Study of the structure of hepatitis c virus, which circulate among the population of the region of Ukraine with an average degree of urbanization

Authors

  • Inna Khoronzhevska State Institution "Rivne Regional Laboratory Center of the Ministry of Health of Ukraine" Kotlyarevskogo str., 3, Rivne, Ukraine, 33018, Ukraine https://orcid.org/0000-0002-1837-0443
  • Tetiana Sergeeva Gromashevsky" of the National Academy of Medical Sciences of Ukraine M. Amosova str., 5, Kyiv, Ukraine, 036670, Ukraine
  • Halyna Martyniuk Head of the Rivne Regional Diagnostic and Treatment Hepatology Center, 16 Lypnya str., 36, Rivne, Ukraine, 33028, Ukraine
  • Viktor Moroz State Institution "Rivne Regional Laboratory Center of the Ministry of Health of Ukraine" Kotlyarevskogo str., 3, Rivne, Ukraine, 33018, Ukraine
  • Oleksandr Bialkovskyi State Institution "Rivne Regional Laboratory Center of the Ministry of Health of Ukraine" Kotlyarevskogo str., 3, Rivne, Ukraine, 33018, Ukraine
  • Roman Safonov State Institution "Rivne Regional Laboratory Center of the Ministry of Health of Ukraine" Kotlyarevskogo str., 3, Rivne, Ukraine, 33018, Ukraine

DOI:

https://doi.org/10.15587/2519-4798.2017.111192

Keywords:

acute hepatitis C, chronic hepatitis C, genotypes of virus of hepatitis C, natural changeability of virus

Abstract

The aim of the research is the study of hidden mechanisms of development of the epidemic process of hepatitis C, dynamics of changes of the structure of HCV genotypes that circulate among the population of the Ukrainian region with an average stage of urbanization.

The morbidity of AHC for 1993-2016 and the morbidity of the CHC for 2010-2016 of the population of the Rivne region of the Northwestern region of Ukraine were analyzed in the study, as well as the morbidity of these infections was presented compared with other regions of Ukraine (for 2015-2016). The HCV genotypes for the period of 2011-2016 were determined in 70 primary blood donors in whom the HCV genetic markers were firstly detected by RT-PCR method and a change in the genotype structure was showed compared to data obtained in 1996-1997. Sequencing of the core HCV area of  322 n.s. was performed non-type by RT-PCR method of three HCV isolates.

Methods of research: epidemiological, molecular-genetic (RT-PCR and sequencing), statistical.

Results. The dynamics of HC epidemic virus at the territory of Rivne region of the Northern-Western region of Ukraine is conditioned by the self-reconstruction of HCV population that takes place as a result of evolutionally fixed mechanisms of changeability (3,7±2,09%  of persons with 1b HCV subtype at the area core HCV area with size 322 n.s. demonstrated the point natural changeability from 6 to 13 nucleotide sequences) and fluctuations in changeability indices of HCV population. For the last 20 years there was revealed the reliability of differences in the width of prevalence of separate  HCV genotypes: decrease of the specific weight of 1b HCV subtype from 85±8,19% to 51,43± 5,97% (p<0,05) and increase of the specific weight of 3а HCV subtype from 10,0±6,88% to 31,43±5,55 % (p<0,05).

Conclusions. It gives ground to recommend to realize the permanent molecular-genetic monitoring of HСV by RT-PCR method and sequencing of the part of HCV genome for detecting hidden mechanisms of the development of the epidemic process of hepatitis C at the studied territory

Author Biographies

Inna Khoronzhevska, State Institution "Rivne Regional Laboratory Center of the Ministry of Health of Ukraine" Kotlyarevskogo str., 3, Rivne, Ukraine, 33018

PhD, Head of Laboratory

Laboratory of Virology 

Tetiana Sergeeva, Gromashevsky" of the National Academy of Medical Sciences of Ukraine M. Amosova str., 5, Kyiv, Ukraine, 036670

MD, Deputy Director

State Institution "Institute of Epidemiology and Infectious Diseases named after L. V.

