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Abstract

Hepatitis B virus (HBV) chronically infects an estimated 240 million people worldwide and is a major health problem. Despite its DNA genome, the virus is characterised by a high degree of genetic heterogeneity because of the use of an RNA intermediate and a reverse transcriptase during replication. Under the pressure of the immune response or exogenous factors such as immunisation or antiviral drugs, clinically relevant mutations in different proteins can be selected. Until now, HBV isolates have been classified in nine main genotypes (A–I), further segregated into subgenotypes, which have distinct ethno-geographic distributions. Genotypes A and D are ubiquitous and the two most prevalent genotypes in Europe, whereas genotypes B and C are restricted to eastern Asia and Oceania, genotype E to central and western Africa, and genotypes H and F to Latin America and Alaska. This review summarises the data concerning the origin and dispersion histories of the main HBV genotypes.

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Zehender, G., Ebranati, E., Fiaschi, L., Ciccozzi, M., Galli, M. (2016). HBV Virus in the Future. In: Borini, A., Savasi, M. (eds) Assisted Reproductive Technologies and Infectious Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-30112-9_2

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