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Virology

Use of Sequence Analysis of the NS5B Region for Routine Genotyping of Hepatitis C Virus with Reference to C/E1 and 5′ Untranslated Region Sequences

Donald G. Murphy, Bernard Willems, Marc Deschênes, Nir Hilzenrat, Roger Mousseau, Sidney Sabbah
Donald G. Murphy
1Laboratoire de Santé Publique du Québec, Institut National de Santé Publique du Québec, Sainte Anne de Bellevue, Québec, Canada
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  • For correspondence: donald.murphy@inspq.qc.ca
Bernard Willems
2 Service d'Hépatologie, Centre Hospitalier de l'Université de Montréal, Hôpital Saint-Luc, Montréal, Québec, Canada
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Marc Deschênes
3 Département de Gastroentérologie, Centre Universitaire de Santé McGill, Hôpital Royal Victoria, Montréal, Québec, Canada
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Nir Hilzenrat
4Département de Gastroentérologie, Hôpital Général Juif, Montréal, Québec, Canada
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Roger Mousseau
5 Département de Gastroentérologie, Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada
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Sidney Sabbah
6 Service de Gastroentérologie, Hôpital du Sacré-Cœur de Montréal, Québec, Canada
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DOI: 10.1128/JCM.02366-06
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    FIG. 1.

    Neighbor-joining trees for NS5B sequences (340 bp) (positions 8276 to 8615) and C/E1 sequences (424 bp) (positions 869 to 1292). Phylogenies for genotype 1 NS5B (a), genotype 2 NS5B (b), genotype 3 C/E1 (c), genotype 4 C/E1 (d), and genotype 6 NS5B (e) sequences are shown. The phylogenetic tree for genotype 1 sequences was rooted using genotype 4a sequence ED43 as the outgroup, while the phylogenetic trees for sequences of genotypes 2, 3, 4, and 6 were rooted using genotype 1a sequence HCV-1 as the outgroup. The numbers at the nodes represent the percent bootstrap support for 1,000 replicates. Only values over 75% are shown. Bars at the base of the trees show the genetic divergence. Letters following isolate names indicate countries of origin of patients: BI, Burundi; CA, Canada; CD, Democratic Republic of Congo; CG, Congo; CI, Côte d'Ivoire; CM, Cameroon; DO, Dominican Republic; HT, Haiti; IN, India; IS, Indian subcontinent; IT, Italy; KH, Cambodia; LA, Laos; LB, Lebanon; MA, Morocco; PA, Pakistan; RW, Rwanda; VN, Vietnam.

  • FIG. 2.
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    FIG. 2.

    Unrooted neighbor-joining tree of NS5B sequences (340 bp) (positions 8276 to 8615) showing the relationship of QC69 and QC272 to representatives of genotypes 1 to 6, CS101285, and CS101300 sequences. The bar at the base of the tree shows the genetic divergence.

  • FIG. 3.
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    FIG. 3.

    Comparison of sequences in the 5′UTR region (196 bp) (positions 96 to 291). (a) Comparison of QC69, QC272, genotype 6a QC169 and QC242, and genotype 6 QC148 sequences to HCJ6 (genotype 2a) and EUHK2 (genotype 6a) sequences. Nucleotides different from those of genotype 1a HCV-1 are indicated. (b) Thirty-seven genotype 6 sequence profiles obtained for 100 non-6a, non-6b variants. Nucleotides different from those of genotype 1b HCV-BK are indicated.

Tables

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  • TABLE 1.

    Primers used for viral genome detection and sequencing

    Genomic region and primerPolaritySequencePositionaSize of PCR product (bp)
    NS5B
        DM100Antisense5′-TACCTVGTCATAGCCTCCGTGAA-3′8616-8638389
        DM101Sense5′-TTCTCRTATGAYACCCGCTGYTTTGA-3′8250-8275
        DM106Antisense5′-GGNGCYGAGTAYCTGGTCATGGC-3′8625-8647407
        DM107Sense5′-CCHATGGGGTTYTCCTAYGACACCAG-3′8241-8266
        DM104Antisense5′-TAYCTGGTCATAGCNTCCGTAAA-3′8616-8638389
        DM105Sense5′-TTCTCCTAYGACACCAGRTGYTTTGA-3′8250-8275
        DM87Antisense5′-CATAGCCTCCGTGAAGGCTCTC-3′8609-8630
        DM88Antisense5′-CATAGCCTCCGTGAAGACTCGT-3′8609-8630
        DM113Sense5′-GAYACCCGCTGYTTGACTC-3′8259-8378
        DM128Sense5′-TGAGGAGTCCATATACCAGGC-3′8306-8326
        DM129Sense5′-TGAGGAGTCAATCTACCAATG-3′8306-8326
        DM130Sense5′-ACTGAGAGCGAYATCCGTACG-3′8286-8306
        DM131Sense5′-ACTGAGARTGACATCCGTGTT-3′8286-8306
        DM132Antisense5′-GCCGCATACCAGCATTGTGGG-3′8532-8552
        DM133Antisense5′-TCCACACACCAGCATAACGGG-3′8532-8552
        DM134Antisense5′-CGTGAAGGCTCGCAGGCTCGC-3′8601-8621
        DM136Antisense5′-CTGGACCCCTGCACTTTCACA-3′8571-8591
        DM137Sense5′-AATGTTGTGACCTGGACCCCC-3′8323-8343
        DM138Antisense5′-ATCGACGCCATCACTCTCAGC-3′8571-8591
        DM139Sense5′-AATGTTGTAATCTTGAGCCGG-3′8323-8343
    C/E1
        DM108Antisense5′-TTCATCATCATRTCCCANGCCAT-3′1293-1315473
        DM109Sense5′-AAYYTDCCCGGTTGCTCTTTYTCTAT-3′843-868
        DM110Antisense5′-GTRGGNGACCARTTCATCATCA-3′1306-1327494
        DM111Sense5′-GCAACAGGGAAYYTDCCYGGTTGCTC-3′834-859
    5′UTR
        DM50Antisense5′-CTCGCAAGCACCCTATCAGG-3′292-311241
        DM51Sense5′-GAAAGCGTCTAGCCATGGCGTTAGT-3′71-95
    • ↵ a Relative to H77 (GenBank accession number AF009606).

