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Basic Characteristics of Mutations
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Mutation Site
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L528M |
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Mutation Site Sentence
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Genotypic analysis showed M552V, M552I and L528M mutations. |
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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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|
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Standardized Encoding Gene
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|
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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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Hepatitis B, Chronic
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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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Lamivudine(LAM) |
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Location
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UK |
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Literature Information
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PMID
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15311721
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Title
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Efficacy of alpha interferon therapy for lamivudine resistance in chronic hepatitis B
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Author
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Danalioglu A,Kaymakoglu S,Cakaloglu Y,Demir K,Karaca C,Durakoglu Z,Bozaci M,Badur S,Cevikbas U,Okten A
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Journal
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International journal of clinical practice
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Journal Info
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2004 Jul;58(7):659-61
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Abstract
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OBJECTIVES: The occurrence of lamivudine resistance is often associated with the clinical breakthrough, which is characterised by the reappearance of hepatitis B virus (HBV) DNA in serum and the elevation of aminotransferases. We evaluated the efficacy of alpha interferon for clinical breakthrough in patients receiving lamivudine therapy. PATIENTS: Six chronic hepatitis B patients receiving lamivudine were enrolled in the study. RESULTS: Under lamivudine therapy, clinical breakthroughs occurred in between fifteenth and thirty-fourth month of lamivudine therapy. HBV DNA reappeared, and alanine aminotransferase was elevated. Genotypic analysis showed M552V, M552I and L528M mutations. After determining the clinical breakthrough, standard alpha interferon-2b was given for 6 months. Lamivudine was also maintained. In only one patient, HBV DNA became negative by polymerase chain reaction, and serum alanine transaminase level was normal at the end of therapy. CONCLUSION: Alpha interferon added to lamivudine is generally ineffective in the treatment of lamivudine resistance.
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Sequence Data
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-
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