Genomic DNA was extracted using the
DNA FFPE Tissue Kit (Qiagen, Hilden, Germany) as per the manufacturer’s instructions. And the extracted DNA was stored at -80°C until it was analyzed. The HBV DNA concentration was quantified as copies per microgram of genomic DNA by real-time PCR performed using the
ABI 7300 TaqMan platform (Life Technologies, Carlsbad, CA, USA); multiplex PCR was used to determine the HBV genotype[26 (
link)]. The DNA sequences flanking the polymerase region (nucleotides 2307–3215, 1–1623) were amplified with the primer pairs listed in
Table 1, according to the polymerase region identified by the National Center for Biotechnology Information (NCBI) database (
http://www.ncbi.nlm.nih.gov/genome/5536). It was very difficult to obtain PCR products for some samples; therefore, we redesigned the primer pairs with decreased flanking length for successful PCR amplification in such cases. Nested PCR was also performed for a few samples.
Cyclic sequencing was performed with a
BigDye Terminator v3.1 Cycle Sequencing Kit (Life Technologies), and the products were separated using an
ABI PRISM 3100 Genetic Analyzer (Life Technologies). Mutations were confirmed by repeating the analysis on both strands.
Yin F., Xie Y., Fan H., Zhang J, & Guo Z. (2017). Mutations in hepatitis B virus polymerase are associated with the postoperative survival of hepatocellular carcinoma patients. PLoS ONE, 12(12), e0189730.