Abstract

An estimated number of 71 million people are living with chronic hepatitis C virus (HCV) infection worldwide and 400,000 annual deaths are related to the infection. HCV entry into the hepatocytes is complex and involves several host factors. The tetraspanin human CD81 (hCD81) is one of the four essential entry factors and is composed of one large extracellular loop, one small extracellular loop, four transmembrane domains, one intracellular loop and two intracellular tails. The large extracellular loop interacts with the E2 glycoprotein of HCV. Regions outside the large extracellular loop (backbone) of hCD81 have a critical role in post-binding entry steps and determine susceptibility of hepatocytes to HCV. Here, we investigated the effect of five non-synonymous single-nucleotide variants in the backbone of hCD81 on HCV susceptibility. We generated cell lines that stably express the hCD81 variants and infected the cells using HCV pseudoparticles and cell culture-derived HCV. Our results show that all the tested hCD81 variants support HCV pseudoparticle entry with similar efficiency as wild-type hCD81. In contrast, variants A54V, V211M and M220I are less supportive to cell culture-derived HCV infection. This altered susceptibility is HCV genotype dependent and specifically affected the cell entry step. Our findings identify three hCD81 genetic variants that are impaired in their function as HCV host factors for specific viral genotypes. This study provides additional evidence that genetic host variation contributes to inter-individual differences in HCV infection and outcome.

Highlights

  • Hepatitis C is an infectious disease of the liver caused by hepatitis C virus (HCV) and is a major public health problem

  • To investigate the effect of different human genetic variants of human CD81 (hCD81) during HCV infection, we focused on five missense mutations that result in the substitution of single amino acids in the non-LEL domains of hCD81

  • Variants R36L and A54V are located in the SEL, while variants V211M, A213T and M220I are located in the transmembrane domain 4 (TM4) domain close to the cholesterol-binding pocket

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Summary

Introduction

Hepatitis C is an infectious disease of the liver caused by hepatitis C virus (HCV) and is a major public health problem. The World Health Organization (WHO) estimates that 71 million individuals worldwide are chronically infected. 400,000 patients die annually because of complications of chronic HCV infections [1]. Medical Microbiology and Immunology (2020) 209:499–514 infected patients achieve spontaneous clearance of the virus, 75% remain chronically infected. Infected individuals if untreated may develop a progressive liver disease that can lead to hepatic decompensation due to liver cirrhosis and hepatocellular carcinoma. Chronically infected, remain asymptomatic for life [2]. These notable inter-individual differences in susceptibility and disease progression remain poorly understood. The study of genetic variations in the population could lead to important insights into the underlying mechanisms of the clinical observations

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