Abstract

Hepatitis E virus (HEV) is the major cause of acute hepatitis worldwide. HEV is a positive-sense RNA virus expressing three open reading frames (ORFs). ORF1 encodes the ORF1 non–structural polyprotein, the viral replicase which transcribes the full-length genome and a subgenomic RNA that encodes the structural ORF2 and ORF3 proteins. The present study is focused on the replication step with the aim to determine whether the ORF1 polyprotein is processed during the HEV lifecycle and to identify where the replication takes place inside the host cell. As no commercial antibody recognizes ORF1 in HEV-replicating cells, we aimed at inserting epitope tags within the ORF1 protein without impacting the virus replication efficacy. Two insertion sites located in the hypervariable region were thus selected to tolerate the V5 epitope while preserving HEV replication efficacy. Once integrated into the infectious full-length Kernow C-1 p6 strain, the V5 epitopes did neither impact the replication of genomic nor the production of subgenomic RNA. Also, the V5-tagged viral particles remained as infectious as the wildtype particles to Huh-7.5 cells. Next, the expression pattern of the V5-tagged ORF1 was compared in heterologous expression and replicative HEV systems. A high molecular weight protein (180 kDa) that was expressed in all three systems and that likely corresponds to the unprocessed form of ORF1 was detected up to 25 days after electroporation in the p6 cell culture system. Additionally, less abundant products of lower molecular weights were detected in both in cytoplasmic and nuclear compartments. Concurrently, the V5-tagged ORF1 was localized by confocal microscopy inside the cell nucleus but also as compact perinuclear substructures in which ORF2 and ORF3 proteins were detected. Importantly, using in situ hybridization (RNAScope ®), positive and negative-strand HEV RNAs were localized in the perinuclear substructures of HEV-producing cells. Finally, by simultaneous detection of HEV genomic RNAs and viral proteins in these substructures, we identified candidate HEV factories.

Highlights

  • Hepatitis E virus (HEV) is one of the leading causes of acute hepatitis worldwide (WHO, 2021)

  • Focusing on the hypervariable region (HVR), we aligned several epitope aa sequences with that of HEV in an aim to identify similar aa and to ease epitope insertion with the least disruption. Such a location highly similar to the V5 epitope aa sequence was found in the HVR (Figure 1C)

  • We took advantage of the report by Nguyen et al (2012) to insert a V5 and a HA epitope tags at position 2,143 (V2, H2, Figure 1C; Nguyen et al, 2012). These authors isolated a HEV gt3 strain from a chronically infected patient in which the human S19 ribosomal coding sequence was inserted at that corresponding position and led to a HEV replication advantage in cell culture (Nguyen et al, 2012)

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Summary

Introduction

Hepatitis E virus (HEV) is one of the leading causes of acute hepatitis worldwide (WHO, 2021). Elevated mortality rates (up to 25%) have been recorded among pregnant women in developing countries as well as in patients with pre-existing liver diseases (Pérez-Gracia et al, 2017; Lhomme et al, 2020; Webb and Dalton, 2020). Both chronic and acute HEV infections can lead to neurological disorders or kidney injuries and impaired renal function (Lhomme et al, 2020; Webb and Dalton, 2020). Ingestion of undercooked swine or game meat is the primary mode of zoonotic transmission of HEV gt 3 and 4 in middle- and high-income areas (Kamar et al, 2017)

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