Hepatitis B virus escape mutants induced by antiviral therapy
Author(s) -
Julie Sheldon,
Vincent Soriano
Publication year - 2008
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dkn014
Subject(s) - virology , hepatitis b virus , antigenicity , biology , virus , antigen , hepadnaviridae , hepatitis b , antibody , reverse transcriptase , mutant , viral envelope , orthohepadnavirus , gene , immunology , polymerase chain reaction , genetics
The hepatitis B virus (HBV) polymerase and envelope genes overlap in such a way that resistance mutations to antiviral agents in the reverse transcriptase gene may affect the antigenicity of the HBV surface antigen. Mutant viruses may escape serological diagnosis using specific anti-HBV surface antigen antibodies, causing occult forms of chronic hepatitis B. Moreover, these HBV strains may evade vaccine protection, representing a public health challenge. Thus, the circulation of HBVs encoding envelope mutations selected by antiviral agents requires close monitoring.
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