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Basic Characteristics of Mutations
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Mutation Site
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C1766T |
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Mutation Site Sentence
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The occurrences of T1753 V, C1766T, T1768A, G1862T and G1899A mutations were low in the three patients groups and the frequency of almost all of these mutations did not even reach 20 % (Table 2). |
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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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BCP |
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Standardized Encoding Gene
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Genotype/Subtype
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- |
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Viral Reference
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-
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Functional Impact and Mechanisms
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Disease
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Acute-On-Chronic Liver Failure
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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- |
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Location
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China |
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Literature Information
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PMID
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26202756
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Title
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Hepatitis B virus genotype B and mutations in basal core promoter and pre-core/core genes associated with acute-on-chronic liver failure: a multicenter cross-sectional study in China
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Author
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Yang G,Han M,Chen F,Xu Y,Chen E,Wang X,Liu Y,Sun J,Hou J,Ning Q,Wang Z
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Journal
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Hepatology international
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Journal Info
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2014 Oct;8(4):508-16
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Abstract
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BACKGROUND AND AIM: In China, acute-on-chronic liver failure (ACLF) is mostly caused by hepatitis B virus (HBV). However, the mechanism remains unclear. This study aims to investigate the association between both HBV genotype and mutations in basal core promoter (BCP) and pre-core/core (pre-C/C) regions with the development of HB-ACLF. METHODS: A multicenter cross-sectional study was performed in China. Serum samples from 522 patients were analyzed, including 231 patients with mild-chronic hepatitis B (CHB-M), 84 with severe-chronic hepatitis B (CHB-S) and 207 with HB-ACLF. HBV genotype and related mutations in the BCP and pre-C/C regions were determined by direct sequencing. RESULTS: A significantly higher ratio of HBV genotype B to C was detected in HB-ACLF patients than in CHB-M or CHB-S patients. The A1762T/G1764A, A1846T and G1896A mutations were significantly more common in HB-ACLF patients infected with either genotype B or C as compared with CHB-M, whereas the C1913A/G and A2159G mutations were more associated with HB-ACLF in genotype C patients. Comparing with CHB-S, the A1762T/G1764A mutation in genotype B and the A2159G mutation in genotype C were significantly more common in HB-ACLF patients. A multivariate analysis showed that factors such as HBV genotype B, age >/=40 years and A1762T/G1764A, A1846T and G1896A mutations were independently associated with the development of HB-ACLF. CONCLUSION: Chronic HBV infection with genotype B, A1762T/G1764A, A1846T and G1896A mutations has a higher possibility to develop HB-ACLF. These virological factors could serve as possible molecular markers for prediction of the clinical outcomes of chronic HBV infection.
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Sequence Data
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-
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