Development of highly sensitive Real-time COLD-PCR taqman lna probe assay for detection of tenofovir resistant RT-A194T mutation in chronic hepatitis B

Chu Van Son, Le Thi Ngan, Vu Thien Son, Pham Thi Hanh, Nguyen Minh Hang, Nguyen Van Dung, Vu Bich Thao, Nguyen Pham Anh Hoa, Phung Thi Bich Thuy, Nguyen Thi Van Anh1
1 Trường Đại học Khoa học Tự nhiên, ĐHQG Hà Nội

Main Article Content

Abstract

The rtA194T mutation on the gene coding for RTase of Hepatitis B Virus (HBV) has been reported to be associated with tenofovir disoproxil fumarate (TDF)-resistance in Chronic Hepatitis B (CHB). In this study, we successfully developed a novel real time COLD-PCR TaqMan LNA probe assay with high sensitivity of 0.1% (mutant/wild-type, mt/wt) for early detection rtA194T mutation in TDF-experienced patients with CHB. This assay was then applied in 75 serum samples, and as results no rtA194T mutation was found in any samples. In conclusion, the real time COLD-PCR TaqMan LNA probe assay with high sensitivity (0,1% mt/wt) and time-saving of 3 h performance is potential for early detection of rtA194T mutations, thereby providing a tool for consulting and efficient follow-up the efficacy of TDF treatment regimens for chronic hepatitis B patients in future.

Article Details

References

1. World Health Organization. Guidelines for the Prevention Care and Treatment of Persons with Chronic Hepatitis B Infection. Geneva, Switzerland: World Health Organization; 2015.
2. Sharma V, Sharma R, Gaurav G. First Report of Primary Tenofovir Resistance in a Hepatitis B Viral Hepatitis Patient from India without Human Immunodeficiency Virus Co-infection. J Liver Res Disord Ther. 2016;2(5):37. doi:10.15406/jlrdt.2016.02.00037
3. Cho WH, Lee HJ, Bang KB, Kim SB, Song IH. Development of tenofovir disoproxil fumarate resistance after complete viral suppression in a patient with treatment-naïve chronic hepatitis B: A case report and review of the literature. World J Gastroenterol. 2018;24(17):1919-1924. doi:10.3748/wjg.v24.i17.1919
4. Park ES, Lee AR, Kim DH, et al. Identification of a quadruple mutation that confers tenofovir resistance in chronic hepatitis B patients. J Hepatol. 2019;70(6):1093-1102. doi:10.1016/j.jhep.2019.02.006
5. Rawal R, Konreddy A, Chu C. Mechanism of Adefovir, Tenofovir and Entecavir Resistance: Molecular Modeling Studies of How A Novel Anti-HBV Agent (FMCA) Can Overcome the Drug Resistance. Curr Med Chem. 2015;22(34):3922-3932. doi:10.2174/0929867322666150904144802
6. Liu C, Lin J, Chen H, et al. Detection of Hepatitis B Virus Genotypic Resistance Mutations by Coamplification at Lower Denaturation Temperature-PCR Coupled with Sanger Sequencing. J Clin Microbiol. 2014;52(8):2933-2939. doi:10.1128/JCM.01127-14
7. Wong DKH, Tsoi O, Huang FY, et al. Application of Coamplification at Lower Denaturation Temperature-PCR Sequencing for Early Detection of Antiviral Drug Resistance Mutations of Hepatitis B Virus. McAdam AJ, ed. J Clin Microbiol. 2014;52(9):3209-3215. doi:10.1128/JCM.00343-14
8. Phung TTB, Chu SV, Vu ST, et al. COLD-PCR Method for Early Detection of Antiviral Drug-Resistance Mutations in Treatment-Naive Children with Chronic Hepatitis B. Diagnostics. 2020;10(7):491. doi:10.3390/diagnostics10070491
9. Sun Z, Zhou L, Zeng H, Chen Z, Zhu H. Multiplex locked nucleic acid probes for analysis of hepatitis B virus mutants using real-time PCR. Genomics. 2007;89(1):151-159. doi:10.1016/j.ygeno.2006.07.011
10. Truong H, Nguyen VA, Nguyen HL, Pham VA, Phan TN. Sensitive quantification of mitochondrial mutation using new Taqman probes. Cent Eur J Med. 2014;9(6):839-848. doi:10.2478/s11536-013-0325-8
11. Motahar M, Arabzadeh SA, Mollaei H, Iranmanesh Z, Nikpour N, Soleimani F. Evaluation of HBV resistance to tenofovir in patients with chronic hepatitis B using ZNA probe assay in Kerman, southeast of Iran. Asian Pacific J Trop Dis. 2016;6(7):513-516. doi:10.1016/S2222-1808(16)61079-4
12. Alacam S, Karabulut N, Yolcu A, et al. Evaluation of drug resistance mutations in patients with chronic hepatitis B. Folia Microbiol. 2019;64(2):237-243. doi:10.1007/s12223-018-0650-z