CD8 epitope escape and reversion in acute HCV infection
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CD8 epitope escape and reversion in acute HCV infection. / Timm, Joerg; Lauer, Georg M; Kavanagh, Daniel G; Sheridan, Isabelle; Kim, Arthur Y; Lucas, Michaela; Pillay, Thillagavathie; Ouchi, Kei; Reyor, Laura L; Schulze zur Wiesch, Julian; Gandhi, Rajesh T; Chung, Raymond T; Bhardwaj, Nina; Klenerman, Paul; Walker, Bruce D; Allen, Todd M.
in: J EXP MED, Jahrgang 200, Nr. 12, 20.12.2004, S. 1593-1604.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - CD8 epitope escape and reversion in acute HCV infection
AU - Timm, Joerg
AU - Lauer, Georg M
AU - Kavanagh, Daniel G
AU - Sheridan, Isabelle
AU - Kim, Arthur Y
AU - Lucas, Michaela
AU - Pillay, Thillagavathie
AU - Ouchi, Kei
AU - Reyor, Laura L
AU - Schulze zur Wiesch, Julian
AU - Gandhi, Rajesh T
AU - Chung, Raymond T
AU - Bhardwaj, Nina
AU - Klenerman, Paul
AU - Walker, Bruce D
AU - Allen, Todd M
PY - 2004/12/20
Y1 - 2004/12/20
N2 - In the setting of acute hepatitis C virus (HCV) infection, robust HCV-specific CD8+ cytotoxic T lymphocyte (CTL) responses are associated with initial control of viremia. Despite these responses, 70-80% of individuals develop persistent infection. Although viral escape from CD8 responses has been illustrated in the chimpanzee model of HCV infection, the effect of CD8 selection pressure on viral evolution and containment in acute HCV infection in humans remains unclear. Here, we examined viral evolution in an immunodominant human histocompatibility leukocyte antigen (HLA)-B8-restricted NS3 epitope in subjects with acute HCV infection. Development of mutations within the epitope coincided with loss of strong ex vivo tetramer and interferon gamma enzyme-linked immunospot responses, and endogenous expression of variant NS3 sequences suggested that the selected mutations altered processing and presentation of the variant epitope. Analysis of NS3 sequences from 30 additional chronic HCV-infected subjects revealed a strong association between sequence variation within this region and expression of HLA-B8, supporting reproducible allele-specific selection pressures at the population level. Interestingly, transmission of an HLA-B8-associated escape mutation to an HLA-B8 negative subject resulted in rapid reversion of the mutation. Together, these data indicate that viral escape from CD8+ T cell responses occurs during human HCV infection and that acute immune selection pressure is of sufficient magnitude to influence HCV evolution.
AB - In the setting of acute hepatitis C virus (HCV) infection, robust HCV-specific CD8+ cytotoxic T lymphocyte (CTL) responses are associated with initial control of viremia. Despite these responses, 70-80% of individuals develop persistent infection. Although viral escape from CD8 responses has been illustrated in the chimpanzee model of HCV infection, the effect of CD8 selection pressure on viral evolution and containment in acute HCV infection in humans remains unclear. Here, we examined viral evolution in an immunodominant human histocompatibility leukocyte antigen (HLA)-B8-restricted NS3 epitope in subjects with acute HCV infection. Development of mutations within the epitope coincided with loss of strong ex vivo tetramer and interferon gamma enzyme-linked immunospot responses, and endogenous expression of variant NS3 sequences suggested that the selected mutations altered processing and presentation of the variant epitope. Analysis of NS3 sequences from 30 additional chronic HCV-infected subjects revealed a strong association between sequence variation within this region and expression of HLA-B8, supporting reproducible allele-specific selection pressures at the population level. Interestingly, transmission of an HLA-B8-associated escape mutation to an HLA-B8 negative subject resulted in rapid reversion of the mutation. Together, these data indicate that viral escape from CD8+ T cell responses occurs during human HCV infection and that acute immune selection pressure is of sufficient magnitude to influence HCV evolution.
KW - Acute Disease
KW - Amino Acid Sequence/genetics
KW - Amino Acid Substitution/genetics
KW - Animals
KW - CD8-Positive T-Lymphocytes/immunology
KW - Chronic Disease
KW - Epitopes, T-Lymphocyte/immunology
KW - Evolution, Molecular
KW - Female
KW - Genetic Variation/genetics
KW - HLA-B8 Antigen/immunology
KW - Hepacivirus/genetics
KW - Hepatitis C/genetics
KW - Humans
KW - Lymphocyte Activation/immunology
KW - Male
KW - Molecular Sequence Data
KW - Mutation/genetics
KW - Viral Nonstructural Proteins/genetics
KW - Viremia/immunology
U2 - 10.1084/jem.20041006
DO - 10.1084/jem.20041006
M3 - SCORING: Journal article
C2 - 15611288
VL - 200
SP - 1593
EP - 1604
JO - J EXP MED
JF - J EXP MED
SN - 0022-1007
IS - 12
ER -