Introduction: HBV resistance to TDF is not well characterised, but there are emerging data from in vitro studies associating
Pol mutations
rtA194T and
rtN236T with decreased susceptibility.
Result: Although TDF has a high genetic barrier to resistance, and is associated with reliable suppression of HBV viraemia, mutations
rtN236T and
rtA194T, which have been linked with resistance to both TDF and ADV, have been identified in Southern Africa in both treatment naive and treatment experienced patients.