Abstract
Recent studies on the primate protection from HCV infection stressed the importance of immune response against structural viral proteins. Strong immune response against nucleocapsid (core) protein was difficult to achieve, requesting further experimentation in large animals. Here, we analyzed the immunogenicity of core aa 1–173, 1–152, and 147–191 and of its main alternative reading frame product F-protein in rabbits. Core aa 147–191 was synthesized; other polypeptides were obtained by expression in E. coli. Rabbits were immunized by polypeptide primes followed by multiple boosts and screened for specific anti-protein and anti-peptide antibodies. Antibody titers to core aa 147–191 reached 105; core aa 1–152, 5 × 105; core aa 1–173 and F-protein, 106. Strong immunogenicity of the last two proteins indicated that they may compete for the induction of immune response. The C-terminally truncated core was also weakly immunogenic on the T-cell level. To enhance core-specific cellular response, we immunized rabbits with the core aa 1–152 gene forbidding F-protein formation. Repeated DNA immunization induced a weak antibody and sustained proliferative response of broad specificity confirming a gain of cellular immunogenicity. Epitopes recognized in rabbits overlapped those in HCV infection. Our data promotes the use of rabbits for the immunogenicity tests of prototype HCV vaccines.
1. Introduction
Nucleocapsid (core) protein of hepatitis C virus (HCV) is the most conserved HCV antigen capable of inducing strong broadly cross-reactive responses, and therefore an attractive component of a genotype-non-restricted HCV vaccine. As such, it has been included in a number of HCV vaccine candidates including ones reaching primate trials [1]. The responses observed were described as limited. In immunizations, HCV core demonstrated features of a weak immunogen capable of inducing mainly CTL and low or no CD4+ T-cell responses with moderate IFN-gamma, weak IL-2 production, and no antibodies [2, 3]. In primate trials, HCV core induced stable low-level T-cell response of CD4+ and CD8+ T-cells manifested by IFN-gamma, but no IL-2 or IL-4 responses, weak T-cell proliferation, and low titer of core-specific antibodies [4–8]. Attempts to achieve a more efficient anticore immune response met with difficulties [9–11] even when using viral vectors [12].
Interestingly, in natural infection HCV core acts as a strong humoral immunogen inducing an early potent antibody production, but limited cellular response. Furthermore, in patients developing chronic infection, antibody response to HCV core protein continues to expand, whereas the cellular responses shrink [13]. This scenario points at a limited (low to no) protective potential of core-specific humoral responses. At the same time, in primate trials, the responses to structural HCV proteins including core were shown to significantly correlate with primate protection against HCV challenge (whereas no protection was rendered by immunizations with nonstructural proteins) [1]. This indicates a potential positive input of anticore response (moderate as it was) on the observed protection effects, emphasizing the necessity to achieve an effective core-specific cellular response. Achieving stronger core-specific responses required the addition of recombinant HCV core protein or core-derived peptides [9, 14], involvement of the Th2-tilting carriers as HBcAg [15], or coadministration of cytokines such as IL-2, IL-4, or granulocyte-macrophage CSF [16], altogether pointing at the necessity of a shift towards the Th2-type T-helper cell response. Interestingly, these particular responses (of CD4+ T-cells) are involved in the spontaneous clearance of HCV infection, contrary to the CTL response reported to be stunned and ineffective [13, 17].
