HBV mutation literature information.


  Long-term efficacy and safety of adefovir dipivoxil for the treatment of hepatitis B e antigen-positive chronic hepatitis B.
 PMID: 18752330       2008       Hepatology (Baltimore, Md.)
Abstract: Adefovir resistance mutations A181V or N236T developed in 13 LTSES patients; the first observation was at study week 195.


  [Multiple-site analysis of HBV drug-resistant mutations in 340 patients with chronic hepatitis B].
 PMID: 18983768       2008       Zhonghua gan zang bing za zhi
Abstract: N236T +/- A181 substitution was the most frequently seen ADV-resistant mutation.


  [The efficacy of adefovir dipivoxil monotherapy and the incidence of genotypic resistance to adefovir dipivoxil in patients with lamivudine-resistant chronic hepatitis B infection].
 PMID: 19119245       2008       The Korean journal of hepatology
Abstract: At 12 months after ADV treatment, the cumulative rates of HBeAg loss and seroconversion were 15.8% and 10.5%, respectively, and the rtN236T and rtA181T/V mutants in HBV DNA polymerase were identified in 25% and 64% of patients, respectively.


  Adefovir for chronic hepatitis B treatment: identification of virological markers linked to therapy response.
 PMID: 19195324       2008       Antiviral therapy
Abstract: BACKGROUND: HBV variants rtA181V/T, rtN236T and rtl233V, which confer resistance to adefovir dipivoxil (ADV), are not detected in many non-responding patients.


  Primary resistance, multidrug resistance, and cross-resistance pathways in HBV as a consequence of treatment failure.
 PMID: 19669299       2008       Hepatology international
Abstract: Finally, in highly drug-experienced patients, clusters of mutations such as rtA181T/I233V/N236T/M250L, all on the one dominant HBV genome, are being detected which are associated with multi-drug resistance.
Abstract: Several major HBV-evolutionary NA-resistance pathways (rtM204I/V, rtN236T and rtA181T/V) have now been characterised.
Abstract: The rtM204V/I pathway is responsible for resistance to the L: -nucleosides, such as lamivudine (LMV), telbivudine (LdT) and clevudine (CLD), and also entecavir


  [The rate of hepatitis B virus resistance to adefovir dipivoxil (ADV) and the evolution of hepatitis B virus in lamivudine-resistant chronic hepatitis B patients with ADV monotherapy].
 PMID: 17244449       2007       Zhonghua gan zang bing za zhi
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.


  Adefovir dipivoxil treatment of lamivudine-resistant chronic hepatitis B.
 PMID: 17400303       2007       Antiviral research
Abstract: The rtN236T, rtA181V/T and rtI233V were not identified before ADV therapy and the genotypic mutation of rtN236T was detected in one (3.4%) patient.


  In vitro susceptibility of adefovir-associated hepatitis B virus polymerase mutations to other antiviral agents.
 PMID: 17591025       2007       Antiviral therapy
Abstract: Hepatitis B virus (HBV) polymerase mutations associated with virological breakthrough to ADV include rtA181V and rtN236T, which occur alone or in combination.
Abstract: METHODS: To investigate the in vitro activity of adefovir and other anti-HBV agents against these mutants, we generated five stable cell lines that each expressed one of the following HBV mutants: rtN236T, rtA181V, rtA181V + rtN236T, rtA181T + rt PMID: 17637268       2007       Zhonghua nei ke za zhi
Abstract: rtN236T and rtA181V mutation was not found in this 48-week study.


  Pooled analysis of amino acid changes in the HBV polymerase in patients from four major adefovir dipivoxil clinical trials.
 PMID: 17692425       2007       Journal of hepatology
Abstract: BACKGROUND/AIMS: The rtA181V and rtN236T mutations have been associated with resistance to adefovir dipivoxil (ADV).
Abstract: CONCLUSIONS: rtA181V and rtN236T were the only HBV polymerase mutations significantly associated with virologic failure to adefovir dipivoxil.
Abstract: The aims of this study were to confirm the role of rtA181V and rtN236T in clinical resistance to ADV and to screen for other potential ADV-R mutations.



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