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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1995-4-4
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pubmed:abstractText |
The objective of this study was to evaluate the role of hepatitis B virus (HBV) precore mutations in patients with anti-HBe-positive chronic hepatitis B with or without previous known HBe antigen (HBeAg) viremic phase, and to assess the potential implication of precore mutants in HBeAg-negative reactivation after loss of HBeAg. Nineteen patients were studied: 7 had a previous HBeAg-positive phase and had spontaneous or therapeutically induced loss of HBeAg (group A); 12 had no previous HBeAg-positive phase (group B). Direct sequencing of PCR products was performed on serum collected during the anti-HBe-positive phase in the two groups. In group A, precore sequencing showed that 5 patients were infected by wild-type virus, 1 patient was infected with a precore mutant, and 1 patient was found to be infected by a mixture of wild-type and precore mutant viruses. In group B, precore sequencing showed that only 1 patient was infected with wild-type virus and that 11 were infected with precore mutants. In a few patients, the presence of HBeAg within immune complexes may explain HBeAg negativity. In conclusion, our results show that, in patients with anti-HBe-positive chronic hepatitis B: (1) precore mutations creating a stop codon are more frequently found in those without known previous HBeAg positivity; (2) after loss of HBeAg, the patients who have anti-HBe-positive reactivation are infected by wild-type virus, which suggests that reactivation is not related to precore mutations; (3) HBeAg negativity may be caused by immune complexes formation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0270-9139
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
21
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
627-31
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7875659-Adult,
pubmed-meshheading:7875659-Aged,
pubmed-meshheading:7875659-Base Sequence,
pubmed-meshheading:7875659-Chronic Disease,
pubmed-meshheading:7875659-Hepatitis B,
pubmed-meshheading:7875659-Hepatitis B Antibodies,
pubmed-meshheading:7875659-Hepatitis B e Antigens,
pubmed-meshheading:7875659-Hepatitis B virus,
pubmed-meshheading:7875659-Humans,
pubmed-meshheading:7875659-Male,
pubmed-meshheading:7875659-Middle Aged,
pubmed-meshheading:7875659-Molecular Sequence Data,
pubmed-meshheading:7875659-Mutation,
pubmed-meshheading:7875659-Oligonucleotide Probes,
pubmed-meshheading:7875659-Virus Activation
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pubmed:year |
1995
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pubmed:articleTitle |
Low frequency of precore hepatitis B virus mutants in anti-hepatitis B e-positive reactivation after loss of hepatitis B e antigen in patients with chronic hepatitis B.
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pubmed:affiliation |
Unité de Recherches de Physiopathologie Hépatique, Hôpital Beaujon, Clichy, France.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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