Objective: To observe nucleotide sequence variations and amino acid residues 2,209 to 2,248 of the NS5 A region of hepatitis C virus in relation to interferon therapy in Chinese patients infected with HCV genotype 1b.
Methods: We collected sera from 22 patients infected with HCV genotype 1b, performed nested RT-PCR using extracted serum RNA from sera, amplified NS5 A region 2,209 to 2,248 and sequenced the PCR product directly. The deduced amino acid sequences were compared with the corresponding region of the HCV-J prototype strain.
Results: Only 4 isolates were intermediate type, and no mutant type was found. In 18 patients treated with IFN-alpha, only 4 were HCV RNA negative at present, No correlation was found between amino acid mutation and IFN response.
Conclusion: Variations in the NS5 A region between amino acid residues 2,209 to 2,248 failed to predict IFN response in Chinese patients infected with HCV genotype 1b. IFN may accelerate nucleotide variation but has little influence on amino acid variations.