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Basic Characteristics of Mutations
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Mutation Site
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F219L |
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Mutation Site Sentence
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Table 4 NRTI resistance and/or compensatory mutations in the RT domain and ADAPVEMs in HBV isolates of PLWH in the Colombian cohort. |
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Mutation Level
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Amino acid level |
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Mutation Type
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Nonsynonymous substitution |
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Gene/Protein/Region
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S |
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Standardized Encoding Gene
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S
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Genotype/Subtype
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F3 |
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Viral Reference
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GenotypeA:AM282986GenotypeB:HE575688;HE981712GenotypeC:AJ507374;EU571824;HE981713GenotypeD:KC875340;KC875341;KC875342;KC875343;KC875336GenotypeF1:AY731852;DQ205192;DQ205191GenotypeF3:DQ225902;DQ225903;DQ225904;DQ225905GenotypeF4:DQ205202;DQ205201GenotypeG:AF160501GenotypeH:AY731854
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Functional Impact and Mechanisms
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Disease
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HBV-HIV Coinfection
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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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Columbia |
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Literature Information
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PMID
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37555061
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Title
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High frequency of Lamivudine and Telbivudine resistance mutations in hepatitis B virus isolates from human immunodeficiency virus co-infected patients on highly active antiretroviral therapy in Bucaramanga, Colombia
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Author
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Bautista-Amorocho H,Silva-Sayago JA,Picon-Villamizar J
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Journal
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Frontiers in microbiology
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Journal Info
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2023 Jul 24;14:1202342
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Abstract
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Hepatitis B virus (HBV) antiviral Resistance-Associated Mutations (RAMs) in human immunodeficiency virus (HIV) coinfected patients undergoing highly active antiretroviral therapy (HAART) are complex and incompletely understood. We aimed to determine the prevalence of HBV coinfection, HBV genotypes, and RAMs in a cohort of people living with HIV (PLWH) in the northeastern region of Colombia. This cross-sectional study was carried out between February 2013 and February 2014. Virological, immunological and HAART data were collected from clinical records. In-house nested PCR and Sanger sequencing of the HBV pol gene were used to identify coinfections, genotypes, RAMs and HBV s antigen (HBsAg) escape mutants. Among 275 PLWH, HBV coinfection was confirmed in 32 patients (11.6%), of whom nine (28.2%) were HBsAg positive (active hepatitis B), and 23 (71.8%) were occult hepatitis B infections (OBI). All HBV sequences (n = 23) belonged to the genotype F3. Among HIV/HBV coinfections, 71.9% had CD4+ T cell counts above 200 cells/mm(3) and 37.5% had undetectable HIV viral loads. The RAMs rtL80I, rtL180M, and rtM204V, which confer resistance to Lamivudine/Telbivudine and partially resistant to Entecavir, were found in all HBV isolates. An unknown rt236Y mutation to Tenofovir was also identified. Most patients under HAART received first-generation HBV antiviral therapy with a low genetic barrier to resistance. Antiviral Drug-associated Potential Vaccine-escape Mutations (ADAPVEMs) in the S gene were observed in all isolates ranging from 1-20 amino acid substitutions. However, no vaccine escape mutants were detected. In Conclusion, these findings highlight the importance of HBV molecular screening, antiviral resistance monitoring and new guidelines for PLWH to overcome RAMs and prevent HBV-related liver disease.
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Sequence Data
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OQ262971-OQ262995
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