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Hepatitis C Virus (HCV) is a significant global health concern, affecting millions of people worldwide. It is a bloodborne virus that primarily targets the liver, leading to chronic liver diseases such as cirrhosis and hepatocellular carcinoma. HCV is classified into seven major genotypes, each with multiple subtypes. Genotype 2 is one of the less common genotypes but is still of considerable interest due to its unique characteristics and response to treatment.
HCV is an enveloped, positive-sense single-stranded RNA virus. Its genome encodes a single polyprotein that is processed into structural and non-structural proteins. The non-structural protein 5 (NS5) is a multifunctional protein that plays a crucial role in the replication of the viral RNA. NS5 is further divided into two regions: NS5A and NS5B. NS5A is involved in viral replication and assembly, while NS5B functions as an RNA-dependent RNA polymerase.
Genotype 2 of HCV is less prevalent compared to genotypes 1 and 3. It is primarily found in West Africa, but cases have been reported globally. Genotype 2 is known for its relatively higher response rates to antiviral therapy, particularly with direct-acting antivirals (DAAs). This genotype has several subtypes, with 2a and 2b being the most common.
Recombinant forms of HCV occur when different genotypes or subtypes exchange genetic material, leading to new viral strains. These recombinants can arise through co-infection or superinfection of a single host with multiple HCV strains. The NS5 region, due to its critical role in viral replication, is often a hotspot for recombination events. Recombinant forms can complicate diagnosis and treatment, as they may exhibit different resistance profiles and therapeutic responses.
The study of NS5 genotype-2 recombinant forms is essential for several reasons: