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Basic Characteristics of Mutations
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Mutation Site
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G145R |
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Mutation Site Sentence
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Two HBV re-infected patients without HCC recurrence had HBs gene mutations G145R and G145A, respectively. |
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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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- |
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Viral Reference
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AB206816
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Functional Impact and Mechanisms
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Disease
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Carcinoma, Hepatocellular
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Immune
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Y |
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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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Japan |
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Literature Information
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PMID
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27422771
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Title
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The relationship between HBcrAg and HBV reinfection in HBV related post-liver transplantation patients
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Author
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Urabe A,Imamura M,Tsuge M,Kan H,Fujino H,Fukuhara T,Masaki K,Kobayashi T,Ono A,Nakahara T,Kawaoka T,Hiramatsu A,Kawakami Y,Aikata H,Hayes CN,Maki N,Ohdan H,Chayama K
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Journal
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Journal of gastroenterology
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Journal Info
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2017 Mar;52(3):366-375
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Abstract
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BACKGROUND: Post-transplant hepatitis B virus (HBV) reinfection is one of the major problems facing patients who undergo HBV-related liver transplantation (LT). We analyzed the clinical impact of serum hepatitis B core-related antigen (HBcrAg) on HBV reinfection in post-LT patients with HBV-related liver diseases. METHODS: Serum hepatitis B surface antigen (HBsAg), HBV DNA, and HBcrAg were measured over time in 32 post-LT patients. Twenty-one out of 32 patients had HCC at LT. The effects of HBcrAg, hepatocellular carcinoma (HCC) recurrence, and HBs gene mutation on HBV reinfection and withdrawal from hepatitis B immune globulin (HBIG) were analyzed. RESULTS: Sixteen out of 32 patients (50 %) were positive for HBcrAg even though only six patients were thought to have experienced HBV reinfection based on reappearance of either HBV DNA or HBsAg during a median follow-up time of 75 months. Three of these six patients who became re-infected with HBV experienced HCC recurrence after LT. The HBV DNA reappearance rate was significantly higher in patients with HCC recurrence after LT (p < 0.001). Two HBV re-infected patients without HCC recurrence had HBs gene mutations G145R and G145A, respectively. Anti-HBs antibody development rate by HB vaccination was similar between HBcrAg-positive and negative patients (p = 0.325). CONCLUSIONS: HBV reinfection is more common than is usually considered based on conventional measurement of HBsAg and HBV DNA. HCC recurrence and mutations in the HBV S gene were associated with HBV reinfection after LT.
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Sequence Data
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-
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