Article(id=1321169762713977345, tenantId=1146029695717560320, journalId=1319373219989389464, issueId=1321169668631548508, articleNumber=null, orderNo=null, doi=10.11847/zgggws1147094, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1739376000000, receivedDateStr=2025-02-13, revisedDate=1740326400000, revisedDateStr=2025-02-24, acceptedDate=1755014400000, acceptedDateStr=2025-08-13, onlineDate=1792921017577, onlineDateStr=2026-10-25, pubDate=1757433600000, pubDateStr=2025-09-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1792921017577, onlineIssueDateStr=2026-10-25, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1792921017577, creator=13701087609, updateTime=1792921017577, updator=13701087609, issue=Issue{id=1321169668631548508, tenantId=1146029695717560320, journalId=1319373219989389464, year='2025', volume='41', issue='9', pageStart='1025', pageEnd='1152', issueExtLink='null', onlineDate='null', pubDate='1757433600000', pubDateStr='2025-09-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1792920995147, creator='13701087609', updateTime=1792920995147, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=1074, endPage=1078, ext={EN=ArticleExt(id=1321169762986607106, articleId=1321169762713977345, tenantId=1146029695717560320, journalId=1319373219989389464, language=EN, title=Genotype distribution and drug resistance of hepatitis C virus among 99 intravenous drug users in Guangzhou, columnId=1321169730682077453, journalTitle=Chinese Journal of Public Health, columnName=Special Report — United in the Fight Against Hepatitis C, runingTitle=null, highlight=null, articleAbstract=
Objective To investigate the genotype distribution and drug resistance of hepatitis C virus (HCV) among intravenous drug users (IDUs) in Guangzhou. Methods Plasma samples were collected from 99 IDUs diagnosed with HCV infection between August 2023 and January 2024. RNA was extracted, and the non-structural protein 5B (NS5B) region was amplified and sequenced. Phylogenetic trees were constructed via the maximum likelihood method in MEGA11.0.13 software, and the sequences were uploaded to the HCV resistance surveillance database for drug resistance site analysis.
Results Among the 99 HCV-infected IDUs, 86 were male and 13 were female, with 89.89% (89) of the cases aged over 50 years. A total of 96 NS5B sequences were obtained, revealing four genotypes: 6a, 3a, 1b, and 3b, which accounted for 45.83%, 30.21%, 20.83%, and 3.13%, respectively. The distribution of the four genotypes showed statistically significant differences among male IDUs. All 1b genotype sequences carried the clinically proven drug resistance mutation C316N.
Conclusions The predominant HCV genotype among IDUs in Guangzhou is 6a, with complex sources of genotype introduction. The prevalence of genotypes differs between male and female IDUs, and middle-aged and elderly IDUs are a key population for HCV infection. Additionally, increased attention should be paid to the drug resistance of the 1b genotype.
, authors=Liyun JIANG, Fanghua LIU, Hao WU, Qingmei LI, Xi CHEN, Zhigang HAN, authorsList=Liyun JIANG, Fanghua LIU, Hao WU, Qingmei LI, Xi CHEN, Zhigang HAN, authorCompany=null, correspAuthors=Zhigang HAN, authorNote=null, correspAuthorsNote=
