Next-generation sequencing for the clinical management of hepatitis C virus infections: does one test fits all purposes?

While the prospect of viral cure is higher than ever for individuals infected with the hepatitis C virus (HCV) due to ground-breaking progress in antiviral treatment, success rates are still negatively influenced by HCV's high genetic variability. This genetic diversity is represented in the circula...

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Publicado en:Critical Reviews in Clinical Laboratory Sciences Vol. 56; no. 6; pp. 420 - 435
Autores principales: Cuypers, Lize, Thijssen, Marijn, Shakibzadeh, Arash, Sabahi, Farzaneh, Ravanshad, Mehrdad, Pourkarim, Mahmoud Reza
Formato: pictorial questions and answers review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: Next-generation sequencing for the clinical management of hepatitis C virus infections: does one test fits all purposes?
      aug:
        au:
          Cuypers, Lize
          Thijssen, Marijn
          Shakibzadeh, Arash
          Sabahi, Farzaneh
          Ravanshad, Mehrdad
          Pourkarim, Mahmoud Reza
        affil: Laboratory of Clinical and Epidemiological Virology, Department of Microbiology, Immunology and Transplantation, Rega Institute for Medical Research, KU Leuven, Leuven, Belgium
      sug:
        subj:
          Sequence Analysis
          Disease Management
          Hepatitis C Diagnosis
          Molecular Diagnostic Techniques
          Genotype
          Coinfection
          Drug Resistance, Microbial
          Genetic Techniques
          Hepatitis C Prevention and Control
      ab: While the prospect of viral cure is higher than ever for individuals infected with the hepatitis C virus (HCV) due to ground-breaking progress in antiviral treatment, success rates are still negatively influenced by HCV's high genetic variability. This genetic diversity is represented in the circulation of various genotypes and subtypes, mixed infections, recombinant forms and the presence of numerous drug resistant variants among infected individuals. Common misclassifications by commercial genotyping assays in combination with the limitations of currently used targeted population sequencing approaches have encouraged researchers to exploit alternative methods for the clinical management of HCV infections. Next-generation sequencing (NGS), a revolutionary and powerful tool with a variety of applications in clinical virology, can characterize viral diversity and depict viral dynamics in an ultra-wide and ultra-deep manner. The level of detail it provides makes it the method of choice for the diagnosis and clinical assessment of HCV infections. The sequence library provided by NGS is of a higher magnitude and sensitivity than data generated by conventional methods. Therefore, these technologies are helpful to guide clinical practice and at the same time highly valuable for epidemiological studies. The decreasing costs of NGS to determine genotypes, mixed infections, recombinant strains and drug resistant variants will soon make it feasible to employ NGS in clinical laboratories, to assist in the daily care of patients with HCV.
      pubtype: Academic Journal
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    language: English
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