PMID- 18505168 OWN - NLM STAT- MEDLINE DCOM- 20080630 LR - 20220317 IS - 1359-6535 (Print) IS - 1359-6535 (Linking) VI - 13 IP - 2 DP - 2008 TI - A systematic review of T-cell epitopes in hepatitis B virus: identification, genotypic variation and relevance to antiviral therapeutics. PG - 161-75 AB - BACKGROUND: The immune response to hepatitis B virus (HBV) is important for both viral control and disease pathogenesis. A detailed understanding of the HBV-specific T-cell responses may potentially lead to novel therapeutic strategies for HBV. METHODS: All English language journal articles (including articles in press) up to October 2007 were retrieved using searches of MEDLINE, EMBASE and the Cochrane Controlled Trial Registry. An extensive database of HBV sequences (SeqHepB) and GenBank were used to assess the degree of sequence variation in each epitope. The new standardized nomenclature for HBV amino acid position number was applied to all previously defined epitopes. RESULTS: Forty-four HBV-specific human leukocyte antigen (HLA) class I restricted and 32 HBV-specific HLA class II restricted epitopes have been defined and have been identified in all HBV genes. The majority of HLA class I restricted epitopes have been defined in HLA-A2-positive individuals in the setting of acute HBV infection. There is significant sequence variation of these epitopes within and between HBV genotypes. Newer HBV immunotherapeutics appear promising but are still in early phases of development. CONCLUSIONS: Identification of HBV-specific epitopes in non-HLA-A2-positive individuals and recognition of genotypic variation across epitopes are important for the future development of novel immunotherapeutic strategies for the management of chronic HBV infection. FAU - Desmond, Christopher P AU - Desmond CP AD - Department of Gastroenterology, Alfred Hospital, Melbourne, Australia. FAU - Bartholomeusz, Angeline AU - Bartholomeusz A FAU - Gaudieri, Silvana AU - Gaudieri S FAU - Revill, Peter A AU - Revill PA FAU - Lewin, Sharon R AU - Lewin SR LA - eng GR - AI060449/AI/NIAID NIH HHS/United States GR - R21 AI055379-01 A1/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review PL - England TA - Antivir Ther JT - Antiviral therapy JID - 9815705 RN - 0 (Antiviral Agents) RN - 0 (Epitopes, T-Lymphocyte) RN - 0 (HLA Antigens) SB - IM MH - Amino Acid Sequence MH - Antiviral Agents/*therapeutic use MH - *Epitopes, T-Lymphocyte/chemistry/genetics/immunology MH - *Genetic Variation MH - Genotype MH - HLA Antigens/chemistry/immunology/metabolism MH - Hepatitis B virus/classification/drug effects/genetics/*immunology MH - Hepatitis B, Chronic/*drug therapy/virology MH - Humans MH - Molecular Sequence Data RF - 150 EDAT- 2008/05/29 09:00 MHDA- 2008/07/01 09:00 CRDT- 2008/05/29 09:00 PHST- 2008/05/29 09:00 [pubmed] PHST- 2008/07/01 09:00 [medline] PHST- 2008/05/29 09:00 [entrez] PST - ppublish SO - Antivir Ther. 2008;13(2):161-75.