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Basic Characteristics of Mutations
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Mutation Site
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N144A |
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Mutation Site Sentence
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Table 1-2 |
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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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G;D;B;F;E;C;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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Hepatitis B Virus Infection
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Immune
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Y |
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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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- |
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Literature Information
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PMID
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21831732
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Title
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Role of hepatitis B virus genetic barrier in drug-resistance and immune-escape development
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Author
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Svicher V,Cento V,Salpini R,Mercurio F,Fraune M,Beggel B,Han Y,Gori C,Wittkop L,Bertoli A,Micheli V,Gubertini G,Longo R,Romano S,Visca M,Gallinaro V,Marino N,Mazzotta F,De Sanctis GM,Fleury H,Trimoulet P,Angelico M,Cappiello G,Zhang XX,Verheyen J,Ceccherini-Silberstein F,Perno CF
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Journal
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Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
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Journal Info
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2011 Dec;43(12):975-83
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Abstract
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BACKGROUND: Impact of hepatitis B virus genetic barrier, defined as the number and type of nucleotide substitutions required to overcome drug/immune selective pressure, on drug-resistance/immune-escape development is unknown. METHODS: Genetic barrier was calculated according to Van de Vijver (2006) in 3482 hepatitis B virus-reverse transcriptase/HBV surface antigen sequences from 555 drug-naive patients and 2927 antiviral-treated patients infected with hepatitis B virus genotypes A-G. RESULTS: Despite high natural variability, genetic barrier for drug-resistance development is identical amongst hepatitis B virus genotypes, but varies according to drug-resistance mutation type. Highest genetic barrier is found for secondary/compensatory mutations (e.g. rtL80I/V-rtL180M-rtV173L), whilst most primary mutations (including rtM204V-rtA181T/V-rtI169T-rtA194T) are associated with low genetic barrier. An exception is rtM204I, which can derive from a transition or a transversion. Genotypes A and G are more prone to develop immune/diagnostic-escape mutations sT114R and sG130N. Vaccine-escape associated sT131N-mutation is a natural polymorphism in both A and G genotypes. CONCLUSION: Genetic barrier and reverse transcriptase/HBV surface antigen overlapping can synergistically influence hepatitis B virus drug-resistance/immune-escape development. The different immune-escape potential of specific hepatitis B virus genotypes could have important clinical consequences in terms of disease progression, vaccine strategies and correct HBV surface antigen detection.
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Sequence Data
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-
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