PMID- 14572341 OWN - NLM STAT- MEDLINE DCOM- 20050315 LR - 20131121 IS - 1007-3418 (Print) IS - 1007-3418 (Linking) VI - 11 IP - 10 DP - 2003 Oct TI - [Detection and analysis of the new kind of G743C and G743A point mutation of HBV P gene in hepatitis B virus infected patients resistant to lamivudine]. PG - 616-8 AB - OBJECTIVE: To explore the point mutation in hepatitis B virus polymerase (HBV P) gene in HBV-infected patients resistant to lamivudine. METHODS: HBV P gene was amplified by PCR and the products was sequenced to analyze the YMDD mutation. Then the variants were detected by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) with the following restriction enzymes: Fok I, Ssp I, Alw441 and were separated by 8.0% polyacrylamide gel electrophoresis. RESULTS: Comparing with the sequences of standard HBV genome, there were 16 patients with G743C mutation and 1 patient with G743A mutation, and the codon ATG turned to ATC and ATA, YMDD motif changed into YIDD. But this kind of YIDD mutation was not proved by PCR-RFLP assay in the 17 patients. CONCLUSIONS: The G743C and G743A mutations in HBV P gene, resulting in YMDD motif changed into YIDD, are detected only by direct sequencing, not by PCR-RFLP. The new kind of G743C and G743A point mutations in HBV P gene is important for the detection of HBV P gene YMDD mutation. FAU - Pan, Xiao-ping AU - Pan XP AD - Institute of Infectious Diseases, First Affiliated Hospital, Medical College of Zhejiang University, Hangzhou 310003, China. FAU - Wo, Jian-er AU - Wo JE FAU - Chen, Zhi AU - Chen Z FAU - Chen, Feng AU - Chen F FAU - Liang, Wei-feng AU - Liang WF FAU - Liu, Ke-zhou AU - Liu KZ LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't 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 Primers) RN - 0 (DNA, Viral) RN - 0 (Gene Products, pol) RN - 0 (P protein, Hepatitis B virus) RN - 2T8Q726O95 (Lamivudine) RN - EC 2.7.7.7 (DNA-Directed DNA Polymerase) SB - IM MH - Adult MH - Amino Acid Motifs/genetics MH - Antiviral Agents/pharmacology/therapeutic use MH - Cloning, Molecular MH - DNA Primers/genetics MH - DNA, Viral/blood/genetics MH - DNA-Directed DNA Polymerase/genetics MH - Drug Resistance, Viral/*genetics MH - Female MH - Gene Products, pol/genetics MH - Hepatitis B virus/*genetics MH - Hepatitis B, Chronic/*drug therapy/virology MH - Humans MH - Lamivudine/pharmacology/*therapeutic use MH - Male MH - Middle Aged MH - *Point Mutation EDAT- 2003/10/24 05:00 MHDA- 2005/03/16 09:00 CRDT- 2003/10/24 05:00 PHST- 2003/10/24 05:00 [pubmed] PHST- 2005/03/16 09:00 [medline] PHST- 2003/10/24 05:00 [entrez] PST - ppublish SO - Zhonghua Gan Zang Bing Za Zhi. 2003 Oct;11(10):616-8.