PMID- 25689487 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160115 LR - 20220330 IS - 1386-6346 (Print) IS - 1872-034X (Electronic) IS - 1386-6346 (Linking) VI - 45 IP - 13 DP - 2015 Dec TI - High incidence of the hepatitis C virus recombinant 2k/1b in Georgia: Recommendations for testing and treatment. PG - 1292-8 LID - 10.1111/hepr.12505 [doi] AB - AIM: The first hepatitis C virus (HCV) recombinant, RF2k/1b, was initially described from Russia and has since then been identified from patients in Ireland, Estonia, Uzbekistan and Cyprus. Many of these patients originated from Georgia; however, there is no information on its prevalence in Georgia or its susceptibility to antiviral treatment. METHODS: We retrospectively sequenced the non-structural region 5B (NS5B) of the HCV genome in samples from 72 Georgian patients, 36 of whom had been treated with pegylated interferon and ribavirin. RESULTS: The HCV genotype was determined using the Versant HCV Genotype v2 kit. Based on this typing, 32 patients (44.4%) were infected with genotype 1, 21 (29.1%) genotype 2 and 19 (26.3%) genotype 3. Partial NS5B of these strains was sequenced and analyzed for type, with concordant genotype results for all type 1 and 3 strains. Discrepant results were observed for genotyped 2 strains, with 16 (76%) having NS5B of subtype 1b. On phylogenetic analysis, 15 NS5B sequences of these strains were found in a clade formed by recombinant RF2k/1b strains. The remaining discordant sequence was found within a clade formed by 1b strains. CONCLUSION: Our findings show that the RF2k/1b recombinant strain is common among Georgian patients previously assumed to be infected with genotype 2. Because genotyping is mainly performed to decide treatment strategies, there is a need to determine the genotype by analysis of at least two genomic regions in strains from Georgian patients considered infected with genotype 2 based on standard HCV genotyping methods. CI - (c) 2015 The Japan Society of Hepatology. FAU - Karchava, Marine AU - Karchava M AD - Infectious Diseases, AIDS and Clinical Immunology Research Center. FAU - Waldenstrom, Jesper AU - Waldenstrom J AD - Department of Infectious Diseases, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden. FAU - Parker, Monica AU - Parker M AD - David Axelrod Institute, Wadsworth Center, Albany, New York, USA. FAU - Hallack, Renee AU - Hallack R AD - David Axelrod Institute, Wadsworth Center, Albany, New York, USA. FAU - Sharvadze, Lali AU - Sharvadze L AD - Infectious Diseases, AIDS and Clinical Immunology Research Center. AD - Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia. FAU - Gatserelia, Lana AU - Gatserelia L AD - Infectious Diseases, AIDS and Clinical Immunology Research Center. FAU - Chkhartishvili, Nikoloz AU - Chkhartishvili N AD - Infectious Diseases, AIDS and Clinical Immunology Research Center. FAU - Dvali, Natia AU - Dvali N AD - Infectious Diseases, AIDS and Clinical Immunology Research Center. FAU - Dzigua, Lela AU - Dzigua L AD - Infectious Diseases, AIDS and Clinical Immunology Research Center. FAU - Dolmazashvili, Ekaterine AU - Dolmazashvili E AD - Infectious Diseases, AIDS and Clinical Immunology Research Center. FAU - Norder, Helene AU - Norder H AD - Department of Infectious Diseases, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden. FAU - Tsertsvadze, Tengiz AU - Tsertsvadze T AD - Infectious Diseases, AIDS and Clinical Immunology Research Center. AD - Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia. LA - eng GR - D43 TW000233/TW/FIC NIH HHS/United States GR - D43 TW007384/TW/FIC NIH HHS/United States PT - Journal Article DEP - 20150324 PL - Netherlands TA - Hepatol Res JT - Hepatology research : the official journal of the Japan Society of Hepatology JID - 9711801 PMC - PMC4787595 MID - NIHMS764453 OTO - NOTNLM OT - hepatitis C virus sequence OT - hybrid virus OT - interferon treatment OT - phylogenetic analysis EDAT- 2015/02/18 06:00 MHDA- 2015/02/18 06:01 PMCR- 2016/12/01 CRDT- 2015/02/18 06:00 PHST- 2014/12/23 00:00 [received] PHST- 2015/01/23 00:00 [revised] PHST- 2015/02/10 00:00 [accepted] PHST- 2015/02/18 06:00 [entrez] PHST- 2015/02/18 06:00 [pubmed] PHST- 2015/02/18 06:01 [medline] PHST- 2016/12/01 00:00 [pmc-release] AID - 10.1111/hepr.12505 [doi] PST - ppublish SO - Hepatol Res. 2015 Dec;45(13):1292-8. doi: 10.1111/hepr.12505. Epub 2015 Mar 24.