Skip to main content
Log in

Trial Results for ELISA Test Kits for HBsAg Subtype and Hepatitis B Virus Genotype Identification in Human Blood Plasma

  • EXPERIMENTAL WORKS
  • Published:
Molecular Genetics, Microbiology and Virology Aims and scope Submit manuscript

Abstract

For personalized treatment of chronic HBV-infected patients, it is necessary to identify hepatitis B virus (HBV) surface antigen (HBsAg) subtypes and HBV genotypes circulating among infected individuals. To this end, a laboratory version of the test kit for HBsAg subtype and HBV genotype identification in human blood serum/plasma using enzyme-linked immunosorbent assay (ELISA) and a custom monoclonal antibody (MAb) panel has been developed. With this kit version, it appears possible to identify the main HBsAg subtypes (ayw2, ayw3, adw2, and adrq+) and HBV genotypes (A, C, and D) circulation in Russian Federation. The aim of the work was to test the laboratory-developed ELISA kits for HBsAg subtyping and HBV genotyping in human HBsAg-positive blood plasma samples. A total of 146 HBsAg-positive plasma samples were tested. For 108 samples with detectable viral DNA, the results of HBsAg subtyping and HBV genotyping using the suggested MAb panel were compared with the results of genomic DNA sequencing for HBV isolates. For 38 HBsAg-positive samples in which HBV DNA could not be detected, ELISA, using the highly specific MAb panel kindly provided by P. Swenson, PhD, was employed as a reference technique. The study demonstrated that for the group of HBsAg-positive samples with detectable HBV DNA, the coincidence between the results obtained using the suggested MAb panel and the results of HBV DNA genome sequence analysis was 85% for HBsAg subtyping and 98% for HBV genotyping. For the group of HBsAg-positive samples with undetectable HBV DNA, the coincidence between the two techniques (the one using the suggested MAb panel and one using Swenson’s MAb panel) was 95% in the case of HBsAg subtyping and 100% for HBV genotyping. The reported results allow recommending the suggested laboratory ELISA test kit for HBsAg subtype and HBV genotype identification in human blood plasma as an alternative or a complementary technique to genomic analysis in order to study HBV characteristics especially in those cases when HBV DNA isolation appears impossible.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

REFERENCES

  1. Le Bouvier, G.L., The heterogeneity of Australia antigen, J. Infect. Dis., 1971, vol. 123, no. 6. pp. 671–675. https://doi.org/10.1093/infdis/123.6.671

    Article  CAS  PubMed  Google Scholar 

  2. Bancroft, W.H., Mundon, F.K., and Russell, P.K., Detection of additional antigenic determinants of hepatitis B antigen, J. Immunol., 1972, vol. 109, no. 4. pp. 842–848.

    CAS  PubMed  Google Scholar 

  3. Couroucé-Pauty, A.M., Plançon, A., and Soulier, J.P., Distribution of HBsAg subtypes in the world, Vox Sang., 1983, vol. 44, no. 4., pp. 197–211. https://doi.org/10.1111/j.1423-0410.1983.tb01885.x

    Article  PubMed  Google Scholar 

  4. Okamoto, H., Imai, M., Tsuda, F., Tanaka, T., Miyakawa, Y., and Mayumi, M., Point mutation in the S gene of hepatitis B virus for d/y or w/r subtypic change in two blood donors carrying a surface antigen of compound subtype adyr or adwr, J. Virol., 1987, vol. 61, no. 10, pp. 3030–3034.

