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Basic Characteristics of Mutations
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Mutation Site
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T1754G |
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Mutation Site Sentence
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Table 2 |
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Mutation Level
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Nucleotide level |
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Mutation Type
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Gene/Protein/Region
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BCP;PreC |
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Standardized Encoding Gene
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C
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Genotype/Subtype
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B;C |
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Viral Reference
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FJ386574-FJ386689;FJ562218-FJ562340;EU939536-EU939681
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Functional Impact and Mechanisms
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Disease
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Acute-On-Chronic Liver Failure
Hepatitis B, Chronic
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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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China |
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Literature Information
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PMID
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20848146
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Title
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Association of hepatitis B virus mutations in basal core promoter and precore regions with severity of liver disease: an investigation of 793 Chinese patients with mild and severe chronic hepatitis B and acute-on-chronic liver failure
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Author
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Xu Z,Ren X,Liu Y,Li X,Bai S,Zhong Y,Wang L,Mao P,Wang H,Xin S,Wong VW,Chan HL,Zoulim F,Xu D
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Journal
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Journal of gastroenterology
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Journal Info
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2011 Mar;46(3):391-400
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Abstract
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OBJECTIVE: To investigate the features of hepatitis B virus (HBV) basal core promoter/precore (BCP/PC) mutations and genotypes in a large number of mild/severe chronic hepatitis B (CHB-M/CHB-S), and acute-on-chronic liver failure (ACLF) patients and analyze the clinical implications of the virologic features. PATIENTS AND METHODS: Sera of 793 (325 CHB-M, 170 CHB-S, and 298 ACLF) patients admitted to or who had visited Beijing 302 Hospital from January 2005 to December 2008 were collected and successfully amplified for the HBV BCP/PC and a 1225-bp-long S/Pol (nt 54-1278) gene regions. Biochemical and serological parameters and HBV DNA level were routinely performed. Viral DNA was extracted and subjected to a nested PCR. Genotypes/subgenotypes were determined based on complete genomic sequence or on analysis of the 1225-bp-long S/Pol-gene sequence. HBV genotyping was performed by direct PCR sequencing followed by molecular evolutionary analysis of the viral sequences. A P value of <0.05 (two-sided) was considered to be statistically significant. CONCLUSIONS: Our findings suggest that CHB patients infected with BCP/PC mutant viruses are more susceptible to severe hepatitis and ACLF than those with the BCP/PC wild-type virus and that ACLF patients with PC mutant viruses have an increased risk of death. As such, the HBV PC mutation is a potential predictive indicator of ACLF outcome.
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Sequence Data
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-
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