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Induction of Selenoprotein P mRNA during Hepatitis C Virus Infection Inhibits RIG-I-Mediated Antiviral Immunity
Kazuhisa Murai1, Masao Honda2, Takayoshi Shirasaki1
1Department of Laboratory Medicine, Kanazawa University Graduate School of Health Medicine, Kanazawa, Japan.
Abstract:
Patients infected with hepatitis C virus (HCV) have an increased risk of developing type 2 diabetes. HCV infection is linked to various liver abnormalities, potentially contributing to this association. We show that HCV infection increases the levels of hepatic selenoprotein P (SeP) mRNA (SEPP1 mRNA) and serum SeP, a hepatokine linked to insulin resistance. SEPP1 mRNA inhibits type I interferon responses by limiting the function of retinoic-acid-inducible gene I (RIG-I), a sensor of viral RNA. SEPP1 mRNA binds directly to RIG-I and inhibits its activity. SEPP1 mRNA knockdown in hepatocytes causes a robust induction of interferon-stimulated genes and decreases HCV replication. Clinically, high SeP serum levels are significantly associated with treatment failure of direct-acting antivirals in HCV-infected patients. Thus, SeP regulates insulin resistance and innate immunity, possibly inducing immune tolerance in the liver, and its upregulation may explain the increased risk of type 2 diabetes in HCV-infected patients.
Insights
Hepatitis C virus (HCV) infection elevates selenoprotein P (SeP), a protein linked to insulin resistance and immune suppression. This may explain the higher type 2 diabetes risk in HCV patients and predict treatment failure.
Area of Science:
- Hepatology
- Immunology
- Endocrinology
Background:
- Hepatitis C virus (HCV) infection is associated with an increased risk of type 2 diabetes.
- Liver abnormalities in HCV infection may contribute to this metabolic complication.
Purpose of the Study:
- To investigate the role of selenoprotein P (SeP) in the link between HCV infection, insulin resistance, and innate immunity.
- To explore SeP as a potential biomarker for HCV treatment outcomes.
Main Methods:
- Quantification of hepatic SEPP1 mRNA and serum SeP levels in HCV-infected patients.
- In vitro studies assessing SeP's interaction with RIG-I and its effect on interferon responses.
- Correlation analysis of SeP levels with type 2 diabetes risk and direct-acting antiviral treatment failure.
Main Results:
- HCV infection upregulates hepatic SEPP1 mRNA and serum SeP levels.
- SeP directly inhibits retinoic-acid-inducible gene I (RIG-I), dampening type I interferon responses.
- SeP knockdown enhances interferon-stimulated genes and reduces HCV replication.
- High serum SeP levels correlate with treatment failure in HCV patients receiving direct-acting antivirals.
Conclusions:
- Selanoprotein P (SeP) is a key mediator linking HCV infection to insulin resistance and immune tolerance.
- Upregulated SeP may contribute to the increased incidence of type 2 diabetes in HCV patients.
- Serum SeP levels serve as a predictive biomarker for direct-acting antiviral therapy response in HCV.
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