Viral sequence evolution in acute hepatitis C virus infection

TY - JOUR

T1 - Viral sequence evolution in acute hepatitis C virus infection

AU - Kuntzen, Thomas

AU - Timm, Joerg

AU - Berical, Andrew

AU - Lewis-Ximenez, Lia L

AU - Jones, Andrea

AU - Nolan, Brian

AU - Schulze zur Wiesch, Julian

AU - Li, Bin

AU - Schneidewind, Arne

AU - Kim, Arthur Y

AU - Chung, Raymond T

AU - Lauer, Georg M

AU - Allen, Todd M

PY - 2007/11

Y1 - 2007/11

N2 - CD8(+)-T-cell responses play an important role in the containment and clearance of hepatitis C virus (HCV) infection, and an association between viral persistence and development of viral escape mutations has been postulated. While escape from CD8+ -T-cell responses has been identified as a major driving force for the evolution of human immunodeficiency virus (HIV) and simian immunodeficiency virus (SIV), a broader characterization of this relationship is needed in HCV infection. To determine the extent, kinetics, and driving forces of HCV sequence evolution, we sequenced the entire HCV genome longitudinally in four subjects monitored for up to 30 months after acute infection. For two subjects the transmission sources were also available. Of 53 total non-envelope amino acid substitutions detected, a majority represented forward mutations away from the consensus sequence. In contrast to studies in HIV and SIV, however, only 11% of these were associated with detectable CD8+ T-cell responses. Interestingly, 19% of non-envelope mutations represented changes toward the consensus sequence, suggesting reversion in the absence of immune pressure upon transmission. Notably, the rate of evolution of forward and reverse mutations correlated with the conservation of each residue, which is indicative of structural constraints influencing the kinetics of viral evolution. Finally, the rate of sequence evolution was observed to decline over the course of infection, possibly reflective of diminishing selection pressure by dysfunctional CD8+ T cells. Taken together, these data provide insight into the extent to which HCV is capable of evading early CD8+ T-cell responses and support the hypothesis that dysfunction of CD8+ T cells may be associated with failure to resolve HCV infections.

AB - CD8(+)-T-cell responses play an important role in the containment and clearance of hepatitis C virus (HCV) infection, and an association between viral persistence and development of viral escape mutations has been postulated. While escape from CD8+ -T-cell responses has been identified as a major driving force for the evolution of human immunodeficiency virus (HIV) and simian immunodeficiency virus (SIV), a broader characterization of this relationship is needed in HCV infection. To determine the extent, kinetics, and driving forces of HCV sequence evolution, we sequenced the entire HCV genome longitudinally in four subjects monitored for up to 30 months after acute infection. For two subjects the transmission sources were also available. Of 53 total non-envelope amino acid substitutions detected, a majority represented forward mutations away from the consensus sequence. In contrast to studies in HIV and SIV, however, only 11% of these were associated with detectable CD8+ T-cell responses. Interestingly, 19% of non-envelope mutations represented changes toward the consensus sequence, suggesting reversion in the absence of immune pressure upon transmission. Notably, the rate of evolution of forward and reverse mutations correlated with the conservation of each residue, which is indicative of structural constraints influencing the kinetics of viral evolution. Finally, the rate of sequence evolution was observed to decline over the course of infection, possibly reflective of diminishing selection pressure by dysfunctional CD8+ T cells. Taken together, these data provide insight into the extent to which HCV is capable of evading early CD8+ T-cell responses and support the hypothesis that dysfunction of CD8+ T cells may be associated with failure to resolve HCV infections.

KW - Amino Acids/chemistry

KW - CD8-Positive T-Lymphocytes/metabolism

KW - Epitopes, T-Lymphocyte/chemistry

KW - Evolution, Molecular

KW - Genome, Viral

KW - HLA Antigens/chemistry

KW - Hepacivirus/genetics

KW - Hepatitis C/genetics

KW - Humans

KW - Interferon-gamma/metabolism

KW - Leukocytes, Mononuclear/metabolism

KW - Molecular Sequence Data

KW - Mutation

KW - Phylogeny

KW - T-Lymphocytes/metabolism

U2 - 10.1128/JVI.00995-07

DO - 10.1128/JVI.00995-07

M3 - SCORING: Journal article

C2 - 17699568

VL - 81

SP - 11658

EP - 11668

JO - J VIROL

JF - J VIROL

SN - 0022-538X

IS - 21

ER -