La. Wallace et al., MOLECULAR CHARACTERIZATION OF ENVELOPE ANTIGENIC VARIANTS OF HEPATITIS-B VIRUS FROM SPAIN, The Journal of infectious diseases, 170(5), 1994, pp. 1300-1303
In a survey of hepatitis B virus (HBV) subtypes using one set of monoc
lonal typing antibodies, 96.6% of the samples were ad or ay and 3.3% (
31) were untypeable. Using two additional antibody panels, 23 samples
were ay and ad. Six samples required a third panel to be typed as ay.
One sample was not typeable. These last 7 samples were nonreactive or
had low reactivity with some antibodies to the common a determinant. S
equencing the HBsAg gene of these 7 samples revealed that amino acid (
aa) 122 was arginine, as expected for the y determinant. However, muta
tions giving rise to serine at aa 120, leucine at aa 143, and glutamic
acid at aa 144 were found singly or in combination and correlated wit
h the monoclonal antibody binding patterns. These results have implica
tions for further subtyping surveys, vaccines, immunotherapy, and the
design of diagnostic assays, and they give clues to the structure of t
he major neutralizing epitope of HBV.