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FocalDistributionofHepatitisCVirusRNAinInfected
Livers
J.DavidStiffler1,MinhhuyenNguyen1,JiA.Sohn1,ChenLiu2,DavidKaplan3,4,ChristophSeeger1*
1FoxChaseCancerCenter,Philadelphia,Pennsylvania,UnitedStatesofAmerica,2UniversityofFlorida,Gainesville,Florida,UnitedStatesofAmerica,3ResearchSection,
Philadelphia Veterans Administration Medical Center, Philadelphia, Pennsylvania, United States of America, 4Gastroenterology Division, University of Pennsylvania,
Philadelphia,Pennsylvania,UnitedStatesofAmerica
Abstract
Background:HepatitisCvirus(HCV)isaplus-strandRNAvirusthatreplicatesbyamplificationofgenomicRNAfromminus
strandsleadingtoaccumulationofalmostonethousandcopiespercellunderinvitrocellcultureconditions.Incontrast,
HCVRNAcopynumbersinliversofinfectedpatientsappeartobemuchlower,estimatedatafewcopiespercell.
Methodology/PrincipalFindings:TogaininsightsintomechanismsthatcontrolHCVreplicationinvivo,weanalyzedHCV
RNAlevelsaswellasexpressionofinterferonbeta(IFNb)andseveralinterferonstimulatedgenes(ISGs)fromwholeliver
sectionsandmicro-dissectedsubpopulationsofhepatocytesinbiopsysamplesfrom21HCV-infectedpatients.Theresults
showedthatintrahepaticHCVRNAlevelsrangeformlessthanonecopyperhepatocytetoamaximumofabouteight.A
correlation existed between viral RNA levels and IFNb expression, but not between viral RNA and ISG levels. Also, IFNb
expressiondidnotcorrelatewithISGslevels.ReplicationofHCVRNAoccurredinfocalareasintheliverinthepresenceofa
generalinductionofISGs.
Conclusion/Significance:ThelowaveragelevelsofHCVRNAinbiopsysamplescanbeexplainedbyfocaldistributionof
infectedhepatocytes.HCVreplicationdirectlyinducesIFNb,whichthenactivatesISGs.Theapparentlackofacorrelation
between levels of IFNb and ISG expression indicates that control of the innate immune response during HCV infections
dependsonmultiplefactors.
Citation: Stiffler JD, Nguyen M, Sohn JA, Liu C, Kaplan D, et al. (2009) Focal Distribution of Hepatitis C Virus RNA in Infected Livers. PLoS ONE 4(8): e6661.
doi:10.1371/jo
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