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Published on: July 16, 2012
Transmission and evolution of hepatitis C virus in HCV seroconverters in HIV infected subjects
Chengli Shen1, Phalguni Gupta1, Xiaochuan Xu1
1Department of Infectious Diseases and Microbiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, United States.
Insights
Investigating Hepatitis C Virus (HCV) in HIV-infected individuals reveals that host CD4 cell count does not significantly impact HCV transmission or evolution dynamics. This finding is crucial for understanding viral persistence in co-infected patients.
Area of Science:
- Immunology
- Virology
- Infectious Diseases
Background:
- HIV/HCV co-infection serves as a critical model for studying immune system roles in Hepatitis C Virus (HCV) transmission and evolution.
- Understanding these dynamics is essential for developing effective treatment and prevention strategies for co-infected individuals.
Purpose of the Study:
- To evaluate HCV transmission and evolution patterns in HIV-infected individuals with varying CD4 cell counts.
- To analyze the influence of host immunity, specifically CD4 cell count, on viral diversity, immune pressure, and epitope mutations.
Main Methods:
- Analysis of HCV envelope E1/E2 sequences from six HCV seroconverters with HIV.
- Assessment of transmission bottleneck, viral diversity and divergence, and mutations within HLA class I/II restricted and neutralizing epitopes.
- Correlation of viral characteristics with CD4 cell counts at the time of HCV infection.
Main Results:
- HCV infection initiated with a transmission bottleneck in all studied HIV-infected subjects.
- Viral quasispecies shifted over 1.0-2.0 years of infection in most participants.
- HCV diversity, divergence, and epitope mutations were consistent across subjects, irrespective of initial CD4 cell count.
Conclusions:
- Host CD4 cell count at the time of HCV infection does not appear to significantly influence HCV transmission and evolution in HIV-infected individuals.
- These findings suggest that other factors may play a more dominant role in shaping HCV dynamics within this co-infected population.
Abstract:
HIV/HCV co-infection provides a model to determine the role of immunity on HCV transmission and evolution. In this study HCV transmission and evolution were evaluated in 6 HCV seroconverters in HIV-infected subjects with a wide range of CD4 cell count. The HCV envelope E1/E2 sequences were analyzed for transmission bottleneck, viral diversity/divergence, immune pressure, and mutations of HLA class I/II restricted epitopes. HCV infection started with transmission bottleneck in all HIV-infected individuals. During the 1.0-2.0 years of infection there was a shift of viral quasispecies in majority of the subjects from one to next visit. However, HCV diversity, divergence, mutations in HLA class I/II restricted and virus neutralizing epitopes were similar in all subjects regardless of CD4 cell count at the time of HCV infection. Our results suggest that HCV transmission and evolution in HIV-infected subjects may not be influenced by host CD4 cell count at the time of infection.
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