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Basic Characteristics of Mutations
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Mutation Site
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A1838G |
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Mutation Site Sentence
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The nucleotide positions investigated included: three canonical basal core promoter (BCP)/C variants (A1762T, and G1764A located in X gene, and G1896A located in preCore) and 15 X/pC/C variants associated with HBeAg negativity (T1753C, C1817T, A1838G, A1846T, G1899A, A1934T, T1961A, T2045A, T2151C, A2159G, A2189C, G2352A, T2441C, C2444T, T2660G) |
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Mutation Level
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Nucleotide level |
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Mutation Type
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Gene/Protein/Region
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X;PreC;C |
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Standardized Encoding Gene
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X
C
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Genotype/Subtype
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D;B;A |
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Viral Reference
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X02763
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Functional Impact and Mechanisms
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Disease
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Hepatitis B, Chronic
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Immune
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- |
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Target Gene
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-
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Clinical and Epidemiological Correlations
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Clinical Information
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Y |
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Treatment
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Tenofovir disoproxil fumarate(TDF) |
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Location
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Europe;US |
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Literature Information
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PMID
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34002910
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Title
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Hepatitis B virus genome diversity in adolescents: Tenofovir disoproxil fumarate treatment effect and HBeAg serocon version
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Author
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Combet C,Bhardwaj N,Hedskog C,Podlaha O,Gaggar A,Murray KF,Mo H,Svarovskaia E,Zoulim F
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Journal
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Journal of viral hepatitis
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Journal Info
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2021 Aug;28(8):1160-1168
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Abstract
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More systematic analysis of hepatitis B virus (HBV) genome diversity, linked with tenofovir disoproxil fumarate (TDF) treatment and HBeAg seroconversion, are needed. GS-US-174-0115 was a double-blind, placebo-controlled, Phase 3, 192-week clinical trial that evaluated TDF in adolescents with chronic hepatitis B (CHB). HBV full-genome deep sequencing was performed using Illumina MiSeq at baseline (BL; n = 85), Week 8 (W8; n = 80), Week 72 (W72; PBO only, n = 42), and treatment-free follow-up (TDF only, n = 25). The viral diversity was calculated using Shannon entropy and population nucleotide diversity with a 2% variant cutoff. Our data showed (i) a higher viral diversity in the X region at baseline than the core/polymerase/surface regions, (ii) higher core/surface viral diversity at baseline for patients with seroconversion, (iii) an expected reduction in viral diversity after 8 weeks of TDF treatment, and (iv) a drop in viral diversity at W72 for patients receiving placebo with a seroconversion (n = 7). The higher viral diversity in X was associated with higher baseline alanine aminotransferase (ALT) levels (p < .001). Patients with greater reduction of diversity at W8 of TDF treatment had higher baseline ALT levels. For placebo patients who seroconverted, the drop in viral diversity at W72 (p = .04) coincided with reduction of serum HBV DNA (average change from baseline = -4.10 log10 copies/ml) and unique combinations of variants were enriched in a patient's viral population post seroconversion. The basal core promoter (BCP) variants, A1762T and G1764A, and the pC variant, G1896A, were most often enriched at or after seroconversion.
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Sequence Data
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-
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