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Basic Characteristics of Mutations
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Mutation Site
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N236S |
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Mutation Site Sentence
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The proportions of the total number of reads containing mutations I169L/M, S202R, M204I/L or N236S were >1. |
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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
|
P
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Genotype/Subtype
|
B |
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Viral Reference
|
AB713528
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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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Clinical and Epidemiological Correlations
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Clinical Information
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Y |
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Treatment
|
- |
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Location
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Idonesia |
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Literature Information
|
|
PMID
|
25382636
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Title
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A deep-sequencing method detects drug-resistant mutations in the hepatitis B virus in Indonesians
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Author
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Widasari DI,Yano Y,Heriyanto DS,Utsumi T,Yamani LN,Rinonce HT,Wasityastuti W,Lusida MI,Soetjipto,Okada R,Murakami Y,Tanahashi T,Azuma T,Hayashi Y
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Journal
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Intervirology
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Journal Info
|
2014;57(6):384-92
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Abstract
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OBJECTIVE: The long-term administration of a nucleos(t)ide analogue (NA) for the treatment of chronic hepatitis B may encourage the emergence of viral mutations associated with drug resistance. Minor populations of viruses may exist before treatment, but are difficult to detect because of technological limitations. Identifying minor viral quasispecies should be useful in the clinical management of hepatitis B virus (HBV) infection. METHODS: Six treatment-naive Indonesian patients with chronic HBV infection participated in this study. The polymerase region of the HBV genome, including regions with known drug-resistant mutations, was subjected to capillary sequencing and MiSeq sequencing (Illumina). Mutations were analyzed with Genomics Workbench software version 6.0.1 (CLC bio). RESULTS: The mean mapping reads for the six samples was 745,654, and the mean number of amplified fragments ranged from 17,926 to 25,336 DNA reads. Several known drug-resistant mutations in the reverse transcriptase region were identified in all patients, although the frequencies were low (0.12-1.06%). The proportions of the total number of reads containing mutations I169L/M, S202R, M204I/L or N236S were >1.0%. CONCLUSION: Several known NA-resistant mutations were detected in treatment-naive patients in Indonesia using deep sequencing. Careful management of such patients is essential to prevent drug-resistant mutations from spreading to other patients.
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Sequence Data
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-
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