The reasons for a deficiency of such response in natural infection are not yet fully understood. Several explanations can be named, firstly, the well-known immunomodulating properties of HCV core protein [18–20]. The other reason could be the abundance of HCV core as an antigen. The core antigen quantity correlates with the virus load and can reach high levels in chronic HCV infection [21, 22], whereas the induction of potent cellular response appears to rely on the low immunogen doses [23]. An interference was also implied by the proteins translated from the HCV alternative reading frames (ARFs) [24, 25]. Most of the core gene products appear to be contaminated with the proteins translated from the HCV alternative reading frames (ARFPs) [24, 25]. The difference in anti-F response between chronic and self-limiting infection, the cross-reactivity irrespective of genotype, and the correlation of anti-F response to the response against other structural and nonstructural HCV antigens pointed at the immune response to F-protein as an integral part of the natural HCV infection [26]. As in case of HCV core, strong antibody response to F-protein correlates with the chronical course of HCV infection [27]. Kong et al. showed recently that presence of anti-F-specific antibodies negatively correlates with HCV RNA viral load suggesting that F-protein may participate in viral clearance [28]. However, other results suggest the potential involvement of F-protein (as of core antigen) in increasing the frequency of CD4+CD25+FoxP3+ T-cell-like population and IL-10-producing CD4+CD25+ T-cells [24] and biased cytokine responses (significantly decreased IFN-γ and/or IL-2 and significantly increased IL-4 and/or IL-5 levels) [25] predisposing to persistent HCV infection. ARFPs may induce some of the negative effects ascribed to HCV core [29] and also sidetrack the immune response away from HCV core. The true role of anti-ARFP responses in resistance to viral infection or vaccine protection is yet unknown.
In this work we aimed to directly compare immunogenicity of protein products encoded by 5′ end of HCV RNA in comparatively large animals, namely, in rabbits, which have numerous advantages over mice and are regularly used prior to testing vaccines in primates. Specifically, we compared immunogenicity of the main form of HCV core, core aa 1–173, its shorter form core aa 1–152, the C-terminal core aa 147–191, and F-protein as an ARFP form with the longest unique protein domain. All polypeptides generated extremely potent humoral response resembling that in chronic HCV infection. At the same time, a synthetic gene for the C-terminally truncated HCV core forbidding F-protein synthesis generated a sustained T-cell and only low antibody response indicating a clear shift towards cellular immunity deemed essential for an effective HCV vaccine.
2. Materials and Methods
2.1. E. coli Strains
E. coli strain DH5α [F− gyrA96 (Nalr) recA1 relA1 endA1 thi-1 hsdR17 (rk −mk +) glnV44 deoR Δ(laczya-argF) U169 [Φ80dΔ(lacZ)M15] was used for genetic manipulations and E. coli strains JM109 [F′ traD36 proA + B + lacI q Δ(lacZ)M15/Δ(lac-proAB) glnV44 e14− (McrA−) gyrA96 (Nalr) recA1 relA1 endA1 thi-1 hsdR17 (rk −mk +)] and BL21(DE3) [F− ompT dcm lon hsdS (rB −mB −) gal λ(DE3)] were used for expression.
2.2. Plasmids for Expression of HCV Core
Fragment corresponding to HCV core 1–173 aa was obtained by polymerase chain reaction (PCR) using cDNA of HCV AD78 isolate genotype 1b (GenBank accession number AJ132996 [30]) as a template and two primers: forward 5′-GATCCATGGGCACGAATCCTAAACCTCA contained NcoI site and reverse 5′-GTGATGAGATCTAGAGCAACCGGGCAGATTCCCTGTTGCA contained BglII site. Second codon AGC from AJ132996 was substituted for GGC and thus gave us S to G substitution. NcoI/BglII PCR fragment was ligated into NcoI/BglII pQE-60 plasmid (Qiagen). The resulting plasmid was named pQE/core 173 (GenBank accession number KT824963).
Amplification of the DNA fragment corresponding to 1–10 aa of core and in +1 frame of the core from aa 11 to aa 143 and two additional aa (LE) was performed by PCR using 5′-GAGCATATGAGCACGAATCCTAAACCTCAAAGAAAACCAAACGTA as forward primer and 5′-GTGGTGCTCGAGTGGTGGCGCCGACGAGCGGA as reverse primer; harboring NdeI and XhoI restriction sites, respectively, was done from plasmid bearing HCV core fragment corresponding to 1–191 aa of HCV 1b isolate 274933RU (GenBank accession #AF176573 [31]). After amplification and treatment with restriction endonucleases NdeI and XhoI fragment was ligated into NdeI/XhoI pET22b(+). pET22b(+) plasmid contains T7 promoter and 6xHis-tag coding sequence at 3′ end of the cloned DNA fragment. The resulting plasmid was named pET22/ARFP.
