title: The impairment of CD8 responses limits the selection of escape mutations in acute hepatitis C virus infection.
abstract: Evasion from protective CD8 responses by mutations within immunodominant epitopes represents a potential strategy of HCV persistence. To investigate the pathogenetic relevance of this mechanism, a careful search for immunodominant CD8 epitopes was conducted in six patients with chronic evolution of HCV infection by analyzing their global CD8 response with a panel of overlapping synthetic peptides covering the overall HCV sequence and by studying the CD8 frequency by tetramer staining. Immunodominant responses were followed longitudinally from the time of acute onset in relation to the evolution of the epitopic sequences. Although intensity of CD8 responses and frequency of HCV-specific CD8 cells declined over time in all patients, mutations emerged in only three of the six acute patients studied. Variant sequences were less efficiently recognized by CD8 cells than parental epitopes and were poorly efficient in inducing a CD8 response in vitro. CD8 epitopes undergoing mutations were targeted by high avidity CD8 cells more efficient in effector function. Our data support the view that immunodominant CD8 responses are affected by inhibitory mechanisms operating early after infection and that the emergence of escape mutations represents an additional mechanism of virus evasion from those CD8 responses that are functionally preserved.
authors.affiliation: Laboratory of Viral Immunopathology, Department of Infectious Diseases and Hepatology, Azienda Ospedaliera di Parma, Parma, Italy.
authors.forename: Simona
authors.initials: S
authors.lastname: Urbani
authors.forename: Barbara
authors.initials: B
authors.lastname: Amadei
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Cariani
authors.forename: Paola
authors.initials: P
authors.lastname: Fisicaro
authors.forename: Alessandra
authors.initials: A
authors.lastname: Orlandini
authors.forename: Gabriele
authors.initials: G
authors.lastname: Missale
authors.forename: Carlo
authors.initials: C
authors.lastname: Ferrari
mesh_terms: D000208:Acute Disease; D000595:Amino Acid Sequence; D000818:Animals; D018414:CD8-Positive T-Lymphocytes / Q000276:immunology / Q000821:virology*; D017931:DNA Primers; D018984:Epitopes, T-Lymphocyte / Q000235:genetics* / Q000276:immunology; D016174:Hepacivirus / Q000235:genetics / Q000276:immunology*; D006526:Hepatitis C / Q000276:immunology*; D006801:Humans; D007371:Interferon-gamma / Q000096:biosynthesis; D008969:Molecular Sequence Data; D009154:Mutation; D010455:Peptides / Q000235:genetics / Q000276:immunology; D016133:Polymerase Chain Reaction; D011994:Recombinant Proteins / Q000276:immunology; D014764:Viral Proteins / Q000276:immunology; D014766:Viremia
chemical_list: D017931:DNA Primers; D018984:Epitopes, T-Lymphocyte; D010455:Peptides; D011994:Recombinant Proteins; D014764:Viral Proteins; D007371:Interferon-gamma