Analyze of Hepatitis A Virus Genotypes in Eastern Area of Jeonnam, Korea

  • Received : 2011.02.07
  • Accepted : 2011.03.25
  • Published : 2011.03.31

Abstract

Hepatitis A virus (HAV) is a causative agent of triggering acute hepatitis which is transmitted by person-to-person contact and or fecal-oral route. In previous studies, most hepatitis A virus (HAV) isolates had been genotype IA in Korea. Recently, a small number of different genotypes were reported with an upsurge of acute hepatitis by HAV. Therefore, the distribution of HAV genotypes was investigated. RNA was extracted from anti-HAV IgM positive sera which were collected from February to August 2009, at a tertiary care hospital in eastern Jeonnam, Korea. Nested reverse transcription PCR and direct sequencing for VP1/P2A region of the HAV were performed. A total of 365 cases with suspected acute hepatitis were tested for anti-HAV IgM and positive results were obtained in 24 sera (9.0%), which were collected 2 to 15 days (median, 7 days) after the onset of symptoms. Of the 24 seropositive samples, 14 (58.3%) samples were positive for HAV RNA, among which 4 isolates (28.6%) were genotype IA and the other 10 (71.4%) were genotype IIIA. Both IA and IIIA genotypes were isolated from 5~6 neighboring administrative districts throughout the year without geographic or seasonal restrictions. HAV genotypes (IA and IIIA) were observed from the eastern Jeonnam for the studied.

