Detection of hepatitis C virus subtypes 6a, 6n, 6w and mixed infections using a modified multiplex real-time polymerase chain reaction protocol

In the past few years, many new subtypes in hepatitis C virus (HCV) genotype 6 have been identified. The aim of this study was to modify the multiplex real-time polymerase chain reaction (RT-PCR) protocol and use it to determine the HCV subtypes of a group of Taiwanese injection drug users (IDUs). M...

Full description

Bibliographic Details
Main Authors: Yuan-Ming Lee, Yen-Ju Chen, Cheng-Ming Lee, Lou-Hui Kuo, Wing-Wai Wong, Yi-Ming Arthur Chen
Format: Article
Language:English
Published: Elsevier 2011-12-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664611001318
_version_ 1811237610052386816
author Yuan-Ming Lee
Yen-Ju Chen
Cheng-Ming Lee
Lou-Hui Kuo
Wing-Wai Wong
Yi-Ming Arthur Chen
author_facet Yuan-Ming Lee
Yen-Ju Chen
Cheng-Ming Lee
Lou-Hui Kuo
Wing-Wai Wong
Yi-Ming Arthur Chen
author_sort Yuan-Ming Lee
collection DOAJ
description In the past few years, many new subtypes in hepatitis C virus (HCV) genotype 6 have been identified. The aim of this study was to modify the multiplex real-time polymerase chain reaction (RT-PCR) protocol and use it to determine the HCV subtypes of a group of Taiwanese injection drug users (IDUs). Methods: We used 76 serum specimens collected in northern Taiwan in 2008. Multiplex RT-PCR was used for HCV subtyping among those serum samples having anti-HCV antibodies. Twenty cases were randomly selected for comparison with subtyping results from Inno-LiPa II tests and phylogenetic tree analysis using NS5B sequences. Results: Multiplex RT-PCR assays showed that 60.5% (46/76) of IDUs had single HCV infection. Three out of 76 (3.9%) had double HCV infection (1b/6a, 2a/2b and 2b/6a). Besides this, 27.6% (21/76) had no HCV signal. One IDU had subtype 6n and two had subtype 6w infection. Inno-LiPa II tests misclassified all 6n and 6w cases as 1b subtype. Conclusion: Our modified multiplex RT-PCR protocol can be used to support molecular epidemiological studies and laboratory diagnoses of different HCV subtypes including genotype 6.
first_indexed 2024-04-12T12:26:14Z
format Article
id doaj.art-688d898d636745b5a6f7f808a7fd77aa
institution Directory Open Access Journal
issn 0929-6646
language English
last_indexed 2024-04-12T12:26:14Z
publishDate 2011-12-01
publisher Elsevier
record_format Article
series Journal of the Formosan Medical Association
spelling doaj.art-688d898d636745b5a6f7f808a7fd77aa2022-12-22T03:33:09ZengElsevierJournal of the Formosan Medical Association0929-66462011-12-011101276276710.1016/j.jfma.2011.11.006Detection of hepatitis C virus subtypes 6a, 6n, 6w and mixed infections using a modified multiplex real-time polymerase chain reaction protocolYuan-Ming Lee0Yen-Ju Chen1Cheng-Ming Lee2Lou-Hui Kuo3Wing-Wai Wong4Yi-Ming Arthur Chen5AIDS Prevention and Research Center, National Yang-Ming University, Taipei, TaiwanAIDS Prevention and Research Center, National Yang-Ming University, Taipei, TaiwanAIDS Prevention and Research Center, National Yang-Ming University, Taipei, TaiwanAIDS Prevention and Research Center, National Yang-Ming University, Taipei, TaiwanAIDS Prevention and Research Center, National Yang-Ming University, Taipei, TaiwanAIDS Prevention and Research Center, National Yang-Ming University, Taipei, TaiwanIn the past few years, many new subtypes in hepatitis C virus (HCV) genotype 6 have been identified. The aim of this study was to modify the multiplex real-time