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1 Molecular Virology and Hepatology Research, Division of Basic Medical Sciences, Faculty of Medicine, Health Sciences Centre, Memorial University, St John's, NL A1B 3V6, Canada
2 Discipline of Laboratory Medicine, Faculty of Medicine, Health Sciences Centre, Memorial University, St John's, NL A1B 3V6, Canada
Correspondence
Tomasz I. Michalak
timich{at}mun.ca
| ABSTRACT |
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A supplementary figure is available in JGV Online.
| INTRODUCTION |
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Although considered to be primarily hepatotropic, accumulated evidence indicates that HCV also replicates in the lymphatic system (Laskus et al., 1998
; Lerat et al., 1996
; Shimizu et al., 1997
). Its replicative intermediate has been demonstrated in peripheral blood mononuclear cells (PBMCs) from patients with progressing chronic hepatitis C (CHC) (Laskus et al., 1998
; Okuda et al., 1999
; Willems et al., 1994
) and individuals with apparently complete resolution of the disease (Pham et al., 2004
, 2005
; Radkowski et al., 2005a
, b
). HCV replication has been documented in T lymphocytes (Zignego et al., 1992
), B cells (Morsica et al., 1999
; Zignego et al., 1992
; Baré et al., 2005
), monocytes (Laskus et al., 2000
; Radkowski et al., 2004
) and dendritic cells (Goutagny et al., 2003
) in CHC patients. In addition, recent studies from this laboratory have shown that ex vivo mitogen treatment of PBMCs from patients with CHC or those with occult HCV infection augmented HCV replication in this compartment (Pham et al., 2004
, 2005
; reviewed by Pham & Michalak, 2006
).
Further support for the notion that lymphotropism is a natural propensity of HCV has stemmed from works with transformed or immortalized lymphoid-cell cultures. For instance, HCV propagation has been demonstrated in EpsteinBarr virus-transformed B cells isolated from PBMCs of patients with CHC (Sung et al., 2003
). The presence of HCV RNA and proteins has also been reported in in vitro-infected human T-cell lines, such as MOLT-4 co-infected with human T-lymphotropic virus (Shimizu et al., 1992
). However, many of these investigations relied on the target cells being co-infected with other viral pathogens and, overall, were difficult to reproduce. The lack of an adequate understanding of the mechanisms of HCV infection and a possible role of co-infecting viruses in promoting lymphoid-cell susceptibility to HCV raise a concern that the initiation of HCV infection and propagation of the virus in these systems might have been altered.
Considerable efforts to establish HCV replication in hepatocyte cultures have recently succeeded, with a system in which transfection of Huh7 hepatoma cells with a full-length HCV replicon led to secretion of infectious viral particles (Lindenbach et al., 2005
; Wakita et al., 2005
; Zhong et al., 2005
). However, this system is robust only for genotype 2a replicons.
The present study was undertaken in an effort to establish an in vitro infection system in which: (i) plasma or lymphoid cell-derived wild-type HCV can be used as an inoculum; (ii) virus-transformed or -immortalized cells will not be used as infection targets; and (ii) infectious HCV will be propagated. Over the course of this work, we designed conditions allowing infection of human T cell-enriched cultures with wild-type HCV and its productive replication in the derived T cells. The system created should be of value for studies on the complete cycle of HCV replication, factors determining host susceptibility to HCV and cytopathic consequences of wild-type HCV infection. It could also be utilized for testing the efficacy of anti-HCV agents in the natural host-cell milieu.
| METHODS |
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Preparation of lymphoid cells.
Lymphoid cells serving as HCV infection targets were isolated from a healthy donor (A/M) with no clinical history or molecular indication of HCV exposure, as confirmed by RT-PCR/NAH assay (sensitivity of
10 vge ml1) (Pham et al., 2004
), and who was seronegative for anti-HCV (enzyme immunoassay; Abbott Diagnostics). For some experiments, lymphoid cells from two other HCV RNA- and anti-HCV-negative individuals, B/M and C/F, were utilized. For direct infection or serial passage of HCV, PBMCs were isolated from 40 ml blood. Monocyte-depleted cells were resuspended in culture medium at 1x106 cells ml1 (Pham et al., 2004
). For some experiments, T lymphocytes were affinity-purified from PBMCs of donor A/M. In parallel, T cells from a CHC patient (N09/F), who carried genotype 1a at 2x106 vge ml1, were isolated by negative selection using MACS magnetic beads (Miltenyi Biotec) (Pham et al., 2005
). T cells were 97 % pure by flow cytometry.
