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Basic Characteristics of Mutations
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Mutation Site
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S202R |
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Mutation Site Sentence
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There were 8.3% (1/12) clones from serum with the rtS202R mutation and 5.0% (1/20) clones from CSF with the rtM204V mutation in participant 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
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RT |
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Standardized Encoding Gene
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P
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Genotype/Subtype
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B;C |
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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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- |
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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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- |
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Location
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- |
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Literature Information
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PMID
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37771603
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Title
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The central nervous system is a potential reservoir and possible origin of drug resistance in hepatitis B infection
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Author
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Xu L,Zhou M,Peng X,Xu Y,Huang F,Wang L,Peng X,Yang Z,Tao R,Lang G,Cao Q,Li M,Huang Y,Zhu B,Xu Y
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Journal
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Journal of virus eradication
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Journal Info
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2023 Sep 11;9(3):100348
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Abstract
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BACKGROUND: The significance of hepatitis B virus (HBV) in cerebrospinal fluid (CSF) is unclear. METHODS: Synchronous serum and CSF samples were collected from 13 patients. HBV DNA, full-length genome, quasispecies, phylogenetic tree, compartmentalization and mutation of the reverse transcriptase (RT) region were performed based on PCR and sequencing methods. RESULTS: HBV DNA was detected in the CSF of 3 antiviral-naive individuals and 1 individual after successful antiviral therapy. Complete full-length HBV genomes were isolated from the CSF of 5 individuals, including 2 with undetectable serum HBV DNA. Ten individuals exhibited distinct CSF-serum quasispecies, 8 harbored independent CSF-serum genetic compartmentalization and phylogenetic trees, and 5 lamivudine/entecavir-associated resistance mutations only in the CSF. The frequencies of rtL180M and rtM204I/V mutations in both serum and CSF were higher in HIV-HBV-coinfected individuals than in the HBV-monoinfected ones (serum: rtL180M: 3.9% vs. 0, P = 0.004; rtM204I/V: 21.3% vs. 0, P < 0.001; CSF: rtL180M: 7.6% vs. 0, P = 0.026; rtM204I/V 7.6% vs. 1.6%, P = 0.097). CONCLUSION: CSF is a potential HBV reservoir, and HBV in CSF harbors distinct evolution and mutation characteristics from those in serum. HIV infection increases the possibility of HBV rtL180M and rtM204I/V mutations in both serum and CSF.
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Sequence Data
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-
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