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Basic Characteristics of Mutations
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Mutation Site
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K130M |
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Mutation Site Sentence
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Also, K130M and V131I/L were only detectable in patients with ALF‐NSR and ALF‐SR (Supporting Table S8). |
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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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X |
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Standardized Encoding Gene
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X
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Genotype/Subtype
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D;A |
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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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Liver Failure, Acute
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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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- |
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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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30229977
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Title
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Clinical Outcome and Viral Genome Variability of Hepatitis B Virus-Induced Acute Liver Failure
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Author
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Anastasiou OE,Widera M,Westhaus S,Timmer L,Korth J,Gerken G,Canbay A,Todt D,Steinmann E,Schwarz T,Timm J,Verheyen J,Ciesek S
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Journal
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Hepatology (Baltimore, Md.)
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Journal Info
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2019 Mar;69(3):993-1003
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Abstract
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Acute hepatitis B virus (HBV) infection remains a frequent cause of acute liver failure (ALF) worldwide. ALF occurs in 0.1%-0.5% of infected patients. The aim of this study was to scrutinize the outcome of patients with HBV-induced ALF and mutational patterns of HBV variants, which might contribute to ALF. From 2005 to 2016, 42 patients were treated for HBV-induced ALF in the University Hospital Essen, Germany. Clinical and virological data from these patients were collected. As a control, 38 patients with acute hepatitis B (AHB) without liver failure were included. The HBV genome was sequenced by next-generation sequencing (NGS). Mutations that were found by NGS were analyzed in vitro. Of 42 patients, 8 had ALF without spontaneous recovery (NSR): Seven patients underwent liver transplantation (LT) and one patient died before LT. Of 42 patients, 34 (81%) had spontaneous recovery (SR) and cleared the infection, achieving either anti-HBs seroconversion or hepatitis B surface antigen (HBsAg) loss. HBV genotype (GT)-D was the most frequent GT in patients with ALF. Mutations in HBV core, preS2, and small hepatitis B surface antigen (SHB) were more frequent in patients with ALF-NSR compared with those with ALF-SR or AHB. Amino acid deletions (del; 16-22 and 20-22) in preS2 and SHB mutation L49R were exclusively detected in patients with ALF-NSR. In vitro analyses reveal that these mutations did not influence HBsAg secretion or infectivity. Conclusion: HBV GT-D and increased variability in HBV core, preS2 region, and SHB are associated with a worse clinical outcome of acute HBV infection.
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Sequence Data
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-
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