Keywords

References

  1. Bruisten SM, van Steenbergen JE, Pijl AS, Niesters HG, van Doornum GJ, Coutinho RA. Molecular epidemiology of hepatitis A virus in Amsterdam, the Netherlands. J Med Virol. 2001. 63: 88-95. https://doi.org/10.1002/1096-9071(20000201)63:2<88::AID-JMV1001>3.0.CO;2-G
  2. Byun KS, Kim JH, Song KJ, Baek LJ, Song JW, Park SH, Kwon OS, Yeon JE, Kim JS, Bak YT, Lee CH. Molecular epidemiology of hepatitis A virus in Korea. J Gastroenterol Hepatol. 2001. 16: 519-524. https://doi.org/10.1046/j.1440-1746.2001.02481.x
  3. Chodick G, Ashkenazi S, Aloni H, Peled T, Lerman Y. Hepatitis A virus seropositivity among hospital and community healthcare workers in Israel: the role of occupation, demography and socioeconomic background. J Hosp Infect. 2003. 54: 135-140. https://doi.org/10.1016/S0195-6701(03)00124-5
  4. Cristina J, Costa-Mattioli M. Genetic variability and molecular evolution of hepatitis A virus. Virus Res. 2007. 127: 151-157. https://doi.org/10.1016/j.virusres.2007.01.005
  5. Cuthbert JA. Hepatitis A: old and new. Clin Microbiol Rev. 2001. 14: 38-58. https://doi.org/10.1128/CMR.14.1.38-58.2001
  6. Endo K, Inoue J, Takahashi M, Mitsui T, Masuko K, Akahane Y, Okamoto K. Analysis of the full-length genome of a subgenotype IIIB hepatitis A virus isolate: primers for broadly reactive PCR and genotypic analysis. J Med Virol. 2007. 79: 8-17. https://doi.org/10.1002/jmv.20757
  7. Feinstone SM, Kapikian AZ, Purcell RH. Hepatitis A; detection by immune electron microscopy of a virus-like antigen associated with acute illness. Science 1973. 182: 1026-1028. https://doi.org/10.1126/science.182.4116.1026
  8. Fujiwara K, Yokosuka O, Fukai K, Imazeki F, Saisho H, Omata M. Analysis of full-length hepatitis A virus genome in sera from patients with fulminant and self-limited acute type A hepatitis. J Hepatol. 2001. 35: 112-119. https://doi.org/10.1016/S0168-8278(01)00074-5
  9. Hadler SC, Webster HM, Erben JJ, Swanson JE, Maynard JE. Hepatitis A in day-care centers. A community-wide assessment. N Engl J Med. 1980. 302: 1222-1227. https://doi.org/10.1056/NEJM198005293022203
  10. Heo NY, Lim YS, Kang JM, Oh SI, Park CS, Jung SW, Lee YS, Kim KM, Lee HC, Chung YH, Lee YS, Suh DJ. Clinical features of fulminant hepatic failure in a tertiary hospital with a liver transplant center in Korea. Korean J Hepatol. 2006. 12: 82-92.
  11. Hong WS, Kim CY. Seroepidemiology of type A and type B hepatitis in Seoul area. Korean J Med. 1982. 25: 19-26.
  12. Kang CI, Choi CM, Park TS, Lee DJ, Oh MD, Choi KW. Incidence and seroprevalence of hepatitis A virus infections among young Korean soldiers. J Korean Med Sci. 2007. 22: 546-548. https://doi.org/10.3346/jkms.2007.22.3.546
  13. Kim JS, Kim SH. Molecular epidemiology of an outbreak of hepatitis A in Korea. Korean J Clin Pathol. 2001. 21: 114-118.
  14. Kim DH, Park KJ, Kim SH, Cho SB, Lee WS, Park CH. Clinical characteristics of patients with acute hepatitis A in Gwangju- Chonnam province for recent 10 years. Korean J Med. 2007.72:131-137.
  15. Lednar WM, Lemon SM, Kirkpatrick JW, Redfield RR, Fields ML, Kelley PW. Frequency of illness associated with epidemic hepatitis A virus infections in adults. Am J Epidemiol. 1985. 122: 226-233. https://doi.org/10.1093/oxfordjournals.aje.a114093
  16. Lee JM, Park HK, Choi KY, Kim HG, Jung JO, Seo SO, Kim SY, Kim YG, Kim YJ, JO MG. A seroepidemiological study of anti-HAV IgG in Korean combat policeman and comparison with previous report in 1999. Korean J Hepatol. 2007. 13: 158.
  17. Massoudi MS, Bell BP, Paredes V, Insko J, Evans K, Shapiro CN. An outbreak of hepatitis A associated with an infected foodhandler. Public Health Rep. 1999. 114: 157-164. https://doi.org/10.1093/phr/114.2.157
  18. Melnick JL. History and epidemiology of hepatitis A virus. J Infect Dis. 1995. 171: 2-8. https://doi.org/10.1093/infdis/171.Supplement_1.S2
  19. Nainan OV, Xia G, Vaughan G, Margolis HS. Diagnosis of hepatitis a virus infection:a molecular approach. Clin Microbiol Rev. 2006.19: 63-79. https://doi.org/10.1128/CMR.19.1.63-79.2006
