Hepatitis C virus genotype 5 variability in treatment naïve patients in South Africa

Introduction. Hepatitis C virus (HCV) genotype 5 was originally identified in South Africa, where it represents 35-60% of all HCV infections. There are limited data on resistance associated variants (RAVs) in South Africa. Thus, we investigated variability within the NS3/NS4A, NS5A, and NS5B gene...

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Main Authors: Tshegofatso K. Maunye, Maemu P. Gededzha, Jason T. Blackard, Johnny N. Rakgole, Selokela G. Selabe
Format: Article
Language:English
Published: Karger Publishers 2023-05-01
Series:Intervirology
Online Access:https://beta.karger.com/Article/FullText/528178
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author Tshegofatso K. Maunye
Maemu P. Gededzha
Jason T. Blackard
Johnny N. Rakgole
Selokela G. Selabe
author_facet Tshegofatso K. Maunye
Maemu P. Gededzha
Jason T. Blackard
Johnny N. Rakgole
Selokela G. Selabe
author_sort Tshegofatso K. Maunye
collection DOAJ
description Introduction. Hepatitis C virus (HCV) genotype 5 was originally identified in South Africa, where it represents 35-60% of all HCV infections. There are limited data on resistance associated variants (RAVs) in South Africa. Thus, we investigated variability within the NS3/NS4A, NS5A, and NS5B genes of treatment-naïve patients individuals with HCV genotype 5 infection at the Dr George Mukhari Academic Hospital (DGMAH) in Pretoria, South Africa. Methods. Nested PCR was performed to amplify the NS3/4A, NS5A and NS5B genes. RAVs were evaluated using the Geno2pheno tool. Results. In the NS3/4A gene, F56S and T122A were detected in one sample each. The D168E mutation was detected in 7 samples. Within the NS5A gene, the T62M mutation was detected in 2 individuals. In the NS5B gene, 8 of 12 individuals (67%) had the A421V mutation, while all 12 individuals (100%) had the S486A mutation. Discussion. RAVs were detected frequently among treatment-naïve individuals with HCV genotype 5 infection in South Africa. Thus, resistance testing may be prudent when initiating treatment of patients with genotype 5 infection. Additional population-based studies are needed to understand the prevalence of these RAVs during HCV genotype 5 infection.
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spelling doaj.art-c7c4bc17c8df4cd3adf74f42ae2975832023-06-08T12:42:06ZengKarger PublishersIntervirology0300-55261423-01002023-05-011110.1159/000528178528178Hepatitis C virus genotype 5 variability in treatment naïve patients in South AfricaTshegofatso K. MaunyeMaemu P. Gededzhahttps://orcid.org/0000-0003-0686-1293Jason T. BlackardJohnny N. RakgoleSelokela G. Selabehttps://orcid.org/0000-0001-5101-5198Introduction. Hepatitis C virus (HCV) genotype 5 was originally identified in South Africa, where it represents 35-60% of all HCV infections. There are limited data on resistance associated variants (RAVs) in South Africa. Thus, we investigated variability within the NS3/NS4A, NS5A, and NS5B genes of treatment-naïve patients individuals with HCV genotype 5 infection at the Dr George Mukhari Academic Hospital (DGMAH) in Pretoria, South Africa. Methods. Nested PCR was performed to amplify the NS3/4A, NS5A and NS5B genes. RAVs were evaluated using the Geno2pheno tool. Results. In the NS3/4A gene, F56S and T122A were detected in one sample each. The D168E mutation was detected in 7 samples. Within the NS5A gene, the T62M mutation was detected in 2 individuals. In the NS5B gene, 8 of 12 individuals (67%) had the A421V mutation, while all 12 individuals (100%) had the S486A mutation. Discussion. RAVs were detected frequently among treatment-naïve individuals with HCV genotype 5 infection in South Africa. Thus, resistance testing may be prudent when initiating treatment of patients with genotype 5 infection. Additional population-based studies are needed to understand the prevalence of these RAVs during HCV genotype 5 infection.https://beta.karger.com/Article/FullText/528178
spellingShingle Tshegofatso K. Maunye
Maemu P. Gededzha
Jason T. Blackard
Johnny N. Rakgole
Selokela G. Selabe
Hepatitis C virus genotype 5 variability in treatment naïve patients in South Africa
Intervirology
title Hepatitis C virus genotype 5 variability in treatment naïve patients in South Africa
title_full Hepatitis C virus genotype 5 variability in treatment naïve patients in South Africa
title_fullStr Hepatitis C virus genotype 5 variability in treatment naïve patients in South Africa
title_full_unstemmed Hepatitis C virus genotype 5 variability in treatment naïve patients in South Africa
title_short Hepatitis C virus genotype 5 variability in treatment naïve patients in South Africa
title_sort hepatitis c virus genotype 5 variability in treatment naive patients in south africa
url https://beta.karger.com/Article/FullText/528178
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