  • TABLE 2.

    Prevalence of HCV genotypes for 8,237 patients determined by sequence analysis of the NS5B region

    SubtypePrevalence for genotype:
    123456NGa
    No.%No.%No.%No.%No.%No.%No.%
    Total4,88959.47419.00211325.72933.56530.641461.7720.02
    a3,74876.723631.8209599.111539.2531003020.5
    b1,10522.635347.670.3310.340
    c20.048110.90103.410
    d60.1210.1303411.60
    e20.0410.13010.345940.4
    f00020.6810.68
    g50.10020.0910.340
    h20.04010.0562.0521.37
    i20.04304.0570.2800
    j20.0440.5400
    k40.0860.8110.054515.40
    l00134.4421.37
    m40.5451.710
    n041.370
    o041.37106.85
    p010.3474.79
    q062.0564.11
    r40.543010.285.48
    s32.05
    t20.68
    UCb110.22212.8310.05134.441812.3
    • ↵ a NG, novel genotype.

    • ↵ b UC, unclassified.

  • TABLE 3.

    Sex ratio and mean age values of patients among the various HCV genotypes

    GenotypeNo. of patientsSex ratioaAge (yr) (mean ± SD)
    All patientsMenWomen
    All8,2372.244.3 ± 11.444.0 ± 10.345.0 ± 13.7
    1 all4,8892.444.3 ± 11.044.1 ± 9.944.8 ± 13.4
    1a3,7482.742.4 ± 9.542.9 ± 8.841.1 ± 11.2
    1b1,1051.650.7 ± 13.049.2 ± 12.153.0 ± 14.1
    2 all7411.550.4 ± 13.248.6 ± 11.953.2 ± 14.4
    2a2361.152.8 ± 13.149.0 ± 11.457.0 ± 13.6
    2b3532.444.5 ± 10.444.3 ± 9.444.8 ± 12.4
    2c811.162.4 ± 10.663.4 ± 9.561.3 ± 11.7
    2i301.560.3 ± 13.158.4 ± 11.763.1 ± 14.4
    3 all2,1132.740.6 ± 9.541.3 ± 9.138.7 ± 10.3
    3a2,0952.740.5 ± 9.541.2 ± 9.138.7 ± 10.3
    4 all2931.349.2 ± 12.548.4 ± 11.850.2 ± 13.2
    4a1152.850.8 ± 12.949.1 ± 12.155.6 ± 14.1
    4d341.642.5 ± 8.942.8 ± 8.842.1 ± 9.1
    4k451.049.8 ± 13.750.2 ± 12.049.4 ± 15.1
    4r300.550.6 ± 10.352.1 ± 12.049.9 ± 9.3
    5 all (5a)530.760.4 ± 13.760.8 ± 16.060.1 ± 11.9
    6 all1461.551.9 ± 10.851.1 ± 10.153.1 ± 11.8
    6a302.047.3 ± 12.346.9 ± 12.148.1 ± 12.5
    6e591.153.3 ± 10.350.5 ± 9.456.5 ± 10.3
    • ↵ a Male-to-female ratio.

  • TABLE 4.

    Frequency of 5′UTR sequence profiles observed for genotype 6 subtypes other than subtypes 6a and 6b

    Profile(s)No. with subtype:Total no. of observations
    6c6e6f6h6l6o6p6q6r6s6
    128634
    2101112
    34127
    477
    511
    6-833
    9314
    1033
    11 and 1222
    1322
    14-1855
    1911
    20112
    21-2555
    2611
    2711
    2811
    29-3799
    Total no. of sequence profiles191221362314
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Use of Sequence Analysis of the NS5B Region for Routine Genotyping of Hepatitis C Virus with Reference to C/E1 and 5′ Untranslated Region Sequences
Donald G. Murphy, Bernard Willems, Marc Deschênes, Nir Hilzenrat, Roger Mousseau, Sidney Sabbah
Journal of Clinical Microbiology Apr 2007, 45 (4) 1102-1112; DOI: 10.1128/JCM.02366-06

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Use of Sequence Analysis of the NS5B Region for Routine Genotyping of Hepatitis C Virus with Reference to C/E1 and 5′ Untranslated Region Sequences
Donald G. Murphy, Bernard Willems, Marc Deschênes, Nir Hilzenrat, Roger Mousseau, Sidney Sabbah
Journal of Clinical Microbiology Apr 2007, 45 (4) 1102-1112; DOI: 10.1128/JCM.02366-06
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KEYWORDS

Hepacivirus
hepatitis C
RNA, Viral
Sequence Analysis, DNA
Viral Nonstructural Proteins

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