Skip to main content
Log in

Serotyping of hepatitis C virus in chronic type C hepatitis in Taiwan: Correlation with genotypes

  • Liver, Pancreas and Biliary Tract
  • Published:
Journal of Gastroenterology Aims and scope Submit manuscript

Abstract

To evaluate the usefulness of a new serologic assay to group hepatitis C virus (HCV), genotypes identified by this serotyping method were compared to those identified by a polymerase chain reaction (PCR) assay with type-specific primers in 71 Taiwanese patients with chronic type C hepatitis. The group-specific antibodies against different HCV genotypes were detected by using an enzyme-linked immunosorbent assay (ELISA) based on group-specific recombinant peptides (C14-1 and C14-2) within the NS4 region. Among 71 patients positive for current second-generation HCV antibodies, HCV RNA was detected in 55 patients by PCR with primers from the 5′ untranslating region, and in 52 by genotype-specific PCR. In 49 (89%) of 55 viremic patients, the results of serotyping by ELISA showed complete agreement with those determined by PCR genotyping, and none of the patients showed a group opposite to that of HCV genotype. The positive rate of group-specific antibodies (69/71;97%) was even better than that of the PCR (55/71;78%). We conclude that this new serotyping assay is highly sensitive and specific for the determination of HCV genotypes, and will be useful in future epidemiologic studies, as well for clinical application.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Choo QL, Kuo G, Weiner AJ, et al. Isolation of a cDNA derived from a blood-borne non-A, non-B viral hepatitis genome. Science 1989;244:359–362.

    CAS  PubMed  Google Scholar 

  2. Kuo G, Choo QL, Alter HJ, et al. An assay for circulating antibodies to a major etiologic virus of human non-A, non-B hepatitis. Science 1989;244:362–364.

    CAS  PubMed  Google Scholar 

  3. Nakatsuji Y, Matsumoto A, Tanaka E, et al. Detection of chronic hepatitis C virus infection by four diagnostic systems: First-generation and second-generation enzyme-linked immunosorbent assay, second-generation recombinant immunoblot assay and nested polymerase chain reaction analysis. Hepatology 1992;16:300–305.

    CAS  PubMed  Google Scholar 

  4. Lin HH, Kao JH, Leu JH, et al. Comparison of three different immunoassays and PCR for the detection of hepatitis C virus infection in pregnant women in Taiwan. Vox Sang 1993;65: 117–121.

    CAS  PubMed  Google Scholar 

  5. Houghton M, Weiner A, Han J, et al. Molecular biology of the hepatitis C viruses: Implications for diagnosis, development and control of viral disease. Hepatology 1991;14:381–388.

    Article  CAS  PubMed  Google Scholar 

  6. Chen DS, Kuo G, Sung JL, et al. Hepatitis C virus infection in an area hyperendemic for hepatitis B and chronic liver disease: The Taiwan experience. J Infect Dis 1990;162:817–822.

    CAS  PubMed  Google Scholar 

  7. Kao JH, Tsai SL, Chen PJ, et al. A clinicopathologic study of chronic non-A, non-B (type C) hepatitis in Taiwan: Comparison between posttransfusion and sporadic patients. J Hepatol 1994;21:244–249.

    Article  CAS  PubMed  Google Scholar 

  8. Choo QL, Richman KH, Han JH, et al. Genetic organization and diversity of the hepatitis C virus. Proc Natl Acad Sci USA 1991;88:2451–2455.

    CAS  PubMed  Google Scholar 

  9. Chen PJ, Lin MH, Tai KF, et al. The Taiwanese hepatitis C virus genome: Sequence determination and mapping the 5′ termini of viral genomic and antigenomic RNA. Virology 1992;188: 102–113.

    Article  CAS  PubMed  Google Scholar 

  10. Okamoto H, Okada S, Sugiyama Y, et al. Nucleotide sequence of the genomic RNA of hepatitis C virus isolated from a human carrier: Comparison with reported isolates for conserved and divergent regions. J Gen Virol 1991;72:2697–2704.

    CAS  PubMed  Google Scholar 

  11. Okamoto H, Kurai K, Okada S, et al. Full-length sequence of a hepatitis C virus genome having poor homology to reported isolates: Comparative study of four distinet genotypes. Virology 1992;188:331–341.

