YMDD mutations of HBV in HBeAg positive and HBeAg negative chronic hepatitis B / 中华传染病杂志

ABSTRACT

Objective To compare the occurrence of YMDD mutations in patients with HBeAg positve and HBeAg negative chronic hepatitis. Methods Two hundred and forty seven chronic hepatitis B patients who received lamivudine treatment were followed up.Liver function tests and hepatitis B virological tests including YMDD mutant analysis,HBV DNA quantitation and HBV serological marker analysis were performed regularly. Results YMDD mutants were detected in forty two patients.The cumulative rate of occurrence of YMDD mutation increased with the duration of lamivudine treatment.The mutation rate was significantly higher in pretreatment HBeAg positive patients than that in HBeAg negative patients.The ALT flare was more evident after emergence of YMDD mutants in pretreatment HBeAg positive patients than that in HBeAg negative patients.Conclusions The cumulative rate of occurrence of YMDD mutation was higher in pretreatment HBeAg positive patients than that in pretreatment HBeAg negative patients.