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Hepatitis C virus genotype 1 infection: Prevalence of NS5A and NS5B resistance‐associated substitutions in naïve patients from Argentina

Authors: Alfredo P. Martínez; Gabriel García; Ezequiel Ridruejo; Andrés CA Culasso; Paula S. Pérez; Matías J Pereson; Karin Neukam; +2 Authors

Hepatitis C virus genotype 1 infection: Prevalence of NS5A and NS5B resistance‐associated substitutions in naïve patients from Argentina

Abstract

AbstractDirect acting antiviral (DAA) therapy against hepatitis C virus (HCV) increases sustained virologic response rates. Nevertheless, drug resistance has occasionally been associated with failure to DAA. However, the information about the prevalence of NS5A and NS5B resistance‐associated substitutions (RASs) in Argentina is very scarce. In this study, we determine the prevalence of NS5A and NS5B resistances to treatment in Argentinean DAA treatment‐naïve patients chronically infected with genotype 1 (HCV‐1). In this retrospective cross‐sectional study, 108 HCV‐1‐infected patients were studied. RASs in NS5A and NS5B were analyzed by Sanger at baseline and phylogenetic analysis was performed. NS5A and NS5B RASs were detected in 25.8% and 6.3% of the analyzed sequences, respectively. The most frequent primary RASs for NS5A were L31M (7.5%) and Y93H (3.2%) and for NS5B was L159F (3.8%). No association between the presence of RASs and the outcome of DAA treatment was found in this study. Additionally, most of the Argentinean samples were randomly distributed among sequences around the world in the phylogenetic analysis. Only one significant Argentinean cluster was observed in both regions but without any particular RASs pattern. Baseline RASs in NS5A and NS5B were frequently observed in HCV‐1‐infected patients from Buenos Aires, Argentina but not related to treatment outcome. No clusters related to RASs transmission were observed in the phylogenetic analysis. The frequency of RASs detected in this study supports the need for more molecular epidemiology studies on RASs to adjust local treatment guidelines with the incorporation of autochthonous data.

Country
Argentina
Keywords

Adult, Male, DIRECT-ACTING ANTIVIRAL, Genotype, Argentina, Hepacivirus, Viral Nonstructural Proteins, THERAPY, Antiviral Agents, MOLECULAR EPIDEMIOLOGY, https://purl.org/becyt/ford/3.3, https://purl.org/becyt/ford/1.6, Drug Resistance, Viral, Direct‐acting antiviral, Prevalence, Humans, https://purl.org/becyt/ford/3, https://purl.org/becyt/ford/1, Phylogeny, Aged, Retrospective Studies, Aged, 80 and over, Hepatitis C virus, HEPATITIS C VIRUS, Hepatitis C, Chronic, Middle Aged, RNA-Dependent RNA Polymerase, Cross-Sectional Studies, Amino Acid Substitution, Direct‐acting antivirals, Molecular epidemiology, Female, Therapy

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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