    Article  CAS  Google Scholar 

  5. Norder, H., Hammas, B., Losfdahl, S., Courouce, A.M., and Magnius, L.O., Comparison of the amino acid sequences of nine different serotypes of hepatitis B surface antigen and genomic classification of the corresponding hepatitis B virus strains, J. Gen. Virol., 1992, vol. 73, no. 5, pp. 1201–1208. https://doi.org/10.1099/0022-1317-73-5-1201

    Article  CAS  PubMed  Google Scholar 

  6. Purdy, M., Talekar, G., Swenson, P., Araujo, A., and Fields, H., A New algorithm for deduction of hepatitis B surface antigen subtype determinants from the amino acid sequence, Intervirology, 2007, vol. 50, pp. 45–51. https://doi.org/10.1159/000096312

    Article  CAS  PubMed  Google Scholar 

  7. Norder, H., Couroucé, A.M., Coursaget, P., Echevarria, J.M., Lee, S.D., Mushahwar, I.K., et al., Genetic diversity of hepatitis B virus strains derived worldwide: Genotypes, subgenotypes, and HBsAg subtypes, Intervirology, 2004, vol. 47, no. 6, pp. 289–309. https://doi.org/10.1159/000080872

    Article  PubMed  Google Scholar 

  8. Schaefer, S., Magnius, L., and Norder, H., Under construction: Classification of hepatitis B virus genotypes and subgenotypes, Intervirology, 2009, vol. 52, no. 6, pp. 323–325. https://doi.org/10.1159/000242353

    Article  PubMed  Google Scholar 

  9. Kurbanov, F., Tanaka, Y., and Mizokami, M., Geographical and genetic diversity of the human hepatitis B virus, Hepatol. Res., 2010, vol. 40, no. 1, pp. 14–30. https://doi.org/10.1111/j.1872-034X.2009.00601.x

    Article  PubMed  Google Scholar 

  10. Kato, H., Ruzibakiev, R., Yuldasheva, N., Hegay, T., Kurbanov, F., Achundjanov, B., et al., Hepatitis B virus genotypes in Uzbekistan and validity of two different systems for genotyping, J. Med. Virol., 2002, vol. 67, no. 4, pp. 477–483. https://doi.org/10.1002/jmv.10126

    Article  CAS  PubMed  Google Scholar 

  11. Tallo, T., Norder, H., Tefanova, V., Krispin, T., Priimägi, L., Mukomolov, S., et al., Hepatitis B virus genotype D strains from Estonia share sequence similarity with strains from Siberia and may specify ayw4, J. Med. Virol., 2004, vol. 74, no. 2, pp. 221–227. https://doi.org/10.1002/jmv.20169

    Article  CAS  PubMed  Google Scholar 

  12. Sominskaya, I., Mihailova, M., Jansons, J., Emelyanova, V., Folkmane, I., Smagris, E., et al., Hepatitis B and C virus variants in long-term immunosuppressed renal transplant patients in Latvia, Intervirology, 2005, vol. 48, nos. 2–3, pp. 192–200. https://doi.org/10.1159/000081748

    Article  CAS  PubMed  Google Scholar 

  13. Avazova, D., Kurbanov, F., Tanaka, Y., Sugiyama, M., Radchenko, I., Ruziev, D., et al., Hepatitis B virus transmission pattern and vaccination efficiency in Uzbekistan, J. Med. Virol., 2008, vol. 80, no. 2, pp. 217–224. https://doi.org/10.1002/jmv.21035

    Article  CAS  PubMed  Google Scholar 

  14. Tallo, T., Tefanova, V., Priimagi, L., Schmidt, J., Katargina, O., Michailov, M., et al., D2: Major subgenotype of hepatitis B virus in Russia and the Baltic region, J. Gen. Virol., 2008, vol. 89, pp. 1829–1839. https://doi.org/10.1099/vir.0.83660-0

    Article  CAS  PubMed  Google Scholar 

  15. Olinger, C.M., Lazouskaya, N.V., Eremin, V.F., and Muller, C.P., Multiple genotypes and subtypes of hepatitis B and C viruses in Belarus: Similarities with Russia and western European influences, Clin. Microbiol. Infect., 2008, vol. 14, no. 6, pp. 575–581. https://doi.org/10.1111/j.1469-0691.2008.01988.x

    Article  CAS  PubMed  Google Scholar 

  16. Chulanov, V.P., The epidemiological and clinical significance of hepatitis A and B viruses’ genetic heterogeneity, Doctoral Sci (Med.) Dissertation, Moscow, 2013.