    Article  CAS  PubMed  Google Scholar 

  12. Kato N, Hijikata M, Ootsuyama Y, et al. Molecular cloning of the human hepatitis C virus genome from Japanese patients with non-A, non-B hepatitis. Proc Natl Acad Sci USA 1990;87: 9524–9528.

    CAS  PubMed  Google Scholar 

  13. Takamizawa A, Mori C, Fuke I, et al. Structure and organization of the hepatitis C virus genome isolated from human carriers. J Virol 1991;65:1105–1113.

    CAS  PubMed  Google Scholar 

  14. Chan SW, McOmish F, Holmes EC, et al. Analysis of a new hepatitis C virus type and its phylogenetic relationship to existing variants. J Gen Virol 1992;73:1131–1141.

    CAS  PubMed  Google Scholar 

  15. Cha T, Beall E, Irvine B, et al. At least five related but distinet hepatitis C viral genotypes exist. Proc Natl Acad Sci USA 1992;89:7144–7148.

    CAS  PubMed  Google Scholar 

  16. Bukh J, Purcell RH, Miller RH. At least 12 genotypes of hepatitis C virus predicted by sequence analysis of the putative E1 gene of isolates collected worldwide. Proc Natl Acad Sci USA 1993;90:8234–8238.

    CAS  PubMed  Google Scholar 

  17. Pozzato G, Moretti M, Franzin F, et al. Severity of liver disease with different hepatitis C viral clones. Lancet 1992;338:509.

    Google Scholar 

  18. Takada N, Takase S, Enomoto N, et al. Clinical backgrounds of the patients having different types of hepatitis C virus genomes. J Hepatol 1992;14:35–40.

    Article  CAS  PubMed  Google Scholar 

  19. Yoshioka K, Kakumu S, Wakaji T, et al. Detection of hepatitis C virus by polymerase chain reaction and response to interferon-a therapy: Relationship to genotypes of hepatitis C virus. Hepatology 1992;16:293–299.

    CAS  PubMed  Google Scholar 

  20. Weiner AJ, Braner M, Rosenblatt J, et al. Variable and hypervariable domains are found in the regions of HCV corresponding to the flavivirus envelope and NS 1 proteins and the pestivirus envelope glycoproteins. Virology 1991;180:842–848.

    Article  CAS  PubMed  Google Scholar 

  21. Féray C, Samuel D, Thiers V, et al. Rinfection of liver graft by hepatitis C virus after liver transplantation. J Clin Invest 1992; 89:1361–1365.

    PubMed  Google Scholar 

  22. Kao JH, Chen PJ, Lai MY, Chen DS. Superinfection of heterologous hepatitis C virus in a patient with chronic type C hepatitis. Gastroenterology 1993;105:583–587.

    CAS  PubMed  Google Scholar 

  23. Kao JH, Chen PJ, Lai MY, et al. Detection of divergent hepatitis C virus envelope sequences. J Biomed Sci 1994;1:158–162.

    Article  CAS  PubMed  Google Scholar 

  24. Nakao T, Enomoto N, Takada N, et al. Typing of hepatitis C virus genomes by restriction fragment length polymorphism. J Gen Virol 1991;72:2105–2112.

    CAS  PubMed  Google Scholar 

  25. Okamoto H, Sugiyama Y, Okada S, et al. Typing hepatitis C virus by polymerase chain reaction with type-specific primers: Application to clinical surveys and tracing infectious sources. J Gen Virol 1992;73:673–679.

    CAS  PubMed  Google Scholar 

  26. Chayama K, Tsubota A, Arase Y, et al. Genotypic subtyping of hepatitis C virus. J Gastroenterol Hepatol 1993;8:150–156.

    CAS  PubMed  Google Scholar 

  27. Takada N, Takase S, Takada A, Date T. Differences in the hepatitis C virus genotypes in different countries. J Hepatol 1993;17:277–283.

    Article  CAS  PubMed  Google Scholar 

  28. Wang Y, Okamoto H, Tsuda F, et al. Prevalence, genotypes, and an isolate (HC-C2) of hepatitis C virus in Chinese patients with liver disease. J Med Virol 1993;40:254–260.

