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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1997-6-2
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pubmed:abstractText |
The distribution and temporal and clinical features of amino acid substitutions of the core protein of hepatitis B (HB) virus were analyzed, using at least 2 sequential samples from 27 patients. Six patients seroconverted from HBe antigen (HBeAg)-positive to anti-HBe-positive (3 went into remission), and 21 were continuously anti-HBe positive with progressive hepatitis. Precore mutations, which terminate HBeAg translation, all appeared by the second sample. Most core mutations occurred between the first and second samples; significantly fewer occurred after the second. In seroconverters who went into remission, mutations occurred in the T helper epitope from aa 50 to 69 (P = .00045); for anti-HBe-positive patients with ongoing disease, mutations occurred in B cell epitopes (P = .0007 for aa 74-83). An ineffective anti-HBc B cell response accounts for ongoing disease and selection of mutations after seroconversion. In those who remit, mutations in the major T helper epitope allow immune escape, thus minimizing immune-mediated hepatitis.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0022-1899
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
175
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1093-100
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9129071-Adult,
pubmed-meshheading:9129071-Aged,
pubmed-meshheading:9129071-Amino Acid Sequence,
pubmed-meshheading:9129071-DNA, Viral,
pubmed-meshheading:9129071-Epitopes,
pubmed-meshheading:9129071-Female,
pubmed-meshheading:9129071-Greece,
pubmed-meshheading:9129071-Hepatitis B,
pubmed-meshheading:9129071-Hepatitis B Core Antigens,
pubmed-meshheading:9129071-Hepatitis B e Antigens,
pubmed-meshheading:9129071-Hepatitis B virus,
pubmed-meshheading:9129071-Humans,
pubmed-meshheading:9129071-Male,
pubmed-meshheading:9129071-Middle Aged,
pubmed-meshheading:9129071-Point Mutation,
pubmed-meshheading:9129071-T-Lymphocytes, Helper-Inducer
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pubmed:year |
1997
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pubmed:articleTitle |
Hepatitis B virus core protein mutations are concentrated in B cell epitopes in progressive disease and in T helper cell epitopes during clinical remission.
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pubmed:affiliation |
Institute of Virology, University of Glasgow, United Kingdom.
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pubmed:publicationType |
Journal Article
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