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本文引用的文献

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Lamivudine resistance in hepatitis B: mechanisms and clinical implications.乙型肝炎中的拉米夫定耐药性:机制与临床意义
Drug Resist Updat. 2001 Apr;4(2):118-28. doi: 10.1054/drup.2001.0190.
2
Kinetics of hepadnavirus loss from the liver during inhibition of viral DNA synthesis.在抑制病毒DNA合成过程中,嗜肝DNA病毒从肝脏中清除的动力学。
J Virol. 2001 Jan;75(1):311-22. doi: 10.1128/JVI.75.1.311-322.2001.
3
A quantitative competitive PCR assay for the covalently closed circular form of the duck hepatitis B virus.
Antiviral Res. 2000 Oct;48(1):27-37. doi: 10.1016/s0166-3542(00)00114-5.
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Genotypic succession of mutations of the hepatitis B virus polymerase associated with lamivudine resistance.与拉米夫定耐药相关的乙型肝炎病毒聚合酶突变的基因型演变。
J Hepatol. 2000 Sep;33(3):469-75. doi: 10.1016/s0168-8278(00)80284-6.
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Increased hepatocyte turnover and inhibition of woodchuck hepatitis B virus replication by adefovir in vitro do not lead to reduction of the closed circular DNA.
Hepatology. 2000 Jul;32(1):139-46. doi: 10.1053/jhep.2000.8701.
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Low dynamic state of viral competition in a chronic avian hepadnavirus infection.慢性禽嗜肝DNA病毒感染中病毒竞争的低动态状态
J Virol. 2000 Jun;74(11):5257-65. doi: 10.1128/jvi.74.11.5257-5265.2000.
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Lamivudine as initial treatment for chronic hepatitis B in the United States.在美国,拉米夫定作为慢性乙型肝炎的初始治疗药物。
N Engl J Med. 1999 Oct 21;341(17):1256-63. doi: 10.1056/NEJM199910213411702.
8
Emergence and takeover of YMDD motif mutant hepatitis B virus during long-term lamivudine therapy and re-takeover by wild type after cessation of therapy.长期拉米夫定治疗期间YMDD基序突变型乙型肝炎病毒的出现与取代以及治疗停止后野生型病毒的重新取代
Hepatology. 1998 Jun;27(6):1711-6. doi: 10.1002/hep.510270634.
9
Lamivudine therapy of WHV-infected woodchucks.拉米夫定对感染土拨鼠肝炎病毒(WHV)的土拨鼠的治疗。
Virology. 1998 May 25;245(1):18-32. doi: 10.1006/viro.1998.9150.
10
Lack of effect of antiviral therapy in nondividing hepatocyte cultures on the closed circular DNA of woodchuck hepatitis virus.抗病毒治疗对非分裂肝细胞培养物中旱獭肝炎病毒共价闭合环状DNA无作用。
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抑制病毒复制后鸭乙型肝炎病毒共价闭合环状DNA池在体内的半衰期

Half-life of the duck hepatitis B virus covalently closed circular DNA pool in vivo following inhibition of viral replication.

作者信息

Addison William R, Walters Kathie-Anne, Wong Winnie W S, Wilson John S, Madej Danuta, Jewell Lawrence D, Tyrrell D Lorne J

机构信息

Department of Medical Microbiology and Immunology and Glaxo Wellcome Research Centre, University of Alberta, Edmonton, Alberta, Canada.

出版信息

J Virol. 2002 Jun;76(12):6356-63. doi: 10.1128/jvi.76.12.6356-6363.2002.

DOI:10.1128/jvi.76.12.6356-6363.2002
PMID:12021368
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC136192/
Abstract

Covalently closed circular DNA (cccDNA) is a crucial intermediate in the replication of hepadnaviruses. We inhibited the replication of duck hepatitis B virus in congenitally infected ducks with a combination of lamivudine and a dideoxyguanosine prodrug. Inhibition of viral replication should prevent renewal of the cccDNA pool, and its decay was measured in liver biopsy samples collected over a 5-month period. In three ducks, the cccDNA pools declined exponentially, with half-lives ranging from 35 to 57 days. In two others, the pools declined exponentially for about 70 days but then stabilized at about 6 copies/diploid genome. The selection of drug-resistant virus mutants is an unlikely explanation for this unexpected stabilization of cccDNA levels. Liver sections stained for the cell division marker PCNA showed that animals in which cccDNA loss was continuous had significantly greater numbers of PCNA-positive nuclei than did those animals in which cccDNA levels had plateaued.

摘要

共价闭合环状DNA(cccDNA)是嗜肝DNA病毒复制过程中的关键中间体。我们使用拉米夫定和一种双脱氧鸟苷前药的组合抑制先天性感染鸭体内鸭乙型肝炎病毒的复制。抑制病毒复制应可防止cccDNA库的更新,我们在5个月期间收集的肝活检样本中对其衰减情况进行了测定。在三只鸭中,cccDNA库呈指数下降,半衰期为35至57天。在另外两只鸭中,cccDNA库在约70天内呈指数下降,但随后稳定在约6拷贝/二倍体基因组水平。耐药病毒突变体的选择不太可能解释cccDNA水平这种意外的稳定情况。对细胞分裂标记物增殖细胞核抗原(PCNA)进行染色的肝脏切片显示,cccDNA持续丢失的动物中PCNA阳性细胞核的数量显著多于cccDNA水平已趋于平稳的动物。