  17. Flodgren, E., Bengtsson, S., Knutsson, M., Strebkova, E.A., Kidd, A.H., Alexeyev, O.A., et al., Recent high incidence of fulminant hepatitis in Samara, Russia: Molecular analysis of prevailing hepatitis B and D virus strains, J. Clin. Microbiol., 2000, vol. 38, no. 1, pp. 3311–3316.

    Article  CAS  Google Scholar 

  18. Manuilov, V.A., Netesova, I.G., Osipova, L.P., Shustov, A.V., Bayandin, R.B., Kochneva, G.V., et al., Genetic variability of hepatitis B virus isolates among population of Shuryshkarsky area of Yamal-Nenets Autonomous Region, Mol. Genet., Mikrobiol. Virusol., 2005, vol. 4, pp. 30–34.

    Google Scholar 

  19. Bayandin, R.B., Shustov, A.V., Kochneva, G.V., Sivolobova, G.F., Grazhdantseva, A.A., Akinfeeva, L.A., et al., Genotypic variety of isolates and risk factors of hepatitis B virus infection in particular population groups of the Novosibirsk region, Infekts. Bolezni, 2004, vol. 2, no. 3. pp. 39–44.

    Google Scholar 

  20. Bayandin, R.B., Shustov, A.V., Kochneva, G.V., Sivolobova, G.F., Grazhdantseva, A.A., Loktev, V.B., et al., Frequency of detection of markers, viral genotypes and risk factors for hepatitis B in patients of the infectious diseases’ unit of the Barnaul municipal hospital, Infekts. Bolezni, 2007, vol. 5, no. 1, pp. 5–10.

    Google Scholar 

  21. Manuilov, V.A., Osipova, L.P., Netesova, I.G., Chub, E.V., Bezuglova, L.V., Norder, H., et al., The prevalence of HBsAg subtypes and HBV genotypes in native population groups of Siberia, Mol. Genet., Microbiol. Virol., 2015, vol. 30, no. 1, pp. 30–38. https://doi.org/10.3103/S089141681501005X

    Article  Google Scholar 

  22. Manuilov, V.A., Osipova, L.P., Netesova, I.G., Chub, E.V., Tsoy, L.V., Dul’beev, R.V., et al., Incidence of genotype of hepatitis B subvirus and HBsAg subtypes in native people of northern and southeastern Siberia, Mol. Genet., Microbiol. Virol., 2010, vol. 25, no. 4, pp. 172–177. https://doi.org/10.3103/S0891416810040063

    Article  Google Scholar 

  23. Semenov, A.V., Ostankova, Yu.V., Gerasimova, V.V., Bichurina, M.A., Mukomolov, S.L., Kozlov, A.V., et al., For the question about molecular epidemiology of hepatitis B virus infection in the Republic Sakha (Yakutia), Zh. Infektologii, 2016, vol. 8, no. 1, pp. 57–65.

    Google Scholar 

  24. Tsoi, L.V., Vengerova, Ya.D., Iptysheva, E.P., Donskaya, M.G., Khabibullina, V.E., Ishchenko, N.M., et al., HBsAg subtypes and HBV genotypes in blood samples of the population of various regions of Russia, Mir Virusn. Gepatitov, 2009, vol. 3, pp. 8–9.

    Google Scholar 

  25. Ivashkin, V.T., Yushchuk, N.D., Maevskaya, M.V., Znoiko, O.O., Dudina, K.R., Karetkina, G.N., et al., Clinical guidelines of the Russian gastroenterological association and the Russian society on studying liver diseases on diagnostics and treatment of adult patients with hepatitis B, Ross. Zh. Gastroenterol., Gepatol., Koloproktologii, 2014, vol. 3, pp. 58–88.

