2017 Fiscal Year Final Research Report
Evaluation of the escape mutant of the hepatitis B virus as a minor strain in mother-to-child transmission
| Project/Area Number |
15K09701
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Pediatrics
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| Research Institution | Toho University |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
舘野 昭彦 東邦大学, 医学部, 教授 (10138993)
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| Research Collaborator |
INUI Ayano
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| Project Period (FY) |
2015-04-01 – 2018-03-31
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| Keywords | B型肝炎ウイルス / 母子感染 / ワクチン / HBIG / S抗原 / 変異株 / minor clone / 予防不成功 |
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| Outline of Final Research Achievements |
The frequency of the G145R mutant as a minor as well as major strain was approximately 25% in children who were infected due to immunoprophylaxis failure. HBeAg positivity and high viremia were closely related to the detection of the G145R mutant as a minor population in patients without a history of HB vaccinations, HBIG, or antiviral treatment. Although the G145R mutant as a minor population was detected in pregnant women who were HBeAg-positive and had a high viral load, none of the infants born to the mothers infected with the G145R mutation showed breakthrough infection. Thus, the pre-existence of the G145R mutation as a minor population in mothers does not always cause immunoprophylaixs failure after birth. However, treatment with nucleotide analogues for HBV carrier pregnant women, based on an HBeAg-positive status and the level of HBV DNA, should be encouraged to reduce the risk of breakthrough infection.
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| Free Research Field |
小児感染症
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