Direct infection with plasma-derived HCV.
Monocyte-depleted lymphoid cells were exposed to 5 µg phytohaemagglutinin (PHA; ICN Biomedicals) ml1 for 48 h prior to inoculation with HCV (Pham et al., 2004
). For direct infection, PHA-treated cells (1x106 cells ml1) were exposed to 250 µl heat-inactivated plasma containing approximately 2.5x104 vge. In parallel, the cells were exposed to 250 µl plasma from donor B/M for mock infection. Inocula were removed after 24 h, then the cells were washed and cultured with 20 U recombinant human interleukin-2 (IL-2; Roche Diagnostics) ml1 for 72 h (phase A). At 4 days post-infection (p.i.), supernatant was collected and the cells were cultured with 5 µg PHA ml1 and 20 U IL-2 ml1 (designated PHA/IL-2) for the next 72 h (phase B). At 7 days p.i., supernatant was harvested and the cells were again cultured for 3 days in medium with IL-2 (phase C). The culture supernatant collected at 10 days p.i. was centrifuged at 400 g for 30 min and used as the source of HCV for the serial-passage experiment. In a supplementary experiment, affinity-purified T cells from donor A/M were infected with N07/M or N08/M inoculum and cultured for 10 days p.i. as described above.
Serial passage of HCV in T-cell cultures.
PHA-stimulated target cells were incubated with clarified supernatant after phase C from the direct infection, normally containing approximately 105 vge HCV. After 24 h, the cells were collected, washed and stimulated with IL-2 or PHA/IL-2 (phases A, B and C) as described above. At day 10 p.i., supernatant was harvested and cells were cultured for 96 h with PHA/IL-2 (phase D). The culture ended at 14 days p.i. with collection of the supernatant and cells. A sample of the phase D supernatant was preserved for analysis, whereas the remainder was used to infect fresh PHA-induced lymphoid cells. This was repeated 14 consecutive times, spanning a total of 28 weeks. The phase D supernatants were examined for completeness of cell removal by phase-contrast microscopy. Randomly selected phase D supernatants were amplified for glyceraldehyde-3-phosphate dehydrogenase (GADPH) by using primers and PCR conditions reported previously (Hodgson & Michalak, 2001
) and no signals were detected. To determine whether HCV produced after the multiple passage in A/M T cells could infect cells from other healthy donors, PHA-pretreated lymphoid cells from B/M and C/F were incubated with pooled supernatant after phases AC of passage 11 and cultured as described for the direct-infection experiment.
Blocking of HCV infection in T cells with anti-CD81.
The experiment was carried out with anti-CD81 monoclonal antibody (mAb) JS81 (Pharmingen) at 1 : 20 and 1 : 100 dilutions in 50 µl containing 5x106 mitogen-induced A/M T cells by using a previously published protocol (Zhong et al., 2005
). T cells preincubated with an isotype-control mAb and inoculated with the same HCV served as controls. The cells were cultured for 14 days before analysis.
Treatment with alpha interferon (IFN-
).
To reaffirm that active HCV replication was established in T cells, the cells were treated in triplicate with 1000, 100 or 10 U recombinant human IFN-
2b (Research Diagnostics) ml1 at the time of HCV inoculation. The same IFN-
amounts were added to the culture each time that the medium was changed (phases AD). The cells were cultured for 14 days as described above. IFN-
concentrations were non-toxic to lymphoid cells in an MTT assay (data not shown). Cells inoculated with HCV but not treated with IFN-
served as controls.
Ultracentrifugation and buoyant density gradients.