    Google Scholar 

  26. AmpliSens HBV-genotype-FL. https://interlabservice.ru/catalog/reagents/?sid=1414&id=8423. Accessed November 19, 2019.

  27. Usuda, S., Tsuda, F., Gotanda, T., Tachibana, K., Nomura, M., Okamoto, H., et al., A solid-phase enzyme immunoassay for the common and subtypic antigen determinants of hepatitis B surface antigen with monoclonal antibodies, J. Immunol. Methods, 1986, vol. 87, pp. 203–210. https://doi.org/10.1016/0022-1759(86)90532-6

    Article  CAS  PubMed  Google Scholar 

  28. Usuda, S., Okamoto, H., Iwanari, H., Baba, K., Tsuda, F., Miyakawa, Y., et al., Serological detection of hepatitis B virus genotypes by ELISA with monoclonal antibodies to type-specific epitopes in the preS2-region product, J. Virol. Methods, 1999, vol. 80, pp. 97–112. https://doi.org/10.1016/S0166-0934(99)00039-7

    Article  CAS  PubMed  Google Scholar 

  29. Netesova, I.G., Swenson, P.D., Osipova, L.P., Kiselev, N.N., Posukh, O.L., Cherepanova, N.S., et al., Virus hepatitis B markers in the indigenous population of Mendur-Sokkon village (Republic of Altai). HBsAg subtyping of hepatitis B virus isolates by using monoclonal antibodies, Zh. Mikrobiol., Epidemiol. Immunobiol., 2001, vol. 2, pp. 29–33.

    Google Scholar 

  30. Netesova, I.G., Swenson, P.D., Osipova, L.P., Gubina, M.A., Posukh, O.L., and Netesov, S.V., Determination of HBsAg subtypes in Western Siberian part of Russia, J. Med. Virol., 2003, vol. 71, pp. 183–187. https://doi.org/10.1002/jmv.10468

    Article  CAS  PubMed  Google Scholar 

  31. Netesova, I.G., Swenson, P.D., Kalashnikova, T.V., Netesov, S.V., and Favorov, M.O., HBsAg subtypes of hepatitis B virus isolated in Western Siberia, Vopr. Virusol., 2004, vol. 1, pp. 17–20.

    Google Scholar 

  32. Swenson, P.D., Riess, J.T., and Kruger, L.E., Determination of HBsAg subtypes in different high-risk populations using monoclonal antibodies, J. Virol. Methods, 1991, vol. 33, pp. 27–38. https://doi.org/10.1016/0166-0934(91)90004-J

    Article  CAS  PubMed  Google Scholar 

  33. HBsAg Subtype EIA. https://www.tokumen.co.jp/ products/manual/en/ME-HBsAg-SubtypeEIA.pdf. Accessed November 19, 2019.

  34. HBV-genotype-EIA. https://www.tokumen.co.jp/ products/manual/en/ME-IMMUNIS-HBV-Genotype-EIA.pdf. Accessed November 19, 2019.

  35. Bezuglova, L.V., Mosina, Ya.D., Poryvaeva, V.A., and Netesova, I.G., Determination of hepatitis B virus genotype and the HBsAg subtype by enzyme immunoassay, Sbornik trudov 8-oi Vserossiiskoi nauchno-prakti-cheskoi konferentsii “Molekulyarnaya diagnostika– 2014” s mezhdunarodnym uchastiem (Proc. 8th All-Russian Scientific and Practical Conference “Molecular Diagnostics–2014” with International Participation), Moscow, 2014, vol. 1, pp. 124–125.

  36. Bezuglova, L.V., Mosina, Ya.D., Poryvaeva, V.A., and Netesova, I.G., Determination of subtypes of hepatitis B virus surface antigen by enzyme immunoassay, Materialy 6-ogo ezhegodnogo Vserossiiskogo Kongressa po infektsionnym boleznyam (Proc. 6th Annual All-Russian Congress on Infectious Diseases), Moscow, 2014, p. 33.

