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

Autor(es)

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]

Afiliação do(s) autor(es)

^[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

• Tipo de documento: Artigo Científico
• Fonte: Journal of Medical Virology; v. 86, n. 10, p. 1714-1721, OCT 2014.
• Citações Web of Science: 12

Resumo

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)

• Processo FAPESP: 12/18168-2 - Caracterização molecular do vírus da Hepatite C em portadores de doença renal crônica em hemodiálise
• Beneficiário: Rafael Alves da Silva
• Modalidade de apoio: Bolsas no Brasil - Mestrado
• Processo FAPESP: 09/14277-9 - Estudo de mutações primárias para inibidores de protease e polimerase para o vírus da hepatite c em portadores crônicos da cidade de são paulo
• Beneficiário: Isabel Maria Vicente Guedes de Carvalho Mello
• Modalidade de apoio: Auxílio à Pesquisa - Regular