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Diagnostics - HBV Absence of Serological Markers

"Complete Nucleotide Sequences and the Characteristics of Two Hepatitis B Virus Mutants Causing Serologically Negative Acute or Chronic Hepatitis B."

Published in Hepatitis Weekly, April 17th, 1995

According to the authors' abstract of an article published in Journal of Medical Virology, "Hepatitis B virus (HBV) DNA was amplified by the polymerase chain reaction from the sera of a patient with acute hepatitis and a patient with chronic hepatitis. Both patients were negative for serum hepatitis B surface antigen and hepatitis B core antibodies and had been previously diagnosed as non-A, non-B, non-C, non-D, non-E hepatitis. The nucleotide sequence revealed an 8-nucleotide deletion in the X-gene coding region creating a C-terminally truncatedxprotein, and probable mutation of the enhancer II/core promoter element. In addition, DR2 showed a T-to-C mutation at the extreme 5'-terminus....

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