Molecular Epidemiology, Drug-Resistant Variants, and Therapeutic Implications of Hepatitis B Virus and Hepatitis D Virus Prevalence in Nigeria: A National Study

Information on circulating HBV (sub-)genotype, variants, and hepatitis D virus (HDV) coinfection, which vary by geographical area, is crucial for the efficient control and management of HBV. We investigated the genomic characteristics of HBV (with a prevalence of 8.1%) and the prevalence of HDV in N...

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Main Authors: Oludare ‘Sunbo Adewuyi, Muhammad Shakir Balogun, Hirono Otomaru, Alash’le Abimiku, Anthony Agbakizu Ahumibe, Elsie Ilori, Que Anh Luong, Nwando Mba, James Christopher Avong, John Olaide, Oyeladun Okunromade, Adama Ahmad, Afolabi Akinpelu, Chinwe Lucia Ochu, Babatunde Olajumoke, Haruka Abe, Chikwe Ihekweazu, Adetifa Ifedayo, Michiko Toizumi, Hiroyuki Moriuchi, Katsunori Yanagihara, Jide Idris, Lay-Myint Yoshida
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Language:English
Published: MDPI AG 2025-01-01
Series:Pathogens
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Online Access:https://www.mdpi.com/2076-0817/14/1/101
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author Oludare ‘Sunbo Adewuyi
Muhammad Shakir Balogun
Hirono Otomaru
Alash’le Abimiku
Anthony Agbakizu Ahumibe
Elsie Ilori
Que Anh Luong
Nwando Mba
James Christopher Avong
John Olaide
Oyeladun Okunromade
Adama Ahmad
Afolabi Akinpelu
Chinwe Lucia Ochu
Babatunde Olajumoke
Haruka Abe
Chikwe Ihekweazu
Adetifa Ifedayo
Michiko Toizumi
Hiroyuki Moriuchi
Katsunori Yanagihara
Jide Idris
Lay-Myint Yoshida
author_facet Oludare ‘Sunbo Adewuyi
Muhammad Shakir Balogun
Hirono Otomaru
Alash’le Abimiku
Anthony Agbakizu Ahumibe
Elsie Ilori
Que Anh Luong
Nwando Mba
James Christopher Avong
John Olaide
Oyeladun Okunromade
Adama Ahmad
Afolabi Akinpelu
Chinwe Lucia Ochu
Babatunde Olajumoke
Haruka Abe
Chikwe Ihekweazu
Adetifa Ifedayo
Michiko Toizumi
Hiroyuki Moriuchi
Katsunori Yanagihara
Jide Idris
Lay-Myint Yoshida
author_sort Oludare ‘Sunbo Adewuyi
collection DOAJ
description Information on circulating HBV (sub-)genotype, variants, and hepatitis D virus (HDV) coinfection, which vary by geographical area, is crucial for the efficient control and management of HBV. We investigated the genomic characteristics of HBV (with a prevalence of 8.1%) and the prevalence of HDV in Nigeria. We utilised 777 HBV-positive samples and epidemiological data from the two-stage sampled population-based, nationally representative Nigeria HIV/AIDS Indicator and Impact Survey conducted in 2018. We assessed 732 HBV DNA-extracted samples with detectable viral loads (VLs) for (sub-)genotypes and variants by whole-genome pre-amplification, nested PCR of the <i>s</i>-and <i>pol</i>-gene, and BigDye Terminator sequencing. We conducted HDV serology. In total, 19 out of the 36 + 1 states in Nigeria had a high prevalence of HBV (≥8%), with the highest prevalence (10.4%) in the north-central geopolitical zone. Up to 33.2% (95% CI 30.0–36.6) of the participants had detectable VLs of ≥300 copies/mL. The predominant circulating HBV genotype was E with 98.4% (95% CI 97.1–99.1), followed by A with 1.6% (95% CI 0.9–2.9). Drug-resistant associated variants and immune escape variants were detected in 9.3% and 0.4%, respectively. The seroprevalence of HDV was 7.34% (95% CI 5.5–9.2). Nigeria has subtype E as the major genotype with many variants.
