Comparisons of the HBV and HIV polymerase, and antiviral resistance mutations

The antiviral treatment of chronic hepatitis B is limited by the selection of antiviral resistance mutations. Primary resistance to lamivudine occurs at rtM2041/V in the C Domain of the polymerase. Recently, resistance to adefovir has also been described in the D Domain at rtN236T. The treatment of...

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Veröffentlicht in:Antiviral therapy 2004-04, Vol.9 (2), p.149-160
Hauptverfasser: BARTHOLOMEUSZ, Angeline, TEHAN, Benjamin G, CHALMERS, David K
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container_title Antiviral therapy
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creator BARTHOLOMEUSZ, Angeline
TEHAN, Benjamin G
CHALMERS, David K
description The antiviral treatment of chronic hepatitis B is limited by the selection of antiviral resistance mutations. Primary resistance to lamivudine occurs at rtM2041/V in the C Domain of the polymerase. Recently, resistance to adefovir has also been described in the D Domain at rtN236T. The treatment of patients with resistant virus without complete suppression can lead to the further selection of compensatory mutations. Thus, to gain an understanding of the hepatitis B virus (HBV) polymerase and also mutations associated with resistance, a three-dimensional model of the HBV reverse transcriptase core region based on homology with human immunodeficiency virus (HIV) was created. A comparative analysis of the HIV polymerase and the model of HBV polymerase was performed. In addition, the antiviral resistance mutations including potential compensatory mutations were mapped to determine their effect on the HBV polymerase model, especially in the nucleotide binding site.
doi_str_mv 10.1177/135965350400900203
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subjects Amino Acid Sequence
Animals
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antiviral agents
Antiviral Agents - pharmacology
Base Sequence
Biological and medical sciences
Drug Resistance, Viral
Hepatitis B virus - drug effects
Hepatitis B virus - enzymology
Hepatitis B virus - genetics
Hepatitis B, Chronic - virology
HIV Reverse Transcriptase - chemistry
HIV Reverse Transcriptase - genetics
Humans
Medical sciences
Models, Molecular
Molecular Sequence Data
Mutation
Pharmacology. Drug treatments
RNA-Directed DNA Polymerase - chemistry
RNA-Directed DNA Polymerase - genetics
title Comparisons of the HBV and HIV polymerase, and antiviral resistance mutations
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