Research Article

Analysis of Genotype 1b Hepatitis C Virus IRES in Serum and Peripheral Blood Mononuclear Cells in Patients Treated with Interferon and Ribavirin

Table 3

Analysis of HCV 5′UTR mutations developing during treatment with pegylated interferon and ribavirin.

PatientTime point  of new variant appearance (weeks)MutationPositionRegionSVRLocalizationEffect on ΔG (kcal/mol)**
PBMCSerum

1*60C-U104IIb+1Increased

28 A-U119ssRNA1No effect
24 C-U121ssRNA1No effect

324A-U119ssRNA1Increased
C-U183IIIb
A-G244IIIc
G-U261IIId
G-U271

44A-G142IIIa1Decreased

58U-G263IIId11Increased
U-G271
U-G273
C-A274
U-G277

6*60C-U183IIIb+1Decreased
A-G233IIIc

78C-U183IIIb1Decreased
8C-U183IIIb1  Increased
G del146IIIa

816C-U183IIIb1Decreased
A-G243IIIc
24A-C109IIb1No effect
C-U183IIIbDecreased
A-G243IIIc
U-C104IIb

9*16G-U188IIIb1Decreased
A ins.206IIIb Increased
IIIc
A-G233IIIb 
G-A107IIIc 
IIb
G-A243IIIc
601No effect
7211No effect

SVR, sustained virological response; PBMC, peripheral blood mononuclear cell.
*Novel variants emerging after treatment (weeks 60 and 72).
**Increased ΔG implies lower stability, whereas decreased ΔG entails higher stability.