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Chronic Hepatitis B

Lamivudine-resistant patients develop compensatory mutations during therapy

Published in Hepatitis Weekly, December 8th, 2003

Lamivudine-resistant patients develop compensatory mutations during therapy.

"Therapy of chronic hepatitis B virus (HBV) infection with the polymerase inhibitor lamivudine frequently is associated with the emergence of viral resistance. Genotypic changes in the YMDD motif (reverse transcriptase [rt] mutations rtM204V/I) conferred resistance to lamivudine as well as reducing the in vitro replication efficiency of HBV. A second mutation, rtL180M, was previously reported to partially restore replication fitness as well as to augment drug resistance in vitro," according to a study from the United States.

"Here we report the functional characterization of...

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