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CIRCULATION OF HDV GENOTYPES IN BRAZIL: IDENTIFICATION OF A PUTATIVE NOVEL HDV-8 SUBGENOTYPE
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Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Tecnologia em Imunobiológicos (Bio-Manguinhos). Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto de Tecnologia em Imunobiológicos (Bio-Manguinhos). Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Tecnologia em Imunobiológicos (Bio-Manguinhos). Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto de Tecnologia em Imunobiológicos (Bio-Manguinhos). Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hepatites Virais, Rio de Janeiro, RJ, Brasil.
Abstract
ABSTRACT Hepatitis D virus (HDV) is classified into 8 genotypes (1 to 8) and several
subgenotypes. In Brazil, HDV-3 and HDV-1 predominate; however, most of the diagnosis
efforts and molecular studies are directed to the area of endemicity of the Amazon Basin.
Here, we determined the molecular epidemiological profile of circulating HDV in Brazilian
HBsAg-positive patients between 2013 and 2015 in areas of endemicity and non-areas of
endemicity. From 38 anti-HDV-positive individuals, 13 (34.2%) had detectable HDV-RNA
and 11 (28.9%) were successfully sequenced. Partial HDAg (;320 nt) sequencing followed
by phylogenetic analysis with reference sequences resulted in the identification of HDV-3
(9/11; 81.8%), HDV-5 (1/11; 9.1%), and HDV-8 (1/11; 9.1%). Most HDV-3 samples (8/9; 88.9%)
were found in the endemic North region, while one was found in Central-West Brazil,
a non-area of endemicity. HDV-5 and 8, genotypes native from African countries, were
found in São Paulo, a cosmopolitan city from Southeast Brazil with a high circulation of
immigrants. Phylogenetic analysis of HDV-8 strains indicated that the sample determined
in our study, along with previously reported sequences from Brazil, formed a highly supported
monophyletic clade, likely representing a putative novel HDV-8 subgenotype.
IMPORTANCE Considered a neglected pathogen until the last 2 decades, an increase
in the availability of genetic data of hepatitis D virus (HDV) strains around the world has
been noticed recently, resulting in the proposition of different classifications. Our study
aimed to determine the molecular epidemiological profile of HDV isolates circulating in
areas of endemicity and non-areas of endemicity in Brazil. Based on the analyzed fragment,
HDV-8 sequences clustered out of the clades formed by subgenotypes 8a and 8b might
suggest the identification of a novel subgenotype, putatively designated subgenotype
8c. Our findings demonstrate the importance of continuous epidemiological surveillance
to map HDV spread pathways and the introduction of imported variants. It also reinforces
that as the amount of HDV genomes generated and reported increases, we will have
changes in viral classification and, consequently, in our understanding of the dynamics of
variability of this viral agent.
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