Abstract: The addition of Lam to the ongoing ADV treatment had poorer antiviral response in the patient with
rtA181S or
rtA181S+
N236T mutant infection; one clone with multi-drug resistant mutations was selected during Lam and ADV combination therapy.
Abstract: The evolution analysis of HBV mutant strains in an ADV-resistant
CHB patient showed that the proportion of
YMDD mutants gradually decreased with
rtA181S mutants increasing over time after ADV monotherapy, and that
rtA181S+
N236T mutants became the predominant strains during prolonged ADV monotherapy.