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Exploring the hepatitis C virus genome using single molecule realtime sequencing 被引量:2
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作者 Haruhiko Takeda Taiki Yamashita +1 位作者 Yoshihide Ueda Akihiro Sekine 《World Journal of Gastroenterology》 SCIE CAS 2019年第32期4661-4672,共12页
Single molecular real-time(SMRT)sequencing,also called third-generation sequencing,is a novel sequencing technique capable of generating extremely long contiguous sequence reads.While conventional short-read sequencin... Single molecular real-time(SMRT)sequencing,also called third-generation sequencing,is a novel sequencing technique capable of generating extremely long contiguous sequence reads.While conventional short-read sequencing cannot evaluate the linkage of nucleotide substitutions distant from one another,SMRT sequencing can directly demonstrate linkage of nucleotide changes over a span of more than 20 kbp,and thus can be applied to directly examine the haplotypes of viruses or bacteria whose genome structures are changing in real time.In addition,an error correction method(circular consensus sequencing)has been established and repeated sequencing of a single-molecule DNA template can result in extremely high accuracy.The advantages of long read sequencing enable accurate determination of the haplotypes of individual viral clones.SMRT sequencing has been applied in various studies of viral genomes including determination of the full-length contiguous genome sequence of hepatitis C virus(HCV),targeted deep sequencing of the HCV NS5A gene,and assessment of heterogeneity among viral populations.Recently,the emergence of multi-drug resistant HCV viruses has become a significant clinical issue and has been also demonstrated using SMRT sequencing.In this review,we introduce the novel third-generation PacBio RSII/Sequel systems,compare them with conventional next-generation sequencers,and summarize previous studies in which SMRT sequencing technology has been applied for HCV genome analysis.We also refer to another long-read sequencing platform,nanopore sequencing technology,and discuss the advantages,limitations and future perspectives in using these thirdgeneration sequencers for HCV genome analysis. 展开更多
关键词 Third generation SEQUENCING PacBio RSII Single molecule real-time SEQUENCING HEPATITIS C virus resistance-associated substitution NANOPORE sequencer
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直接抗病毒药物治疗丙型肝炎失败的影响因素分析 被引量:2
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作者 杨宇晴 尚佳 +8 位作者 卢诚震 杨松 陈宏宇 潘家莉 韩一凡 席宏丽 亢倩 谭宁 徐小元 《临床肝胆病杂志》 CAS 北大核心 2022年第5期1059-1063,共5页
目的从基线临床资料和基因测序寻找耐药相关替代突变(RAS)两个方面将抗病毒药物(DAA)治疗结束后HCV RNA复阳患者与DAA治疗成功的HCV感染者进行对比,旨在分析DAA治疗丙型肝炎失败的影响因素。方法纳入2019年11月—2021年10月来自多中心... 目的从基线临床资料和基因测序寻找耐药相关替代突变(RAS)两个方面将抗病毒药物(DAA)治疗结束后HCV RNA复阳患者与DAA治疗成功的HCV感染者进行对比,旨在分析DAA治疗丙型肝炎失败的影响因素。方法纳入2019年11月—2021年10月来自多中心的13例DAA初治失败患者(治疗失败组)并对其复阳血清进行测序,与51例DAA初治成功患者(对照组)的基线临床资料及测序结果进行对比。非正态分布的计量资料组间比较采用Mann-Whitney U检验;计数资料组间比较采用χ^(2)检验,进行单因素和多因素logistic回归分析计算比值比(OR)并分析治疗失败的影响因素。结果12例有完整疗程资料的患者全部于用药结束后1年内复发,男性治疗失败患者的基线TBil、DBil、Cr普遍高于女性(Z值分别为-2.517、-2.440、-2.132,P值分别为0.010、0.010、0.038),年龄在55岁及以下(OR=5.152,95%CI:1.116~23.790,P=0.036)、基因型为3b型(OR=9.726,95%CI:1.325~71.398,P=0.025)的患者治疗失败可能性更高。3种基因片段上的主要RAS发生率在治疗失败和治疗成功组间不同,治疗失败组检测到的共有RAS均未在治疗成功组检测出。结论DAA治疗失败的影响因素有年龄、基因型以及血清病毒基因序列上的RAS种类。 展开更多
关键词 丙型肝炎 抗病毒药 耐药相关替代突变
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丙型肝炎直接抗病毒治疗耐药相关突变的临床意义 被引量:9
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作者 李召 陈志伟 +1 位作者 任红 胡鹏 《中华肝脏病杂志》 CAS CSCD 北大核心 2017年第3期170-174,共5页
直接抗病毒药物(DAAs)治疗慢性丙型肝炎病毒感染获得了较高的持续病毒学应答率。但耐药相关突变(RAVs)在其治疗失败中有着重要作用,引起越来越多的临床关注。现从DAAs耐药相关突变的定义,RAVs与基因型的关系,已知耐药突变及其流... 直接抗病毒药物(DAAs)治疗慢性丙型肝炎病毒感染获得了较高的持续病毒学应答率。但耐药相关突变(RAVs)在其治疗失败中有着重要作用,引起越来越多的临床关注。现从DAAs耐药相关突变的定义,RAVs与基因型的关系,已知耐药突变及其流行率,RAVs对于初治及经治患者的影响,以及耐药检测的临床作用方面阐述RAVs的临床意义,以期对优化临床DAAs治疗方案提供借鉴,获得更高的持续病毒学应答率。 展开更多
关键词 肝炎 丙型 直接抗病毒药物 耐药
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