To determine HCV RNA in T-cell culture supernatants, samples (5 ml) were centrifuged at 400 g for 30 min and then at 150 000 g for 22 h at 4 °C in an SW50.1 rotor (Beckman Instruments). RNA was extracted from the pellets and analysed by RT-PCR/NAH. To examine ultrastructural features of the released viral particles, samples (5 ml) of passage 5, 8 and 11 supernatants were clarified, ultracentrifuged and analysed by electron microscopy. As controls, the supernatant from A/M cells not infected with HCV, but cultured under identical conditions, was prepared. To analyse properties of HCV RNA reactive particles further, 15 ml pooled supernatant obtained after phases AC from passage 8 was clarified and ultracentrifuged as described above. The resulting pellet was resuspended in 800 µl 10 mM Tris/HCl buffer (pH 7.2) with 0.15 M NaCl and 10 mM EDTA and overlaid onto a 12 ml discontinuous gradient of 1.11.6 g caesium chloride (CsCl) ml1 prepared in the same buffer. In parallel, plasma samples (800 µl) from patient C26/F carrying 1.1x106 vge ml1 and from a healthy donor were fractionated. After centrifugation at 200 000 g for 48 h at 10 °C in a Beckman SW41 rotor, fractions (750 µl) were collected from the top of each gradient and analysed for HCV RNA and by electron microscopy.
RNA extraction and RT-PCR/NAH.
Total RNA was extracted by using TRIzol (Invitrogen) from 1x107 cells (which usually yielded approx. 15 µg RNA) or from 100 µl of the pellet suspension obtained by ultracentrifugation of culture supernatants. RNA was also isolated from samples (650 µl) of the CsCl fractions by using TRIzol LS (Invitrogen). RNA (14 µg) was transcribed with Moloney murine leukemia virus reverse transcriptase for HCV RNA positive-strand detection or with recombinant Tth DNA polymerase for virus RNA negative-strand detection (Pham et al., 2004
). PCR was carried out by using primers and conditions reported previously (Pham et al., 2004
). A water sample and a mock-treated test RNA were always included as contamination controls. cDNA from PHA-treated A/M cells exposed to B/M plasma (mock infection) and cultured as the infected cells served as a negative control, whilst 10-fold dilutions of recombinant HCV UTR-E2 fragment (rHCV UTR-E2) acted as quantitative standards. Specificity of the detection and validity of controls were confirmed routinely by Southern blot hybridization (Pham et al., 2004
). Detection of HCV synthetic RNA (sRNA) positive and negative strands was not affected by the presence of cellular RNA from healthy PHA-stimulated lymphoid cells. HCV RNA in plasma was quantified by real-time RT-PCR using LightCycler Fast Start Master hybridization probes (Roche Diagnostics) (Pham et al., 2004
).
Detection of HCV NS5a and E2 proteins.
For Western blotting, proteins of T cells infected with HCV and recovered after passages 3, 11 and 14 were separated on 10 % SDS-polyacrylamide gels and blotted as reported previously (Michalak et al., 2000
). Blots were probed with anti-HCV NS5a mAb (Biodesign) or anti-HCV E2 (ALP98) mAb (provided by Dr A. Patel, Institute of Virology, University of Glasgow, UK). HCV replicon cell line AB12-A2FL, containing full-length HCV genotype 1b (provided by Dr C. Richardson, Ontario Cancer Institute, University of Toronto, Canada), was used as a positive control. A/M T cells not exposed to HCV, but cultured under the same conditions, were a negative control. Reactions were visualized by a horseradish peroxidase-conjugated secondary antibody and chemiluminescence. To assess intracellular expression of HCV E2 protein in in vitro-infected T cells, confocal immunofluorescence microscopy was carried out by using AB12-A2FL Huh7 cells, naïve Huh7 cells and HCV-naïve T cells as controls. Cells were grown overnight on polylysine-coated 16-well glass slides (Nalge Nunc International), fixed with 4 % paraformaldehyde and permeablized with 0.5 % Triton X-100. HCV E2 protein and tubulin were identified with anti-HCV E2 (AP33) mAb and rat anti-tubulin (Chemicon), respectively. Cy2-labelled donkey anti-mouse or Cy5-labelled donkey anti-rat antibodies (both from Jackson ImmunoResearch) were used in the second layer. Cells were examined in a FluoView FV300 confocal system (Olympus).
Transmission and immune electron microscopy.
