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Basic Characteristics of Mutations
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Mutation Site
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I169L |
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Mutation Site Sentence
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On sequence analysis, two subjects were identified with rtI169L and rtA181V mutation after 9 months and 18 months of adefovir treatment, respectively. |
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Mutation Level
|
Amino acid level |
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Mutation Type
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Nonsynonymous substitution |
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Gene/Protein/Region
|
RT |
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Standardized Encoding Gene
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P
|
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Genotype/Subtype
|
- |
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Viral Reference
|
-
|
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Functional Impact and Mechanisms
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Disease
|
Hepatitis B, Chronic
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Immune
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- |
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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
|
Abacavir(ADV) |
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Location
|
India |
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Literature Information
|
|
PMID
|
24399391
|
|
Title
|
Antiviral efficacy of adefovir dipivoxil in the treatment of chronic hepatitis B subjects from Indian subcontinent
|
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Author
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Ismail AM,Ramachandran J,Kannangai R,Abraham P
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Journal
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Indian journal of medical microbiology
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Journal Info
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2014 Jan-Mar;32(1):60-3
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Abstract
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Adefovir is one of the therapeutic options for the treatment of chronic hepatitis B. A total of 30 adefovir-experienced subjects with the median treatment duration of 12 (interquartile range (IQR) 6-18) months were studied. Virological response was measured by hepatitis B virus deoxyribonucleic acid (HBV DNA) levels. HBV reverse transcriptase (rt) domains were sequenced for the identification of resistance mutations. Among the 30 subjects, two (7%) showed virological response and 19 (63%) were non-responders. The virological response for the remaining nine (30%) subjects was not determined. On sequence analysis, two subjects were identified with rtI169L and rtA181V mutation after 9 months and 18 months of adefovir treatment, respectively. Though the frequencies of adefovir resistance mutations are low, a large majority of subjects showed non-response. Therefore, adefovir in the management of HBV should be used judiciously.
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Sequence Data
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JQ514500-JQ514530
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