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spelling doaj-art-c0441b27bb994db68ba90ef4e53dda6b2025-01-24T13:44:55ZengMDPI AGPathogens2076-08172025-01-0114110110.3390/pathogens14010101Molecular Epidemiology, Drug-Resistant Variants, and Therapeutic Implications of Hepatitis B Virus and Hepatitis D Virus Prevalence in Nigeria: A National StudyOludare ‘Sunbo Adewuyi0Muhammad Shakir Balogun1Hirono Otomaru2Alash’le Abimiku3Anthony Agbakizu Ahumibe4Elsie Ilori5Que Anh Luong6Nwando Mba7James Christopher Avong8John Olaide9Oyeladun Okunromade10Adama Ahmad11Afolabi Akinpelu12Chinwe Lucia Ochu13Babatunde Olajumoke14Haruka Abe15Chikwe Ihekweazu16Adetifa Ifedayo17Michiko Toizumi18Hiroyuki Moriuchi19Katsunori Yanagihara20Jide Idris21Lay-Myint Yoshida22Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, JapanNigeria Field Epidemiology and Laboratory Training Programme, Abuja 900231, NigeriaDepartment of Paediatric Infectious Diseases, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanInstitute of Human Virology, University of Maryland School of Medicine, Baltimore, MD 21201, USAGraduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, JapanNigeria Centre for Disease Control and Prevention, Abuja 240102, NigeriaDepartment of Paediatric Infectious Diseases, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanNigeria Centre for Disease Control and Prevention, Abuja 240102, NigeriaNigeria Centre for Disease Control and Prevention, Abuja 240102, NigeriaDepartment of Paediatric Infectious Diseases, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanNigeria Centre for Disease Control and Prevention, Abuja 240102, NigeriaNigeria Centre for Disease Control and Prevention, Abuja 240102, NigeriaNigeria Centre for Disease Control and Prevention, Abuja 240102, NigeriaNigeria Centre for Disease Control and Prevention, Abuja 240102, NigeriaNigeria Centre for Disease Control and Prevention, Abuja 240102, NigeriaVietnam Research Station, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanNigeria Centre for Disease Control and Prevention, Abuja 240102, NigeriaNigeria Centre for Disease Control and Prevention, Abuja 240102, NigeriaDepartment of Paediatric Infectious Diseases, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanGraduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, JapanGraduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, JapanNigeria Centre for Disease Control and Prevention, Abuja 240102, NigeriaGraduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, JapanInformation on circulating HBV (sub-)genotype, variants, and hepatitis D virus (HDV) coinfection, which vary by geographical area, is crucial for the efficient control and management of HBV. We investigated the genomic characteristics of HBV (with a prevalence of 8.1%) and the prevalence of HDV in Nigeria. We utilised 777 HBV-positive samples and epidemiological data from the two-stage sampled population-based, nationally representative Nigeria HIV/AIDS Indicator and Impact Survey conducted in 2018. We assessed 732 HBV DNA-extracted samples with detectable viral loads (VLs) for (sub-)genotypes and variants by whole-genome pre-amplification, nested PCR of the <i>s</i>-and <i>pol</i>-gene, and BigDye Terminator sequencing. We conducted HDV serology. In total, 19 out of the 36 + 1 states in Nigeria had a high prevalence of HBV (≥8%), with the highest prevalence (10.4%) in the north-central geopolitical zone. Up to 33.2% (95% CI 30.0–36.6) of the participants had detectable VLs of ≥300 copies/mL. The predominant circulating HBV genotype was E with 98.4% (95% CI 97.1–99.1), followed by A with 1.6% (95% CI 0.9–2.9). Drug-resistant associated variants and immune escape variants were detected in 9.3% and 0.4%, respectively. The seroprevalence of HDV was 7.34% (95% CI 5.5–9.2). Nigeria has subtype E as the major genotype with many variants.https://www.mdpi.com/2076-0817/14/1/101HBVgenotypesviral loadHDVdrug-resistant associated variantsNigeria
spellingShingle Oludare ‘Sunbo Adewuyi
Muhammad Shakir Balogun
Hirono Otomaru
Alash’le Abimiku
Anthony Agbakizu Ahumibe
Elsie Ilori
Que Anh Luong
Nwando Mba
James Christopher Avong
John Olaide
Oyeladun Okunromade
Adama Ahmad
Afolabi Akinpelu
Chinwe Lucia Ochu
Babatunde Olajumoke
Haruka Abe
Chikwe Ihekweazu
Adetifa Ifedayo
Michiko Toizumi
Hiroyuki Moriuchi
Katsunori Yanagihara
Jide Idris
Lay-Myint Yoshida
Molecular Epidemiology, Drug-Resistant Variants, and Therapeutic Implications of Hepatitis B Virus and Hepatitis D Virus Prevalence in Nigeria: A National Study
Pathogens
HBV
genotypes
viral load
HDV
drug-resistant associated variants
Nigeria
title Molecular Epidemiology, Drug-Resistant Variants, and Therapeutic Implications of Hepatitis B Virus and Hepatitis D Virus Prevalence in Nigeria: A National Study
title_full Molecular Epidemiology, Drug-Resistant Variants, and Therapeutic Implications of Hepatitis B Virus and Hepatitis D Virus Prevalence in Nigeria: A National Study
title_fullStr Molecular Epidemiology, Drug-Resistant Variants, and Therapeutic Implications of Hepatitis B Virus and Hepatitis D Virus Prevalence in Nigeria: A National Study
title_full_unstemmed Molecular Epidemiology, Drug-Resistant Variants, and Therapeutic Implications of Hepatitis B Virus and Hepatitis D Virus Prevalence in Nigeria: A National Study
title_short Molecular Epidemiology, Drug-Resistant Variants, and Therapeutic Implications of Hepatitis B Virus and Hepatitis D Virus Prevalence in Nigeria: A National Study
title_sort molecular epidemiology drug resistant variants and therapeutic implications of hepatitis b virus and hepatitis d virus prevalence in nigeria a national study
topic HBV
genotypes
viral load
HDV
drug-resistant associated variants
Nigeria
url https://www.mdpi.com/2076-0817/14/1/101
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