2.3. Sources of HCV-Derived Peptides
Polypeptide representing aa 147–191 of HCV core VARALAHGVRVLEDGVNYATGNLPGCSFSIFLLALLSCLTIPASA (core 147–191) was purchased from GL Biochem (Shanghai, China) and was at least 70% pure by HPLC.
HCV core-derived synthetic peptides used in analysis of immune response were purchased from GL Biochem (Shanghai, China) or kindly provided by Mati Sällberg (Karolinska Institutet, Sweden); and F-protein-derived peptides were purchased from Peptron (South Korea). Peptides were purified by HPLC to 70% purity. The list of synthetic peptides used is given in Table 1.
Table 1.
Protein | Amino acid positions | Amino acid sequence |
---|---|---|
HCV core | 1–35 | MSTNPKPQRKTKRNTNRRPQDVKFPGGGQIVGGVY |
21–55 | DVKFPGGGQIVGGGVYLLPRRGPRLGVRATRKTSER | |
41–75 | GPRLGVRATRKTSERSQPRGRRQPIPKARRPEGRT | |
61–95 | RRQPIPKARRPEGRTWAQPGYPWPLYGNEGMGWAG | |
81–115 | YPWPLYGNEGMGWAGWLLSPRGSRPSWGPNDPRRR | |
101–135 | RGSRPSWGPNDPRRRSRNLGKVIDTLTCGFADLMG | |
121–155 | KVIDTLTCGFADLMGYIPLVGAPLGGAARALAHGV | |
161–195 | GVNYATGNLPGCSFSILLALLSCLTTIPASAYEVR | |
1–18 | MSTIPKPQRKTKRNTNRR | |
13–33 | RNTNRRPQDVKFPGGGQIVGG | |
34–42 | VYLLPRRGP | |
67–81 | KARRPEGRTWAQPGY | |
129–145 | GFADLMGYIPLVGAPLG | |
141–160 | GAPLGGAARALAHGVRVLED | |
| ||
F-protein | 30–49 | SLAEFTCCRAGAPGWACARL |
45–64 | ACARLGRLPSGRNLVEGDNL | |
60–79 | EGDNLSPRLAIPRAGPGLSL | |
75–94 | PGLSLGTLGPSMAMRAWGGQ | |
90–109 | AWGGQDGSCHPVALGLVGAP |
2.4. Sources of HCV Polyproteins
Expression of HCV core aa 1–152 (core 1–152) and core aa 1–173 (core 1–173) was carried out in the E. coli strain JM109 as was described earlier in [32] and [33], respectively.
F-protein was expressed in E. coli BL21(DE3) transformed with pET22/ARFP. Transformed bacterial cells were grown at 37°C in 2x TY medium (16 g/L bacto-peptone (Difco), 10 g/L yeast extract (Difco), and 5 g/L NaCl), supplemented with 100 μg/mL ampicillin, to an OD 540 of 0.8–1.0, and protein expression was induced with 0.2 mM IPTG. Induction was continued for 4 h at 37°C; after that cells were sedimented by low-speed centrifugation (10 min at 4,000 ×g) and frozen at −20°C. Frozen biomass was thawed and suspended in 10 volumes of 8 M urea containing 100 mM Tris-HCl, pH 8.0, and ultrasonicated with ten 60 s ultrasound pulses of 22 kHz. After ultrasonication incubation on ice was continued for 60 min. After clarification (30 min at 10000 ×g), supernatant was collected and dithiothreitol (DTT) was added to 100 mM and incubation was continued overnight by shaking on rotary shaker at 4°C. After repeated clarification (30 min at 10000 ×g) before loading onto immobilized-metal affinity chromatography (IMAC) Ni-superflow agarose (Qiagen, Hilde, Germany), buffer exchange was performed with Sephadex G-25 column to replace 100 mM DTT with 5 mM β-mercaptoethanol (β-ME). The recombinant protein was purified by IMAC under denaturing conditions (8 M urea, 5 mM β-ME, 100 mM Tris-HCl, and pH 8.0) according to the manufacturer's instructions. F-protein containing fractions were pooled, and purified protein was diluted to final concentration of 0.5 mg/mL. The proteins were subsequently dialyzed two times (overnight and for 4 to 6 h) using refolding buffer I (2 M urea, 100 mM PB (Na2HPO4: 94.7 mM; NaH2PO4: 5.3 mM), pH 8.0, 0.5 M arginine, 5 mM glutathione reduced [GSH], and 0.5 mM glutathione oxidized [GSSG]) and refolding buffer II (100 mM PB, pH 8.0, 0.5 M arginine, 5 mM GSH, and 0.5 mM GSSG) and then PBS with 10% glycerin. Soluble proteins were concentrated using Amicon Ultra-15 10 K centrifugal filter device 10,000 MWCO (Millipore, Ireland). Its purity according to Coomassie blue staining of the SDS-PAGE gel was 95%.
