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Updated: May 13, 2026

A Protocol for Analyzing Hepatitis C Virus Replication
Published on: June 26, 2014
Hepatitis C virus suppresses C9 complement synthesis and impairs membrane attack complex function
Hangeun Kim1, Keith Meyer, Adrian M Di Bisceglie
1Department of Internal Medicine, Saint Louis University, St Louis, Missouri, USA.
Insights
Hepatitis C virus (HCV) inhibits complement component C9, weakening the immune system's membrane attack complex (MAC). This impairs the body's defense against pathogens during chronic HCV infection.
Area of Science:
- Virology
- Immunology
- Molecular Biology
Background:
- Hepatitis C virus (HCV) infection can compromise the host immune response.
- The complement system, particularly the membrane attack complex (MAC), is crucial for pathogen defense.
- HCV's impact on complement component expression, specifically C9, was previously unclear.
Purpose of the Study:
- To investigate how Hepatitis C virus (HCV) regulates the membrane attack complex (MAC) through complement component C9.
- To determine the effect of HCV infection on C9 expression and MAC function in patients and cell models.
Main Methods:
- Analysis of C9 mRNA levels in liver biopsy specimens from HCV-infected patients and controls.
- Assessment of C9 mRNA and protein expression in HCV-infected hepatocytes and those expressing HCV core protein.
- Promoter analysis to identify transcription factors involved in HCV core-mediated C9 regulation.
- Measurement of C5b-9 levels and antimicrobial activity in sera from HCV-infected patients.
Main Results:
- Lower C9 mRNA expression was observed in liver tissues of chronically HCV-infected patients compared to controls.
- HCV infection and HCV core protein expression significantly repressed C9 mRNA and protein levels in hepatocytes.
- T cell factor-4 (TCF-4E) was identified as a key transcription factor in HCV core-mediated C9 promoter regulation.
- Sera from HCV-infected patients showed reduced C5b-9 levels and diminished antimicrobial efficacy.
Conclusions:
- Hepatitis C virus core protein downregulates complement component C9 expression.
- HCV-mediated C9 repression leads to functional impairment of the membrane attack complex (MAC).
- These findings highlight a mechanism of immune evasion by HCV through attenuation of the innate immune system.
Abstract:
Hepatitis C virus (HCV) proteins inhibit complement component expression, which may attenuate immunity against infection. In this study, we examined whether HCV regulates the membrane attack complex (MAC) via complement component C9. MAC is composed of C5b to C9 (C5b-9) and mediates cell lysis of invaded pathogens. Liver biopsy specimens from chronically HCV-infected patients exhibited a lower level of C9 mRNA expression than liver biopsy specimens from unrelated disease or healthy control human liver RNA. Hepatocytes infected with cell culture-grown HCV or expressing HCV core protein also displayed significant repression of C9 mRNA and protein levels. Promoter analysis suggested that the T cell factor-4 (TCF-4E) transcription factor is responsible for HCV core-mediated C9 promoter regulation. Sera from chronically HCV-infected patients displayed a lower level of C5b-9 and a reduced antimicrobial effect on model organisms compared to unrelated patient sera or sera from healthy volunteers. Together, these results for C9 regulation by HCV core protein coupled with functional impairment of the membrane attack complex underscore HCV-mediated attenuation of immune mechanisms.
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