PMID- 12716526 OWN - NLM STAT- MEDLINE DCOM- 20050310 LR - 20131121 IS - 1007-3418 (Print) IS - 1007-3418 (Linking) VI - 11 IP - 4 DP - 2003 Apr TI - [Quasispecies and mutation of hepatitis B virus polymerase gene in lamivudine- treated patients]. PG - 235-8 AB - OBJECTIVE: To study the quasispecies and mutation features of hepatitis B virus polymerase (HBV P) gene in chronic hepatitis B patients before and after lamivudine treatment. METHODS: The HBV P gene was amplificated with PCR and cloned, then single strand conformation polymorphism / heteroduplex analysis (SSCP/HDA) was applied to analyze the quasispecies complexity and mutation characters of HBV P gene. RESULTS: The quasispecies number of HBV P gene before treatment was larger than that after treatment (7 to 14 vs. 4 to 8, t = 3.98, P < 0.05). Six patients had one or two predominant quasispecies before therapy, but the percentages of predominant quasispecies were lower than those after therapy (33.3% to 81.8% vs. 78.8% to 90.9%, t = 3.42, P < 0.05). By sequencing the predominant clones, there were 2 patients with M550V/L528M mutation, 3 patients with M550I mutation and 1 patient with wild type after lamivudine therapy. Additionally, there were individualization mutations which had no obvious tender. CONCLUSION: Quasispecies of hepatitis B virus are changed under the selection of lamivudine, meanwhile, the mutation at YMDD motif emerges. FAU - Huang, Yan-ping AU - Huang YP AD - Department of Infectious Diseases, Southwest Hospital, Third Military Medical University, Chongqing 400038, China. FAU - Wang, Yu-ming AU - Wang YM FAU - Lan, Lin AU - Lan L FAU - Fan, Yi AU - Fan Y LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Gan Zang Bing Za Zhi JT - Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology JID - 9710009 RN - 0 (Antiviral Agents) RN - 0 (DNA, Viral) RN - 2T8Q726O95 (Lamivudine) RN - EC 2.7.7.7 (DNA-Directed DNA Polymerase) SB - IM MH - Antiviral Agents/therapeutic use MH - DNA, Viral/metabolism MH - DNA-Directed DNA Polymerase/genetics MH - Female MH - Hepatitis B virus/classification/*genetics MH - Hepatitis B, Chronic/*drug therapy/virology MH - Humans MH - Lamivudine/*therapeutic use MH - Male MH - Point Mutation/*genetics EDAT- 2003/04/30 05:00 MHDA- 2005/03/11 09:00 CRDT- 2003/04/30 05:00 PHST- 2003/04/30 05:00 [pubmed] PHST- 2005/03/11 09:00 [medline] PHST- 2003/04/30 05:00 [entrez] PST - ppublish SO - Zhonghua Gan Zang Bing Za Zhi. 2003 Apr;11(4):235-8.