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1121例慢性乙型肝炎患者HBV反转录酶区的耐药突变分析(英文) 被引量:11
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作者 刘妍 王春梅 +7 位作者 纪冬 徐辰 韩萍 任晓强 许智慧 戴久增 张玲霞 徐东平 《解放军医学杂志》 CAS CSCD 北大核心 2009年第6期659-662,共4页
目的分析大样本慢性乙型肝炎患者HBV反转录酶基因上的多位点核苷(酸)类似物的耐药相关突变情况及其临床意义。方法提取1 121例患者血清HBV DNA,采用巢式PCR方法扩增HBV反转录酶(RT)基因,对PCR产物进行DNA双向测序,对12个位点上的耐药相... 目的分析大样本慢性乙型肝炎患者HBV反转录酶基因上的多位点核苷(酸)类似物的耐药相关突变情况及其临床意义。方法提取1 121例患者血清HBV DNA,采用巢式PCR方法扩增HBV反转录酶(RT)基因,对PCR产物进行DNA双向测序,对12个位点上的耐药相关突变进行检测,并结合临床资料进行分析。结果检出拉米夫定(LAM)耐药突变228例,阿德福韦(ADV)耐药突变32例,恩替卡韦(ETV)耐药突变13例,替比夫定(L-dT)耐药突变4例。多药耐药5例。LAM耐药突变中以M204V和M204I最常见,前者通常伴随L180 M突变,后者常单独出现;ADV耐药突变中以N236T±A181位碱基替换为主;ETV耐药突变发生在LAM耐药基础上,以T184位碱基替换为主;L-dT的耐药突变为M204I。结论用基因序列测定法检测HBV RT基因多位点耐药相关突变,有助于临床及时发现乙肝患者是否存在HBV基因耐药,合理进行抗病毒治疗。 展开更多
关键词 肝炎 乙型 慢性 突变 抗药性 病毒
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Altered expression profiles of microRNAs in a stable hepatitis B virus-expressing cell line 被引量:38
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作者 LIU Yan ZHAO Jian-Jun +7 位作者 WANG Chun-mei LI Mian-yang HAN Ping WANG Lin CHENG Yong-qian Fabien Zoulim MA Xu XU Dong-ping 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第1期10-14,共5页
Background MicroRNAs (miRNAs) are highly conserved small non-coding RNAs of 18-25 nucleotides (nt) that mediate post-transcriptional gene regulation. Hepatitis B virus (HBV) can cause either acute or chronic hep... Background MicroRNAs (miRNAs) are highly conserved small non-coding RNAs of 18-25 nucleotides (nt) that mediate post-transcriptional gene regulation. Hepatitis B virus (HBV) can cause either acute or chronic hepatitis B, and is a high risk factor for liver cirrhosis and hepatocellular carcinoma. Some mammalian viruses have been shown to modulate the expression of host cellular miRNAs. However, interactions between the HBV and the host cellular miRNAs are largely unknown.Methods miRNA microarray and Northern blotting analysis were used to compare the expression profile of cellular miRNAs of a stable HBV-expressing cell line HepG2.2.15 and its parent cell line HepG2. mRNA microarray assay and the miRanda program were used to predict the miRNA targets. A flow cytometric assay was further used to investigate the expression of human leukocyte antigen (HLA)-A.Results Eighteen miRNAs were differentially expressed between the two cell lines. Among them, eleven were up-regulated and seven were down-regulated in HepG2.2.15 cells. Northern blotting analysis confirmed that the expression of miR-181a, miR-181b, miR-200b and miR-146a were up-regulated and the expression of miR-15a was down-regulated, which was in consistent with the results of the microarray analysis. Furthermore, some putative miRNA targets were predicted and verified to be linked with mRNA expression. The 3′-UTR of HLA-A gene had one partially complementary site for miR-181a and miR-181 a might down-regulate the expression of HLA-A.Conclusion HBV replication modulates the expression of host cellular miRNAs, which may play a role in the pathogenesis of HBV-related liver diseases. 展开更多
关键词 hepatitis B virus microRNA MICROARRAY gene regulation
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Hepatitis B virus in tenofovir-naive Chinese patients with chronic hepatitis B contains no mutation of rtA194T conferring a reduced tenofovir susceptibility 被引量:13
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作者 LIU Yan WANG Chun-mei +6 位作者 CHENG Jun LIANG Zhao-ling ZHONG Yan-wei REN Xiao-qiang XU Zhi-hui Fabien Zoulim XU Dong-ping 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第13期1585-1586,共2页
Recently the Chinese Ministry of Health declared that 93 million people wer.e chronically infected with hepatitis B virus (HBV) in China. Four nucleotide analogues (NAs) are currently approved for the treatment of... Recently the Chinese Ministry of Health declared that 93 million people wer.e chronically infected with hepatitis B virus (HBV) in China. Four nucleotide analogues (NAs) are currently approved for the treatment of HBV infection, i.e., lamivudine (LAM), adefovir (ADV), entecavir (ETV), and telbivudine (L-dT). In contrast to therapeutic benefits, prolonged use of NAs increases the emergence of drug-resistant mutations in the HBV reverse transcriptase (RT) domain, leading to a progressive accumulation of NAs-resistant patients. Especially, LAM-refractory patients are prone to develop cross-resistance to other NAs. Novel anti-HBV drugs that are able to deal with the cross-resistance are needed in the clinic. Tenofovir (TDF), which was recently approved in Europe and United States of America, has potential to be such a drug. Clinical trials have proven its high potency for inhibiting HBV replication in HBV-infected patients, 展开更多
关键词 drug resistance hepatitis B virus MUTATION TENOFOVIR
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