Halyna Martyniuk, Head of the Rivne Regional Diagnostic and Treatment Hepatology Center, 16 Lypnya str., 36, Rivne, Ukraine, 33028

PhD

Viktor Moroz, State Institution "Rivne Regional Laboratory Center of the Ministry of Health of Ukraine" Kotlyarevskogo str., 3, Rivne, Ukraine, 33018

Head of the Department

Department of Epidemiological Supervision (Surveillance) 

Oleksandr Bialkovskyi, State Institution "Rivne Regional Laboratory Center of the Ministry of Health of Ukraine" Kotlyarevskogo str., 3, Rivne, Ukraine, 33018

Deputy Director 

Roman Safonov, State Institution "Rivne Regional Laboratory Center of the Ministry of Health of Ukraine" Kotlyarevskogo str., 3, Rivne, Ukraine, 33018

Acting Director 

References

  1. Hural, A. L., Mariyevskyi, V. F., Serheieva, T. A. et. al. (2011). Kharakterystyka i osoblyvosti epidemichnoho protsesu hepatytu S v Ukraini. Profilaktychna medytsyna, 1, 9–17.
  2. Serheieva, T. A., Shahinian, V. R., Ivskiv, O. S. (2015). P´yat rokiv ofitsiinoi reiestratsii khronichnykh virusnykh hepatytiv v Ukraini: statystyka ta epidemiolohichni osoblyvosti poshyrennia. «Infektsiyni khvoroby suchasnosti: etiolohiya, epidemiolohiya, diahnostyka, likuvannia, profilaktyka, biolohichna bezpeka» prysviachena shorichnym «Chytanniam» pam´yati akademika L. V. Hromashevkoho. Kyiv, 76–70.
  3. D. K. Lvov (Ed.) (2008). Medytsynskaia virusolohiya. Moscow: OOO “Medytsynskoe ynformatsyonnoe ahenstvo”, 656.
  4. Shahgil'dyan, I. V., Mihailov, M. I., Onishchenko, G. G. (Eds.) (2003). Parenteral'nye virusnye gepatity (ehpidemiologiya,diagnostika, profilaktika). Moscow: GOU VUNMC MZRF, 384.
  5. Action plan for the health sector response to viral hepatitis in the WHO European Region (2016). WHO. Available at: http://www.euro.who.int/__data/assets/pdf_file/0017/318320/European-action-plan-HS-viral-hepatitis.pdf?ua=1
  6. Mokhort, H. A., Kovalchuk, A., Rodyna, R. (2017). Nozolohichna struktura infektsiynoi smertnosti v Ukraini(1965–2015). Rehionalnyi Naukovyi Sympozium v ramkakh kontseptsii «Yedyne zdorov´ya» ta Seminar iz retsenzuvannia ta vidboru naukovykh robit za pidtrymky PZSBD v Ukraini. Kyiv, 122.
  7. Gromashevskiy, L. V. (1978). Izbrannye trudy. Vol. 2. Teoreticheskie voprosy ehpidemiologii. Kyiv: Zdorov´ya, 360.
  8. Belyakov, V. D., Golubev, D. B., Kaminskiy, G. D., Tec, V. V. (1987). Samoregulyaciya parazitarnih sistem (molekulyarno-geneticheskie mekhanizmy). Leningrad: Medicina, 240.
  9. Cherkasskiy, B. L. (2007). Global'naya ehpidemiologiya. Moscow: Prakticheskaya medicina, 448.
  10. Simmonds, P. (2004). Genetic diversity and evolution of hepatitis C virus – 15 years on. Journal of General Virology, 85 (11), 3173–3188. doi: 10.1099/vir.0.80401-0
  11. Pokrovskiy, V. I., Tvorogova, M. G., Shipulin, G. A. (2014). Laboratornaya diagnostika infekcionnyh bolezney. Moscow: Binom, 648.
  12. Belyakov, V. D., Yafaev, R. H. (1989). Ehpidemiologiya. Moscow: Medicina, 416.
  13. Frolov, A. F., Zadorozhnaya, V. I. (2010). Molekulyarnaya ehpidemiologiya virusnyh i prionnyh infekciy. Kyiv: DIA, 280.
