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Basic Characteristics of Mutations
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Mutation Site
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M213V |
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Mutation Site Sentence
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The sample from the 30-year-old female had no substitutions other than sT123A, while the sample from the 54-year-old male had sG44E, sC85F, sT123A, sI208T, sS210R, and sM213V.ale had sG44E, sC85F, sT123A, sI208T, sS210R, and sM213V |
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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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S |
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Standardized Encoding Gene
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S
|
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Genotype/Subtype
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B |
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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 Virus Infection
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Immune
|
Y |
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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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- |
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Literature Information
|
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PMID
|
27133305
|
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Title
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Discordant diagnostic results due to a hepatitis B virus T123A HBsAg mutant
|
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Author
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Osiowy C,Kowalec K,Giles E
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Journal
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Diagnostic microbiology and infectious disease
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Journal Info
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2016 Jul;85(3):328-333
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Abstract
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HBsAg immunoassay results are occasionally discordant among primary and confirmatory assays or with respect to other markers of HBV infection. Such discordance has been observed repeatedly in Canada with samples having a mutation at HBsAg codon 123 (sT123A). Detection of recombinant expressed HBsAg protein having either sT123 or sA123 was evaluated with one manual and six automated HBsAg immunoassays. The recombinant mutant HBsAg was non-reactive by Abbott AxSYM, while the Abbott ARCHITECT Quantitative and Qualitative II, ADVIA Centaur, and VITROS ECi detection signal was reduced compared with the wild-type protein, approaching the assay cut-off for certain assays, dependent upon the level of protein. The Roche Elecsys and manual immunoassays detected both wild-type and mutant proteins comparatively. The sT123A mutation leads to loss of detection by immunoassays commonly used in Canadian diagnostic laboratories, which may produce misleading results and diagnoses.
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Sequence Data
|
HM590576
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