Brief report: Variant of hepatitis B virus with primary resistance to adefovir

被引:172
作者
Schildgen, O
Sirma, H
Funk, A
Olotu, C
Wend, UC
Hartmann, H
Helm, M
Rockstroh, JK
Willems, WR
Will, H
Gerlich, WH
机构
[1] Univ Bonn, Inst Med Microbiol & Immunol, D-5300 Bonn, Germany
[2] Univ Bonn, Dept Med 1, D-5300 Bonn, Germany
[3] Heinrich Pette Inst, Hamburg, Germany
[4] Inst Med Virol, D-35392 Giessen, Germany
[5] Practice Gastroenterol & Hepatol, Herne, Germany
[6] Practice Abelein Helm, Nurnberg, Germany
关键词
D O I
10.1056/NEJMoa051214
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The reverse-transcriptase inhibitor lamivudine ( Zeffix, GlaxoSmithKline) is often treat chronic infection with hepatitis B virus ( HBV) until resistance develops. may then be switched to the reverse-transcriptase inhibitor adefovir Gilead), which has a lower frequency of resistance. Here, we describe cases of primary adefovir resistance that were sensitive to tenofovir ( Viread, All three cases involved a rare HBV variant with a valine at position 233 of transcriptase domain instead of isoleucine ( rtI233V), as in the wild-type This HBV variant also displayed resistance to adefovir and sensitivity to tenofovir vitro.
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页码:1807 / 1812
页数:6
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