title: Prevalence of amino acid mutation in hepatitis C virus core region among Japanese volunteer blood donors.
abstract: It is not known whether there is a trend of increasing or decreasing incidence of new hepatitis C virus (HCV) infections in Japan. From the treatment point of view, it is important to verify HCV genotypes and the prevalence of treatment-resistant clones of HCV. At the Japanese Red Cross blood centers, all blood samples obtained from blood donation have been screened using serological methods and the minipool nucleic acid amplification testing. One hundred and fourteen donors have been identified over the past 10 years to be HCV RNA-only positive without detectable anti-HCV and were considered to be in the acute phase of HCV infection. There was a trend of decreasing incidence of such new infections among the blood donors. HCV RNA-only-positive samples were examined further for genotyping and HCV RNA quantitation. Genotype 2 (2a plus 2b) was predominant (78.2%) among them followed by genotype 1b (21.2%). Direct sequencing was carried out to detect the possible treatment-resistant mutant clones 70Q and 91M, clones with amino acid substitutions at positions 70 and 91 of the HCV core protein, respectively. 70Q and 91M were found regularly in donors with genotype 1b, but not in those with other genotypes. No particular endemic areas for the mutant clones were identified. There was no significant difference in the mean viral titer between the 70Q mutant type and the non-70Q wild-type. Even in newly infected people, the mutant clone 70Q was detected frequently.
authors.affiliation: Central Blood Institute, Japanese Red Cross, Tokyo, Japan.
authors.forename: Yasumi
authors.initials: Y
authors.lastname: Furui
authors.forename: Yuji
authors.initials: Y
authors.lastname: Hoshi
authors.forename: Kazumoto
authors.initials: K
authors.lastname: Murata
authors.forename: Kiyoaki
authors.initials: K
authors.lastname: Ito
authors.forename: Kou
authors.initials: K
authors.lastname: Suzuki
authors.forename: Shigeharu
authors.initials: S
authors.lastname: Uchida
authors.forename: Masahiro
authors.initials: M
authors.lastname: Satake
authors.forename: Masashi
authors.initials: M
authors.lastname: Mizokami
authors.forename: Kenji
authors.initials: K
authors.lastname: Tadokoro
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D019943:Amino Acid Substitution; D001782:Blood Donors; D005260:Female; D005838:Genotype; D016174:Hepacivirus / Q000235:genetics* / Q000302:isolation & purification; D006526:Hepatitis C / Q000453:epidemiology* / Q000821:virology*; D006805:Human Experimentation; D006801:Humans; D015994:Incidence; D007564:Japan; D008297:Male; D008875:Middle Aged; D020125:Mutation, Missense; D015995:Prevalence; D012367:RNA, Viral / Q000097:blood; D014758:Viral Core Proteins / Q000235:genetics*; D019562:Viral Load; D055815:Young Adult
chemical_list: D012367:RNA, Viral; D014758:Viral Core Proteins; C069130:nucleocapsid protein, Hepatitis C virus