Global Distribution and Natural Recombination of Hepatitis D Virus: Implication of Kyrgyzstan Emerging HDVs in the Clinical Outcomes

Discrepancies in human hepatitis delta virus (HDV) genotypes impact the virus’ biological behavior, clinical manifestation, and treatment response. Herein, this report aims to explore the role of recombination in the worldwide genotypic distribution and genetic diversity of HDV. Three-hundred-forty-...

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Main Authors: Amina Nawal Bahoussi, Pei-Hua Wang, Yan-Yan Guo, Nighat Rabbani, Changxin Wu, Li Xing
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/14/7/1467
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author Amina Nawal Bahoussi
Pei-Hua Wang
Yan-Yan Guo
Nighat Rabbani
Changxin Wu
Li Xing
author_facet Amina Nawal Bahoussi
Pei-Hua Wang
Yan-Yan Guo
Nighat Rabbani
Changxin Wu
Li Xing
author_sort Amina Nawal Bahoussi
collection DOAJ
description Discrepancies in human hepatitis delta virus (HDV) genotypes impact the virus’ biological behavior, clinical manifestation, and treatment response. Herein, this report aims to explore the role of recombination in the worldwide genotypic distribution and genetic diversity of HDV. Three-hundred-forty-eight human HDV full-length genomic sequences of ~1678 nt in length, isolated in twenty-eight countries worldwide between 1986 and 2018, were analysed. Similarity analysis and recombination mapping were performed, and forty-eight recombination events were identified, twenty-nine of which were isolated from Kyrgyzstan and determined to be involved in the diversity and extension of HDV sub-genotypes. HDV recombination occurred only between the genetically close genotypes (genotype 5 and genotype 2) or mainly within genotype 1, suggesting the complex replicative molecular mechanisms of HDV-RNA. The global distribution and classification of HDV genotypes have been updated, indicating that HDV recombination is one of the driving forces behind the biodiversity and the evolution of human HDV genomes. The outcome analysis suggests that the expansion of HDV sub-genotypes and the complex recombination networks might be related to the genomic character of Kyrgyzstan circulating strains and extensive mobility within countries and across borders. These findings will be of great importance in formulating more effective public health HDV surveillance strategies and guiding future molecular and epidemiological research to achieve better clinical outcomes.
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spelling doaj.art-5b3d2b3d9ba34618a44899361b5588b92023-12-01T22:47:10ZengMDPI AGViruses1999-49152022-07-01147146710.3390/v14071467Global Distribution and Natural Recombination of Hepatitis D Virus: Implication of Kyrgyzstan Emerging HDVs in the Clinical OutcomesAmina Nawal Bahoussi0Pei-Hua Wang1Yan-Yan Guo2Nighat Rabbani3Changxin Wu4Li Xing5Institutes of Biomedical Sciences, Shanxi University, 92 Wucheng Road, Taiyuan 030006, ChinaInstitutes of Biomedical Sciences, Shanxi University, 92 Wucheng Road, Taiyuan 030006, ChinaInstitutes of Biomedical Sciences, Shanxi University, 92 Wucheng Road, Taiyuan 030006, ChinaInstitutes of Biomedical Sciences, Shanxi University, 92 Wucheng Road, Taiyuan 030006, ChinaInstitutes of Biomedical Sciences, Shanxi University, 92 Wucheng Road, Taiyuan 030006, ChinaInstitutes of Biomedical Sciences, Shanxi University, 92 Wucheng Road, Taiyuan 030006, ChinaDiscrepancies in human hepatitis delta virus (HDV) genotypes impact the virus’ biological behavior, clinical manifestation, and treatment response. Herein, this report aims to explore the role of recombination in the worldwide genotypic distribution and genetic diversity of HDV. Three-hundred-forty-eight human HDV full-length genomic sequences of ~1678 nt in length, isolated in twenty-eight countries worldwide between 1986 and 2018, were analysed. Similarity analysis and recombination mapping were performed, and forty-eight recombination events were identified, twenty-nine of which were isolated from Kyrgyzstan and determined to be involved in the diversity and extension of HDV sub-genotypes. HDV recombination occurred only between the genetically close genotypes (genotype 5 and genotype 2) or mainly within genotype 1, suggesting the complex replicative molecular mechanisms of HDV-RNA. The global distribution and classification of HDV genotypes have been updated, indicating that HDV recombination is one of the driving forces behind the biodiversity and the evolution of human HDV genomes. The outcome analysis suggests that the expansion of HDV sub-genotypes and the complex recombination networks might be related to the genomic character of Kyrgyzstan circulating strains and extensive mobility within countries and across borders. These findings will be of great importance in formulating more effective public health HDV surveillance strategies and guiding future molecular and epidemiological research to achieve better clinical outcomes.https://www.mdpi.com/1999-4915/14/7/1467<i>Deltavirus</i> genusHDV RNAviroidgenotypephylogenetic analysisgenomic recombination
spellingShingle Amina Nawal Bahoussi
Pei-Hua Wang
Yan-Yan Guo
Nighat Rabbani
Changxin Wu
Li Xing
Global Distribution and Natural Recombination of Hepatitis D Virus: Implication of Kyrgyzstan Emerging HDVs in the Clinical Outcomes
Viruses
<i>Deltavirus</i> genus
HDV RNA
viroid
genotype
phylogenetic analysis
genomic recombination
title Global Distribution and Natural Recombination of Hepatitis D Virus: Implication of Kyrgyzstan Emerging HDVs in the Clinical Outcomes
title_full Global Distribution and Natural Recombination of Hepatitis D Virus: Implication of Kyrgyzstan Emerging HDVs in the Clinical Outcomes
title_fullStr Global Distribution and Natural Recombination of Hepatitis D Virus: Implication of Kyrgyzstan Emerging HDVs in the Clinical Outcomes
title_full_unstemmed Global Distribution and Natural Recombination of Hepatitis D Virus: Implication of Kyrgyzstan Emerging HDVs in the Clinical Outcomes
title_short Global Distribution and Natural Recombination of Hepatitis D Virus: Implication of Kyrgyzstan Emerging HDVs in the Clinical Outcomes
title_sort global distribution and natural recombination of hepatitis d virus implication of kyrgyzstan emerging hdvs in the clinical outcomes
topic <i>Deltavirus</i> genus
HDV RNA
viroid
genotype
phylogenetic analysis
genomic recombination
url https://www.mdpi.com/1999-4915/14/7/1467
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