Genetic Variability in Patients with HCV-Related Hepatocellular Carcinoma.

HCV NS3 region NS5A region aa substitutions chronic hepatitis C chronic infection C core region hepatocellular carcinoma phylogenesis viral variability

Journal

Infection and drug resistance
ISSN: 1178-6973
Titre abrégé: Infect Drug Resist
Pays: New Zealand
ID NLM: 101550216

Informations de publication

Date de publication:
2021
Historique:
received: 10 09 2021
accepted: 09 11 2021
entrez: 15 12 2021
pubmed: 16 12 2021
medline: 16 12 2021
Statut: epublish

Résumé

The present paper evaluates the genetic variability of HCV in patients with hepatocellular carcinoma (HCC). Amino acid substitutions (aas) in NS3, NS5A and core regions were analyzed in 17 patients with HCC (Cases) and 13 without HCC (Controls), all naïve to DAAs. For the Cases, a sample of neoplastic liver tissue, non-neoplastic liver tissue and a serum sample were collected; for the Controls, a sample of liver tissue was collected. Sanger sequencing of three regions was performed using homemade protocols. Phylogenetic trees showed that there was no difference in the virus populations in the three compartments analyzed for the three HCV regions in patients with HCC. Low variability and no difference between the Cases and Controls were observed in the core and NS5A regions; however, in the NS3 region, a higher variability was observed in the Cases. No difference was observed in the core region between Cases and Controls. In NS3, aa substitutions at positions 103 and 122 were more frequently found in Cases than Controls (in both cases 50% vs 9.1%, p<0.05); moreover, aas in positions 32, 44 (p=0.035 for both), 79 (p=0.008) and 121 (p=0.018) were observed in the Cases and absent in the Controls. Finally, considering the NS5A region, aa substitutions at positions 37 and 54 were more frequently identified in the Cases than the Controls, but without statistical significance. These data may suggest a higher aa variability in patients with HCC than in those without, especially in the NS3 region.

Sections du résumé

BACKGROUND BACKGROUND
The present paper evaluates the genetic variability of HCV in patients with hepatocellular carcinoma (HCC).
METHODS METHODS
Amino acid substitutions (aas) in NS3, NS5A and core regions were analyzed in 17 patients with HCC (Cases) and 13 without HCC (Controls), all naïve to DAAs. For the Cases, a sample of neoplastic liver tissue, non-neoplastic liver tissue and a serum sample were collected; for the Controls, a sample of liver tissue was collected. Sanger sequencing of three regions was performed using homemade protocols.
RESULTS RESULTS
Phylogenetic trees showed that there was no difference in the virus populations in the three compartments analyzed for the three HCV regions in patients with HCC. Low variability and no difference between the Cases and Controls were observed in the core and NS5A regions; however, in the NS3 region, a higher variability was observed in the Cases. No difference was observed in the core region between Cases and Controls. In NS3, aa substitutions at positions 103 and 122 were more frequently found in Cases than Controls (in both cases 50% vs 9.1%, p<0.05); moreover, aas in positions 32, 44 (p=0.035 for both), 79 (p=0.008) and 121 (p=0.018) were observed in the Cases and absent in the Controls. Finally, considering the NS5A region, aa substitutions at positions 37 and 54 were more frequently identified in the Cases than the Controls, but without statistical significance.
CONCLUSION CONCLUSIONS
These data may suggest a higher aa variability in patients with HCC than in those without, especially in the NS3 region.

Identifiants

pubmed: 34908854
doi: 10.2147/IDR.S337647
pii: 337647
pmc: PMC8665876
doi:

Types de publication

Journal Article

Langues

eng

Pagination

5199-5208

Informations de copyright

© 2021 Pisaturo et al.

Déclaration de conflit d'intérêts

The authors declare that we have no conflicts of interest related to this work.

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Auteurs

Mariantonietta Pisaturo (M)

Infectious Diseases, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", Naples, Italy.

Alessandra Di Fraia (A)

Infectious Diseases, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", Naples, Italy.

Laura Occhiello (L)

Infectious Diseases, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", Naples, Italy.

Carmine Minichini (C)

Infectious Diseases, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", Naples, Italy.

Mario Starace (M)

Infectious Diseases, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", Naples, Italy.

Valentina Iodice (V)

IX Infectious Disease Unit, AORN dei Colli, Naples, Italy.

Nunzia Farella (N)

IX Infectious Disease Unit, AORN dei Colli, Naples, Italy.

Maria Stanzione (M)

Infectious Diseases, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", Naples, Italy.

Nicola Coppola (N)

Infectious Diseases, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", Naples, Italy.

Classifications MeSH