Hepatitis C Virus (HCV) is a significant global health concern, responsible for chronic hepatitis, cirrhosis, and hepatocellular carcinoma (HCC). The virus is known for its high genetic diversity, which is categorized into several genotypes and subtypes. Among these, Genotype 6 (HCV-6) is predominantly found in Southeast Asia and exhibits the highest genetic diversity among the eight HCV genotypes .
The HCV genome is a single-stranded positive-sense RNA that encodes a single polyprotein. This polyprotein is further processed into at least 11 polypeptides, including three structural proteins (core, and envelope proteins E1 and E2), a small polypeptide named p7, and six nonstructural (NS) proteins (NS2, NS3, NS4A, NS4B, NS5A, and NS5B) . The NS5 region, which includes NS5A and NS5B, plays a crucial role in the replication and assembly of the virus.
NS5A is a multifunctional phosphoprotein involved in viral replication and assembly. It has an N-terminal amphipathic alpha-helix and three structural domains. The first domain contains Zn2±binding and RNA-binding motifs essential for HCV replication. The second domain controls RNA replication, while the third domain is crucial for virus assembly .
NS5B, on the other hand, is an RNA-dependent RNA polymerase responsible for the replication of the viral RNA genome. It contains a hydrophobic region at the C-terminus that anchors it to the membrane .
HCV-6 is known for its extensive genetic diversity, with 21 reported subtypes . This diversity poses challenges for treatment and vaccine development. Recombination events, where genetic material is exchanged between different viral strains, further complicate the genetic landscape of HCV-6 . These recombination events can lead to the emergence of new viral variants with unique properties and resistance profiles.
Recombinant HCV strains are those that have undergone genetic recombination, resulting in a mosaic genome composed of segments from different parental strains. The NS5 region of HCV-6 recombinant strains may exhibit unique mutations and structural features that influence their replication efficiency, immune evasion, and response to antiviral therapies .
The high genetic diversity and recombination potential of HCV-6 necessitate continuous monitoring and characterization of viral strains. Understanding the structural and functional properties of recombinant NS5 proteins can aid in the development of more effective antiviral therapies and vaccines. Bioinformatics tools and molecular docking analyses are essential for predicting drug resistance mutations and designing inhibitors that target NS5A and NS5B proteins .