  14. Kalinina, O., Norder, H., Mukomolov, S., Magnius, L. O. (2002). A Natural Intergenotypic Recombinant of Hepatitis C Virus Identified in St. Petersburg. Journal of Virology, 76 (8), 4034–4043. doi: 10.1128/jvi.76.8.4034-4043.2002
  15. Smith, D. B., Bukh, J., Kuiken, C., Muerhoff, A. S., Rice, C. M., Stapleton, J. T., Simmonds, P. (2013). Expanded classification of hepatitis C virus into 7 genotypes and 67 subtypes: Updated criteria and genotype assignment web resource. Hepatology, 59 (1), 318–327. doi: 10.1002/hep.26744
  16. Simmonds, P., Bukh, J., Combet, C., Deléage, G., Enomoto, N., Feinstone, S. et. al. (2005). Consensus proposals for a unified system of nomenclature of hepatitis C virus genotypes. Hepatology, 42 (4), 962–973. doi: 10.1002/hep.20819
  17. Andreichyn, A. M., Vasylyshyn, Z. P., Vynohrad, N. O.; Kolesnykov, I. P. (Ed.) (2012). Epidemiolohiya. Vinnytsia: Nova Knyha, 576.
  18. Mihaylova, Yu. V., Bystrova, T. N., Efimov, E. I. (2013). Osobennost' ehpidemicheskogo processa gepatita S na territorii krupnogo goroda evropeyskoy chasti Rossii. Medicinskiy Al'manah, 2 (26), 86–90.
  19. Malyi, V. P., Lyadova, T. I., Volobueva, O. V., Gololobova, O. V. (2012). Molekulyarnaya ehpidemiologiya obligatno-gepatotropnyh virusov i ih vliyanie na klinicheskie proyavleniya i iskhody bolezni. Mezhdunarodnyy medicinskiy zhurnal, 1, 89–94.
  20. Martynyuk, G. A., Shahgil'dyan, I. V., Kramarev, S. A. et. al. (). Gepatit S na territorii Severo-Zapadnoy Ukrainy. Ehpidemiologiya i infekcionnye bolezni, 4, 25–28.
  21. Ohno, T., Mizokami, M., Wu, R.-R. et. al. (1997). New hepatitis C virus (HCV) genotyping system that allows for identification of HCV genotypes 1a, 1b, 2a, 2b, 3b, 4, 5a and 6a. J. of Clinical Microbiology, 35 (1), 201−207.
  22. Demohrafichnyi pasport terytoryi. Available at: http://database.ukrcensus.gov.ua/Mult/Dialog/statfile1_c_files/pasport1.htm
  23. Bystrova, T. N., Mihaylova, Yu. V. (2011). Molekulyarno-geneticheskaya harakteristika izolyatov virusa gepatita S, cirkuliruyushchih na territorii s umerennoy aktivnost'yu ehpidemicheskogo processa. Infekcionnye bolezni, 9 (2), 28−31.
  24. Kuzin, S. N., Krel', P. E., Ignatova, T. M. et. al. (2011). Struktura genotipov vi rusa gepatita u pacientov s hronicheskim gepatitom S. Zhurnal mikrobiologyi, ehpidemiologyi i immunobiologyi, 3, 33−38.
  25. Slepcova, S. S., A. G. Rahmanova, T.T. Bugaeva et. al. (2013). Genotipy virusov gepatitov V, S i D i pervichnyy rak pecheni v Yakutii. Materialy V Ezhegodnogo Vserossiyskogo Kongressa po infekcionnym boleznyam. Moscow, 369.

Published

2017-09-30

How to Cite

Khoronzhevska, I., Sergeeva, T., Martyniuk, H., Moroz, V., Bialkovskyi, O., & Safonov, R. (2017). Study of the structure of hepatitis c virus, which circulate among the population of the region of Ukraine with an average degree of urbanization. ScienceRise: Medical Science, (9 (17), 43–49. https://doi.org/10.15587/2519-4798.2017.111192

Issue

Section

Medical Science