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Determination of HCV genotype by direct sequence analysis of quantitative PCR products

✍ Scribed by Franco Gargiulo; Maria Antonia De Francesco; Gabriele Pinsi; Caterina Pollara; Luigina Terlenghi; Francesca Perandin; Nino Manca


Publisher
John Wiley and Sons
Year
2002
Tongue
English
Weight
83 KB
Volume
69
Category
Article
ISSN
0146-6615

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✦ Synopsis


Abstract

Hepatitis C virus (HCV) genotyping, combined with quantitative evaluation of HCV RNA, may be beneficial for the management of chronic hepatitis C and in the selection of candidates for interferon treatment. In this study, the COBAS AMPLICOR HCV MONITOR™ test, a commercially available quantitative assay for HCV RNA, was used. Amplification products obtained from HCV‐positive cases were subjected to direct sequencing and genotyping based on seven phylogenetically informative regions within the 5′UTR. Results were compared with those obtained by INNO‐LiPA assay. Typing results yielded by both methods were in complete accordance for type and subtype assignment. Twenty‐nine of 500 specimens (5.8%) were unclassifiable and belonged to samples with a titer of <70.000 IU, as determined by quantitative assay. Despite this limitation, the overall gain in efficiency, the low rate of test failure and a better resolution of mixed genotypes all constitute a considerable advantage of this system over the commercial hybridization technique for routine clinical laboratory use. J. Med. Virol. 69:202–206, 2003. © 2003 Wiley‐Liss, Inc.


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