For routine microscopy, aliquots of the pellets recovered after ultracentrifugation or fractions from CsCl gradients and respective controls were applied onto Formvarcarbon-coated 200-mesh microscopic grids. The grids were washed and stained negatively with 1 % phosphotungstic acid (PTA). To precipitate HCV cores, aliquots of the pellets were incubated with 20 µg anti-HCV core IgG2a mAb (Virogen) ml1 or with an isotype-control mAb for 1 h at ambient temperature and then overnight at 4 °C. Precipitates were loaded on grids. Alternatively, grids were incubated with anti-HCV core mAb or a control mAb for 10 min, washed, incubated with test samples for 10 min and washed again. All grids were counterstained with PTA. To confirm that HCV virions were secreted by T cells, immunogold staining of the pellets recovered by ultracentrifugation from selected culture supernatants was done by using anti-E2 (AP33) mAb, as described by Owsianka et al. (2001)
. This was followed by incubation with anti-mouse IgG conjugated with 12 nm gold particles (Jackson ImmunoResearch) and counterstaining with 1 % PTA. Examinations were carried out with a JEM 1200 EX (JEOL) microscope.
| RESULTS |
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To determine whether the virus obtained after multiple serial passages in A/M T cells could infect T cells of other healthy individuals, PHA-treated cells from donors B/M and C/F were exposed to pooled supernatants from passages 11 and 12. After direct infection, cells from B/M carried HCV RNA positive strand at approximately 105 vge per 107 cells and negative strand at approximately 104 vge per 107 cells. Interestingly, although cells from donor C/F proliferated to the same extent as those from donors A/M and B/M, they remained HCV RNA-negative (Fig. 2c, d
). This variation might be of biological significance and will be investigated in future.
HCV protein display in in vitro-infected T lymphocytes
To determine whether HCV infection was accompanied by synthesis of viral proteins, the presence of HCV NS5a and E2 proteins was examined by Western blotting. A protein band of approximately 56 kDa was detected in T cells after passages 3 and 11 when probed with anti-NS5a mAb (Fig. 3a
). Also, a band of approximately 70 kDa, representing the E2 protein, was evident in passage 14 (Fig. 3b
). Bands of comparable molecular sizes were detected in Huh7 cells transfected with the HCV AB12-A2FL replicon, but not in naïve Huh7 cells or in normal T cells cultured as infected T cells. A confocal microscopic analysis suggested that the E2 protein has intracytoplasmic and plasma membrane-associated localization in infected T cells (Fig. 3c
).
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on the outcome of de novo infection in T cells was examined. The results showed a dose-dependent antiviral effect of IFN-
(Fig. 5
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| DISCUSSION |
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In the experiments preceding this study, we attempted to infect lymphoid cells with HCV without pre-treating them with PHA and found that they were recognized poorly by the virus (data not shown). However, exposure of the same cells to PHA led to HCV infection. In this context, stimulation of lymphoid cells with PHA alone or PHA and IL-2 has been shown to increase cell susceptibility to infections with other viruses, including Bovine leukemia virus (Chatterjee et al., 1985
), Measles virus (Hyypiä et al., 1985
) and herpes simplex virus (Braun & Kirchner, 1986
; van der Meulen et al., 2002
).
Data from the present and previous works (Pham et al., 2004
, 2005
) indicate that activation of lymphoid cells, which characterizes functioning, dividing and immature progenitor lymphoid cells, predisposes cells to HCV recognition and promotes an intracellular microenvironment supportive of virus replication. This may explain why HCV has been more readily identifiable in lymphoid-cell cultures or in PBMCs from patients co-infected with other viral pathogens (Beld et al., 1998
; Laskus et al., 2004
) and why mature, mitogen-untreated lymphoid cells are poorly permissive to HCV infection in vitro. Our data raise a possibility that lymphoid organs, which embrace the most active proliferative expansion of lymphoid cells in adulthood, are sites of HCV propagation and long-term persistence of virus. The notion of lymphotropism is supported by data demonstrating HCV RNA in bone marrow, lymph nodes or spleens from patients with CHC or co-infected with human immunodeficiency virus type 1 (Laskus et al., 1998
; Radkowski et al., 2000
).
In our system, passage of HCV by infection of T-cell cultures freshly prepared each time was associated with consistent detection of both HCV RNA positive and negative strands in the cells and of the positive strand in culture supernatants from all passages tested. The potency of the virus to infect the cells did not decrease during serial passage and the estimated amount of the virus produced appeared to be proportional to T-cell proliferation. On average, 105 vge were detected per 107 infected T cells at the end of each passage. Interestingly, a comparable rate of approximately 105 vge per 107 cells was detected for T cells affinity-purified from patient N09/F with CHC.
