Brief Reports
Copyright ©The Author(s) 2005. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jul 21, 2005; 11(27): 4261-4267
Published online Jul 21, 2005. doi: 10.3748/wjg.v11.i27.4261
Mutations outside the YMDD motif in the P protein can also cause DHBV resistant to Lamivudine
Jin-Yang He, Yu-Tong Zhu, Rui-Yi Yang, Li-Ling Feng, Xing-Bo Guo, Feng-Xue Zhang, Hong-Shan Chen
Jin-Yang He, Yu-Tong Zhu, Rui-Yi Yang, Li-Ling Feng, Xing-Bo Guo, Feng-Xue Zhang, Tropical Medicine Institute of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, Guangdong Province, China
Hong-Shan Chen, Institute of Medical Biotechnology of CAMS and PUMC, Beijing 100050, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Jin-Yang He, MD, Tropical Medicine Institute of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, Guangdong Province, China. sunny12345678_89@yahoo.com.cn
Telephone: +86-20-31774402
Received: December 22, 2004
Revised: January 5, 2005
Accepted: January 12, 2005
Published online: July 21, 2005
Abstract

AIM: To observe the Lamivudine resistance character of a DHBV strain in vitro and in vivo, and to analyze if the Lamivudine resistance character is caused by gene mutation or by abnormity of the Lamivudine metabolism.

METHODS: Congenitally DHBV-negative Guangdong brown ducks and duck embryo liver cells were respectively taken as animal and cell model. The Lamivudine-susceptive DHBV and Lamivudine-resistant DHBV (LRDHBV) were infected and Lamivudine was administrated according to the divided groups. The changes of DHBV quantity in the animal and cell model were tested. Three Lamivudine-resistant and two Lamivudine-susceptive DHBV complete genomes were successfully amplified, sequenced and then submitted to GenBank. All the DHBV complete sequences in the GenBank at present were taken to align with the three LRDHBV to analyze the mutational points related to the Lamivudine-resistant mutation.

RESULTS: Both the animal and cell model showed that the large and the small dosage Lamivudine have no significant inhibitory effect on the LRDHBV. Five sequences of DHBV complete genomes were successfully cloned. The GenBank accession numbers of the three sequences of LRDHBV are AY521226, AY521227, and AY433937. The two strains of Lamivudine-susceptive DHBV are AY392760 and AY536371. The correlated mutational points are KorR86Q and AorE591T in the P protein.

CONCLUSION: The Lamivudine resistance character of this DHBV strain is caused by genome mutation; the related mutational points are KorR86Q and AorE591T and have no relations with the YMDD motif mutation.

Keywords: DHBV, Lamivudine resistance, Mutational points