Protease inhibitor resistance mutations in untreated Brazilian patients infected with HCV: Novel insights about targeted genotyping approaches.

dc.creatorCarvalho, Isabel Maria Vicente Guedes de
dc.creatorSilva, Rafael Alves da
dc.creatorSouza, Polyana A Vasconcelos Medeiros de
dc.creatorSilva, Edvaldo F. da
dc.creatorMazo, Daniel Ferraz de Campos
dc.creatorCarrilho, Flair José
dc.creatorQueiroz, Artur Trancoso Lopo de
dc.creatorPessoa, Mario Guimarães
dc.date2014-09-29T13:55:12Z
dc.date2014-09-29T13:55:12Z
dc.date2014
dc.date.accessioned2023-09-26T22:06:12Z
dc.date.available2023-09-26T22:06:12Z
dc.identifierCARVALHO, I. M. V. G et al. Protease inhibitor resistance mutations in untreated Brazilian patients infected with HCV: Novel insights about targeted genotyping approaches. Journal of Medical Virology, v. 86, n. 10, p. 1714-1721, 2014.
dc.identifier1096-9071
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/8464
dc.identifier10.1002/jmv.24015
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8874770
dc.descriptionSeveral 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 São 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.
dc.formatapplication/pdf
dc.languageeng
dc.publisherWiley Periodicals, Inc
dc.rightsopen access
dc.subjectHCV
dc.subjectHepatitis C
dc.subjectProtease inhibitors
dc.subjectResistance
dc.subjectGenotyping
dc.titleProtease inhibitor resistance mutations in untreated Brazilian patients infected with HCV: Novel insights about targeted genotyping approaches.
dc.typeArticle


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