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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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The reactivated virus was HBV genotype F3 with vaccine escape mutations G145R, P120Q, and Q129P. |
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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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Functional Impact and Mechanisms
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Disease
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Acute Hepatitis B
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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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Location
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- |
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Literature Information
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PMID
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30079137
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Title
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Hepatitis B virus subgenotype F3 reactivation with vaccine escape mutations: A case report and review of the literature
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Author
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Schlabe S,van Bremen K,Aldabbagh S,Glebe D,Bremer CM,Marsen T,Mellin W,Cristanziano VD,Eis-Hubinger AM,Spengler U
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Journal
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World journal of hepatology
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Journal Info
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2018 Jul 27;10(7):509-516
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Abstract
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Hepatitis B represents a global health threat because its chronic course and sequelae contribute to a high morbidity and mortality. Hepatitis B virus (HBV) infection can be controlled by vaccines, antiviral treatment, and by interrupting transmission. Rare vaccine escape mutants are serious because they eliminate vaccine protection. Here, we present a 74-year-old vaccinated patient with HBV reactivation 11 years after kidney transplantation. The patient was HBV-positive but HBsAg-negative prior to vaccination 6 years before transplantation. The reactivated virus was HBV genotype F3 with vaccine escape mutations G145R, P120Q, and Q129P. The patient was successfully treated with entecavir. The epidemiological reasons for this subgenotype, which is extremely rare in Western Europe, were unclear. This case illustrates that second-generation vaccines are not always effective in a specific group of patients.
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Sequence Data
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-
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