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hepatitis C genotyping
Indications:
- hepatitis C infection
Reference interval:
- test may be unsuccessful if HCV RNA viral load is < log 3.3 or 2000 IU/mL [2]
Clinical significance:
- hepatitis C infection is caused by one of 6 major gentotypes of hepatitis C virus (1-6) [2]
- hepatitis C virus types 2 & 3 respond to lower doses & shorter duration of therapy with pegylated interferon-alpha than other types
- hepatitis C virus type 1b responds poorly to therapy with pegylated interferon-alpha
Method:
- direct sequencing of 5' non-coding region
- limitations in differentiating subtype 1a from 1b [2]
- line probe analysis
Specimen:
- serum, plasma
Notes:
- Abbott RealTime HCV Genotype II can differentiate HCV genotypes 1, 1a, 1b, 2, 3, 4, & 5 [4]
Related
hepatitis C infection
hepatitis C virus
General
genotyping (allele testing)
References
- Clinical Guide to Laboratory Tests, 4th edition, HB Wu ed,
WB Saunders, Philadelphia, 2006
- HCV Genotyping By Sequencing
Laboratory Test Directory ARUP: 55593
- Panel of 24 tests
Laboratory Test Directory ARUP: 2004680
- FDA News Release: June 20, 2013
FDA approves first genotyping test for patients with hepatitis
C virus
http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm357982.htm