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Basic Characteristics of Mutations
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Mutation Site
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Q80K |
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Mutation Site Sentence
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The prevalence of the natural NS3 variant Q80K, associated with resistance to the macrocyclic protease inhibitor simeprevir, was detected in 51.6% of clade I and 0% of clade II (P < .001); clade I showed a lower genetic barrier for Q80K, whereas no sign of selective pressure at any protease inhibitor resistance-associated codon was detected. |
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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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NS3 |
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Standardized Encoding Gene
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NS3
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Genotype/Subtype
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1a |
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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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HCV Infection
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Immune
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- |
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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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Y |
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Treatment
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simeprevir |
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Location
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Italy; Germany; France; Spain; Brazil; United States; Egypt; Australia; Japan |
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Literature Information
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PMID
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26213689
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Title
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Two Distinct Hepatitis C Virus Genotype 1a Clades Have Different Geographical Distribution and Association With Natural Resistance to NS3 Protease Inhibitors
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Author
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De Luca A,Di Giambenedetto S,Lo Presti A,Sierra S,Prosperi M,Cella E,Giovanetti M,Torti C,Caudai C,Vicenti I,Saladini F,Almi P,Grima P,Blanc P,Fabbiani M,Rossetti B,Gagliardini R,Kaiser R,Ciccozzi M,Zazzi M
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Journal
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Open forum infectious diseases
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Journal Info
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2015 Mar 31;2(2):ofv043
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Abstract
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Background. Hepatitis C virus (HCV) genotype 1 is the most prevalent worldwide. Subtype 1a, compared with 1b, shows lower response rates and higher propensity to select for drug resistance to NS3 and selected NS5A and nonnucleoside NS5B inhibitors. Two distinct clades of subtype 1a have been described. Methods. Using Bayesian methodology, we performed a time-scaled phylogeny reconstruction of clade separation and characterized the geographic distribution, phylodynamics, and association with natural resistance variants of NS3 sequences from 362 patients carrying subtype 1a HCV. Results. All sequences segregated in 2 clearly distinct clades. Clade I showed an earlier origin from the common ancestor compared with clade II. Clade I virus was more prevalent in non-European countries, represented mostly by United States, compared with European (75.7% vs 49.3%; P < .001). The prevalence of the natural NS3 variant Q80K, associated with resistance to the macrocyclic protease inhibitor simeprevir, was detected in 51.6% of clade I and 0% of clade II (P < .001); clade I showed a lower genetic barrier for Q80K, whereas no sign of selective pressure at any protease inhibitor resistance-associated codon was detected. Conclusions. Hepatitis C virus subtype 1a clades have a clearly different distribution in Europe and the United States, and the natural resistance mutation Q80K is exclusively associated with clade I.
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Sequence Data
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"JN704206, JN704210, JN704218 through JN704220, JN704224, JN704229 through JN704242, JN704244, JN704246 through JN704254, JN704256, JN704257, JN704260 through JN704264, JN704266 through JN704270, JN704273 through JN704277, JN704278 through JN704286, JN704290, JN704291, JN704293 through JN704295, JN704193, JN704194, JN704198, JN704199, JN704202 through JN704204,KP411614 through KP411746"
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