A mutation in the hepatitis E virus RNA polymerase promotes its replication and associates with ribavirin treatment failure in organ transplant recipients
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A mutation in the hepatitis E virus RNA polymerase promotes its replication and associates with ribavirin treatment failure in organ transplant recipients. / Debing, Yannick; Gisa, Anett; Dallmeier, Kai; Pischke, Sven; Bremer, Birgit; Manns, Michael; Wedemeyer, Heiner; Suneetha, Pothakamuri Venkata; Neyts, Johan.
In: GASTROENTEROLOGY, Vol. 147, No. 5, 01.11.2014, p. 1008-1011.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - A mutation in the hepatitis E virus RNA polymerase promotes its replication and associates with ribavirin treatment failure in organ transplant recipients
AU - Debing, Yannick
AU - Gisa, Anett
AU - Dallmeier, Kai
AU - Pischke, Sven
AU - Bremer, Birgit
AU - Manns, Michael
AU - Wedemeyer, Heiner
AU - Suneetha, Pothakamuri Venkata
AU - Neyts, Johan
N1 - Copyright © 2014 AGA Institute. Published by Elsevier Inc. All rights reserved.
PY - 2014/11/1
Y1 - 2014/11/1
N2 - We analyzed blood samples collected from 15 patients with chronic hepatitis E who were recipients of solid-organ transplants. All patients cleared the hepatitis E virus (HEV) except for 2 (nonresponders); 1 patient died. A G1634R mutation in viral polymerase was detected in the HEV RNA of the nonresponders; this mutation did not provide the virus with resistance to ribavirin in vitro. However, the mutant form of a subgenomic replicon of genotype 3 HEV replicated more efficiently in vitro than HEV without this mutation, and the same was true for infectious virus, including in competition assays. Similar results were obtained for genotype 1 HEV. The G1634R mutation therefore appears to increase the replicative capacity of HEV in the human liver and hence reduce the efficacy of ribavirin.
AB - We analyzed blood samples collected from 15 patients with chronic hepatitis E who were recipients of solid-organ transplants. All patients cleared the hepatitis E virus (HEV) except for 2 (nonresponders); 1 patient died. A G1634R mutation in viral polymerase was detected in the HEV RNA of the nonresponders; this mutation did not provide the virus with resistance to ribavirin in vitro. However, the mutant form of a subgenomic replicon of genotype 3 HEV replicated more efficiently in vitro than HEV without this mutation, and the same was true for infectious virus, including in competition assays. Similar results were obtained for genotype 1 HEV. The G1634R mutation therefore appears to increase the replicative capacity of HEV in the human liver and hence reduce the efficacy of ribavirin.
KW - Antiviral Agents
KW - DNA-Directed RNA Polymerases
KW - Dose-Response Relationship, Drug
KW - Drug Resistance, Viral
KW - Female
KW - Genotype
KW - Hep G2 Cells
KW - Hepatitis E
KW - Hepatitis E virus
KW - Hepatitis, Chronic
KW - Humans
KW - Male
KW - Mutagenesis, Site-Directed
KW - Mutation
KW - Organ Transplantation
KW - Phenotype
KW - Ribavirin
KW - Time Factors
KW - Transfection
KW - Treatment Failure
KW - Virus Replication
U2 - 10.1053/j.gastro.2014.08.040
DO - 10.1053/j.gastro.2014.08.040
M3 - SCORING: Journal article
C2 - 25181691
VL - 147
SP - 1008
EP - 1011
JO - GASTROENTEROLOGY
JF - GASTROENTEROLOGY
SN - 0016-5085
IS - 5
ER -