Review
Copyright ©The Author(s) 2015.
World J Hepatol. Nov 28, 2015; 7(27): 2729-2739
Published online Nov 28, 2015. doi: 10.4254/wjh.v7.i27.2729
Table 3 Clinical significance of hepatitis B surface antigen mutations in chronic hepatitis B
Ref.CountryNo. of patientsType of studyPatients with HBsAg mutation, n (%)Clinical significance
Abe et al[103]Japan40Case-control27/30 (90) in HCC+Correlation between preS1-S2 deletion and HCC (P < 0.001)
0/10 (0) in HCC-
Bläckberg et al[106]Sweden35Case-control8/16 (50) in HCC+No correlation between Pre-S2 mutations and HCC (P > 0.05)
4/19 (21) in HCC-
Cao et al[94]China97Case-control34/47 (72.3) in HCC+Correlation between pre-S deletion or pre-S2 start codon mutation and HCC (P < 0.001)
13/50 (26) in HCC-
Chen et al[88]Taiwan152Cross-sectional26/50 (52.0) in HCC+Correlation between pre-S deletion and HCC (P < 0001)
30/102 (29.4) in HCC-
Chen et al[95]Taiwan240Case-controlPre-S deletion: 28/80 (35) in HCC+ vs 27/160 (16.9) in HCC-Correlation between pre-S deletion (P = 0.002), W4P/R (P = 0.021) and M1V/I/A mutations (P = 0.011) and HCC
Choi et al[90]South Korea300Cross-sectionalW4P/R: 10/80 (12.5) in HCC+ vs 7/160 (4.4) in HCC- M1V/I/A: 23/80 (28.8) in HCC+ vs 24/160 (15) in HCC-Correlation between pre-S deletion or pre-S2 start codon mutation and HCC (P < 0.001)
31/72 (43.1) in HCC+
Fang et al[93]China66Case-control51/228 (22.4) in HCC-Correlation between pre-S deletion and HCC (P < 0.01)
15/33 (45.5) in HCC+
Gao et al[91]China79Cross-sectional6/33 (18.2) in HCC-Correlation between pre-S deletion and HCC (P = 0.001)
10/26 (38.5) in HCC+
Huang et al[104]Taiwan38Case-control3/53 (5.7) in HCC-Correlation between pre-S deletion and HCC (P = 0.008)
9/19 (47.4) in HCC+
Hung et al[110]Taiwan313Cross-sectional1/19 (5.3) in HCC-Correlation between pre-S deletion and HCC (P < 0.001)
41/146 (40) in HCC+
Huy et al[85]12 countries352Cross-sectional5/167 (3.0) in HCC-Correlation between pre-S1/S2 deletion and pre-S2 start codon mutations and HCC (P < 0.05)
17/49 (34.7) in HCC+
50/303 (16.5) in HCC-
Jang et al[96]South Korea119Cross-sectional17/48 (35.4) in HCC+Correlation between pre-S deletion and HCC (P < 0.05)
13/71 (18.3) in HCC-
Kao et al[99]Taiwan168Case-control56/112 (50.0) in HCC+Correlation between pre-S deletion and HCC (P < 0.001)
4/56 (7.1) in HCC-
Lee et al[98]South Korea270Case-control28/135 (18.5) in HCC+Correlation between pre-S2 deletion and HCC (P < 0.001)
6/135 (4.4) in HCC-
Lee et al[107]South Korea247Cross-sectional19/153 (12.4) in advanced liver disease (LC or HCC) 1/94 (1.1) in non-advanced liver diseaseCorrelation between W4P/R mutation and HCC or cirrhosis (P < 0.05)
Lin et al[89]Taiwan266Cross-sectional19/64 (29.7) in HCC+Correlation between pre-S deletion and HCC (P = 0.02)
25/202 (12.4) in HCC-
Mun et al[92]South Korea120Cross-sectionalPre-S1: 13/40 (32.5) in HCC+ vs 11/80 (13.7) in HCC-Correlation between pre-S1 (P = 0.027) and pre-S1 start codon mutations (P = 0.048) and HCC. Correlation between pre-S2 deletions and cirrhosis (P = 0.001)
Pre-S1 start codon: 9/40 (22.5) in HCC+ vs 4/80 (5.0) in HCC- Pre-S2: 8/21 (38.1) in LC+ vs 4/59 (6.8) in LC-
Qu et al[102]China193Case-controlPre-S deletion: 28/96 (29.2) vs 11/97 (11.3), Pre-S2 start codon: 17/96 (17.7) vs 7/97 (7.2), T31C: 23/96 (24.0) vs 37/97 (38.1), T53C: 36/96 (37.5) vs 23/97 (23.7), T766A: 13/96 (13.5) vs 14/97 (14.4) in HCC+ vs HCC-Correlation between pre-S deletion (P = 0.003), pre-S2 start codon (P = 0.027), T31C (P = 0.044), T53C (P = 0.027) but not T766A mutation (P = 0.966) and HCC
Raimondo et al[87]Italy110Cross-sectional16/19 (84.2) in HCCCorrelation between pre-S2 deletion or start codon mutation and HCC (P < 0.02)
40/91 (43.9) in HCC-
Sinn et al[100]South Korea195Cohort13/24 (54.2) in HCC+Correlation between pre-S mutation and HCC (P < 0.001)
31/171 (18.1) in HCC-
Sugauchi et al[86]Japan160Cross-sectional20/58 (34.5) in advanced liver disease (LC or HCC)Correlation between pre-S deletion and HCC or cirrhosis (P < 0.05)
17/102 (16.7) in non-advanced liver disease
Sung et al[108]Hong Kong26Case-controlT31C: 6/16 (37.5) in HCC+ vs 0/10 (0.0) in HCC- T53C: 6/16 (37.5) in HCC+ vs 1/10 (10.0) in HCC-Correlation between T31C and T53C mutations and HCC (P < 0.05)
Thongbai et al[105]Thailand154Cross-sectional24/65 (36.9) in HCC+No correlation between pre-S1/S2/S deletion or start codon mutation and HCC (P > 0.1)
34/89 (38.2) in HCC-
Yeung et al[97]Taiwan192Case-control28/96 (29.2) in HCC+Correlation between pre-S deletion and HCC (P = 0.015)
14/96 (14.6) in HCC-
Zhao et al[101]China317Case-control74/157 (47.1) in HCC+Correlation between pre-S deletion and HCC (P < 0.001)
45/160 (28.1) in HCC-
Zhu et al[109]China55Case-control4/20 (20.0) with Pre-S2 start codon, 5/20 (25.0) with T53C and 3/20 with T766A in HCC+ vs 0/20 in HCC-Correlation between pre-S2 start codon (P = 0.014), T53C (P = 0.004) and T766A mutation (P = 0.043) and HCC