Review Article

State of the Art, Unresolved Issues, and Future Research Directions in the Fight against Hepatitis C Virus: Perspectives for Screening, Diagnostics of Resistances, and Immunization

Table 5

Natural prevalence of NS5B nucleotide and nonnucleoside inhibitor resistance-associated variants (RAVs) detected by population sequencing and mean fold change in resistance associated with RAVs.

PositionVariantResistant toNatural prevalence in HCV genotypeMean fold change in resistance compared to wild-type repliconReferences

1a1b23456SofosbuvirDasabuvir
S282TSOFn.o.n.o.n.o.n.o.n.d.n.d.n.d.16[87, 142, 176180]
M289I/LSOFn.o.1.8%3.5%n.d.n.d.n.d.n.d.[176]
C316YDSV0.2–1.2%n.o.n.d.n.d.n.d.n.d.n.d.1472 (GT 1a)
1569 (GT 1b)
[86, 87, 100, 165, 175]
C316NDSV/SOFn.o.10.9–35.6%n.d.n.d.7.9%n.d.n.d.[86, 87, 165, 181]
C316HDSV/SOFn.o.1.9–2.1%n.d.n.d.n.d.n.d.n.d.[86, 165]
L320FSOFn.o.n.o.n.d.n.d.n.d.n.d.n.d.[176]
S368TDSVn.o.n.o.n.d.n.d.n.d.n.d.n.d.[86]
N411SDSVn.o.n.o.n.d.n.d.n.d.n.d.n.d.[86, 142]
M414TDSV0.5%0.4%n.d.n.d.n.d.n.d.n.d.32 (GT 1b)[87, 100, 175, 182]
M414IDSVn.o.n.o.n.d.n.d.n.d.n.d.n.d.[87, 142]
E446K/QDSVn.o.n.o.n.d.n.d.n.d.n.d.n.d.[165]
Y448CDSVn.o.n.o.n.d.n.d.n.d.n.d.n.d.[86, 87, 142]
Y448HDSV0.2%1.3%n.d.n.d.n.d.n.d.n.d.975 (GT 1a)[87, 144]
A553I/T/VDSV6%n.o.n.d.n.d.n.d.n.d.n.d.[165]
G554S/DDSVn.o.n.o.n.d.n.d.n.d.n.d.n.d.[86, 87, 142]
S556GDSV0.6–3.1%7.0–16%100%100%97%n.d.n.d.30 (GT 1a)
11 (GT 1b)
[86, 163, 181, 182]
S556N/RDSV0.6–1.2%n.o.n.d.n.d.n.d.n.d.n.d.[86, 87, 182]
G558RDSVn.o.n.o.n.d.n.d.n.d.n.d.n.d.[165]
D559GDSVn.o.n.o.n.d.n.d.n.d.n.d.n.d.[86, 87, 142]
Y561HDSVn.o.n.o.n.d.n.d.n.d.n.d.n.d.[165]

SOF: sofosbuvir; DSV: dasabuvir.
n.o.: not observed.
n.d.: no data available.
GT: genotype.