Evidence map›Paper›PMID 32727389›Full record

ArticleBMC infectious diseases2020

Distribution of hepatitis B virus genotypes in the general population of Myanmar via nationwide study.

Yi Yi Kyaw, Aye Aye Lwin, Khin Saw Aye, Hlaing Myat Thu, Moh Moh Htun, Hnin Ohmar Soe, Kay Thi Aye, Kyaw Zin Thant, Hyeon Jeong Hwang, JaeHun Cheong

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.9field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Yi Yi KyawAdvanced Molecular Research Centre, Department of Medical Research, Republic of Union of Myanmar, Yangon, Myanmar.
Aye Aye LwinDepartment of Medical Research, Republic of Union of Myanmar, Yangon, Republic of the Union of Myanmar.
Khin Saw AyeDepartment of Medical Research, Republic of Union of Myanmar, Yangon, Republic of the Union of Myanmar.
Hlaing Myat ThuDepartment of Medical Research, Republic of Union of Myanmar, Yangon, Republic of the Union of Myanmar.
Moh Moh HtunDepartment of Medical Research, Republic of Union of Myanmar, Yangon, Republic of the Union of Myanmar.
Hnin Ohmar SoeAdvanced Molecular Research Centre, Department of Medical Research, Republic of Union of Myanmar, Yangon, Myanmar.
Kay Thi AyeAdvanced Molecular Research Centre, Department of Medical Research, Republic of Union of Myanmar, Yangon, Myanmar.
Kyaw Zin ThantDepartment of Medical Research, Republic of Union of Myanmar, Yangon, Republic of the Union of Myanmar.
Hyeon Jeong HwangDepartment of Molecular Biology, Pusan National University, Busan, 46241, Republic of Korea.
JaeHun CheongDepartment of Molecular Biology, Pusan National University, Busan, 46241, Republic of Korea. molecule85@pusan.ac.kr.
Myanmar Oxford Clinical Research Unit · MMPusan National University · KR

Funding

Animal and Plant Quarantine Agency 2019
6 · The paper itself

Abstract

backgroundHepatitis B virus (HBV) infections are a severe health concern worldwide. HBV is a DNA virus with a rapid rate of mutation. Based on heterogeneity of the nucleotide sequence, the HBV strains are divided into nine genotypes, each with a characteristic geographical distribution. Identifying and tracking alterations of HBV genotypes is important in epidemiological and transmission studies, and contributes to predicting the risk for development of severe liver disease and response to antiviral treatment. The present study was undertaken to detect HBV genotypes and sub-genotypes in the general population of different states and regions in Myanmar.

methodsIn 2015, a total of 5547 adults of the general population, residing in seven states, seven regions and the Nay Pyi Taw Union Territory, were screened for Hepatitis B Surface antigen (HBsAg) by the immunochromatographic test (ICT). Of the 353 HBsAg positive samples, the HBVDNA was identified using polymerase chain reactions (PCR) targeting the DNA sequences encoding the Pre-S region. A total of 153 PCR positive samples were subsequently subjected to genotyping by partial genome sequencing in both directions. The resulting sequences were then edited, aligned, and compared with reference sequences using the National Centre for Biotechnology Information (NCBI) web-based genotyping tool.

resultsThree HBV genotypes (HBV genotype B, genotype C and genotype D) were detected in Myanmar, of which genotype HBV genotype C (66.7%) was the most prevalent, followed by HBV genotype D (32%) and HBV genotype B (1.3%). Sub-genotyping revealed a total of 7 variants within the B, C and D genotypes: 2 (B4 and B5) in HBV genotype B, 3 (C1, C5 and C7) in HBV genotype C, and 2 (D3 and D6) in HBV genotype D.

conclusionHBV genotype C, sub-genotype C1 was predominantly distributed in all states and regions of Myanmar. This study is the first report on the nationwide distribution of HBV genotypes and sub-genotypes in Myanmar. We believe our findings will enable huge support for the hepatitis disease surveillance program, since HBV infection is one of the National Priority Diseases in Myanmar.

Indexed as

GenotypeAdultBase SequenceChromatography, AffinityCross-Sectional StudiesDNA, ViralFemaleHepatitis BHepatitis B Surface AntigensHepatitis B virusHumansMaleMiddle AgedMyanmarPhylogenyPolymerase Chain ReactionDNA, ViralHepatitis B Surface AntigensGenotypeHepatitis B virusMyanmarSub-genotype

Identifiers

PMID32727389
PMCPMC7392661
OpenAlexW3045521293

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.