HCV in de novo-infected T cells was susceptible to IFN-
treatment, with complete inhibition of virus replication observed at 1000 U ml1. This result resembles that reported for primary human hepatocytes infected in vitro with wild-type virus (Castet et al., 2002
). In addition, as was shown for the JFH-1 replicon in Huh7 cells (Zhong et al., 2005
), anti-CD81 mAb was able to inhibit HCV infection in our system.
To ascertain further that in vitro-infected T cells supported HCV replication and that the virus was assembled, ultrastructural characteristics of viral particles released by the cells were examined after either direct ultracentrifugation or fractionation in CsCl gradients. It was found that non-enveloped core particles were predominantly detected in the supernatants after direct centrifugation, whereas HCV virions were mainly seen in those fractionated throughout the density gradient, particularly in the fractions enriched with HCV RNA. These findings suggested that concentrating the virus without applying density equilibrium led to dissociation of viral particles and thus implied erroneously that HCV cores, but not complete virions, were mainly produced by infected T cells. In fact, depending on which method of HCV concentration is employed, separation of the viral envelope from the nucleocapsid has been observed (Fujita et al., 2001
). Nevertheless, the HCV nucleocapsids detected in our T-cell supernatants displayed the expected size and were immunoprecipitated with anti-HCV core mAb, as observed by others (Kaito et al., 1994
; Maillard et al., 2001
). Similarly, HCV virion-like particles detected after isopycnic banding showed heterogeneous properties, as reported previously (Fujita et al., 2001
; Hijikata et al., 1993
; Kanto et al., 1994
; Pumeechockchai et al., 2002
). Specificity of these particles was confirmed by immuno-gold staining with anti-E2 mAb, and both single, complete virions and immuno-aggregates of virions were detected. These results documented conclusively that viral particles with physical and structural properties of complete HCV virions were released by in vitro-infected T cells.
Overall, our results from a multiparametric analysis demonstrated that mitogen-induced normal human T cells can support the complete cycle of HCV replication and produce infectious virions. This suggests that they are equipped not only with appropriate molecules capable of recognition and uptake of HCV, but also with the machinery to multiply the virus. This system should be of value for studies on recognition of cytopathic mechanisms of HCV infection, investigation of host factors determining susceptibility and the efficiency of virus replication, and for testing antiviral agents against wild-type HCV propagating in the natural host-cell milieu.
| ACKNOWLEDGEMENTS |
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| REFERENCES |
|---|
|
|
|---|
Bartenschlager, R. & Lohmann, V. (2000). Replication of hepatitis C virus. J Gen Virol 81, 16311648.
Beld, M., Penning, M., Lukashov, V., McMorrow, M., Roos, M., Pakker, N., van den Hoek, A. & Goudsmit, J. (1998). Evidence that both HIV and HIV-induced immunodeficiency enhance HCV replication among HCV seroconverters. Virology 244, 504512.[CrossRef][Medline]
Braun, R. W. & Kirchner, H. (1986). T lymphocytes activated by interleukin 2 alone acquire permissiveness for replication of herpes simplex virus. Eur J Immunol 16, 709711.[Medline]
Castet, V., Fournier, C., Soulier, A., Brillet, T., Coste, J., Larrey, D., Dhumeaux, D., Maurel, P. & Pawlotsky, J.-M. (2002). Alpha interferon inhibits hepatitis C virus replication in primary human hepatocytes infected in vitro. J Virol 76, 81898199.
Chatterjee, R., Gupta, P., Kashmiri, S. V. S. & Ferrer, J. F. (1985). Phytohemagglutinin activation of the transcription of the bovine leukemia virus genome requires de novo protein synthesis. J Virol 54, 860863.
Fujita, N., Kaito, M., Ishida, S., Nakagawa, N., Ikoma, J., Adachi, Y. & Watanabe, S. (2001). Paraformaldehyde protects of hepatitis C virus particles during ultracentrifugation. J Med Virol 63, 108116.[CrossRef][Medline]
Goutagny, N., Fatmi, A., De Ledinghen, V., Penin, F., Couzigou, P., Inchauspé, G. & Bain, C. (2003). Evidence of viral replication in circulating dendritic cells during hepatitis C virus infection. J Infect Dis 187, 19511958.[CrossRef][Medline]
Hijikata, M., Shimizu, Y. K., Kato, H., Iwamoto, A., Shih, J. W., Alter, H. J., Purcell, R. H. & Yoshikura, H. (1993). Equilibrium centrifugation studies of hepatitis C virus: evidence for circulating immune complexes. J Virol 67, 19531958.
