Article
Distribution of HCV genotypes among different exposure categories in Brazil
Registro en:
OLIVEIRA, Maria de Lourdes Aguiar et al. Distribution of HCV genotypes among different exposure categories in Brazil. Brazilian Journal of Medical and Biological Research, v. 32, p. 279-282, 1999.
0100-879X
Autor
Oliveira, Maria de Lourdes Aguiar
Bastos, Francisco Inácio Pinkusfeld Monteiro
Sabino, R. R.
Paetzold, U.
Schreier, E.
Pauli, G.
Yoshida, Clara Fumiko Tachibana
Resumen
Hepatitis C virus (HCV) infection is widespread and responsible for
more than 60% of chronic hepatitis cases. HCV presents a genetic variability which has led to viral classification into at least 6 genotypes and a series of subtypes. These variants present characteristic geographical
distribution, but their association with different responses to treatment with interferon and severity of disease still remains controversial.
The aim of this study was to investigate the patterns of distribution of HCV genotypes among different exposure categories
in Brazil. Two hundred and fifty anti-HCV positive samples were submitted to HCV-RNA detection by RT-PCR and their genotype was
determined by restriction fragment length polymorphism (RFLP) analysis. In addition, the genotype/subtype of 60 samples was also
determined by a reverse hybridization assay. HCV 1 was the most prevalent (72.0%), followed by type 3 (25.3%), HCV 2 (2.0%) and
HCV 4 (0.7%). The HCV genotype distribution varied among the different exposure categories, with HCV 1 being more frequent among blood donors, hemophiliacs and hemodialysis patients. A high frequency
of HCV 3 was observed in cirrhotic patients, blood donors from the South of Brazil and injecting drug users (IDUs). The general
distribution of the HCV genotype in Brazil is similar to that in other regions of the world.