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Identification of material for development of indigenous HCV standard for qualitative nucleic acid amplification techniques, a make in India initiative
Background: The WHO HCV NAT international standard is being used by manufacturers of molecular in vitro diagnostics
(IVDs), blood transfusion units, quality evaluation authorities and diagnostic laboratories in the validation of HCV NAT
assays and to calibrate secondary reference materials. First WHO HCV NAT international standard was established in 1997
and even after 18 years of its establishment, we do not see the availability of indigenous HCV NAT standard in India. All
versions of HCV NAT international standard comprised of HCV genotype-1 as per its dominancy in western countries. The
purpose of this study is to identify suitable material for development of indigenous HCV NAT standard consisting of HCV
genotype-3, which is dominant in larger part of India.
Materials & Methods: Three HCV positive plasma bags were selected for this study. The viral load of these samples was
determined. The genotypes were determined by nucleic acid sequencing. The stability studies of the material was done by
incubating at different temperatures viz., 4�° C, 25�° C, 37�° C and 42�° C for a period of 90 hours.
Results: Out of three, two samples were found to contain genotype-3 and one sample genotype-1 of HCV. The nucleotide
sequences had been submitted to Genbank under accession no. LN681374, LN681375 and LN681380. The stability studies of
these samples have been done by incubating at different temperatures viz., 4�° C, 25�° C, 37�° C and 42�° C for a period of 90 hours.
After every incubation, the reduction in viral load was observed for all samples and viral load of two samples except accession
no. LN681375, reduced to negligible.
Conclusion: The accession no. LN681375 representing genotype-3 of HCV may considered for development for indigenous
HCV standard for qualitative nucleic acid techniques, because even after incubation at 42�° C for 90 hours, the viral load
remained 196 IU/mL. Therefore, this may prove to be an indigenous affordable standard and can be transported in any area of
India without cold chain.