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Basic Characteristics of Mutations
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Mutation Site
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G1896A |
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Mutation Site Sentence
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Patients with occult HBVCI had a shorter disease-free (P = 0.002), a shorter overall survival (P = 0.026), a higher bilirubin level (P = 0.003) and a higher prevalence of precore G1896A mutation (P = 0.006) compared with those with overt HBVCI. |
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Mutation Level
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Nucleotide level |
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Mutation Type
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Nonsense mutation |
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Gene/Protein/Region
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PreC |
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Standardized Encoding Gene
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C
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Genotype/Subtype
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- |
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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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HBV-HCV Coinfection
Carcinoma, Hepatocellular
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Immune
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- |
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Target Gene
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AFP
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Clinical and Epidemiological Correlations
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Clinical Information
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Y |
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Treatment
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- |
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Location
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China |
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Literature Information
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PMID
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23805180
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Title
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Occult and Overt HBV Co-Infections Independently Predict Postoperative Prognosis in HCV-Associated Hepatocellular Carcinoma
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Author
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Chang ML,Lin YJ,Chang CJ,Yeh C,Chen TC,Yeh TS,Lee WC,Yeh CT
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Journal
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PloS one
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Journal Info
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2013 Jun 21;8(6):e64891
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Abstract
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OBJECTIVE AND BACKGROUND: The roles of chronic hepatitis B virus (HBV) co-infection (CI) in carcinogenesis of hepatitis C virus (HCV)-associated hepatocellular carcinoma (HCC) remained controversial. To gain new insights into this issue, we investigated the postoperative prognostic value of HBVCI in HCV-associated HCC. METHODS: A study cohort of 115 liver tissues obtained from the noncancerous parts of surgically removed HCV-associated HCCs were subjected to virological analysis in a tertiary care setting. Assayed factors included clinicopathological variables, tissue amounts of viral genomes, genotypic characterization of viruses, as well as the presence of overt (serum HBsAg positive) or occult (serum HBsAg negative but tissue HBV-DNA positive) HBVCI. Cox proportional hazard model was used to estimate postoperative survivals. RESULTS: Of the 115 patients, overt and occult HBVCIs were detected in 35 and 16 patients, respectively. Multivariate analysis revealed that tumor size >3 cm (adjusted hazard ratio (AHR), 2.079 [95% confidence interval, 1.149 approximately 3.761]), alpha-fetoprotein >8 ng/mL (AHR, 5.976 [2.007 approximately 17.794]) albumin <4 g/dL(AHR, 2.539 [1.399 approximately 4.606]), ALT >50 U/L (AHR,1.086 [1.006 approximately 1.172]), presence of occult HBVCI (AHR, 2.708 [1.317 approximately 5.566]), and absence of overt HBVCI (AHR, 2.216 [1.15 approximately 4.269]) were independently associated with unfavorable disease-free survival. Patients with occult HBVCI had a shorter disease-free (P = 0.002), a shorter overall survival (P = 0.026), a higher bilirubin level (P = 0.003) and a higher prevalence of precore G1896A mutation (P = 0.006) compared with those with overt HBVCI. CONCLUSION: Occult and overt HBVCI served as independent predictors for postoperative survival in HCV-associated HCC.
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Sequence Data
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-
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