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Basic Characteristics of Mutations
|
|
Mutation Site
|
N236T |
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Mutation Site Sentence
|
Surprisingly, adefovir therapy failed, although none of the virus isolates displayed mutations known to be associated with adefovir resistance (A181V, N236T). |
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Mutation Level
|
Amino acid level |
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Mutation Type
|
Nonsynonymous substitution |
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Gene/Protein/Region
|
|
|
Standardized Encoding Gene
|
|
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Genotype/Subtype
|
A |
|
Viral Reference
|
-
|
|
Functional Impact and Mechanisms
|
|
Disease
|
HBV-HIV Coinfection
|
|
Immune
|
- |
|
Target Gene
|
-
|
|
Clinical and Epidemiological Correlations
|
|
Clinical Information
|
Y |
|
Treatment
|
Lamivudine(LAM);Abacavir(ADV) |
|
Location
|
- |
|
Literature Information
|
|
PMID
|
15577546
|
|
Title
|
Successful therapy of hepatitis B with tenofovir in HIV-infected patients failing previous adefovir and lamivudine treatment
|
|
Author
|
Schildgen O,Schewe CK,Vogel M,Daumer M,Kaiser R,Weitner L,Matz B,Rockstroh JK
|
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Journal
|
AIDS (London, England)
|
|
Journal Info
|
2004 Nov 19;18(17):2325-7
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Abstract
|
Three HIV-infected patients with chronic hepatitis B (genotype A) were switched to adefovir therapy after unsuccessful lamivudine treatment. Surprisingly, adefovir therapy failed, although none of the virus isolates displayed mutations known to be associated with adefovir resistance (A181V, N236T). In two isolates we identified hepatitis B virus DNA polymerase mutation L217R, in one case we found multiple frameshifts in the same region. In all cases adefovir was replaced by tenofovir, resulting in a significant drop in the viral load.
|
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Sequence Data
|
-
|