2003
DOI: 10.1097/00002030-200307250-00009
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Prevalence and characterization of lamivudine-resistant hepatitis B virus mutations in HIV–HBV co-infected individuals

Abstract: Genotypic HBV lamivudine resistance was found in 39% of HIV-HBV co-infected individuals treated with lamivudine as part of highly active antiretroviral therapy. These patients exhibited significantly elevated HBV viral loads and serum ALT, and three were infected with a lamivudine-resistant HBV strain that was potentially transmissible to HBV-vaccinated individuals.

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Cited by 60 publications
(52 citation statements)
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“…The triple mutation V519L/L526M/ M550V causes the concomitant amino acid substitutions E164D and I195M in the S protein. It has been shown recently that this triple mutant has a reduced affinity to anti-HBs antibodies, similarly to what happens with the well-known hepatitis B vaccine escape mutant G145R (Torresi et al 2002, Cooley et al 2003.…”
Section: Discussionmentioning
confidence: 70%
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“…The triple mutation V519L/L526M/ M550V causes the concomitant amino acid substitutions E164D and I195M in the S protein. It has been shown recently that this triple mutant has a reduced affinity to anti-HBs antibodies, similarly to what happens with the well-known hepatitis B vaccine escape mutant G145R (Torresi et al 2002, Cooley et al 2003.…”
Section: Discussionmentioning
confidence: 70%
“…In contrast, all isolates from HBsAg negative samples did not display lamivudine resistance mutations. In another study involving HBsAg positive, HIV infected patients almost 50% of patients who were HBV DNA positive did not display lamivudine resistance mutations (Cooley et al 2003). Furthermore, these patients and those with resistance mutations had been under lamivudine therapy for a similar period of time.…”
Section: Discussionmentioning
confidence: 96%
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“…HBV DNA was extracted and the catalytic domain of the reverse transcriptase/polymerase and the basal core promoter/precore regions were sequenced as previously described. 14,15 Liver Histology. Liver biopsy was also collected for formalin fixation and embedded in paraffin and processed for routine histology and hematoxylin-eosin staining.…”
Section: Methodsmentioning
confidence: 99%
“…The mutation at the rtM204V codon results in a change in the envelope gene at the sI195M codon, and the rtM204I mutation results in changes to the sW196L/S/Stop codon. In addition to these changes, the rtV173L mutation occurs in 9 to 22% of patients with LMV resistance (8,9). This mutation results in a change in the envelope gene at the sE164D codon.…”
Section: Hepatitis Delta Virus (Hdv) Is Encapsidated By the Envelope mentioning
confidence: 99%