, copyrightStatement=Copyright © 2025 Chinese Journal of Public Health. All rights reserved., copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1321169765180228101, articleId=1321169762713977345, tenantId=1146029695717560320, journalId=1319373219989389464, language=CN, title=广州市99例注射吸毒者HCV基因分布及耐药性分析, columnId=1321169730837266703, journalTitle=中国公共卫生, columnName=专题报道——积极行动，共抗丙肝, runingTitle=null, highlight=null, articleAbstract=
目的 了解广东省广州市注射吸毒者（IDUs）感染丙型肝炎病毒（HCV）基因型分布及耐药特征。
方法 2023年8月—2024年1月，收集99例确诊为HCV感染的IDUs血浆样品，提取RNA，对非结构蛋白5B区（NS5B）扩增和测序，使用MEGA11.0.13软件采用最大似然法构建基因进化树，上传HCV耐药监测数据库进行耐药位点分析。
结果 99例IDUs HCV感染者中，男性86例，女性13例，年龄>50岁占89.89%（89例）。测得NS5B序列96条，检出6a、3a、1b和3b基因型4种基因型，分别占45.83%、30.21%、20.83%和3.13%。在男性IDUs中，4种基因型的分布差异有统计学意义。1b基因型序列均检测出耐药突变C316N。
结论 广州市IDUs中HCV感染以6a基因型为主，各基因型的输入来源复杂，男性与女性IDUs中基因型流行情况存在有差别，中老年IDUs是需要关注的HCV感染重点人群，同时需要加强对1b基因型耐药性的关注。
, authors=蒋力云, 刘方华, 吴昊, 黎庆梅, 陈希, 韩志刚
*, *, authorsList=蒋力云, 刘方华, 吴昊, 黎庆梅, 陈希, 韩志刚, authorCompany=null, correspAuthors=韩志刚, authorNote=
蒋力云（1980—），主任技师，本科，研究方向：病毒病原学和分子生物学
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Phylogenetic trees of HCV based on NS5B gene, figureFileSmall=lAtTHUN7Cb0hXb5ix/xFdQ==, figureFileBig=QCzQRfiYDYp3/o/US/kDHg==, tableContent=null), ArticleFig(id=1321169769659744820, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169762713977345, language=CN, label=图1, caption=
HCV NS5B基因进化树注：图中用△标示参考序列，红色字体的序列为女性IDUs序列。A：6a基因型NS5B基因进化树；B：3a基因型NS5B基因进化树；C：1b基因型NS5B基因进化树；D：3b基因型NS5B基因进化树。
, figureFileSmall=lAtTHUN7Cb0hXb5ix/xFdQ==, figureFileBig=QCzQRfiYDYp3/o/US/kDHg==, tableContent=null), ArticleFig(id=1321169769861071413, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169762713977345, language=EN, label=Tab.1, caption=
Distribution of HCV genotypes among different genders of intravenous drug users
, figureFileSmall=null, figureFileBig=null, tableContent=
| 基因型 | 男性 | | 女性 |
|---|
| 31～40岁 | 41～50岁 | 51～60岁 | 61～70岁 | | 31～40岁 | 41～50岁 | 51～60岁 | 61～70岁 |
|---|
| n | % | n | % | n | % | n | % | | n | % | n | % | n | % | n | % |
|---|
| HCV-6a | 0 | 0.00 | 5 | 5.81 | 17 | 19.76 | 19 | 22.09 | | 0 | 0 | 1 | 7.69 | 2 | 15.38 | 0 | 0.00 |
| HCV-3a | 1 | 1.16 | 2 | 2.32 | 12 | 13.95 | 11 | 12.79 | | 0 | 0 | 0 | 0.00 | 2 | 15.38 | 1 | 7.69 |
| HCV-1b | 0 | 0.00 | 1 | 1.16 | 10 | 11.62 | 4 | 4.65 | | 0 | 0 | 0 | 0.00 | 4 | 30.76 | 1 | 7.69 |
| HCV-3b | 0 | 0.00 | 0 | 0.00 | 2 | 2.32 | 0 | 0.00 | | 0 | 0 | 0 | 0.00 | 1 | 7.69 | 0 | 0.00 |
| 无测序结果 | 0 | 0.00 | 0 | 0.00 | 1 | 1.16 | 1 | 1.16 | | 0 | 0 | 0 | 0.00 | 1 | 7.69 | 0 | 0.00 |
), ArticleFig(id=1321169769944957494, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169762713977345, language=CN, label=表1, caption=
不同性别吸毒人群HCV基因亚型分布（例数，百分比/%）
, figureFileSmall=null, figureFileBig=null, tableContent=
| 基因型 | 男性 | | 女性 |
|---|
| 31～40岁 | 41～50岁 | 51～60岁 | 61～70岁 | | 31～40岁 | 41～50岁 | 51～60岁 | 61～70岁 |
|---|
| n | % | n | % | n | % | n | % | | n | % | n | % | n | % | n | % |
|---|
| HCV-6a | 0 | 0.00 | 5 | 5.81 | 17 | 19.76 | 19 | 22.09 | | 0 | 0 | 1 | 7.69 | 2 | 15.38 | 0 | 0.00 |
| HCV-3a | 1 | 1.16 | 2 | 2.32 | 12 | 13.95 | 11 | 12.79 | | 0 | 0 | 0 | 0.00 | 2 | 15.38 | 1 | 7.69 |
| HCV-1b | 0 | 0.00 | 1 | 1.16 | 10 | 11.62 | 4 | 4.65 | | 0 | 0 | 0 | 0.00 | 4 | 30.76 | 1 | 7.69 |
| HCV-3b | 0 | 0.00 | 0 | 0.00 | 2 | 2.32 | 0 | 0.00 | | 0 | 0 | 0 | 0.00 | 1 | 7.69 | 0 | 0.00 |
| 无测序结果 | 0 | 0.00 | 0 | 0.00 | 1 | 1.16 | 1 | 1.16 | | 0 | 0 | 0 | 0.00 | 1 | 7.69 | 0 | 0.00 |
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