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Basic Characteristics of Mutations
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Mutation Site
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L180M |
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Mutation Site Sentence
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High-grade HBV viraemia associated with L180M and M240V drug-resistance mutations was confirmed. |
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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
|
RT |
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Standardized Encoding Gene
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P
|
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Genotype/Subtype
|
A |
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Viral Reference
|
-
|
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Functional Impact and Mechanisms
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Disease
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HBV-HIV Coinfection
|
|
Immune
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- |
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Target Gene
|
-
|
|
Clinical and Epidemiological Correlations
|
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Clinical Information
|
Y |
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Treatment
|
- |
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Location
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Africa |
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Literature Information
|
|
PMID
|
22422696
|
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Title
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The perils of relying on anti-hepatitis B total core antibody in screening individuals infected with HIV
|
|
Author
|
Thng C,Babiker ZO,Brown B,Babu C
|
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Journal
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International journal of STD & AIDS
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Journal Info
|
2012 Feb;23(2):149-50
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Abstract
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Co-infection with HIV and hepatitis B virus (HBV) has serious long-term consequences. We describe a case of an HIV-infected heterosexual black African man with a delayed diagnosis of HBV infection. Baseline HBV screening was performed using a sequential testing algorithm starting with a total core antibody (anti-HBc) test, which was negative. He had no evidence of immunity against HBV and subsequently received three unsuccessful courses of HBV vaccination. He had mild but persistent elevation of liver enzymes over a five-year period despite maintaining full suppression of HIV replication on efavirenz, lamivudine and zidovudine; the latter was changed to abacavir due to lipoatrophy. Further testing revealed e-antibody positive chronic HBV infection with undetectable anti-HBc reactivity. High-grade HBV viraemia associated with L180M and M240V drug-resistance mutations was confirmed. He was subsequently switched to a tenofovir-based regimen, which achieved HBV suppression. Adopting effective HBV screening strategies in HIV-infected patients is recommended.
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Sequence Data
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-
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