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Real-Time Polymerase Chain Reaction-Based Detection and Quantification of Hepatitis B Virus DNA
Published on: December 15, 2023
Hepatitis C virus genotype in blood donors and associated liver disease in Indonesia
Andi Utama1, Bugi Ratno Budiarto, Dewi Monasari
1Molecular Epidemiology Division, Mochtar Riady Institute for Nanotechnology, Lippo Karawaci, Tangerang, Indonesia. autama@mrinstitute.org
Insights
Hepatitis C virus (HCV) subtype 1b is common in Indonesian patients with liver disease, increasing with disease severity. This finding is crucial for understanding HCV progression and developing targeted treatments.
Area of Science:
- Hepatology
- Virology
- Genetics
Background:
- Hepatitis C virus (HCV) infection is a global health concern.
- Understanding HCV genotype distribution is vital for disease management and treatment strategies.
Purpose of the Study:
- To determine the prevalence of different HCV genotypes in Indonesia.
- To explore the association between HCV genotype and the severity of liver disease.
Main Methods:
- Phylogenetic analysis of NS5B and 5'-UTR regions was used for HCV genotyping.
- Study included asymptomatic carriers (AC), chronic hepatitis (CH), liver cirrhosis (LC), and hepatocellular carcinoma (HCC) patients.
Main Results:
- HCV subtype 1b was the most prevalent overall (36.5%).
- Subtype 1b was significantly associated with advanced liver disease (CH, LC, HCC) and absent in asymptomatic carriers.
- Prevalence of subtype 1b increased with disease severity: AC < CH < LC < HCC.
Conclusions:
- HCV subtype 1b is a key genotype in Indonesian patients with significant liver disease.
- The increased prevalence of subtype 1b correlates with disease progression.
- Genotype-specific insights can inform clinical management of HCV in Indonesia.
Objective:
The aim of this study was to investigate the distribution of hepatitis C virus (HCV) genotype and the possible association between genotype and HCV-associated liver disease in Indonesia.
Methods:
32 anti-HCV-positive asymptomatic carriers (AC), 55 chronic hepatitis (CH), 41 liver cirrhosis (LC), and 35 hepatocellular carcinoma (HCC) patients were included in this study. HCV genotyping was performed by phylogenetic analysis of the NS5B and 5'-UTR regions.
Results:
The HCV subtype 1b (36.5%), based on NS5B region, was the most prevalent, followed by subtypes 3k (15.4%), 2a (14.4%), 1a (12.5%) and 1c (12.5%), and 2e (4.8%). Subtypes 2f, 3a, 3b, and 4a were also found in some of the samples. HCV subtypes 3k (40.0%) and 1a (35.0%) were the two major subtypes in AC. HCV subtype 1b was not found in AC, but it was common in CH (31.3%), LC (50.0%), and HCC (57.1%).
Conclusion:
HCV subtype 1b was prevalent in samples of HCV-associated liver disease patients, including CH, LC and HCC. The percentage of subtype 1b was increased with the disease severity (AC < CH < LC < HCC).
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