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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Protease Inhibitor Resistance Mutations in Untreated Brazilian Patients Infected with HCV: Novel Insights about Targeted Genotyping Approaches

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Author(s):
de Carvalho, Isabel M. V. G. [1, 2] ; Alves, Rafael [2] ; Vasconcelos-Medeiros de Souza, Polyana A. [1] ; da Silva, Edvaldo F. [3] ; Mazo, Daniel [3] ; Carrilho, Flair J. [3] ; Queiroz, Artur T. L. [4] ; Pessoa, Mario G. [3]
Total Authors: 8
Affiliation:
[1] Butantan Inst, Sao Paulo - Brazil
[2] Univ Fed Sao Paulo, Appl Mol Hepatol Lab LHeMA, Hepatitis Sect, Div Gastroenterol, Sao Paulo - Brazil
[3] Univ Sao Paulo, Sch Med, Dept Gastroenterol, Sao Paulo - Brazil
[4] Goncalo Moniz Res Ctr FIOCRUZ, Immunoparasitol Lab, Salvador, BA - Brazil
Total Affiliations: 4
Document type: Journal article
Source: Journal of Medical Virology; v. 86, n. 10, p. 1714-1721, OCT 2014.
Web of Science Citations: 12
Abstract

Several new direct-acting antiviral (DAA) drugs are being developed or are already approved for the treatment of chronic hepatitis C virus (HCV) infection. HCV variants presenting drug-resistant phenotypes were observed both in vitro and during clinical trials. The aim of this study was to characterize amino acid changes at positions previously associated with resistance in the NS3 protease in untreated Brazilian patients infected with HCV genotypes 1a and 1b. Plasma samples from 171 untreated Brazilian patients infected with HCV were obtained from the Department of Gastroenterology of Clinics Hospital (HCFMUSP) in Sao Paulo, Brazil. Nested PCR and Sanger sequencing were used to obtain genetic information on the NS3 protein. Bioinformatics was used to confirm subtype information and analyze frequencies of resistance mutations. The results from the genotype analysis using non-NS3 targeted methods were at variance with those obtained from the NS3 protease phylogenetic analyses. It was found that 7.4% of patients infected with HCV genotype 1a showed the resistance-associated mutations V36L, T54S, Q80K, and R155K, while 5.1% of patients infected with HCV genotype 1b had the resistance-associated mutations V36L, Q41R, T54S, and D168S. Notably, codons at positions 80 and 155 differed between samples from Brazilian patient used in this study and global isolates. The present study demonstrates that genotyping methods targeting the NS3 protein showed a difference of results when compared to mainstream methodologies (INNO-LiPA and polymerase sequencing). The resistance mutations present in untreated patients infected with HCV and codon composition bias by geographical location warrant closer examination. (C) 2014 Wiley Periodicals, Inc. (AU)

FAPESP's process: 12/18168-2 - Molecular Characterization of Hepatite C Virus from renal chronic disease patients under hemodialysis
Grantee:Rafael Alves da Silva
Support Opportunities: Scholarships in Brazil - Master
FAPESP's process: 09/14277-9 - HEPATITIS C VIRUS PRIMARY MUTATIONS RELATED TO RESISTANCE TO PROTEASE AND POLYMERASE INHIBITORS IN CHRONIC PATIENTS FROM SÃO PAULO CITY,BRAZIL
Grantee:Isabel Maria Vicente Guedes de Carvalho Mello
Support Opportunities: Regular Research Grants