I always wonder why people who have been in high-risk situations,( such as a blood transfusion before 1991, or who were not careful, when using I.V. drugs) only tend to get one genotype of Hep C? I have heard of people who have both Hep B and C, but I have never heard of anybody with both genotype 1 and 2, or 2 and 3, or 1a 1b, etc, for instance~ Does anybody know, or care to speculate? Speculations are fine, as none of us here are Doctors (that I know of at least), and this is...after all,,the social side:)
Abstract:
The frequency of hepatitis C virus (HCV) superinfection with a divergent viral strain was determined in a cohort of recently infected young injection drug users (IDUs) with an HCV incidence rate of 25%. HCV was amplified, by use of polymerase chain reaction (PCR), from plasma samples collected from 25 HCV-infected individuals over an average period of 12 months, and their viral sequences were compared. Phylogenetic analysis identified 5 IDUs with superinfection (20%) occurring after seroconversion: 2 IDUs were superinfected with different HCV genotypes, and 3 were superinfected with divergent strains of the same genotype. The superinfecting strains were not detected as minority variants (<0.5%) in the initial plasma HCV quasi species. Extensive measures were taken to exclude PCR contamination and mix-up of samples, and superinfection results were concordant at 2 HCV genetic loci. HCV superinfection in IDUs, both intra- and intergenotype, is therefore a frequent event, with an incidence rate similar to that of de novo infections. These results suggest that no cross-protecting immunity develops during the first year of chronic infection with HCV.
http://www.jstor.org/discover/10.2307/30078061?uid=2129&uid=2&uid=70&uid=4&sid=21102589937301