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Basic Characteristics of Mutations
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Mutation Site
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G1899A |
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Mutation Site Sentence
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HBeAg-negative samples were associated with precore mutations (G1896A and G1899A). |
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Mutation Level
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Nucleotide level |
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Mutation Type
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Nonsynonymous substitution |
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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
|
D |
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Viral Reference
|
-
|
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Functional Impact and Mechanisms
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Disease
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Hepatitis B, Chronic
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Immune
|
- |
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Target Gene
|
-
|
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Clinical and Epidemiological Correlations
|
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Clinical Information
|
- |
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Treatment
|
- |
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Location
|
- |
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Literature Information
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PMID
|
18265656
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Title
|
Clinical significance of basal core promoter and precore mutations in chronic hepatitis B
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Author
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Ozgenc O,Ozacar T,Erensoy S,Inan N,Ari A,Kuruuzum Z,Bilgic A
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Journal
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Hepato-gastroenterology
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Journal Info
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2007 Dec;54(80):2319-23
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Abstract
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BACKGROUND/AIMS: The mutations in the basal core promoter and precore region of hepatitis B virus genome in hepatitis B e antigen-positive and -negative chronic hepatitis B patients have been described. The reports about their prevalence and clinical significance in the Mediterranean region where D is the predominant genotype, are very limited. METHODOLOGY: The serum samples were collected from 44 naive chronic hepatitis B patients. For detection of the mutations basal core promoter and precore regions of HBV genome were amplified and sequenced. RESULTS: All samples were determined as genotype D. Before initiation of treatment basal core promoter mutations were found as 55% (11/20) and 46% (11/24) in HBeAg-positive and -negative patients, respectively (p > 0.5). HBeAg-negative samples were associated with precore mutations (G1896A and G1899A). Three of 20 (15%) patients of HBeAg-positive and seven of 24 (29%) of HBeAg-negative populations showed sustained response to therapy at the 24th month of initiation. CONCLUSIONS: The presence of precore stop codon mutant in those with sustained response was 89%, overall at the end of therapy. At initiation of therapy basal core promoter mutations were more common in non-responders than responders (65% vs. 20%; p < 0.001). While 23% of cases totally showing sustained response, absence of mutations in the basal core promoter region of hepatitis B virus genotype D may be related to sustained response in patients with chronic hepatitis B.
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Sequence Data
|
-
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