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Hepatitis B Virus

Mutant Viruses Are Common in HBV Patients Given Lamivudine

Published in Hepatitis Weekly, December 27th, 1999

YMDD mutant viruses commonly emerge during long-term lamivudine treatment of patients with chronic hepatitis B virus.

Lamivudine is an effective antiviral agent for the treatment of chronic type B hepatitis. Recent studies have shown the appearance of lamivudine resistant viruses with mutations at the tyrosine-methionine-aspartate-aspartate (YMDD) motif of the viral polymerase in hepatitis B virus (HBV) infected patients who received orthotopic liver transplantation.

"In order to confirm the appearance of such mutant HBV in immunocompetent patients, the HBV sequences in and around the YMDD motif of HBV DNA polymerase were examined in the sera from...

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