HBV genotypes: relevance to natural history, pathogenesis and treatment of chronic hepatitis B.

Abstract:

:Although chronic HBV infection is the leading cause of chronic liver disease and death worldwide, there are substantial differences in its clinical courses regarding prevalence, mode of transmission, characteristics of each phase, responses to antiviral therapy, and development of cirrhosis and hepatocellular carcinoma, according to geographical areas (Asia versus Western Europe and North America versus Africa). Furthermore, the clinical course in infected individuals depends on a complex interplay among various factors including viral, host, environmental and other factors. Recently, understanding of molecular characteristics of the prevailing HBV genotypes, frequently accompanied mutations and their clinical implications might explain these geographical differences more pertinently. Hence, in this article, we review the global epidemiology and the natural history of HBV infection, with emphasis on summarizing the different HBV genotypes according to regions.

journal_name

Antivir Ther

journal_title

Antiviral therapy

authors

Kim BK,Revill PA,Ahn SH

doi

10.3851/IMP1982

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

1169-86

issue

8

eissn

1359-6535

issn

2040-2058

journal_volume

16

pub_type

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