|
Basic Characteristics of Mutations
|
|
Mutation Site
|
G1764A |
|
Mutation Site Sentence
|
Basal core promoter A1762T/G1764A mutations, and precore G1896A mutation were obtained in 140 (93.3%), 136 (90.0%), 135 (90.0%), 113 (75.3%), and 113 (75.3%) patients, respectively. |
|
Mutation Level
|
Nucleotide level |
|
Mutation Type
|
Nonsynonymous substitution |
|
Gene/Protein/Region
|
BCP |
|
Standardized Encoding Gene
|
|
|
Genotype/Subtype
|
- |
|
Viral Reference
|
-
|
|
Functional Impact and Mechanisms
|
|
Disease
|
Hepatitis B Virus Infection
|
|
Immune
|
- |
|
Target Gene
|
-
|
|
Clinical and Epidemiological Correlations
|
|
Clinical Information
|
- |
|
Treatment
|
- |
|
Location
|
China |
|
Literature Information
|
|
PMID
|
22363813
|
|
Title
|
Large fragment pre-S deletion and high viral load independently predict hepatitis B relapse after liver transplantation
|
|
Author
|
Wu TJ,Chen TC,Wang F,Chan KM,Soong RS,Chou HS,Lee WC,Yeh CT
|
|
Journal
|
PloS one
|
|
Journal Info
|
2012;7(2):e32189
|
|
Abstract
|
Hepatitis B virus (HBV) associated end-stage liver diseases are the leading causes of liver transplantation (LT) in Taiwan. Relapse of hepatitis B occurs after LT, raising the risk of graft failure and reducing patient survival. Although several oral antiviral agents have been approved for anti-HBV treatment, lamivudine (LAM) remained to be the most widely used preventive regimen in Taiwan. While several clinical predictors have been identified for hepatitis B relapse, the predictive roles of the histopathological characteristics in liver explants as well as the genotypic features of the viruses in pre-LT serum samples have not been assessed. Between September 2002 and August 2009, 150 consecutive hepatitis B surface antigen (HBsAg) positive patients undergoing LT were included for outcome analysis following assessment of the clinicopathological and virological factors prior to LT. Kaplan-Meier analyses discovered that pre-operative LAM treatment =3 months; membranous distribution and higher expression of tissue HBsAg in liver explants; preoperative viral load >/=10(6) copies/ml; and presence of large fragment (>100 base pairs) pre-S deletion (LFpreSDel) correlated significantly with hepatitis B relapse. Multivariate Cox regression analysis showed that the presence of LFpreSDel (P = 0.001) and viral load >/=10(6) copies/mL (P = 0.023) were independent predictors for hepatitis B relapse. In conclusion, besides high viral load, LFpreSDel mutation is an important independent predictor for hepatitis B relapse after LT. More aggressive preventive strategies should be applied for patients carrying these risk factors.
|
|
Sequence Data
|
-
|
|
|