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Journal of Clinical Microbiology, October 1998, p. 2982-2989, Vol. 36, No. 10
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Assessment of Hepatitis C Virus Sequence
Complexity by Electrophoretic Mobilities of Both Single-and
Double-Stranded DNAs
Yu-Ming
Wang,1
Stuart C.
Ray,1
Oliver
Laeyendecker,1
John R.
Ticehurst,2,3 and
David L.
Thomas1,*
Departments of
Medicine1 and
Pathology,2 Johns Hopkins University
School of Medicine, Baltimore, and
Center for Devices and
Radiological Health, U.S. Food and Drug Administration,
Rockville,3 Maryland
Received 4 May 1998/Returned for modification 15 June 1998/Accepted 16 July 1998
To assess genetic variation in hepatitis C virus (HCV) sequences
accurately, we optimized a method for identifying distinct viral clones
without determining the nucleotide sequence of each clone. Twelve serum
samples were obtained from seven individuals soon after they acquired
HCV during a prospective study, and a 452-bp fragment from the E2
region was amplified by reverse transcriptase PCR and cloned.
Thirty-three cloned cDNAs representing each specimen were assessed by a
method that combined heteroduplex analysis (HDA) and a single-stranded
conformational polymorphism (SSCP) method to determine the number of
clonotypes (electrophoretically indistinguishable cloned cDNAs) as a
measure of genetic complexity (this combined method is referred to
herein as the HDA+SSCP method). We calculated Shannon entropy,
incorporating the number and distribution of clonotypes into a single
quantifier of complexity. These measures were evaluated for their
correlation with nucleotide sequence diversity. Blinded analysis
revealed that the sensitivity (ability to detect variants) and
specificity (avoidance of false detection) of the HDA+SSCP method were
very high. The genetic distance (mean ± standard deviation)
between indistinguishable cloned cDNAs (intraclonotype diversity) was
0.6% ± 0.9%, and 98.7% of cDNAs differed by <2%, while the mean
distance between cloned cDNAs with different patterns was 4.0% ± 3.2%. The sensitivity of the HDA+SSCP method compared favorably with
either HDA or the SSCP method alone, which resulted in intraclonotype
diversities of 1.6% ± 1.8% and 3.5% ± 3.4%, respectively. The
number of clonotypes correlated strongly with genetic diversity
(R2, 0.93), but this correlation fell off
sharply when fewer clones were assessed. This HDA+SSCP method
accurately reflected nucleotide sequence diversity among a large number
of viral cDNA clones, which should enhance analyses to determine the
effects of viral diversity on HCV-associated disease. If sequence
diversity becomes recognized as an important parameter for staging or
monitoring of HCV infection, this method should be practical enough for
use in laboratories that perform nucleic acid testing.
*
Corresponding author. Mailing address: Division of
Infectious Diseases, 720 Rutland Ave., Ross 1159, Baltimore, MD 21205. Phone: (410) 955-0349. Fax: (410) 955-7889. E-mail:
dthomas{at}welchlink.welch.jhu.edu.
Journal of Clinical Microbiology, October 1998, p. 2982-2989, Vol. 36, No. 10
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
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