Significance of liver negative-strand HCV RNA quantitation in chronic hepatitis C.

Abstract:

BACKGROUND/AIMS:Liver negative-strand hepatitis C virus (HCV) RNA is the most direct indicator of active viral replication but has only been examined in a few semiquantitative studies. METHODS:Positive- and negative-strand HCV RNA in the right (R) and left (L) liver lobes was quantified by rTth-based strand-specific real-time polymerase chain reaction for 48 chronic hepatitis C patients. RESULTS:Close correlations between lobes were seen for positive- and negative-strand amounts (r = 0.950; P < 0.001 and r = 0.920; P < 0.001, respectively). The ratio of negative to positive strands (median, 0.14 for R and 0.13 for L) varied by 2 log directly in relation to HCV replication assessed by liver negative strands but had no relation to liver positive strands and circulating HCV. Only negative-strand quantitation was inversely correlated with age (r = -0.322; P = 0.026 for R and r = -0.340; P = 0.018 for L), while liver tissues with hepatitis B virus DNA contained larger amounts of each strand. In 27 patients treated with enhanced interferon monotherapy, the amounts of liver negative strands (<4 log copies/100 ng RNA) were the only independent predictor of a sustained virologic response. CONCLUSIONS:Negative-strand quantitation is uniform in the liver and bears distinct relevance to the disease.

journal_name

J Hepatol

journal_title

Journal of hepatology

authors

Yuki N,Matsumoto S,Tadokoro K,Mochizuki K,Kato M,Yamaguchi T

doi

10.1016/j.jhep.2005.10.014

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

302-9

issue

2

eissn

0168-8278

issn

1600-0641

pii

S0168-8278(05)00689-6

journal_volume

44

pub_type

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