Change of hypervariable region proteins of hepatitis C virus E2 in two infants

R Li1, K Sugiyama, K Goto

  • 1Department of Pediatrics, Nagoya City University Medical School, Nagoya, Japan.

Clinical Laboratory
|April 11, 2001
PubMed

Insights

Hepatitis C virus (HCV) genetic diversity evolved differently in two infants after vertical transmission. Infant 2 showed higher mutation rates in the HCV E2 gene hypervariable region (HVR) compared to infant 1, with increased anti-HCV levels observed in both.

Area of Science:

  • Virology
  • Immunology
  • Genetics

Background:

  • Vertical transmission of Hepatitis C virus (HCV) can lead to chronic infection in infants.
  • Understanding HCV genetic evolution in infants is crucial for predicting disease progression and immune response.

Purpose of the Study:

  • To investigate the genetic drift of the HCV E2 gene hypervariable region (HVR) in two vertically infected infants.
  • To compare viral evolution between infants and their mothers and between the two infant cases.

Main Methods:

  • Analysis of five complementary DNA (cDNA) clones from each infant and their mothers.
  • Sequencing and comparison of the HCV E2 gene hypervariable region (HVR).
  • Monitoring of serum ALT levels, HCV-core protein activity, and anti-HCV antibody levels.

Main Results:

  • HCV strains in infant 1 were initially identical to her mother's, while infant 2's strains differed significantly from her mother's.
  • The mutation rate of HVR-1 proteins was 1.6 to 2-fold higher in infant 2 than in infant 1.
  • HVR-1 mutation rates increased significantly from 6 months of age in both infants, coinciding with elevated anti-HCV levels.

Conclusions:

  • Infant HCV infections exhibit distinct genetic evolutionary patterns.
  • Increased HVR-1 mutation rates in infants may be linked to the development of adaptive immune responses, indicated by rising anti-HCV antibody levels.

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