  20. Ngui SL, Granerod J, Jewes LA, Crowcroft NS, Teo CG. Outbreaks of hepatitis A in England and Wales associated with two co-circulating hepatitis A virus strains. J Med Virol. 2008. 80: 1181-1188. https://doi.org/10.1002/jmv.21207
  21. Park CH, Cho YK, Park JH, Jun JS, Park ES, Seo JH, Lim JY, Woo HO, Youn HS, Ko GH, Kang HL, Baik SC, Lee WK, Cho MJ, Rhee KH. Changes in the age-specific prevalence of hepatitis A virus antibodies: a 10-year cohort study in Jinju, South Korea. Clin Infect Dis. 2006. 42: 1148-1150. https://doi.org/10.1086/501016
  22. Park JY, Lee JB, Jeong SY, Lee SH, Lee MA, Choi HJ. Molecular characterization of an acute hepatitis A outbreak among healthcare workers at a Korean hospital. J Hosp Infect. 2007. 67: 175-181. https://doi.org/10.1016/j.jhin.2007.07.020
  23. Provost PJ, Wolanski BS, Muller IVJ, Ittensohn OL, McAleer WJ, Hillman MR. Physical, chemical, and morphological dimensions of human hepatitis A virus strain CR 326(38578). Proc Soc Exp Biol Med. 1975. 148: 532-539. https://doi.org/10.3181/00379727-148-38578
  24. Rosenblum LS, Villarino ME, Nainan OV. Hepatitis A outbreak in a neonatal intensive care unit; risk factors for transmission and evidence of prolonged viral excretion among preterm infants. J Infect Dis. 1991. 164: 476-482. https://doi.org/10.1093/infdis/164.3.476
  25. Sanchez G, Pinto RM, Vanaclocha H, Bosch A. Molecular characterization of hepatitis a virus isolates from a transcontinental shellfish-borne outbreak. J Clin Microbiol. 2002. 40: 4148 -4155. https://doi.org/10.1128/JCM.40.11.4148-4155.2002
  26. Serkan O, Selcen O, Serhan S. Hepatitis A and B seropisivity among medical students. Health Policy. 2005. 74: 39-45. https://doi.org/10.1016/j.healthpol.2004.12.004
  27. Sjogren MH. Hepatitis A. In: Schiff ER, ed. Schiff's diseases of the liver. Philadelphia: Williams L & Wilkins. 2007. 729-743.
  28. Skidmore SJ, Gully PR, Middleton JD, Hassam ZA, Singal GM. An outbreak of hepatitis A on a hospital ward. J Med Virol. 1985. 17: 175-177. https://doi.org/10.1002/jmv.1890170210
  29. Sobsey MD, Shields PA, Hauchman FS, Davis AL, Rullman VA, Bosch A. Survival and persistence of hepatitis A virus in environmental samples. In: Zuckerman AJ, ed. Viral hepatitis d liver disease. New York: Alan R. Liss; 1988. 121-124.
  30. Song YB, Lee JH, Choi MS, Kho KC, Paik SW, Yoo BC, Choi YH, Sohn HJ, Lee KH, Rhee JC. The age-specific seroprevalence of hepatitis A virus antibody in Korea. Korean J Hepatol. 2007. 13: 27-33.
  31. Takahashi H, Yotsuyanagi H, Yasuda K, Koibuchi T, Suzuki M, Kato T, Nakamura T, Iwamoto A, Nishioka K, Iino S, Koike K, Itoh F. Molecular epidemiology of hepatitis A virus in metropolitan areas in Japan. J Gastroenerol. 2006. 41: 981 -986. https://doi.org/10.1007/s00535-006-1888-9
  32. Taylor MB. Molecular epidemiology of South African strains of hepatitis A virus: 1982-1996. J Med Virol. 1997. 51: 273-279. https://doi.org/10.1002/(SICI)1096-9071(199704)51:4<273::AID-JMV3>3.0.CO;2-2
  33. Watson JC, Fleming DW, Borella AJ, Olcott ES, Conrad RE, Baron RC. Vertical transmission of hepatitis A resulting in an outbreak in a neonatal intensive care unit. J Infect Dis. 1993.167: 567-571. https://doi.org/10.1093/infdis/167.3.567
  34. Wheeler C, Vogt TM, Armstrong GL, Vaughan G, Weltman A, Nainan OV, Dato V, Xia G, Waller K, Amon J, Lee TM, Highbaugh-Battle A, Hembree C, Evenson S, Ruta MA, Williams IT, Fiore AE, Bell BP. An outbreak of hepatitis A associated with green onions. N Engl J Med. 2005. 353: 890 -897. https://doi.org/10.1056/NEJMoa050855
  35. Yeon JE, Kwon OS, Park SH, Byun GS, Jo GH, An HS. Seroepidemiologic study of hepatitis A virus infection in Korea. Korean J Hepatol. 1999. 5(suppl1): 4A.
  36. Yoo SJ, Seo DD, Choi WC, Kwon OJ, Park JC, Shin BM. Co-circulation of two geno types of Hepatitis A virus from sporadic casesin Northeastern area of Seoul, Korea. Korean J Lab Med. 2008. 28: 371-377. https://doi.org/10.3343/kjlm.2008.28.5.371
  37. Yun H, Kim S, Lee H, Byun KS, Kwon SY, Yim HJ, Lim YS, Jeong SH, Jee Y. Genetic analysis of HAV strains isolated from patients with acute hepatitis in Korea, 2005-2006. J Med Virol. 2008. 80: 777-784. https://doi.org/10.1002/jmv.21127