Hodgson, P. D. & Michalak, T. I. (2001). Augmented hepatic interferon gamma expression and T-cell influx characterize acute hepatitis progressing to recovery and residual lifelong virus persistence in experimental adult woodchuck hepatitis virus infection. Hepatology 34, 10491059.[CrossRef][Medline]
Hyypiä, T., Korkiamäki, P. & Vainionpää, R. (1985). Replication of measles virus in human lymphocytes. J Exp Med 161, 12611271.
Kaito, M., Watanabe, S., Tsukiyama-Kohara, K. & 7 other authors (1994). Hepatitis C virus particle detected by immunoelectron microscopic study. J Gen Virol 75, 17551760.
Kanto, T., Hayashi, N., Takehara, T., Hagiwara, H., Mita, E., Naito, M., Kasahara, A., Fusamoto, H. & Kamada, T. (1994). Buoyant density of hepatitis C virus recovered from infected hosts: two different features in sucrose equilibrium density-gradient centrifugation related to degree of liver inflammation. Hepatology 19, 296302.[CrossRef][Medline]
Laskus, T., Radkowski, M., Wang, L. F., Vargas, H. & Rakela, J. (1998). The presence of active hepatitis C virus replication in lymphoid tissue in patients coinfected with human immunodeficiency virus type 1. J Infect Dis 178, 11891192.[Medline]
Laskus, T., Radkowski, M., Piasek, A., Nowicki, M., Horban, A., Cianciara, J. & Rakela, J. (2000). Hepatitis C virus in lymphoid cells of patients coinfected with human immunodeficiency virus type 1: evidence of active replication in monocytes/macrophages and lymphocytes. J Infect Dis 181, 442448.[CrossRef][Medline]
Laskus, T., Radkowski, M., Jablonska, J., Kibler, K., Wilkinson, J., Adair, D. & Rakela, J. (2004). Human immunodeficiency virus facilitates infection/replication of hepatitis C virus in native human macrophages. Blood 103, 38543859.
Lerat, H., Berby, F., Trabaud, M.-A., Vidalin, O., Major, M., Trépo, C. & Inchauspé, G. (1996). Specific detection of hepatitis C virus minus strand RNA in hematopoietic cells. J Clin Invest 97, 845851.[Medline]
Lindenbach, B. D., Evans, M. J., Syder, A. J. & 8 other authors (2005). Complete replication of hepatitis C virus in cell culture. Science 309, 623626.
Maillard, P., Krawczynski, K., Nitkiewicz, J. & 7 other authors (2001). Nonenveloped nucleocapsids of hepatitis C virus in the serum of infected patients. J Virol 75, 82408250.
Michalak, T. I., Hodgson, P. D. & Churchill, N. D. (2000). Posttranscriptional inhibition of class I major histocompatibility complex presentation on hepatocytes and lymphoid cells in chronic woodchuck hepatitis virus infection. J Virol 74, 44834494.
Morsica, G., Tambussi, G., Sitia, G., Novati, R., Lazzarin, A., Lopalco, L. & Mukenge, S. (1999). Replication of hepatitis C virus in B lymphocytes (CD19+). Blood 94, 11381139.
Okuda, M., Hino, K., Korenaga, M., Yamaguchi, Y., Katoh, Y. & Okita, K. (1999). Differences in hypervariable region 1 quasispecies of hepatitis C virus in human serum, peripheral blood mononuclear cells, and liver. Hepatology 29, 217222.[CrossRef][Medline]
Owsianka, A., Clayton, R. F., Loomis-Price, L. D., McKeating, J. A. & Patel, A. H. (2001). Functional analysis of hepatitis C virus E2 glycoproteins and virus-like particles reveals structural dissimilarities between different forms of E2. J Gen Virol 82, 18771883.
Pham, T. N. Q. & Michalak, T. I. (2006). Occult hepatitis C virus persistence: identification and characteristics. MLO Med Lab Obs 38, 2022.[Medline]
Pham, T. N. Q., MacParland, S. A., Mulrooney, P. M., Cooksley, H., Naoumov, N. V. & Michalak, T. I. (2004). Hepatitis C virus persistence after spontaneous or treatment-induced resolution of hepatitis C. J Virol 78, 58675874.
