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Basic Characteristics of Mutations
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Mutation Site
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M133I |
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Mutation Site Sentence
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Specific NS5A mutations significantly correlate with HCC: S3T (8.8% vs. 1.3%, p = 0.01), T122M (8.8% vs. 0.0%, p < 0.001), M133I (20.6% vs. 3.9%, p < 0.001), and Q181E (11.8% vs. 0.6%, p < 0.001). |
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Mutation Level
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Amino acid level |
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Mutation Type
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Nonsynonymous substitution |
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Gene/Protein/Region
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NS5A |
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Standardized Encoding Gene
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NS5A
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Genotype/Subtype
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1b |
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Viral Reference
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D90208
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Functional Impact and Mechanisms
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Disease
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Carcinoma, Hepatocellular
Liver Cirrhosis
HCV Infection
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Immune
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- |
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Target Gene
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-
|
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Clinical and Epidemiological Correlations
|
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Clinical Information
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Y |
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Treatment
|
- |
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Location
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Italy |
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Literature Information
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PMID
|
33922732
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Title
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Genetic Determinants in a Critical Domain of NS5A Correlate with Hepatocellular Carcinoma in Cirrhotic Patients Infected with HCV Genotype 1b
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Author
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Alkhatib M,Di Maio VC,De Murtas V,Polilli E,Milana M,Teti E,Fiorentino G,Calvaruso V,Barbaliscia S,Bertoli A,Scutari R,Carioti L,Cento V,Santoro MM,Orro A,Maida I,Lenci I,Sarmati L,Craxi A,Pasquazzi C,Parruti G,Babudieri S,Milanesi L,Andreoni M,Angelico M,Perno CF,Ceccherini-Silberstein F,Svicher V,Salpini R,On Behalf Of Hirma Hepatocarcinoma Innovative Research MArkers And Fondazione,Vironet C Hcv Virology Italian Resistance
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Journal
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Viruses
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Journal Info
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2021 Apr 23;13(5):743
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Abstract
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HCV is an important cause of hepatocellular carcinoma (HCC). HCV NS5A domain-1 interacts with cellular proteins inducing pro-oncogenic pathways. Thus, we explore genetic variations in NS5A domain-1 and their association with HCC, by analyzing 188 NS5A sequences from HCV genotype-1b infected DAA-naive cirrhotic patients: 34 with HCC and 154 without HCC. Specific NS5A mutations significantly correlate with HCC: S3T (8.8% vs. 1.3%, p = 0.01), T122M (8.8% vs. 0.0%, p < 0.001), M133I (20.6% vs. 3.9%, p < 0.001), and Q181E (11.8% vs. 0.6%, p < 0.001). By multivariable analysis, the presence of >1 of them independently correlates with HCC (OR (95%CI): 21.8 (5.7-82.3); p < 0.001). Focusing on HCC-group, the presence of these mutations correlates with higher viremia (median (IQR): 5.7 (5.4-6.2) log IU/mL vs. 5.3 (4.4-5.6) log IU/mL, p = 0.02) and lower ALT (35 (30-71) vs. 83 (48-108) U/L, p = 0.004), suggesting a role in enhancing viral fitness without affecting necroinflammation. Notably, these mutations reside in NS5A regions known to interact with cellular proteins crucial for cell-cycle regulation (p53, p85-PIK3, and beta-catenin), and introduce additional phosphorylation sites, a phenomenon known to ameliorate NS5A interaction with cellular proteins. Overall, these results provide a focus for further investigations on molecular bases of HCV-mediated oncogenesis. The role of theseNS5A domain-1 mutations in triggering pro-oncogenic stimuli that can persist also despite achievement of sustained virological response deserves further investigation.
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Sequence Data
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-
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