ok here is the exact wording... first from Quest geno test done few years ago:
Hybridization pattern for this HCV amplification product is atypical and cannot differentiate between HCV types or subtypes. If clinically indicated, it is recommended that a fresh specimen be resubmitted for testing.
and this from Labcor test done a month or so ago:
Although this sample had detectable HCV viral RNA (>600 IU/ml), we were unable to determine the Genotype after repeated attempts. This is most likely due to lack of sufficient PCR product for DNA sequence analysis.
from bio, i learned that species of the same ancestors sometimes get separated a while back and they can evolve into different strains of species as they adjust to different environments.. they mutate for survival of the fittest. i guess that apply to viruses too which s-u-c-k-s
that was a great question Baja, some good responses, I knew a lot were regional strains, but some very good responses!
i only tx'd once about 4 years ago for 6 months on pegasys/virimadine phase iii trial and yes the trial dr's and my personal dr considered me geno 1 ... but every dr has said 'its very strange' that my genotype cannot be determined.. they have no clue
maybe i will post on the dr forum here, i have not done that yet... have to go home and dig out the exact wording, its the same on every test and there have been alot of them haha something like 'specimen is atypical' and recommend testing again... but, every time, its the same result
with all the viral mutations going on with hcv i dont think its strange, i think maybe i am just another version of it, but they (dr;s) have laughed at me when i said that i guess they figure they would have identified that type or something
OK, that was just a thought. I’ve always maintained a viral load <150,000 IU/mL, with no genotyping problems. You might try asking Dr Dietrich in his forum; have you done that yet? I suppose your doctors are managing you as if you were genotype 1; you’ve had difficulty and treated multiple times, so I imagine you’re in for the long haul no matter what.
Good luck and I hope you eventually get to the bottom of this.
Take care—
Bill
my vl has always been around 600,000
I believe that a very low viral load will sometimes yield indeterminate genotype. What has your VL been when they test for genotype? I’ve read some of your comments over the years about the inability to type your HCV.
Bill
Maybe we are modern day vampires
wow way over my head lol .... i was hoping to find an answer to the reason why nobody knows what geno i am somewhere in there haha... i guess im a 'mutant' strain or something... like in the movie I Am Legend just saw that last night those nite crawlers were like heppers on tx haaaaa raging out of control not funy i know
wow so much to sift through but very interesting reading thanks baja
The link Bill posted is one of my favorites. You can always come back, read a little more, and learn a little more.
If you can get your head around that, try sections 5.0 , 6.0 , and 7.0 of the following:
http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=17355620
This article will provide a good platform of understanding:
http://vir.sgmjournals.org/cgi/content/full/85/11/3173
Bill