A novel method for the identification of hepatitis B virus (HBV) varia
nts was developed. The ligase chain reaction (LCR) distinguished the s
equences of two isolates from The Gambia showing a change at nucleotid
e 421 within the region coding for the surface protein a antigenic det
erminant. One sequence was derived from a child previously immunized w
ith HBV vaccine, while the other, reported here for the first time, wa
s from a chronic carrier. Nucleotide variations within the target sequ
ence at, or up to 3 bases from the point of ligation inhibited the rea
ction. The LCR recognised variations in as little as 0.9 fmol DNA and
will permit the rapid detection of HBV variants in molecular epidemiol
ogical studies.