  37. Poryvaeva, V.A., Agafonova, O.A., Marchenko, A.K., Rukavishnikov, M.Yu., Netesova, I.G., and Grishaev, M.P., Identification of a group of diagnostic monoclonal antibodies to the HBsAg linear antigenic determinant, Materialy 6-ogo ezhegodnogo Vserossiiskogo Kongressa po infektsionnym boleznyam (Proc. 6th Annual All-Russian Congress on Infectious Diseases), Moscow, 2014, pp. 252–253.

  38. WHO International Standard. Third International Standard for HBsAg. https://www.nibsc.org/documents/ ifu/12-226.pdf. Accessed November 19, 2019.

  39. Tanaka, Y., Sugauchi, F., Matsuura, K., Naganuma, H., Tatematsu, K., Takagi, K., et al., Evaluation of hepatitis B virus genotyping EIA kit, Rinsho Byori, 2009, vol. 57, no. 1, pp. 42–47.

    PubMed  Google Scholar 

  40. Goryainova, O.S., Khan, E.O., Ivanova, T.I., and Tillib, S.V., A new method based on the use of immobilized single-domain antibodies to remove certain major proteins from blood plasma helps to reduce nonspecific signal in an immunoassay, Med. Immunol., 2019, vol. 21, no. 3, pp. 567–575. https://doi.org/10.15789/1563-0625-2019-3-567-575

    Article  Google Scholar 

Download references

ACKNOWLEDGMENTS

Monoclonal antibodies 3C3, 2D11, 3D9, 3A5, 3E2, 1C10, and 1C4 were kindly provided by P. Swenson, PhD (District Branch, Public Health Laboratory, Seattle, United States).

Funding

The work required no financial support for the most part.

The work of L.P. Osipova was supported by the Institute of Cytology and Genetics, Siberian Branch, Russian Academy of Sciences Budgetary Project, project no. 0324-2019-0041-C-01.

The work of S.V. Netesov was supported by the Research Work Financial Support State Task for the Novosibirsk State University (grant no. FSUS-2020-0035) and the Russian University Competitiveness Improvement Program TOP-100 NSU.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to L. V. Bezuglova.

Ethics declarations

The authors declare that they have no conflict of interest. No experimentation involving animals or human beings was performed by any of the authors.

Additional information

Translated by E. Martynova

ADDITIONAL INFORMATION

Bezuglova L.V.—https://orcid.org/0000-0001-9527-8870; e-mail: bezuglova@vector-best.ru

Manuilov V.A.—https://orcid.org/0000-0002-2296-6151; e-mail: victormanuilov@yandex.ru

Osipova L.P.—https://orcid.org/0000-0001-7602-1156; e-mail: ludos77@yandex.ru

Mosina Ya.D.—https://orcid.org/0000-0001-8801-1297; e-mail: mosina@vector-best.ru

Poryvaeva V.A.—https://orcid.org/0000-0003-1503-8426; e-mail: poryvaeva@vector-best.ru

Agafonova О.A.—https://orcid.org/0000-0001-9887-6067; e-mail: agafonova@vector-best.ru

Mogilnykh А.K. —https://orcid.org/0000-0003-2884-729X; e-mail: mogilnyh@vector-best.ru

NetesovS.V.—https://orcid.org/0000-0002-7786-2464; e-mail: svn15@hotmail.com

Netesova I.G.—https://orcid.org/0000-0002-1953-5123; e-mail: netesova@vector-best.ru

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bezuglova, L.V., Manuilov, V.A., Osipova, L.P. et al. Trial Results for ELISA Test Kits for HBsAg Subtype and Hepatitis B Virus Genotype Identification in Human Blood Plasma. Mol. Genet. Microbiol. Virol. 35, 229–236 (2020). https://doi.org/10.3103/S0891416820040047

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.3103/S0891416820040047

Keywords:

Navigation