Evidence map›Paper›PMID 40872815›Full record

ArticleViruses2025

Evolutionary Insights of Hepatitis B Virus Genotypes and Profiles of Mutations in Surface and Basal Core Promoter/Pre-Core Genes Among HBsAg-Positive Patients in North-Central and Southwestern Nigeria.

Priscilla Abechi, Uwem E George, Olawale A Adejumobi, Umar Ahmad, Olamide Y Aborisade, Arthur O Oragwa, Oluremi I Ajayi, Oluwasemilogo O Akinlo, Christian Happi, Onikepe A Folarin

Abstract read
In one paragraph

Article in Viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Priscilla AbechiInstitute of Genomics and Global Health (Formerly ACEGID), Redeemer's University, Ede 232101, Nigeria.ORCID 0000-0002-6556-9949
Uwem E GeorgeInstitute of Genomics and Global Health (Formerly ACEGID), Redeemer's University, Ede 232101, Nigeria.ORCID 0000-0001-5474-1048
Olawale A AdejumobiInstitute of Genomics and Global Health (Formerly ACEGID), Redeemer's University, Ede 232101, Nigeria.ORCID 0000-0002-5374-8712
Umar AhmadInstitute of Genomics, Centre for Laboratory Diagnostics and Systems, Africa Centres for Disease Control and Prevention (Africa CDC), African Union Comission, Ababa 3243, Ethiopia.
Olamide Y AborisadeHaematology and Blood Transfusion Service Department, UNIOSUN Teaching Hospital, Osogbo 230283, Nigeria.
Arthur O OragwaDepartment of Veterinary Microbiology, Faculty of Veterinary Medicine, University of Jos, Jos 930003, Nigeria.ORCID 0000-0002-4873-2089
Oluremi I AjayiInstitute of Genomics and Global Health (Formerly ACEGID), Redeemer's University, Ede 232101, Nigeria.
Oluwasemilogo O AkinloInstitute of Genomics and Global Health (Formerly ACEGID), Redeemer's University, Ede 232101, Nigeria.
Christian HappiInstitute of Genomics and Global Health (Formerly ACEGID), Redeemer's University, Ede 232101, Nigeria.ORCID 0000-0002-3056-6705
Onikepe A FolarinInstitute of Genomics and Global Health (Formerly ACEGID), Redeemer's University, Ede 232101, Nigeria.ORCID 0000-0001-7283-2920

Funding

Training and Research on Arboviruses and Zoonoses In Nigeria and Sierra Leone (TRAIN)D43TW012246 · FIC · UNIVERSITY OF TEXAS MED BR GALVESTON · PI Nikos Vasilakis, Scott C Weaver · 2022 to 2026
$1.2M
FIC NIH HHS D43 TW012246World Bank ACE019 and ACE-IMPACT
6 · The paper itself

Abstract

In Nigeria, hepatitis B virus (HBV) infection remains a significant public health issue. The emergence of immune escape mutants (IEMs), basal core promoters, and precore (BCP/PC) mutants among asymptomatic individuals has enabled the continuous evolution of the virus in the country. In this study, we used Sanger sequencing of the S gene and the BCP/PC region to investigate the genetic diversity, phylogenetic relationships, and mutational profiles of HBV strains detected in two regions in Nigeria. A total of 178 HBsAg-positive samples confirmed by ELISA underwent viral DNA extraction and PCR amplification of the surface and BCP/PC genes, and 76 and 60 sequences were found to be exploitable for S and BCP/PC genes, respectively, which were used for HBV genotyping and mutational analysis. We detected various mutations in the major hydrophilic loop (target of neutralizing antibodies), including vaccine escape mutants (VEMs) (L127P/R, S140T/L, and G145A), HBV immunoglobulin resistance mutants (T131N, S143T, and W156R), and mutations previously reported in patients with reactivated infections (T115N, G159A/R, and F161Y). We also identified a high proportion of C1741T in 34/42 (81%) along with A1762T or G1764A mutation in 14/42 (33%) and 18/42 (43%) as the dominant variants in the BCP region. The predominant classical PC G1896A and G1899A variants were identified in 26/42 (62%) and 17/42 (40%) participants in this study. Two HBV genotypes were identified (A and E). However, HBV genotype E was the most frequently identified genotype, and is still the dominant strain circulating in Nigeria. We report the circulation of HBV IEMs and the preponderance of BCP and classical PC variants among asymptomatic carriers. Our findings suggest that the spread of these HBV mutant variants among asymptomatic carriers may have an impact on the effectiveness of diagnostic immunoassays and the success of HBsAg-based vaccinations. This highlights the need for robust surveillance.

Indexed as

Evolution, MolecularGenotypeHepatitis BHepatitis B Core AntigensHepatitis B Surface AntigensHepatitis B virusMutationPromoter Regions, GeneticAdolescentAdultDNA, ViralFemaleGenetic VariationHumansMaleMiddle AgedDNA, ViralHepatitis B Core AntigensHepatitis B Surface AntigensHBV genotypeimmune escape mutantsNorthcentral/Southwestern Nigeriaprecore/basal core promoter region

Identifiers

PMID40872815
PMCPMC12390711

What OpenQuestion holds

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Registered trials

None linked

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.