Molecular Epidemiological Characteristics and Risk Factors for Acquiring HBV Among Li Ethnic in Baisha County, Hainan Island-Subgenotype D3 Was First Discovered in China

The residents of Baisha, a county of Hainan Island, mainly composed of Li ethnic population and relatively closed living environment with its unique geographical location. Our previous study showed that Li ethnic population of Baisha is an endemic center for hepatitis C virus, with significantly hig...

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Main Authors: Ru Xu, Dandan Song, Min Wang, Jieting Huang, Qiao Liao, Zhengang Shan, Xia Rong, Yongshui Fu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-02-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2022.837746/full
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author Ru Xu
Ru Xu
Dandan Song
Min Wang
Min Wang
Jieting Huang
Jieting Huang
Qiao Liao
Qiao Liao
Zhengang Shan
Zhengang Shan
Xia Rong
Xia Rong
Xia Rong
Yongshui Fu
Yongshui Fu
Yongshui Fu
Yongshui Fu
author_facet Ru Xu
Ru Xu
Dandan Song
Min Wang
Min Wang
Jieting Huang
Jieting Huang
Qiao Liao
Qiao Liao
Zhengang Shan
Zhengang Shan
Xia Rong
Xia Rong
Xia Rong
Yongshui Fu
Yongshui Fu
Yongshui Fu
Yongshui Fu
author_sort Ru Xu
collection DOAJ
description The residents of Baisha, a county of Hainan Island, mainly composed of Li ethnic population and relatively closed living environment with its unique geographical location. Our previous study showed that Li ethnic population of Baisha is an endemic center for hepatitis C virus, with significantly higher rates than in other parts of China. However, the epidemiology of HBV in this region remains unclear. Therefore, we conducted a comprehensive epidemiological survey of HBV in Baisha County, including 1,682 Li ethnic residents. The total seropositive rate for HBsAg was 10.2% and was higher than other parts of China. HBV-positive status was associated with the 20–40-year-old group (OR = 1.27, 95%CI 1.04–1.39, P < 0.01) and alcohol consumption (OR = 2.17, 95%CI 1.58–2.99, P < 0.01). Phylogenetic analysis showed that HBV subgenotype D3 was predominant in Baisha County which was first discovered in China, followed by C5, C1, B2, and undetermined subgenotypes which were significantly different from other geographical distribution of main genotypes in China. The most recent common ancestor (tMRCA) of the HBV genotype C in the Li ethnic of Baisha County was 1846 (95%CI: 1739–1932), and Baisha-C5 was earlier than Baisha-C1 and Baisha-C2. Most Baisha-D3 sequences were concentrated in one bundle and unrelated to those D3 genome sequences elsewhere in the world. According to the phylogenetic tree, D3 was introduced into Baisha County in 1884 (95%CI: 1816–1993) and became a local endemic virus. In conclusion, HBV infection in the Li ethnic group is characterized by a high prevalence rate in 20–40-year-old individuals and a unique genotype distribution which were significantly different from other geographical distribution of main genotypes in China, and subgenotype D3 was first discovered in China.
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spelling doaj.art-936c3a1e676b417e970a1fa5005b00262022-12-22T04:10:34ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2022-02-011310.3389/fmicb.2022.837746837746Molecular Epidemiological Characteristics and Risk Factors for Acquiring HBV Among Li Ethnic in Baisha County, Hainan Island-Subgenotype D3 Was First Discovered in ChinaRu Xu0Ru Xu1Dandan Song2Min Wang3Min Wang4Jieting Huang5Jieting Huang6Qiao Liao7Qiao Liao8Zhengang Shan9Zhengang Shan10Xia Rong11Xia Rong12Xia Rong13Yongshui Fu14Yongshui Fu15Yongshui Fu16Yongshui Fu17Institute of Clinical Blood Transfusion, Guangzhou Blood Center, Guangzhou, ChinaThe Key Medical Laboratory of Guangzhou, Guangzhou, ChinaDepartment of Clinical Laboratory, The Fifth People’s Hospital of Zhuhai, Zhuhai, ChinaInstitute of Clinical Blood Transfusion, Guangzhou Blood Center, Guangzhou, ChinaThe Key Medical Laboratory of Guangzhou, Guangzhou, ChinaInstitute of Clinical Blood Transfusion, Guangzhou Blood Center, Guangzhou, ChinaThe Key Medical Laboratory of Guangzhou, Guangzhou, ChinaInstitute of Clinical Blood Transfusion, Guangzhou Blood Center, Guangzhou, ChinaThe Key Medical Laboratory of Guangzhou, Guangzhou, ChinaInstitute of Clinical Blood