2.5. SDS-PAGE and Western Blot Analysis
The purified proteins were analyzed on 15% SDS-PAGE by standard procedures (under denaturing conditions). Proteins were transferred to nitrocellulose membrane (Thermo Scientific). After blocking, the membranes were probed with rabbit antibodies specific to HCV core [34] or anti-core 1–173 or F-protein antibodies obtained here (see Section 2.6) diluted 1 : 10000, followed by a protein A horseradish peroxidase-conjugated antibody diluted 1 : 1000. Detection was performed with the DAB Substrate Kit (Thermo Scientific) according to the manufacturer's protocol.
2.6. Immunization of Rabbits
All animal experiments were performed in accordance with the Russian Federation law and were approved by the institutional ethical committee for animal experiments. Moscow strain of Chinchilla grey rabbits (female, 2-month-old, 1.5 to 1.8 kg) was obtained from the laboratory animal breeders “Manikhino” (settlement Manikhino, Ivanovskoe, Moscow region, Russia) or “Krolinfo” (Orekhovo-Zuevo, Moscow region, Russia, http://krolinfo.umi.ru). The animals were maintained at 20 to 22°C and a relative humidity of 50% ± 10% on a 12 h light/dark cycle, fed with commercial rodent chow and herbal vitamin flour (“Krosha” and “Meadow grass,” both from Zoomir, Russia), and provided with tap water ad libitum. The treatment of animals was in accordance with regulations outlined in the USDA Animal Welfare Act and the conditions specified in the guide for care and use of laboratory animals [35].
In protein immunizations, groups of two Chinchilla rabbits were immunized with injections of recombinant core 147–191 (numbers 87, 88), core 1–152 (89/4, 90/5), F-protein (91, 92), and core 1–173 (93, 94) or mock-immunized with PBS (95, 96). At week 0 animals were administered 100 μg of the respective polypeptides in 400 μL PBS mixed (1 : 1 v/v) with the complete Freund Adjuvant (CFA) and a week later (week 1) with 100 μg of the respective polypeptides in 400 μL PBS mixed (1 : 1 v/v) with the incomplete Freund Adjuvant (IFA). Injections were done subcutaneously at four sites along the back. Animals were boosted three times with one-month intervals by the intravenous injections of 50 μg of polypeptides in 200 μL PBS mixed with IFA (1 : 1 v/v). Control animals (95, 96) received the adjuvants mixed with PBS. Rabbits were bled from the ear vein two weeks after each immunization. Sera were prepared and stored at −20°C until further analysis. A portion of blood was collected in the heparinized Vacutainer tubes, and peripheral mononuclear cells (PBMCs) were isolated by Ficoll Paque gradient centrifugation.
DNA immunizations were performed with pUC8-based plasmid encoding core aa 1–152 [36] under the control of CMV promoter and HPV16 polyA [37] (DNAcore152). For this, four rabbits (nn 98, 99, 101, and 102) were injected with 90 μg DNAcore152 in 400 μL water intramuscularly in tibialis anterior on weeks 1 and 2. Two rabbits (101, 102) were further boosted with 90 μg DNAcore152 in 400 μL on weeks 5 (boost 1), 18 (2), 37 (3), and 54 (4). Control rabbits (43, 44) were immunized with empty pCMV vector [37] administered repeatedly along the same scheme. Rabbits were bled at weeks 0, 3, 4, 8, 20, 36, 38, 41, 54, 56, and 57. Sera and PBMC samples were prepared and treated as described above for the protein immunization.
