CD8 Epitope Escape and Reversion in Acute HCV Infection
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 il...
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Published in | The Journal of experimental medicine Vol. 200; no. 12; pp. 1593 - 1604 |
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Main Authors | , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
The Rockefeller University Press
20.12.2004
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Subjects | |
Online Access | Get full text |
ISSN | 0022-1007 1540-9538 1892-1007 |
DOI | 10.1084/jem.20041006 |
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Abstract | 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 γ 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. |
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AbstractList | In the setting of acute hepatitis C virus (HCV) infection, robust HCV- specific CD8 super(+) 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 super(+) T cell responses occurs during human HCV infection and that acute immune selection pressure is of sufficient magnitude to influence HCV evolution. 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 γ 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. 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.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. 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 γ 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. 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. |
Author | Reyor, Laura L. Chung, Raymond T. Pillay, Thillagavathie Gandhi, Rajesh T. Bhardwaj, Nina Ouchi, Kei Timm, Joerg Lauer, Georg M. Walker, Bruce D. Klenerman, Paul Kavanagh, Daniel G. Allen, Todd M. Sheridan, Isabelle zur Wiesch, Julian Schulze Kim, Arthur Y. Lucas, Michaela |
AuthorAffiliation | 2 Gastrointestinal Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114 3 Nuffield Department of Clinical Medicine, Peter Medawar Building, University of Oxford, Oxford OX1 3SY, England, UK 4 New York University School of Medicine, New York, NY 10016 1 Partners AIDS Research Center and Infectious Disease Division, Howard Hughes Medical Institute |
AuthorAffiliation_xml | – name: 1 Partners AIDS Research Center and Infectious Disease Division, Howard Hughes Medical Institute – name: 4 New York University School of Medicine, New York, NY 10016 – name: 2 Gastrointestinal Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114 – name: 3 Nuffield Department of Clinical Medicine, Peter Medawar Building, University of Oxford, Oxford OX1 3SY, England, UK |
Author_xml | – sequence: 1 givenname: Joerg surname: Timm fullname: Timm, Joerg – sequence: 2 givenname: Georg M. surname: Lauer fullname: Lauer, Georg M. – sequence: 3 givenname: Daniel G. surname: Kavanagh fullname: Kavanagh, Daniel G. – sequence: 4 givenname: Isabelle surname: Sheridan fullname: Sheridan, Isabelle – sequence: 5 givenname: Arthur Y. surname: Kim fullname: Kim, Arthur Y. – sequence: 6 givenname: Michaela surname: Lucas fullname: Lucas, Michaela – sequence: 7 givenname: Thillagavathie surname: Pillay fullname: Pillay, Thillagavathie – sequence: 8 givenname: Kei surname: Ouchi fullname: Ouchi, Kei – sequence: 9 givenname: Laura L. surname: Reyor fullname: Reyor, Laura L. – sequence: 10 givenname: Julian Schulze surname: zur Wiesch fullname: zur Wiesch, Julian Schulze – sequence: 11 givenname: Rajesh T. surname: Gandhi fullname: Gandhi, Rajesh T. – sequence: 12 givenname: Raymond T. surname: Chung fullname: Chung, Raymond T. – sequence: 13 givenname: Nina surname: Bhardwaj fullname: Bhardwaj, Nina – sequence: 14 givenname: Paul surname: Klenerman fullname: Klenerman, Paul – sequence: 15 givenname: Bruce D. surname: Walker fullname: Walker, Bruce D. – sequence: 16 givenname: Todd M. surname: Allen fullname: Allen, Todd M. |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/15611288$$D View this record in MEDLINE/PubMed |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Address correspondence to Todd M. Allen, Partners AIDS Research Center, Massachusetts General Hospital, Harvard Medical School, Bldg. 149, 13th St., Rm. 6618 B, Boston, MA 02114. Phone: (617) 726-7846; Fax: (617) 724-8586; email: tallen2@partners.org Abbreviations used in this paper: HCV, hepatitis C virus; ICS, intracellular cytokine staining; ML, maximum likelihood. J. Timm and G.M. Lauer contributed equally to this work. |
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Snippet | In the setting of acute hepatitis C virus (HCV) infection, robust HCV-specific CD8+ cytotoxic T lymphocyte (CTL) responses are associated with initial control... In the setting of acute hepatitis C virus (HCV) infection, robust HCV- specific CD8 super(+) cytotoxic T lymphocyte (CTL) responses are associated with initial... In the setting of acute hepatitis C virus (HCV) infection, robust HCV-specific CD8 + cytotoxic T lymphocyte (CTL) responses are associated with initial control... |
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SubjectTerms | Acute Disease Amino Acid Sequence - genetics Amino Acid Substitution - genetics Amino Acid Substitution - immunology Animals CD8-Positive T-Lymphocytes - immunology Chronic Disease Epitopes, T-Lymphocyte - immunology Evolution, Molecular Female Genetic Variation - genetics Genetic Variation - immunology Hepacivirus - genetics Hepacivirus - immunology Hepatitis C - genetics Hepatitis C - immunology Hepatitis C - pathology Hepatitis C virus HLA-B8 Antigen - immunology Humans Lymphocyte Activation - immunology Male Molecular Sequence Data Mutation - genetics Mutation - immunology Viral Nonstructural Proteins - genetics Viral Nonstructural Proteins - immunology Viremia - immunology Viremia - pathology |
Title | CD8 Epitope Escape and Reversion in Acute HCV Infection |
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