Transfusion, Guangzhou Blood Center, Guangzhou, ChinaThe Key Medical Laboratory of Guangzhou, Guangzhou, ChinaInstitute of Clinical Blood Transfusion, Guangzhou Blood Center, Guangzhou, ChinaThe Key Medical Laboratory of Guangzhou, Guangzhou, ChinaSchool of Laboratory Medicine and Biotechnology, Southern Medical University, Guangzhou, ChinaInstitute of Clinical Blood Transfusion, Guangzhou Blood Center, Guangzhou, ChinaThe Key Medical Laboratory of Guangzhou, Guangzhou, ChinaSchool of Laboratory Medicine and Biotechnology, Southern Medical University, Guangzhou, ChinaZhujiang Hospital of Southern Medical University, Guangzhou, ChinaThe residents of Baisha, a county of Hainan Island, mainly composed of Li ethnic population and relatively closed living environment with its unique geographical location. Our previous study showed that Li ethnic population of Baisha is an endemic center for hepatitis C virus, with significantly higher rates than in other parts of China. However, the epidemiology of HBV in this region remains unclear. Therefore, we conducted a comprehensive epidemiological survey of HBV in Baisha County, including 1,682 Li ethnic residents. The total seropositive rate for HBsAg was 10.2% and was higher than other parts of China. HBV-positive status was associated with the 20–40-year-old group (OR = 1.27, 95%CI 1.04–1.39, P < 0.01) and alcohol consumption (OR = 2.17, 95%CI 1.58–2.99, P < 0.01). Phylogenetic analysis showed that HBV subgenotype D3 was predominant in Baisha County which was first discovered in China, followed by C5, C1, B2, and undetermined subgenotypes which were significantly different from other geographical distribution of main genotypes in China. The most recent common ancestor (tMRCA) of the HBV genotype C in the Li ethnic of Baisha County was 1846 (95%CI: 1739–1932), and Baisha-C5 was earlier than Baisha-C1 and Baisha-C2. Most Baisha-D3 sequences were concentrated in one bundle and unrelated to those D3 genome sequences elsewhere in the world. According to the phylogenetic tree, D3 was introduced into Baisha County in 1884 (95%CI: 1816–1993) and became a local endemic virus. In conclusion, HBV infection in the Li ethnic group is characterized by a high prevalence rate in 20–40-year-old individuals and a unique genotype distribution which were significantly different from other geographical distribution of main genotypes in China, and subgenotype D3 was first discovered in China.https://www.frontiersin.org/articles/10.3389/fmicb.2022.837746/fullhepatitis B virusrisk factorsepidemiologyLi ethnicHBV genotype
spellingShingle Ru Xu
Ru Xu
Dandan Song
Min Wang
Min Wang
Jieting Huang
Jieting Huang
Qiao Liao
Qiao Liao
Zhengang Shan
Zhengang Shan
Xia Rong
Xia Rong
Xia Rong
Yongshui Fu
Yongshui Fu
Yongshui Fu
Yongshui Fu
Molecular Epidemiological Characteristics and Risk Factors for Acquiring HBV Among Li Ethnic in Baisha County, Hainan Island-Subgenotype D3 Was First Discovered in China
Frontiers in Microbiology
hepatitis B virus
risk factors
epidemiology
Li ethnic
HBV genotype
title Molecular Epidemiological Characteristics and Risk Factors for Acquiring HBV Among Li Ethnic in Baisha County, Hainan Island-Subgenotype D3 Was First Discovered in China
title_full Molecular Epidemiological Characteristics and Risk Factors for Acquiring HBV Among Li Ethnic in Baisha County, Hainan Island-Subgenotype D3 Was First Discovered in China
title_fullStr Molecular Epidemiological Characteristics and Risk Factors for Acquiring HBV Among Li Ethnic in Baisha County, Hainan Island-Subgenotype D3 Was First Discovered in China
title_full_unstemmed Molecular Epidemiological Characteristics and Risk Factors for Acquiring HBV Among Li Ethnic in Baisha County, Hainan Island-Subgenotype D3 Was First Discovered in China
title_short Molecular Epidemiological Characteristics and Risk Factors for Acquiring HBV Among Li Ethnic in Baisha County, Hainan Island-Subgenotype D3 Was First Discovered in China
title_sort molecular epidemiological characteristics and risk factors for acquiring hbv among li ethnic in baisha county hainan island subgenotype d3 was first discovered in china
topic hepatitis B virus
risk factors
epidemiology
Li ethnic
HBV genotype
url https://www.frontiersin.org/articles/10.3389/fmicb.2022.837746/full
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