2.7. Antibody Assays
Sera were assessed for the levels of antibodies against HCV core-derived polypeptides and F-protein.
Core-derived peptides (Table 1) and core 147–191 were coated onto 96-well MaxiSorp plates and core polypeptides on the 96-well PolySorp plates (both from Nunc, Denmark). Coating was done overnight at 4°C in 50 mM carbonate buffer, pH 9.6, at antigen concentration of 10 μg/mL. After blocking with PBS containing 1% BSA for 1 h at 37°C, serial dilutions of rabbit sera were applied on the plates and incubated for an additional hour at 37°C. Incubation was followed by three washings with PBS containing 0.05% Tween-20. Afterwards, plates were incubated for 1 h at 37°C with the protein A horseradish peroxidase-conjugated antibody (Sigma, USA) diluted 1 : 20000. Following three washes with PBS containing 0.05% Tween-20, the substrate OPD (Sigma, USA) was added, incubated at room temperature for 15 min in the dark, and stopped with 1 N H2SO4. Plates were read on an automatic reader (Multiscan, Sweden) at a dual length of 492 versus 630 nm. Immune serum was considered positive for anti-core antibodies whenever a specific OD value exceeded, by at least twofold, the signals generated by preimmune serum reacting with core-derived antigen and by immune serum reacting with BSA-coated wells.
2.8. PBMC Proliferation Assay
Peripheral mononuclear cells (PBMCs) were isolated by Ficoll Paque gradient centrifugation of blood which was collected in heparinized Vacutainer tubes. PBMCs were subjected to in vitro stimulation with core-derived synthetic peptides (Table 1) using the procedure described by us earlier [38]. In brief, T-cell proliferation assay was performed in triplicate with RPMI containing HCV core-derived peptides, all at 1 mcg/well; phytohemagglutinin (PHA; 10 mcg/well) was used as positive and RPMI alone and control peptide representing aa 605–613 of gp41 of HIV-1 were used as negative controls. Data were expressed as stimulation indices (SI) defined as the ratio of a mean value of [3H]-thymidine incorporation in the antigen-stimulated cultures to a mean value of radioactivity incorporation in medium containing negative control peptide from gp41 or RPMI, the highest of the values selected. SI values of 2.0 and above were considered positive. Data sets were discarded if SI by PHA was lower than 2.
2.9. Statistical Analysis
Statistical analysis was by paired Student's t-test, one-way ANOVA with pairwise comparisons, and two-way ANOVA with pairwise comparisons. P < 0.05 was considered significant. Analyses were performed using STATISTICA AXA 10.0.
3. Results and Discussion
3.1. Design and Expression of Proteins Encoded by the 5′ Terminus of HCV Genomic RNA
The full-length HCV core 1–191 is unstable and is quickly processed to a more stable shorter core aa 1–173 (core 1–173) [39]. We have chosen the latter as the immunogen and designed a recombinant core 1–173 of HCV 1b basing it on the isolate AD78P1 [30] with modifications that aimed to improve the prokaryotic expression (GenBank accession #KT824963). HCV core 1–173 is further degraded to the shorter forms, of which only core aa 1–152 (core 1–152) is readily detectable [40] motivating its choice as a second immunogen for the comparative immunogenicity studies. The expression of HCV core aa 1–152 variant was described by us earlier [32]. The panel of immunogens was complemented by the C-terminal fragment of HCV core aa 147–191 represented by a synthetic peptide (core 147–191).
