Result: Common and frequent lamivudine-related amino acid substitutions were found in this study including
N53K 3.68% (12/325),
L80V/I 3.07% (each 5/325), L82M1.22% (4/325)
L91I 7.06% (23/325),
T128I 1,53% (5/325), L180M3.37% (11/325), and M204I2.76%(9/325)
M204V 1.23% (4/325) see Figure 1.
Discussion: The results showed that viral mutations related to lamivudine, adefovir ,telbivudine, and entecavir resistance were discovered in patients who had never been treated with these drugs, with various mutation frequencies ranging between 1.23% (for
M204V) and 7.06% (for
L91I).