|
Basic Characteristics of Mutations
|
|
Mutation Site
|
M460V |
|
Mutation Site Sentence
|
Analysis of sequential viral isolates recovered from the patient's cerebrospinal fluid and blood showed CMV DNA with a UL97 mutation (M460V) known to confer ganciclovir resistance. |
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Mutation Level
|
Amino acid level |
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Mutation Type
|
Nonsynonymous substitution |
|
Gene/Protein/Region
|
UL97 |
|
Standardized Encoding Gene
|
UL97
|
|
Genotype/Subtype
|
- |
|
Viral Reference
|
-
|
|
Functional Impact and Mechanisms
|
|
Disease
|
Cytomegalovirus Retinitis
Encephalitis
|
|
Immune
|
- |
|
Target Gene
|
-
|
|
Clinical and Epidemiological Correlations
|
|
Clinical Information
|
Y |
|
Treatment
|
ganciclovir |
|
Location
|
- |
|
Literature Information
|
|
PMID
|
20345320
|
|
Title
|
Ganciclovir-resistant cytomegalovirus encephalitis in a hematopoietic stem cell transplant recipient
|
|
Author
|
Arslan F,Tabak F,Avsar E,Midilli K,Mert A,Ozaras R,Soysal T,Ozturk R,Ferhanoglu B
|
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Journal
|
Journal of neurovirology
|
|
Journal Info
|
2010 Mar;16(2):174-8
|
|
Abstract
|
We describe a 41-year-old patient, who upon receiving a bone marrow transplant in order to treat chronic myeloid leukemia, developed cytomegalovirus (CNV) retinitis and encephalitis under the ganciclovir maintenance treatment. Analysis of sequential viral isolates recovered from the patient's cerebrospinal fluid and blood showed CMV DNA with a UL97 mutation (M460V) known to confer ganciclovir resistance. Foscarnet resistance mutations were not found. Although therapy was switched to foscarnet when ganciclovir resistance was suspected, the patient was lost on posttransplant day 200.
|
|
Sequence Data
|
-
|