The 5′ terminus of HCV RNA encodes also the proteins from the alternative reading frame (ARF). ARF of HCV lacks an in-frame AUG start codon; its expression involves unusual translation-level events involving ribosomal frameshifting [41]. ARF encoded proteins (ARFPs) are synthesized through multiple events and sites such as codons (in phase +1) 26, 42, 85/87, and 144 yielding different ARFP forms including double frameshifts [42–45]. Of those, the main most stable form is F-protein, whereas the rest are comparatively short and proteolytically unstable [46]. The frameshift leading to the production of ARFP/F is remarkable: it leads to the shutdown of the main ORF for at least one round of translation and occurs so frequently that it causes the ribosome to translate +1 reading frame approximately 30% of the time [47, 48]. This points at the abundance of F-protein and its significance as a target of HCV-specific immune response. We have chosen this longest and most stable ARFP form for the immunogenicity study in rabbits, to compare its immunogenic performance to that of the “classical” product of translation of the 5-terminus of HCV RNA. For this, we designed a recombinant protein containing the N-terminal 10 amino acids of HCV core and aa 11 to 143 belonging to F-protein of HCV 1b variant [31]. Only the first ten amino acids of HCV core were retained as they were shown to stabilize F-protein and support its correct folding [49]. One of the major antigenic sites of the core protein has been located away from the very N-terminus of HCV core (amino acids 9–16 [50]). Hence, we expected that sharing of the first ten amino acids will not interfere with the development of F-specific immune response.
Core 1–173 and F-protein were expressed in E. coli with high yields (2–5 mg/L) and purified by His-tag chromatography. Coomassie staining of PAAG containing protein-rich fractions demonstrated the presence of proteins of expected molecular mass of 19 kDa for HCV core 1–173 (lanes 4–6) and of 16 kDa for F-protein (lanes 7–9) (Figure 1), in conformity with the observed products of translation of ARFs of HCV genotypes 1a, 1b, 1c, 2, and 3 [27, 51–55]. Proteins were of over 95% purity (Figure 1).
3.2. Polypeptides Derived from the 5′ Terminus of HCV RNA Induce Potent Antibody Response in Rabbits
Rabbits were immunized by the repeated injections of the polypeptides representing core aa 1–173 (core 173), core aa 1–152 (core 1–152), core aa 147–191 (core 147–191), and F-protein. All polypeptides were highly immunogenic on the humoral level; maximum antibody titers after completion of immunization cycle reached 106 and the titer of antibodies to aa 147–191 reached over 105 (Figure 2(a)). The strongest antibody response was achieved after immunization with HCV core 1–173 and F-protein (Figures 2(a) and 2(b)). HCV core 1–152 devoid of C-terminus generated a weaker antibody response with the maximum titer of 5 × 105 despite an identical immunization scheme and almost identical antigen structure of the proteins (except for the lack of C-terminus) (Figures 2(a) and 2(b)). A 44-amino-acid long core 147–191, although used in immunization without carriers (which normally ensure strong antibody response against the synthetic peptides), induced a strong specific immune response with the titers reaching 105 and the same kinetics of the antibody response as the longer polypeptides (Figures 3(a) and 3(b)). No anti-HCV core or anti-F-protein antibodies were detected in control rabbits 95, 96 receiving adjuvant alone (data not shown).
Sera raised against F-protein, core 1–152, and core 1–173 specifically recognized the respective recombinant proteins in Western blotting (Figures 2(c) and 2(d) and data not shown). Core 1–173 and F-protein specific sera demonstrated also a weak cross-reactivity (Figures 2(c) and 2(d) and Supplementary Figure S1 in Supplementary Material available online at http://dx.doi.org/10.1155/2015/762426). The latter can be attributed to the presence in both proteins of 6xHis-tag. Indeed, we showed rabbits to develop antibodies against anti-His-tag in titer of 104 to 5 × 104 (Figure 2(a)).
