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Basic Characteristics of Mutations
|
|
Mutation Site
|
T118K |
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Mutation Site Sentence
|
The patient carried a hepatitis B genotype D virus harbouring a single immune escape mutation, sT118K. |
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Mutation Level
|
Amino acid level |
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Mutation Type
|
Nonsynonymous substitution |
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Gene/Protein/Region
|
S |
|
Standardized Encoding Gene
|
S
|
|
Genotype/Subtype
|
D |
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Viral Reference
|
-
|
|
Functional Impact and Mechanisms
|
|
Disease
|
Hepatitis B Virus Infection
|
|
Immune
|
Y |
|
Target Gene
|
-
|
|
Clinical and Epidemiological Correlations
|
|
Clinical Information
|
- |
|
Treatment
|
Lamivudine(LAM);Rituximab |
|
Location
|
Italy |
|
Literature Information
|
|
PMID
|
22138369
|
|
Title
|
Late hepatitis B virus reactivation after lamivudine prophylaxis interruption in an anti-HBs-positive and anti-HBc-negative patient treated with rituximab-containing therapy
|
|
Author
|
Ceccarelli L,Salpini R,Sarmati L,Svicher V,Bertoli A,Sordillo P,Ricciardi A,Perno CF,Andreoni M,Sarrecchia C
|
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Journal
|
The Journal of infection
|
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Journal Info
|
2012 Aug;65(2):180-3
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Abstract
|
We describe a case of an anti-HBs-positive patient who experienced hepatitis B reactivation 18 months after the discontinuation of rituximab and after 12 months of lamivudine prophylaxis. The patient carried a hepatitis B genotype D virus harbouring a single immune escape mutation, sT118K. No consensus guidelines regarding the optimal length of treatment or the best elective drug have been defined for antiviral prophylaxis for HBsAg-negative, anti-HBc- and/or anti-HBs-positive patients undergoing immunosuppressive treatment. Screening based on HBV serological markers and HBV DNA testing is a critical issue to recognise hepatitis B reactivation as early as possible. Furthermore, it is of outstanding importance to identify alternative markers (e.g. cccDNA, HBV core related antigen, etc.), that could be predictive of HBV reactivation.
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Sequence Data
|
-
|