Investigation of Putative Multisubtype Hepatitis C Virus Infections In Vivo by Heteroduplex Mobility Analysis of Core/Envelope Subgenomes
- 1 August 2008
- journal article
- Published by American Society for Microbiology in Journal of Virology
- Vol. 82 (15), 7524-7532
- https://doi.org/10.1128/jvi.02220-07
Abstract
The frequency that multiple different subtypes of hepatitis C virus (HCV) simultaneously infect a given individual is controversial. To address this question, heteroduplex mobility analysis (HMA) of portions of the HCV core and envelope 1 region was optimized for sensitive and specific detection of mixtures of HCV genomes of different genotype or subtype. Using the standard HCV genotyping approach of 5′-untranslated region (UTR) analysis, 28 of 374 (7.5%) chronic hepatitis C research subjects were classified as having either multiple-subtype HCV infections ( n = 21) or switching HCV subtypes over time ( n = 7), the latter pattern implying viral superinfection. Upon retesting of specimens by HMA, 25 of 28 multiple-subtype results could not be reproduced. All three patients with positive results were injection drug users with potential multiple HCV exposures. To address the hypothesis of tissue sequestration of multiple-subtype HCV infections, liver ( n = 22), peripheral blood mononuclear cell ( n = 13), perihepatic lymph node ( n = 16), and serum ( n = 19) specimens from 23 subjects with end-stage hepatitis C were collected and analyzed by the HMA technique. Whereas 5′-UTR results implicated mixed-subtype HCV infections in 2 subjects, HMA testing revealed no evidence of a second HCV subtype in any tissue compartment (0 of 70 compartments [0%]) or within any given subject (0 of 23 subjects [0%]). In summary, a large proportion of mixed-genotype and switching-genotype patterns generated by 5′-UTR analysis were not reproducible using the HMA approach, emphasizing the need for additional study.Keywords
This publication has 46 references indexed in Scilit:
- Analysis of the 5′ Noncoding Region versus the NS5b Region in Genotyping Hepatitis C Virus Isolates from Blood Donors in FranceJournal of Clinical Microbiology, 2006
- Identification of Unique Hepatitis C Virus Quasispecies in the Central Nervous System and Comparative Analysis of Internal Translational Efficiency of Brain, Liver, and Serum VariantsJournal of Virology, 2004
- Epidemiology and risk factors for hepatitis C in Alaska NativesHepatology, 2004
- Hepatitis C Virus Subtyping by a Core-Envelope 1-Based Reverse Transcriptase PCR Assay with Sequencing and Its Use in Determining Subtype Distribution among Danish PatientsJournal of Clinical Microbiology, 2003
- The Outcome of Acute Hepatitis C Predicted by the Evolution of the Viral QuasispeciesScience, 2000
- The Prevalence of Hepatitis C Virus Infection in the United States, 1988 through 1994The New England Journal of Medicine, 1999
- Variability of hepatitis C virusHepatology, 1995
- CLUSTAL W: improving the sensitivity of progressive multiple sequence alignment through sequence weighting, position-specific gap penalties and weight matrix choiceNucleic Acids Research, 1994
- Full-length Sequence of the Genome of Hepatitis C Virus Type 3a: Comparative Study With Different GenotypesJournal of General Virology, 1994
- Basic local alignment search toolJournal of Molecular Biology, 1990