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Open AccessJournal ArticleDOI

Naturally occurring dominant resistance mutations to hepatitis c virus protease and polymerase inhibitors in treatment-naive patients

TLDR
Naturally occurring dominant STAT‐C resistance mutations are common in treatment‐naïve patients infected with HCV genotype 1, and their influence on treatment outcome should be characterized to evaluate possible benefits of drug resistance testing for individual tailoring of drug combinations when treatment options are limited due to previous nonresponse to peginterferon and ribavirin.
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This article is published in Hepatology.The article was published on 2008-12-01 and is currently open access. It has received 355 citations till now. The article focuses on the topics: Ribavirin & Drug resistance.

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Journal ArticleDOI

Viral Quasispecies Evolution

TL;DR: The understanding of viruses as quasispecies has led to new antiviral designs, such as lethal mutagenesis, whose aim is to drive viruses toward low fitness values with limited chances of fitness recovery.

Nucleotide Polymerase Inhibitor So fos bu vir plus Ribavirin for Hepatitis C

TL;DR: Sofosbuvir plus ribavirin for 12 weeks may be effective in previously untreated patients with HCV genotype 1, 2, or 3 infection, and the rate of sustained virologic response 24 weeks after therapy is reported.
Journal ArticleDOI

Nucleotide Polymerase Inhibitor Sofosbuvir plus Ribavirin for Hepatitis C

TL;DR: In this paper, the authors evaluated sofosbuvir, an oral nucleotide inhibitor of HCV polymerase, in interferon-sparing and interfon-free regimens for the treatment of hepatitis C virus (HCV) infection.
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Resistance to Direct Antiviral Agents in Patients With Hepatitis C Virus Infection

TL;DR: The parameters that determine resistance, genotypic and phenotypic resistance profiles of DAA agents, and strategies to avoid the selection of resistant variants are reviewed.
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The importance of resistance to direct antiviral drugs in HCV infection in clinical practice.

TL;DR: Geno- and phenotypic resistance testing as well as clinical data on the importance of RAVs for conventional triple therapies with sofosbuvir, simeprevir, and daclatasvir and available interferon-free DAA combinations are discussed.
References
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Journal ArticleDOI

The CLUSTAL_X windows interface: flexible strategies for multiple sequence alignment aided by quality analysis tools.

TL;DR: ClUSTAL X is a new windows interface for the widely-used progressive multiple sequence alignment program CLUSTAL W, providing an integrated system for performing multiple sequence and profile alignments and analysing the results.
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Hepatitis C Virus Infection

TL;DR: The institution of blood-screening measures in developed countries has decreased the risk of transfusion-associated hepatitis to a negligible level, but new cases continue to occur mainly as a result of injection-drug use and, to a lesser degree, through other means of percutaneous or mucous-membrane exposure.
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Peginterferon-alpha2a and ribavirin combination therapy in chronic hepatitis C: a randomized study of treatment duration and ribavirin dose.

TL;DR: Treatment with peginterferon-alpha2a and ribavirin may be individualized by genotype, and in patients infected with HCV genotype 1, 48 weeks of treatment was statistically superior to 24 weeks and standard-dose ribvirin was statistically inferior to low-dose Ribavirin.
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Dynamic hepatitis C virus genotypic and phenotypic changes in patients treated with the protease inhibitor telaprevir.

TL;DR: Resistant HCV isolates are selected rapidly during therapy with the highly active protease inhibitor telaprevir, and changes in the frequency of mutations after the end of dosing showed an inverse relationship between in vivo viral fitness and resistance.
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