/NS1 Protein in patients with type C hepatitis." Biochem Biophys Res Commun. 189. 565-571 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] Chuang,WL.: "Precore mutations and core clustering mutations in chronic hepatitis B Virus infection." Gastroenterology. 104. (1993)

    • Related Report
      1992 Annual Research Report
  • [Publications] Omata M,Ehata T,Yokosuka O,Hosoda K,et al.: "Mutatations in the precore region of hepatitis B virus DNA in patients with fulminant and severe hepatitis" N Engl J Med. 324. 1699-1704 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] Ehata T,Omata M,Yokosuka O,Hosoda K: "Variations in codon 84ー101 in the core nucleotide sequence colrelate with hepatecellular injury in chronic hepatitis B virus intection" J Clin Invest. 69. 643-647 (1992)

    • Related Report
      1991 Annual Research Report

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Published: 1991-04-01   Modified: 2016-04-21  

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