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Heterogeneity in E2 region of GBV-C/hepatitis G virus and hepatitis C virus

T Kato1, M Mizokami, T Nakano

  • 1Second Department of Medicine, Nagoya City University Medical School, Mizuho, Nagoya, Japan.

Insights

GB virus C/hepatitis G virus (GBV-C/HGV) shows less genetic diversity than hepatitis C virus (HCV). GBV-C/HGV strains exhibit varied responses to interferon-alpha (IFN) therapy.

Area of Science:

  • Virology
  • Immunology
  • Hepatology

Background:

  • Hepatitis C virus (HCV) exhibits quasispecies nature and possesses a hypervariable region (HVR).
  • GB virus C/hepatitis G virus (GBV-C/HGV), though related to HCV, has an uncharacterized population heterogeneity and antigenic variation.
  • Understanding GBV-C/HGV heterogeneity is crucial for comprehending its in vivo behavior and therapeutic responses.

Purpose of the Study:

  • To investigate and compare the viral heterogeneity and population dynamics of GBV-C/HGV and HCV in patients with concomitant infections.
  • To evaluate the impact of interferon-alpha (IFN) therapy on GBV-C/HGV quasispecies.
  • To assess the antigenic stability and genetic diversity of GBV-C/HGV in comparison to HCV.

Main Methods:

  • Single-strand conformation polymorphism (SSCP) analysis was employed to examine viral heterogeneity in six coinfected patients.
  • Two patients were monitored for 4 years without treatment, while four received interferon-alpha (IFN) therapy.
  • Nucleotide and amino acid sequences of viral RNA amplicons were analyzed to assess genetic variation.

Main Results:

  • SSCP analysis revealed 1-5 distinct GBV-C/HGV RNA bands and 1-4 HCV RNA bands per patient.
  • GBV-C/HGV amplicons showed nucleotide variations but conserved amino acid sequences in the presumed antigenic region, unlike HCV's HVR.
  • Predominant GBV-C/HGV strains remained stable in untreated patients, while IFN therapy led to the disappearance or persistence of specific strains.
  • The mean genetic distance among GBV-C/HGV strains was significantly lower than that of HCV strains (P < 0.05).

Conclusions:

  • GBV-C/HGV lacks significant antigenic drift and a hypervariable region comparable to HCV.
  • GBV-C/HGV exhibits strain-specific sensitivity to interferon-alpha (IFN) therapy within the same host.
  • These findings highlight distinct evolutionary and therapeutic response patterns between GBV-C/HGV and HCV.

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