Table 2.
Summary of antiviral therapy, HBV polymerase and concomitant surface gene sequence data in liver, PBMC and plasma of patients on suppressive anti-HBV therapy
| Case | Current antiviral (prior therapy) duration (months)* |
Anti-HBV drug resistance (clinical) |
Plasma† % wt or drug-resistant and S gene alterations |
Liver† % wt or drug-resistant and S gene alterations |
PBMC† % wt or drug-resistant and S gene alterations |
|---|---|---|---|---|---|
| 1 | ETV 9 | LMV | – | wt, 100% | – |
| 2 | LMV, ADF 30 | LMV | – | LMV, 40% (rtM204I; sW743L) wt, 60% | – |
| 3 | LMV, TDF (ADV) 7 | LMV, ADF | – | LMV, 20% (rtM204V; sI741M) ADF 10% (rtA181V; sF674L) | – |
| 4 | TDF (ADV) 19 | No | – | ADF, 20% (rtA181S; sW673C) wt 80% | wt, 100% |
| 5 | LMV 38 | No | – | wt, 100% | wt, 100% |
| 6 | FTC, TDF (LMV, ADV) 6 | Slow response to ADF | wt, 100% | LMV, 30% (rtM204I; sW743stop) wt, 70% | LMV, 16% (rtM204I; sI741M) ETV, 11% (rtS184N; sV685M) wt, 73% |
| 7 | LMV 15 | No | wt, 100% | wt, 100% | wt, 100% |
| 8 | ADV (LMV) 8 | LMV | – | ‡LMV, 50% (rtM204V or rtL180M; sI741M) wt, 50% | – |
| 9 | LMV, TDF 36 | No | – | LMV, 5% (rtL180P; sS667P) wt, 95% | wt, 100% |
PBMC, peripheral blood mononuclear cells; ETV, entecavir; LMV; lamivudine; ADF, adefovir; TDF; tenofovir; FTC, emtricitabine; wt, wild-type; ADV, adefovir.
Median duration of antiviral therapy 15 months, range 6–38 months.
10–20 clones of HBV P gene sequence analysed in liver and 20 clones analysed in PBMC and plasma.
Case 8 Liver: 50% clones carried wt HBV P gene and 50% LMVr variants rtM204V or rtL180M.