title: Elevated interferon-stimulated gene transcription in peripheral blood mononuclear cells occurs in patients infected with genotype 1 but not genotype 3 hepatitis C virus.
abstract: Hepatitis C virus (HCV) can be classified into seven distinct genotypes that are associated with differing pathologies and respond differently to antiviral therapy. In the UK, genotype 1 and 3 are present in approximately equal proportions. Chronic infection with HCV genotype 3 is associated with increased liver steatosis and reduced peripheral total cholesterol levels, which potentially influences peripheral immune responses. To understand these differences, we investigated host gene transcription in peripheral blood mononuclear cells by microarray and quantitative PCR in patients with genotype 1 (n = 22) or genotype 3 infection (n = 22) and matched healthy controls (n = 15). Enrichment of genes involved in immune response and inflammatory pathways were present in patients infected with HCV genotype 1; however, no differences in genes involved in lipid or cholesterol metabolism were detected. This genotype-specific induction of genes is unrelated to IL28B genotype or previous treatment failure. Our data support the hypothesis that genotype 1 infection drives a skewed Type I interferon response and provides a foundation for future investigations into the host-pathogen interactions that underlie the genotype-specific clinical outcomes of chronic HCV infection.
authors.affiliation: MRC - University of Glasgow Centre for Virus Research, Glasgow, UK.
authors.forename: M W
authors.initials: MW
authors.lastname: Robinson
authors.forename: R
authors.initials: R
authors.lastname: Swann
authors.forename: A
authors.initials: A
authors.lastname: Sigruener
authors.forename: S T
authors.initials: ST
authors.lastname: Barclay
authors.forename: P R
authors.initials: PR
authors.lastname: Mills
authors.forename: J
authors.initials: J
authors.lastname: McLauchlan
authors.forename: A H
authors.initials: AH
authors.lastname: Patel
mesh_terms: D000328:Adult; D005260:Female; D015870:Gene Expression; D020869:Gene Expression Profiling; D005838:Genotype; D016174:Hepacivirus / Q000145:classification / Q000235:genetics / Q000276:immunology*; D019698:Hepatitis C, Chronic / Q000276:immunology* / Q000473:pathology; D006801:Humans; D007963:Leukocytes, Mononuclear / Q000276:immunology*; D050356:Lipid Metabolism; D008297:Male; D053858:Metabolic Networks and Pathways / Q000235:genetics; D046228:Microarray Analysis; D008875:Middle Aged; D060888:Real-Time Polymerase Chain Reaction; D014158:Transcription, Genetic; D006113:United Kingdom
keywords: HCV; IFN; genotype; interferon-stimulated genes; transcriptomics