Abstract: Direct sequence analysis of the ETV-resistant strain showed appearance of amino acid substitution
rtS202G in the
reverse transcriptase (
RT) domain, together with
rtL180M +
M204V substitution that had developed at the emergence of LAM-resistant mutant.
Abstract: In conclusion, this study showed that virological and biochemical breakthrough due to ETV could occur in patients infected with LAM-resistant HBV and confirmed that the addition of
rtS202G substitution to the
rtL180M +
M204V mutant strain is responsible for ETV resistance and we could treat the resistant