PMID- 24124326 OWN - NLM STAT- MEDLINE DCOM- 20140313 LR - 20220110 IS - 2219-2840 (Electronic) IS - 1007-9327 (Print) IS - 1007-9327 (Linking) VI - 19 IP - 35 DP - 2013 Sep 21 TI - Molecular epidemiology and putative origin of hepatitis C virus in random volunteers from Argentina. PG - 5813-27 LID - 10.3748/wjg.v19.i35.5813 [doi] AB - AIM: To study the subtype prevalence and the phylogenetic relatedness of hepatitis C virus (HCV) sequences obtained from the Argentine general population, a large cohort of individuals was analyzed. METHODS: Healthy Argentinian volunteers (n = 6251) from 12 provinces representing all geographical regions of the country were studied. All parents or legal guardians of individuals younger than 18 years provided informed written consent for participation. The corresponding written permission from all municipal authorities was obtained from each city or town where subjects were to be included. HCV RNA reverse transcription-polymerase chain reaction products were sequenced and phylogenetically analyzed. The 5' untranslated region (5'UTR) was used for RNA detection and initial genotype classification. The NS5B polymerase region, encompassing nt 8262-8610, was used for subtyping. RESULTS: An unexpectedly low prevalence of HCV infection in the general population (0.32%) was observed. Our data contrasted with previous studies that reported rates ranging from 1.5% to 2.5%, mainly performed in selected populations of blood donors or vulnerable groups. The latter values are in keeping with the prevalence reported by the 2007 Argentinian HCV Consensus (approximately 2%). HCV subtypes were distributed as follows: 1a (25%), 1b (25%), 2c (25%), 3a (5%), and 2j (5%). Two isolates ascribed either to genotype 1 (5%) or to genotype 3 (5%) by 5'UTR phylogenetic analysis could not be subtyped. Subtype 1a sequences comprised a highly homogeneous population and clustered with United States sequences. Genotype 1b sequences represented a heterogeneous population, suggesting that this genotype might have been introduced from different sources. Most subtype 2c sequences clustered close to the 2c reported from Italy and Southern France. CONCLUSION: HCV has a low prevalence of 0.32% in the studied general population of Argentina. The pattern of HCV introduction and transmission in Argentina appears to be a consequence of multiple events and different for each subtype. FAU - del Pino, Noemi AU - del Pino N AD - Noemi del Pino, Apunlab Laboratories, Buenos Aires C1428CRB, Argentina. FAU - Oubina, Jose Raul AU - Oubina JR FAU - Rodriguez-Frias, Francisco AU - Rodriguez-Frias F FAU - Esteban, Juan Ignacio AU - Esteban JI FAU - Buti, Maria AU - Buti M FAU - Otero, Teresa AU - Otero T FAU - Gregori, Josep AU - Gregori J FAU - Garcia-Cehic, Damir AU - Garcia-Cehic D FAU - Camos, Silvia AU - Camos S FAU - Cubero, Maria AU - Cubero M FAU - Casillas, Rosario AU - Casillas R FAU - Guardia, Jaume AU - Guardia J FAU - Esteban, Rafael AU - Esteban R FAU - Quer, Josep AU - Quer J LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - United States TA - World J Gastroenterol JT - World journal of gastroenterology JID - 100883448 RN - 0 (5' Untranslated Regions) RN - 0 (Hepatitis C Antibodies) RN - 0 (RNA, Viral) RN - 0 (Viral Nonstructural Proteins) RN - EC 2.7.7.48 (NS-5 protein, hepatitis C virus) SB - IM MH - 5' Untranslated Regions MH - Adult MH - Analysis of Variance MH - Argentina/epidemiology MH - Chi-Square Distribution MH - Female MH - Genotype MH - Healthy Volunteers MH - Hepacivirus/*genetics/immunology MH - Hepatitis C/blood/*epidemiology/*genetics MH - Hepatitis C Antibodies/blood MH - Humans MH - Male MH - Molecular Epidemiology MH - *Phylogeny MH - Prevalence MH - RNA, Viral/isolation & purification MH - Reverse Transcriptase Polymerase Chain Reaction MH - Viral Nonstructural Proteins/genetics PMC - PMC3793136 OTO - NOTNLM OT - Argentina OT - Hepatitis C virus OT - Hepatitis C virus 5' untranslated region OT - Hepatitis C virus NS5B subtyping OT - Molecular epidemiology EDAT- 2013/10/15 06:00 MHDA- 2014/03/14 06:00 PMCR- 2013/09/21 CRDT- 2013/10/15 06:00 PHST- 2013/01/22 00:00 [received] PHST- 2013/04/30 00:00 [revised] PHST- 2013/07/04 00:00 [accepted] PHST- 2013/10/15 06:00 [entrez] PHST- 2013/10/15 06:00 [pubmed] PHST- 2014/03/14 06:00 [medline] PHST- 2013/09/21 00:00 [pmc-release] AID - 10.3748/wjg.v19.i35.5813 [doi] PST - ppublish SO - World J Gastroenterol. 2013 Sep 21;19(35):5813-27. doi: 10.3748/wjg.v19.i35.5813.