RT Journal Article T1 High-resolution hepatitis C virus subtyping using NS5B deep sequencing and phylogeny, an alternative to current methods. A1 Quer, Josep A1 Gregori, Josep A1 Rodríguez-Frias, Francisco A1 Buti, Maria A1 Madejon, Antonio A1 Perez-del-Pulgar, Sofia A1 Garcia-Cehic, Damir A1 Casillas, Rosario A1 Blasi, Maria A1 Homs, Maria A1 Tabernero, David A1 Alvarez-Tejado, Miguel A1 Muñoz, Jose Manuel A1 Cubero, Maria A1 Caballero, Andrea A1 del Campo, Jose Antonio A1 Domingo, Esteban A1 Belmonte, Irene A1 Nieto, Leonardo A1 Lens, Sabela A1 Muñoz-de-Rueda, Paloma A1 Sanz-Cameno, Paloma A1 Sauleda, Silvia A1 Bes, Marta A1 Gomez, Jordi A1 Briones, Carlos A1 Perales, Celia A1 Sheldon, Julie A1 Castells, Lluis A1 Viladomiu, Lluis A1 Salmeron, Javier A1 Ruiz-Extremera, Angela A1 Quiles-Pérez, Rosa A1 Moreno-Otero, Ricardo A1 López-Rodríguez, Rosario A1 Allende, Helena A1 Romero-Gómez, Manuel A1 Guardia, Jaume A1 Esteban, Rafael A1 Garcia-Samaniego, Javier A1 Forns, Xavier A1 Esteban, Juan Ignacio K1 Técnicas de genotipaje K1 Hepacivirus K1 Humanos K1 Filogenia K1 Juego de reactivos para diagnóstico K1 Proteínas no estructurales virales AB Hepatitis C virus (HCV) is classified into seven major genotypes and 67 subtypes. Recent studies have shown that in HCV genotype 1-infected patients, response rates to regimens containing direct-acting antivirals (DAAs) are subtype dependent. Currently available genotyping methods have limited subtyping accuracy. We have evaluated the performance of a deep-sequencing-based HCV subtyping assay, developed for the 454/GS-Junior platform, in comparison with those of two commercial assays (Versant HCV genotype 2.0 and Abbott Real-time HCV Genotype II) and using direct NS5B sequencing as a gold standard (direct sequencing), in 114 clinical specimens previously tested by first-generation hybridization assay (82 genotype 1 and 32 with uninterpretable results). Phylogenetic analysis of deep-sequencing reads matched subtype 1 calling by population Sanger sequencing (69% 1b, 31% 1a) in 81 specimens and identified a mixed-subtype infection (1b/3a/1a) in one sample. Similarly, among the 32 previously indeterminate specimens, identical genotype and subtype results were obtained by direct and deep sequencing in all but four samples with dual infection. In contrast, both Versant HCV Genotype 2.0 and Abbott Real-time HCV Genotype II failed subtype 1 calling in 13 (16%) samples each and were unable to identify the HCV genotype and/or subtype in more than half of the non-genotype 1 samples. We concluded that deep sequencing is more efficient for HCV subtyping than currently available methods and allows qualitative identification of mixed infections and may be more helpful with respect to informing treatment strategies with new DAA-containing regimens across all HCV subtypes. PB American Society for Microbiology SN 0095-1137 YR 2015 FD 2015-01 LK http://hdl.handle.net/10668/2505 UL http://hdl.handle.net/10668/2505 LA en NO Quer J, Gregori J, Rodríguez-Frias F, Buti M, Madejon A, Perez-del-Pulgar S, et al. High-resolution hepatitis C virus subtyping using NS5B deep sequencing and phylogeny, an alternative to current methods. J Clin Microbiol. 2015; 53(1):219-26 NO Journal Article; Research Support, Non-U.S. Gov't; Corrección: Volume 53, no. 1, p. 219–226, 2015. Page 221, Table 1: The sequence for primer 13N5Bo8254 should read “GTTGTAAAACGACGGCCAGTCNTAYGAYACCMGNTGYTTTGACTC.” DS RISalud RD Apr 5, 2025