Ahlén G, Derk E, Weiland M, Jiao J, Rahbin N, Aleman S, Peterson D L, Pokrovskaja K, Grandér D, Frelin L, Sällberg M
Division of Clinical Microbiology, Karolinska Institutet at Karolinska University Hospital Huddinge, Stockholm, Sweden.
Gut. 2009 Apr;58(4):560-9. doi: 10.1136/gut.2007.147264. Epub 2008 Aug 8.
Hepatitis C virus (HCV) effectively establishes persistent infection in human livers. The non-structural (NS) 3/4A complex participates in this process by cleavage of interferon beta (IFN beta) promoter stimulator-1 (IPS-1; also termed Cardif/MAVS/VISA), which inhibits responses to double stranded (ds) RNA. However, it is not known whether this effect extends beyond innate responses.
To test if HCV NS3/4A affects innate and adaptive immune responses in vivo.
NS3 levels were semi-quantified in human liver biopsies, transfected cells, and in transgenic (Tg) mouse livers by western blot. The effect of NS3/4A on dsRNA-mediated signalling and on the integrity of IPS-1 was analysed using in vitro translation, transfected cells and Tg mice. Cytotoxic T cell (CTL)-mediated clearance of transient firefly luciferase (FLuc)- and/or NS3/4A-Tg hepatocytes was determined using in vivo imaging and western blot.
NS3 protein levels were in a comparable range (0.1-49 microg/g tissue) in infected human livers and Tg mouse livers. Importantly, these levels of NS3/4A reduced murine innate responses to synthetic dsRNA in vivo, supporting the possibility that this occurs also in infected humans. The likely explanation for this was the NS3/4A-mediated cleavage of mouse IPS-1, albeit less efficiently than human IPS-1. Despite this, FLuc- and/or NS3/4A-expressing murine hepatocytes were effectively eliminated by hepatic CTLs, utilising the classical molecules for virus-infected cell lysis, including CD8, IFN gamma, perforin and FasL.
Although HCV NS3/4A inhibits the innate immunity, this does not prevent CTL-mediated clearance of NS3/4A-expressing hepatocytes in vivo. Thus, other HCV proteins are most likely responsible for interfering with the adaptive immunity.
丙型肝炎病毒(HCV)可在人类肝脏中有效建立持续性感染。非结构(NS)3/4A复合物通过切割干扰素β(IFNβ)启动子刺激因子-1(IPS-1;也称为Cardif/MAVS/VISA)参与这一过程,而IPS-1可抑制对双链(ds)RNA的反应。然而,尚不清楚这种作用是否超出先天免疫反应。
检测HCV NS3/4A是否影响体内先天免疫和适应性免疫反应。
通过蛋白质印迹法对人肝活检组织、转染细胞和转基因(Tg)小鼠肝脏中的NS3水平进行半定量分析。使用体外翻译、转染细胞和Tg小鼠分析NS3/4A对dsRNA介导的信号传导和IPS-1完整性的影响。使用体内成像和蛋白质印迹法测定细胞毒性T细胞(CTL)介导的对瞬时萤火虫荧光素酶(FLuc)和/或NS3/4A-Tg肝细胞的清除情况。
在受感染的人肝脏和Tg小鼠肝脏中,NS3蛋白水平处于相当的范围(0.1 - 49微克/克组织)。重要的是,这些水平的NS3/4A降低了小鼠体内对合成dsRNA的先天免疫反应,支持了这种情况也可能发生在受感染人类中的可能性。对此的可能解释是NS3/4A介导的小鼠IPS-1切割,尽管效率低于人类IPS-1。尽管如此,表达FLuc和/或NS3/4A的小鼠肝细胞被肝脏CTL有效清除,CTL利用包括CD8、IFNγ、穿孔素和FasL等经典分子来裂解病毒感染细胞。
虽然HCV NS3/4A抑制先天免疫,但这并不妨碍CTL在体内介导清除表达NS3/4A的肝细胞。因此,很可能是其他HCV蛋白干扰了适应性免疫。