Evidence map›Paper›PMID 27446286›Full record

ArticleExperimental and therapeutic medicine2016

Association between clinical features and YMDD mutations in patients with chronic hepatitis B following lamivudine therapy.

Ying Ma, Yujun Yuan, Xianglin Ma, Boru Tang, Ximei Hu, Juan Feng, Li Tian, Yaohua Ji, Xiaoguang Dou

Open access · diamondAbstract read
In one paragraph

Article in Experimental and therapeutic medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Ying MaDepartment of Neurology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110817, P.R. China.
Yujun YuanDepartment of Neurology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110817, P.R. China.
Xianglin MaDepartment of General Surgery, The Third People's Hospital of Wafangdian, Wafangdian, Liaoning 116300, P.R. China.
Boru TangDepartment of Neurology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110817, P.R. China.
Ximei HuDepartment of Neurology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110817, P.R. China.
Juan FengDepartment of Neurology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110817, P.R. China.
Li TianDepartment of Geriatrics, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110817, P.R. China.
Yaohua JiDepartment of Virus, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110817, P.R. China.
Xiaoguang DouDepartment of Infectious Disease, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110817, P.R. China.
China Medical University · CNThe Third People's Hospital of Dalian City · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the present study was to investigate the correlation between feature and genotype with regard to the tyrosine-methionine-aspartate-aspartate (YMDD) mutation in chronic hepatitis B patients after lamivudine (LAM) therapy. A total of 30 patients with chronic hepatitis B were recruited, who underwent one year of LAM therapy. The patients' alanine aminotransferase (ALT) level and hepatitis B envelope antigen (HBeAg) seroconversion were evaluated, hepatitis B virus (HBV) DNA was genotyped using a new genotyping method and YMDD mutations were analyzed prior to treatment and at 6 and 12 months after LAM treatment. Furthermore, the secondary protein structure of the HBV DNA polymerase gene (P gene) was analyzed. Following treatment, the results suggested that LAM therapy improved ALT normalization. There was no correlation between clinical effects and ALT level before treatment. After 12 months treatment, the rate of HBeAg loss increased and the rate of HBeAg seroconversion decreased linearly with the rise of baseline ALT level. While ALT normalization and HBeAg seroconversion were highest in patients with HBV genotype B, HBeAg loss and HBVDNA loss were highest in those with genotype C. The effect was predominant in genotype D. No YMDD mutations were identified prior to 6 months of LAM therapy. The rate of YMDD mutations after 12 months LAM therapy was 12.12%. Two patients with rtM204V + rtL180M belonged to genotype C and another patient with rtL180M alone belonged to genotype D. The turn of secondary protein structure of P gene changed to β sheet when a rtM204V mutation occurred, and no change of secondary protein structure was associated with the rtL180M mutation. Thus, the present results indicate that one year of LAM therapy is able to improve ALT normalization. Long-term LAM therapy may induce YMDD mutation and drug resistance.

Indexed as

chronic hepatitis Bgenotypelamivudinesecondary protein structureYMDD mutation

Identifiers

PMID27446286
PMCPMC4950494
OpenAlexW2398784265

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.