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Molecular epidemiology and genetic history of hepatitis C virus subtype 3a infection in Thailand
S Akkarathamrongsin1, P Hacharoen, P Tangkijvanich
1Inter-Department of Biomedical Sciences, Faculty of Graduate School, Chulalongkorn University, Bangkok, Thailand.
Insights
Hepatitis C virus (HCV) subtype 3a is common in Thailand. This study traces its molecular epidemiology and epidemic history, revealing its introduction around the 1970s-1980s.
Area of Science:
- Virology
- Epidemiology
- Molecular Biology
Background:
- Hepatitis C virus (HCV) subtype 3a is the most prevalent genotype in Thailand.
- Understanding its molecular epidemiology is crucial for public health strategies.
Purpose of the Study:
- To investigate the molecular epidemiology of HCV subtype 3a in Thailand.
- To determine the epidemic history and origins of HCV subtype 3a strains in the Thai population.
Main Methods:
- Phylogenetic analysis of core and NS5B regions from 356 Thai HCV-infected patients.
- Molecular evolution analysis using BEAST (Bayesian Evolutionary Analysis by Sampling Trees).
Main Results:
- HCV subtype 3a was the most prevalent (38.5%), followed by 1a, 1b, genotype 6, and 3b.
- Phylogenetic analysis identified a distinct cluster of HCV subtype 3a in Thailand.
- Molecular evolutionary analysis estimated the most recent common ancestor around 200 years ago, with spread to Thailand in the mid-1970s to early 1980s.
Conclusions:
- The estimated history of HCV subtype 3a in Thailand provides insights into its introduction and spread.
- This information can aid in predicting future HCV-related disease burdens.
- Facilitates improved public health control and surveillance strategies for HCV in Thailand.
Objective:
Among all hepatitis C virus (HCV) infections, subtype 3a is the most common genotype in Thailand. This study investigates the molecular epidemiology and epidemic history of HCV subtype 3a in Thailand.
Methods:
Three hundred and fifty-six serum samples were collected from HCV-infected Thai patients. The virus was isolated, after which the core and NS5B regions were sequenced. Subsequently, the HCV genotype was classified by phylogenetic analysis based on the core and NS5B regions. Molecular evolution analysis of HCV subtype 3a was estimated using BEAST (Bayesian Evolutionary Analysis by Sampling Trees) v.1.5.4.
Results:
Based on our phylogenetic analyses, subtype 3a (38.5%) was the most prevalent, followed by 1a (21%), 1b (13.8%), genotype 6 (19.9%) [comprised of subtypes 6e (0.3%), 6f (11%), 6i (1.9%), 6j (1.9%) and 6n (4.8%)] and 3b (5.6%). Our phylogenetic tree indicates the existence of a specific group of HCV subtype 3a strains in the Thai population. Molecular evolutionary analysis dated the most recent common ancestor of the Thai HCV subtype 3a strains as existing approximately 200 ago, and a Bayesian skyline plot showed that this particular strain spread to Thailand during the mid-1970s and early 1980s. This period overlaps with the Vietnam War (1955-1975) and the widespread use of injection stimulants introduced by the US Army during this time.
Conclusion:
The estimated history of HCV subtype 3a infection in Thailand may help to predict the future burden of HCV-related diseases and facilitate better public health control and surveillance.
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