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Basic Characteristics of Mutations
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Mutation Site
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G145A |
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Mutation Site Sentence
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Hepatitis B vaccine protection was 93% against HBV infection and 97% against HBV carriage. A G145A ‘‘escape mutant’’ was found in one HBV carrier child only. |
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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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D |
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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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Hepatitis B Virus Infection
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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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- |
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Treatment
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- |
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Location
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Mongolia |
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Literature Information
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PMID
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17063521
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Title
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A low rate of hepatitis B virus vaccine breakthrough infections in Mongolia
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Author
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Ijaz S,Khulan J,Bissett SL,Ferns RB,Nymadawa P,Tedder RS
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Journal
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Journal of medical virology
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Journal Info
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2006 Dec;78(12):1554-9
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Abstract
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A nation-wide hepatitis B virus (HBV) immunization program of all newborn babies was launched in Mongolia in 1991. However, the continuation of clinical icteric viral hepatitis infections in children led to the investigation to determine whether HBV breakthrough infections were occurring and if any were due to hepatitis B surface antigen (HBsAg) mutants. Hepatitis A virus (HAV) infections accounted for most of these cases with 3% of the jaundiced children shown to have acute hepatitis B. Hepatitis B vaccine protection was 93% against HBV infection and 97% against HBV carriage. A G145A ""escape mutant"" was found in one HBV carrier child only. Anti-HBs levels, however, were low with 85% having titers less than 100 IU/L, 46% of whom had levels less than 10 IU/L. The results from this study demonstrate that the HBV immunization program in Mongolia provides an effective level of protection. However, continued surveillance of breakthrough infections and close monitoring of ""vaccine escape"" mutants is required.
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Sequence Data
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-
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