Single-step real-time PCR to quantify hepatitis B virus and distinguish genotype D from non-D genotypes

Hepatitis B virus (HBV) viral load and its genotype play important roles in clinical outcome, management of disease and response to antiviral therapy. In many parts of the world such as Europe or the Middle East, distinguishing HBV genotype D from non‐D is most relevant for treatment decisions, beca...

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Veröffentlicht in:Journal of viral hepatitis 2011-04, Vol.18 (4), p.300-304
Hauptverfasser: Amini-Bavil-Olyaee, S., Pourkarim, M. R., Schaefer, S., Mahboudi, F., Van Ranst, M., Adeli, A., Trautwein, C., Tacke, F.
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container_end_page 304
container_issue 4
container_start_page 300
container_title Journal of viral hepatitis
container_volume 18
creator Amini-Bavil-Olyaee, S.
Pourkarim, M. R.
Schaefer, S.
Mahboudi, F.
Van Ranst, M.
Adeli, A.
Trautwein, C.
Tacke, F.
description Hepatitis B virus (HBV) viral load and its genotype play important roles in clinical outcome, management of disease and response to antiviral therapy. In many parts of the world such as Europe or the Middle East, distinguishing HBV genotype D from non‐D is most relevant for treatment decisions, because genotype D‐infected patients respond poorly to interferon‐based therapeutic regimens. Here, we developed an in‐house real‐time PCR to concordantly assess HBV genotype (D vs non‐D) based on melt curve analysis and quantify the viral load. Genotype distinction was established with control plasmids of all HBV genotypes and validated with 57 clinical samples from patients infected with six different HBV genotypes. Our in‐house real‐time PCR assay could discriminate HBV genotype D from non‐D using single‐step melt curve analysis with a 2 °C difference in the melt curve temperature in all samples tested. Viral load quantification was calibrated with the WHO HBV international standard, demonstrating an excellent correlation with a commercial kit (r = 0.852; P 
doi_str_mv 10.1111/j.1365-2893.2010.01308.x
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Our in‐house real‐time PCR assay could discriminate HBV genotype D from non‐D using single‐step melt curve analysis with a 2 °C difference in the melt curve temperature in all samples tested. Viral load quantification was calibrated with the WHO HBV international standard, demonstrating an excellent correlation with a commercial kit (r = 0.852; P &lt; 0.0001) in a linear range from 3.2 × 102 to 3.2 × 1010 IU/mL. In conclusion, we developed a rapid, simple and cost‐effective method to simultaneously quantify and distinguish HBV genotypes D from non‐D with a single‐step PCR run and melt curve analysis. 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R.</au><au>Schaefer, S.</au><au>Mahboudi, F.</au><au>Van Ranst, M.</au><au>Adeli, A.</au><au>Trautwein, C.</au><au>Tacke, F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single-step real-time PCR to quantify hepatitis B virus and distinguish genotype D from non-D genotypes</atitle><jtitle>Journal of viral hepatitis</jtitle><addtitle>J Viral Hepat</addtitle><date>2011-04</date><risdate>2011</risdate><volume>18</volume><issue>4</issue><spage>300</spage><epage>304</epage><pages>300-304</pages><issn>1352-0504</issn><eissn>1365-2893</eissn><abstract>Hepatitis B virus (HBV) viral load and its genotype play important roles in clinical outcome, management of disease and response to antiviral therapy. In many parts of the world such as Europe or the Middle East, distinguishing HBV genotype D from non‐D is most relevant for treatment decisions, because genotype D‐infected patients respond poorly to interferon‐based therapeutic regimens. 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This assay should be a useful diagnostic alternative to aid clinical decisions about initiation and choice of antiviral therapy, especially in geographical regions with a high prevalence of HBV genotype D.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20367802</pmid><doi>10.1111/j.1365-2893.2010.01308.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects copy number
DNA, Viral
DNA, Viral - genetics
Europe
Genotype
Genotypes
Hepatitis B virus
Hepatitis B virus - classification
Hepatitis B virus - genetics
Hepatitis B virus - isolation & purification
Humans
Immunology
interferon
Life Sciences
Middle East
pegylated interferon
Polymerase Chain Reaction
Polymerase Chain Reaction - methods
quantitative real-time PCR
Viral Load
Viral Load - methods
title Single-step real-time PCR to quantify hepatitis B virus and distinguish genotype D from non-D genotypes
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