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Journal of Antimicrobial Chemotherapy (2002) 49, 1044-1046
© 2002 The British Society for Antimicrobial Chemotherapy


Correspondence

Hepatitis B virus surface antigen mutants persist in chronic carriers receiving lamivudine therapy in Singapore

Wei Ning Chen1,*, Chong Jin Oon2 and Gek Keow Lim2

1Department of Clinical Research and 2Ransome Research Laboratory, Singapore General Hospital, Singapore 169608, Republic of Singapore

Sir,

Lamivudine, the negative enantiomer of 2'-dideoxy-3'-thiacytidine, is a reverse transcriptase inhibitor for both human immunodeficiency virus (HIV) and human hepatitis B virus (HBV). Its application has so far resulted in a reduction of serum HBV DNA in chronic carriers and also improved liver function.1 However, prolonged lamivudine therapy has resulted in mutations in the Tyr-Met-Asp-Asp (YMDD) motif of the HBV DNA polymerase.2 Although the HBV DNA polymerase and viral surface antigen (HBsAg) are translated from the same coding region, albeit different reading frames, . . . [Full Text of this Article]

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