polymerase chain reaction (RT-PCR) protocol and use it to determine the HCV subtypes of a group of Taiwanese injection drug users (IDUs). Methods: We used 76 serum specimens collected in northern Taiwan in 2008. Multiplex RT-PCR was used for HCV subtyping among those serum samples having anti-HCV antibodies. Twenty cases were randomly selected for comparison with subtyping results from Inno-LiPa II tests and phylogenetic tree analysis using NS5B sequences. Results: Multiplex RT-PCR assays showed that 60.5% (46/76) of IDUs had single HCV infection. Three out of 76 (3.9%) had double HCV infection (1b/6a, 2a/2b and 2b/6a). Besides this, 27.6% (21/76) had no HCV signal. One IDU had subtype 6n and two had subtype 6w infection. Inno-LiPa II tests misclassified all 6n and 6w cases as 1b subtype. Conclusion: Our modified multiplex RT-PCR protocol can be used to support molecular epidemiological studies and laboratory diagnoses of different HCV subtypes including genotype 6.http://www.sciencedirect.com/science/article/pii/S0929664611001318hepatitis C virus (HCV)genotype 6injection drug usersInno-LiPa II testmultiplex RT-PCRsubtype 6nsubtype 6w
spellingShingle Yuan-Ming Lee
Yen-Ju Chen
Cheng-Ming Lee
Lou-Hui Kuo
Wing-Wai Wong
Yi-Ming Arthur Chen
Detection of hepatitis C virus subtypes 6a, 6n, 6w and mixed infections using a modified multiplex real-time polymerase chain reaction protocol
Journal of the Formosan Medical Association
hepatitis C virus (HCV)
genotype 6
injection drug users
Inno-LiPa II test
multiplex RT-PCR
subtype 6n
subtype 6w
title Detection of hepatitis C virus subtypes 6a, 6n, 6w and mixed infections using a modified multiplex real-time polymerase chain reaction protocol
title_full Detection of hepatitis C virus subtypes 6a, 6n, 6w and mixed infections using a modified multiplex real-time polymerase chain reaction protocol
title_fullStr Detection of hepatitis C virus subtypes 6a, 6n, 6w and mixed infections using a modified multiplex real-time polymerase chain reaction protocol
title_full_unstemmed Detection of hepatitis C virus subtypes 6a, 6n, 6w and mixed infections using a modified multiplex real-time polymerase chain reaction protocol
title_short Detection of hepatitis C virus subtypes 6a, 6n, 6w and mixed infections using a modified multiplex real-time polymerase chain reaction protocol
title_sort detection of hepatitis c virus subtypes 6a 6n 6w and mixed infections using a modified multiplex real time polymerase chain reaction protocol
topic hepatitis C virus (HCV)
genotype 6
injection drug users
Inno-LiPa II test
multiplex RT-PCR
subtype 6n
subtype 6w
url http://www.sciencedirect.com/science/article/pii/S0929664611001318
work_keys_str_mv AT yuanminglee detectionofhepatitiscvirussubtypes6a6n6wandmixedinfectionsusingamodifiedmultiplexrealtimepolymerasechainreactionprotocol
AT yenjuchen detectionofhepatitiscvirussubtypes6a6n6wandmixedinfectionsusingamodifiedmultiplexrealtimepolymerasechainreactionprotocol
AT chengminglee detectionofhepatitiscvirussubtypes6a6n6wandmixedinfectionsusingamodifiedmultiplexrealtimepolymerasechainreactionprotocol
AT louhuikuo detectionofhepatitiscvirussubtypes6a6n6wandmixedinfectionsusingamodifiedmultiplexrealtimepolymerasechainreactionprotocol
AT wingwaiwong detectionofhepatitiscvirussubtypes6a6n6wandmixedinfectionsusingamodifiedmultiplexrealtimepolymerasechainreactionprotocol
AT yimingarthurchen detectionofhepatitiscvirussubtypes6a6n6wandmixedinfectionsusingamodifiedmultiplexrealtimepolymerasechainreactionprotocol