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Basic Characteristics of Mutations
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Mutation Site
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G1634R |
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Mutation Site Sentence
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A G1634R mutation in viral polymerase was detected in the HEV RNA of the nonresponders; this mutation did not provide the virus with resistance to ribavirin in vitro. |
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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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Polymerase |
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Standardized Encoding Gene
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ORF1
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Genotype/Subtype
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Genotype 3 |
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Viral Reference
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NP_056779
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Functional Impact and Mechanisms
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Disease
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Chronic Hepatitis E
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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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Ribavirin |
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Location
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Germany |
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Literature Information
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PMID
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25181691
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Title
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A mutation in the hepatitis E virus RNA polymerase promotes its replication and associates with ribavirin treatment failure in organ transplant recipients
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Author
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Debing Y,Gisa A,Dallmeier K,Pischke S,Bremer B,Manns M,Wedemeyer H,Suneetha PV,Neyts J
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Journal
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Gastroenterology
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Journal Info
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2014 Nov;147(5):1008-11
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Abstract
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We analyzed blood samples collected from 15 patients with chronic hepatitis E who were recipients of solid-organ transplants. All patients cleared the hepatitis E virus (HEV) except for 2 (nonresponders); 1 patient died. A G1634R mutation in viral polymerase was detected in the HEV RNA of the nonresponders; this mutation did not provide the virus with resistance to ribavirin in vitro. However, the mutant form of a subgenomic replicon of genotype 3 HEV replicated more efficiently in vitro than HEV without this mutation, and the same was true for infectious virus, including in competition assays. Similar results were obtained for genotype 1 HEV. The G1634R mutation therefore appears to increase the replicative capacity of HEV in the human liver and hence reduce the efficacy of ribavirin.
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Sequence Data
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-
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