    CAS  PubMed  Google Scholar 

  29. McOmish F, Chan SW, Dow BC, et al. Detection of three types of hepatitis C virus in blood donors: Investigation of type-specific differences in serologic reactivity and rate of alanine aminotransferase abnormalities. Transfusion 1993;33:7–13.

    Article  CAS  PubMed  Google Scholar 

  30. Machida A, Ohnuma H, Tsuda F, et al. Two distinct subtypes of hepatitis virus defined by antibodies directed to putative core protein. Hepatology 1992;16:886–891.

    CAS  PubMed  Google Scholar 

  31. Simmonds P, Rose KA, Graham S, et al. Mapping of serotypespecific, immunodominant epitopes in the NS-4 region of hepatitis C virus (HCV): Use of type-specific peptides to serologically differentiate infections with HCV types 1, 2, and 3. J Clin Microbiol 1993;31:1493–1503.

    CAS  PubMed  Google Scholar 

  32. Tsukiyama-Kohara K, Yamaguchi K, Maki N, et al. Antigenicities of group I and II hepatitis C virus polypeptides—molecular basis of diagnosis. Virology 1993;192:430–437.

    Article  CAS  PubMed  Google Scholar 

  33. Tanaka T, Tsukiyama-Kohara K, Yamaguchi K, et al. Significance of specific antibody assay for genotyping of hepatitis C virus. Hepatology 1994;19:1347–1353.

    Article  CAS  PubMed  Google Scholar 

  34. Kao JH, Chen PJ, Lai MY, Yang PM, Sheu JC, Wang TH, Chen DS. Mixed infections of hepatitis C virus as a factor in acute exacerbation of chronic type C hepatitis. J Infect Dis 1994;170: 1128–1133.

    CAS  PubMed  Google Scholar 

  35. Okamoto H, Okada S, Sugiyama Y, et al. Detection of hepatitis C virus RNA by a two-stage polymerase chain reaction with two pairs of primers deduced from the 5′-noncoding region. Jpn J Exp Med 1990;60:215–222.

    CAS  PubMed  Google Scholar 

  36. Kao JH, Chen PJ, Yang PM, et al. Intrafamilial transmission of hepatitis C virus: The important role of infections between spouses. J Infect Dis 1992;166:900–903.

    CAS  PubMed  Google Scholar 

  37. Kwok S, Higuchi R. Avoiding false positive with PCR. Nature 1989;339:237–238.

    Article  CAS  PubMed  Google Scholar 

  38. Tsukiyama-Kohara K, Kohara M, Yamaguchi K, et al. A second group of hepatitis C viruses. Virus Genes 1991;5:243–254.

    Article  CAS  PubMed  Google Scholar 

  39. Mori S, Kato N, Yagyu A, et al. A new type of hepatitis C virus in patients in Thailand. Biochem Biophys Res Commun 1992; 183:334–342.

    Article  CAS  PubMed  Google Scholar 

  40. Hino K, Sainokami S, Shimoda K, et al. Genotypes and titers of hepatitis C virus for predicting response to interferon in patients with chronic hepatitis C. J Med Virol 1994;12:299–305.

    Google Scholar 

  41. Yamada M, Kakumu S, Yoshioka K, et al. Hepatitis C virus genotypes are not responsible for development of serious liver disease. Dig Dis Sci 1994;39:234–239.

    CAS  PubMed  Google Scholar 

  42. Hosoda K, Omata M, Yokosuka O, et al. Nucleotide sequences of 5-1-1 of hepatitis C virus in patients with chronic liver disease. Gastroenterology 1992;102:1039–1043.

    CAS  PubMed  Google Scholar 

  43. Tsai SL, Chen PJ, Hwang LH, et al. Immune response to a hepatitis C virus (HCV) nonstructural protein in chronic HCV infection. J Hepatol 1994;21:403–411.

    Article  CAS  PubMed  Google Scholar 

  44. Saiki RK, Gelfand DH, Stoffel S, et al. Primer-directed enzymatic amplification of DNA with a thermostable DNA polymerase. Science 1988;239:487–491.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kao, JH., Lin, HH., Chen, PJ. et al. Serotyping of hepatitis C virus in chronic type C hepatitis in Taiwan: Correlation with genotypes. J Gastroenterol 31, 224–227 (1996). https://doi.org/10.1007/BF02389521

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02389521

Key words

Navigation