Pham, T. N. Q., MacParland, S. A., Coffin, C. S., Lee, S. S., Bursey, F. R. & Michalak, T. I. (2005). Mitogen-induced upregulation of hepatitis C virus expression in human lymphoid cells. J Gen Virol 86, 657666.
Pumeechockchai, W., Bevitt, D., Agarwal, K., Petropoulou, T., Langer, B. C. A., Belohradsky, B., Bassendine, M. F. & Toms, G. L. (2002). Hepatitis C virus particles of different density in the blood of chronically infected immunocompetent and immunodeficient patients: implications for virus clearance by antibody. J Med Virol 68, 335342.[CrossRef][Medline]
Radkowski, M., Kubicka, J., Kisiel, E., Cianciara, J., Nowicki, M., Rakela, J. & Laskus, T. (2000). Detection of active hepatitis C virus and hepatitis G virus/GB virus C replication in bone marrow in human subjects. Blood 95, 39863989.
Radkowski, M., Bednarska, A., Horban, A., Stanczak, J., Wilkinson, J., Adair, D. M., Nowicki, M., Rakela, J. & Laskus, T. (2004). Infection of primary human macrophages with hepatitis C virus in vitro: induction of tumour necrosis factor-
and interleukin 8. J Gen Virol 85, 4759.
Radkowski, M., Gallegos-Orozco, J. F., Jablonska, J. & 7 other authors (2005a). Persistence of hepatitis C virus in patients successfully treated for chronic hepatitis C. Hepatology 41, 106114.[CrossRef][Medline]
Radkowski, M., Horban, A., Gallegos-Orozco, J. F., Pawelczyk, A., Jablonska, J., Wilkinson, J., Adair, D. & Laskus, T. (2005b). Evidence for viral persistence in patients who test positive for anti-hepatitis C virus antibodies and have normal alanine aminotransferase levels. J Infect Dis 191, 17301733.[CrossRef][Medline]
Shimizu, Y. K., Iwamoto, A., Hijikata, M., Purcell, R. H. & Yoshikura, H. (1992). Evidence for in vitro replication of hepatitis C virus genome in a human T-cell line. Proc Natl Acad Sci U S A 89, 54775481.
Shimizu, Y. K., Igarashi, H., Kanematu, T., Fujiwara, K., Wong, D. C., Purcell, R. H. & Yoshikura, H. (1997). Sequence analysis of the hepatitis C virus genome recovered from serum, liver, and peripheral blood mononuclear cells of infected chimpanzees. J Virol 71, 57695773.[Abstract]
Sung, V. M.-H., Shimodaira, S., Doughty, A. L., Picchio, G. R., Can, H., Yen, T. S. B., Lindsay, K. L., Levine, A. M. & Lai, M. M. C. (2003). Establishment of B-cell lymphoma cell lines persistently infected with hepatitis C virus in vivo and in vitro: the apoptotic effects of virus infection. J Virol 77, 21342146.
van der Meulen, K. M., Nauwynck, H. J. & Pensaert, M. B. (2002). Increased susceptibility of peripheral blood mononuclear cells to equine herpes virus type 1 infection upon mitogen stimulation: a role of the cell cycle and of cell-to-cell transmission of the virus. Vet Microbiol 86, 157163.[CrossRef][Medline]
Wakita, T., Pietschmann, T., Kato, T. & 9 other authors (2005). Production of infectious hepatitis C virus in tissue culture from a cloned viral genome. Nat Med 11, 791796.[CrossRef][Medline]
Willems, M., Peerlinck, K., Moshage, H., Deleu, I., Van den Eynde, C., Vermylen, J. & Yap, S. H. (1994). Hepatitis C virus-RNAs in plasma and in peripheral blood mononuclear cells of hemophiliacs with chronic hepatitis C: evidence for viral replication in peripheral blood mononuclear cells. J Med Virol 42, 272278.[Medline]
Zhong, J., Gastaminza, P., Cheng, G. & 7 other authors (2005). Robust hepatitis C virus infection in vitro. Proc Natl Acad Sci U S A 102, 92949299.
Zignego, A. L., Macchia, D., Monti, M. & 7 other authors (1992). Infection of peripheral mononuclear blood cells by hepatitis C virus. J Hepatol 15, 382386.[CrossRef][Medline]
Received 25 January 2006;
accepted 4 August 2006.
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