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Published on: July 16, 2012
Inhibition of c3 convertase activity by hepatitis C virus as an additional lesion in the regulation of complement
Hangeun Kim1, Keith Meyer1, Adrian M Di Bisceglie2
1Department of Internal Medicine, Saint Louis University, St. Louis, Missouri, United States of America.
Insights
Hepatitis C virus (HCV) infection weakens the innate immune system by inhibiting complement component 2 (C2) and Factor I. This impairs the complement system
Area of Science:
- Immunology
- Virology
- Hepatology
Background:
- Hepatitis C virus (HCV) infection is known to attenuate the complement system at multiple levels.
- Previous studies indicated that complement system attenuation occurs in chronically HCV-infected livers, regardless of disease stage.
- Complete impairment of complement pathways was not observed through single regulatory mechanisms.
Purpose of the Study:
- To investigate the regulation of complement component 2 (C2) expression in hepatoma cells infected with HCV in vitro.
- To validate findings in liver biopsy specimens from chronically HCV-infected patients.
- To elucidate the role of C2 and Factor I in HCV-induced complement system modulation.
Main Methods:
- In vitro infection of hepatoma cells with cell culture-grown HCV.
- Analysis of C2 mRNA expression levels.
- Assessment of classical C3 convertase (C4b2a) activity.
- Measurement of C3b deposition on bacterial membranes using patient sera.
- Quantification of iC3b levels in patient sera.
- Evaluation of Factor I and Factor H expression in liver biopsy specimens.
Main Results:
- HCV infection significantly inhibited C2 mRNA expression in hepatoma cells.
- Classical C3 convertase activity (C4b2a) was decreased in infected cells.
- Reduced C3b deposition and lower iC3b levels in HCV-infected patient sera indicated impaired C3 convertase and Factor I activity.
- Factor I expression was significantly reduced in HCV-infected liver biopsies, while Factor H remained unchanged or increased.
Conclusions:
- HCV infection leads to significant inhibition of C2 expression and C3 convertase activity.
- Impairment of Factor I activity is another mechanism employed by HCV to weaken the complement system.
- These combined effects contribute to the overall attenuation of the complement system, weakening the innate immune response against HCV.
Abstract:
We have previously reported that in vitro HCV infection of cells of hepatocyte origin attenuates complement system at multiple steps, and attenuation also occurs in chronically HCV infected liver, irrespective of the disease stage. However, none of these regulations alone completely impaired complement pathways. Modulation of the upstream proteins involved in proteolytic processing of the complement cascade prior to convertase formation is critical in promoting the function of the complement system in response to infection. Here, we examined the regulation of C2 complement expression in hepatoma cells infected in vitro with cell culture grown virus, and validated our observations using randomly selected chronically HCV infected patient liver biopsy specimens. C2 mRNA expression was significantly inhibited, and classical C3 convertase (C4b2a) decreased. In separate experiments for C3 convertase function, C3b deposition onto bacterial membrane was reduced using HCV infected patient sera as compared to uninfected control, suggesting impaired C3 convertase. Further, iC3b level, a proteolytically inactive form of C3b, was lower in HCV infected patient sera, reflecting impairment of both C3 convertase and Factor I activity. The expression level of Factor I was significantly reduced in HCV infected liver biopsy specimens, while Factor H level remained unchanged or enhanced. Together, these results suggested that inhibition of C3 convertase activity is an additional cumulative effect for attenuation of complement system adopted by HCV for weakening innate immune response.
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