GB病毒C/ G型肝炎病毒在中国的遗传异质性和分子流行病学

Journal of human virology Pub Date : 2000-11-01
P An, H Luo, T Lu, S J O'Brien, C Winkler
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摘要

目的:研究GB病毒C (GBV-C)/ G型肝炎病毒(HGV)的患者间和患者内遗传变异,探讨中国病毒性肝炎流行地区GBV-C/ HGV感染的分子流行病学特征。将同一患者的丙型肝炎病毒(HCV)与GBV-C/HGV进行比较。研究设计/方法:采用聚合酶链反应扩增GB病毒C/HGV RNA,对来自中国三个城市的88例丙型肝炎、乙型肝炎或推定为非a - e型肝炎患者进行检测。从每个GBV-C/HGV rna阳性患者中测序了5个GBV-C/HGV NS3区克隆。同时对合并HCV感染的患者进行相应的HCV区域测序。对每位患者的GBV-C/HGV NS3区和来自其他大陆的分离株的代表性序列进行系统发育分析。结果:88例患者中检出GB病毒C/HGV 22例(25.25%),42例推定为非a - e型肝炎患者中检出9例(21.4%),36例丙型肝炎患者中检出10例(27.7%),10例乙型和丙型肝炎患者中检出3例(30.0%),60例献血者中无检出。中国分离株间核苷酸变异程度较小(2.4-17%;中位数为10.4%),高于中国分离株和7株中国以外分离株(10.5-19.5%;值,15.3%)。患者内部序列变异范围为0 ~ 1.75%,平均值为0.57±0.51%。系统发育分析将大多数中国分离株划分为4个地理上特定的聚类,彼此之间的差异为10%至16%。在相同的患者中,GBV-C/HGV非同义与同义替换的比率(Ka/Ks 0.019)远低于HCV(0.071)。结论:中国分离的GBV-C/HGV具有明显的遗传差异。有本地菌株,也有不同地区之间的共享菌株。氨基酸序列的保守程度表明GBV-C/HGV基因组对非同义取代的强烈选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Genetic heterogeneity and molecular epidemiology of GB virus C/hepatitis G virus in China.

Objective: The inter- and intrapatient genetic variation of GB virus C (GBV-C)/hepatitis G virus (HGV) was investigated to characterize the molecular epidemiologic profile of GBV-C/ HGV infection in China, an area endemic for viral hepatitis. The intrapatient variation of hepatitis C virus (HCV) from the same patients was compared to that of GBV-C/HGV.

Study design/methods: GB virus C/HGV RNA was amplified by polymerase chain reaction in 88 patients with hepatitis C, hepatitis B or presumed non-A-E hepatitis from three cities in China. Five clones of the GBV-C/HGV NS3 region were sequenced from each GBV-C/HGV RNA-positive patient. The corresponding region of HCV was also sequenced from patients co-infected with HCV. Representative sequences of the GBV-C/HGV NS3 region from each patient and those of isolates from other continents were subjected to phylogenetic analyses.

Results: GB virus C/HGV was detected in 22 (25.25%) of 88 patients: 9 (21.4%) of 42 patients with presumed non-A-E hepatitis, 10 (27.7%) of 36 patients with hepatitis C, 3 (30.0%) in 10 patients with hepatitis B and C, and in none of 60 volunteer blood donors. The extent of nucleotide variation was less between Chinese isolates (2.4-17%; median, 10.4%) than between Chinese isolates and seven isolates from outside China (10.5-19.5%; median, 15.3%). Intrapatient sequence variation ranged from 0 to 1.75%, with a mean of 0.57 +/- 0.51%. Phylogenetic analysis grouped most Chinese isolates into four geographically specific clusters with a divergence of 10% to 16% from each other. The ratio of nonsynonymous to synonymous substitutions of GBV-C/HGV (Ka/Ks 0.019) was much lower than for HCV (0.071) in the same patients.

Conclusion: Chinese isolates of GBV-C/HGV are genetically distinct. There are local strains as well as shared strains between different locales. The extent of amino acid sequence conservation suggests strong selection against nonsynonymous substitutions in the GBV-C/HGV genome.

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