We have used a panel of synthetic peptides (Table 1) to map the B-cell epitopes of HCV core and F-protein recognized in rabbits. In HCV core aa 1–173, nine epitopes were identified which were distributed throughout the protein with the dominant region located at N-terminus of the protein (Figure 3(a)). The sera of core 1–152 immunized rabbits recognized only the immunodominant epitope at aa 1–35 (titer 5.5 × 104, Figure 3(a)). Similar analysis was performed for the epitopes of F-protein (Figure 3(b)). B-cell epitopes of F-protein recognized in rabbits were localized at aa 30–49, 45–64, 60–79, and 90–109 (Figure 3(b)). The titer of antibodies against linear epitopes of F-protein was on the average 10-fold lower than against the linear epitopes of HCV core indirectly indicating a dominance of the HCV core-specific immune response over that against F-protein, at least in the rabbit model. The analysis of B-cell reactivity against HCV core and F-protein in rabbits uncovered similarity to the B-cell responses observed in HCV infection [27, 50, 54, 56–59]. Most of these epitopes were also shown to be recognized in mice [60, 61]. This reveals a promiscuous character of HCV core and F-specific B-cell response. Our findings also indicate that the recombinant F-protein obtained here is immunologically identical to the one formed after translation of viral RNA in infection and can be utilized in the diagnostic and possibly vaccine studies.
We have further characterized the nature of cross-reactivity between anti-HCV core and anti-F-protein sera seen in Western blotting (Figures 2(c) and 2(d)). The cross-reactivity of anti-HCV core 1–173 and anti-F-protein sera amounted to 10% of the total reactivity of both HCV core and F-protein immunized rabbits (Supplementary Figure S1). Immunization with HCV core 1–173 did not induce any antibodies reacting with F-protein-derived peptides. Immunization with F-protein did not induce an immune response reacting to core peptides except for the region aa 61–95 (Figure 3(a)). Analysis of the sequences of HCV core 1–173 and F-protein did not reveal any amino acid homologies, indicating that cross-reacting anti-F-protein antibodies might have recognized not a linear but a conformational epitope at aa 61–95 which could be reproduced by the synthetic peptide. Indeed, preblocking with the peptide encompassing aa 61–95 had no effect on the cross-reactivity of anti-F-protein sera with core 1–173 in Western blotting (i.e., anti-F-protein antibodies reacting to the peptide core aa 61–95 in ELISA were unable to recognize this sequence in the context of the denatured core 1–173; data not shown). Importantly, although 10 amino acids overlap between HCV core 1–173 and F-protein at N-terminus, anti-F-protein sera did not recognize synthetic peptide representing aa 1–35 of HCV core (Figure 3(b)). Altogether, this indicated that the cross-reactivity was apparently due to the immune recognition of His-tag.
Thus, all polypeptides derived from the 5′ terminus of HCV genomic RNA were found to be extremely immunogenic on the antibody level. Furthermore, we have demonstrated a similarly strong immunogenicity of the HCV core and F-proteins. Albeit no function has yet been attributed to F-protein (or other products of ARFPs), it represents a target of immune response equal in potency to HCV core [26, 54, 62]. Supposedly nonfunctional but abundant ARFPs may induce a decoy response leading to the immune system away from addressing “the meaningful” viral proteins; its high immunogenicity in rabbits confirms a possibility of their competition in the induction of antiviral immune response. This would fall in line with the recent model of Skums et al. which suggests antigenic cooperation in HCV infection, with immune responses against one antigen variant creating protective immune environment for other variants [63].
Since F-protein has not yet been ascribed any function in the virus, while functions of HCV core are well known and essential, we concentrated our further immunogenicity studies on the cellular immune response against HCV core. Peripheral blood mononuclear cells (PBMCs) of rabbits immunized with HCV core 1–152 and core 1–173 were collected prior to and after each boost and subjected to stimulation with HCV core-derived peptides. Weak infrequent T-cell responses with stimulation indexes (SI) exceeding 2 were repeatedly observed only in rabbits immunized with HCV core 1–152, but not in the naïve or adjuvant or core 1–173-immunized animals (Figure 4, data not shown). Proliferative response of rabbit PBMCs was observed after two priming HCV core 1–152 immunizations (week 4) and was not boosted except for a single response to the epitope at the HCV core N-terminus observed in the rabbit 90/5 at week 20 (Figure 4(a)). Stimulation of the hyperimmune rabbit PBMCs with recombinant HCV core 1–152 induced a weak proliferative response independent of antigen concentration (Figure 4(b)).
Analysis of HCV core-specific humoral and cellular responses revealed that the C-terminally truncated HCV core form had somewhat weaker humoral immunogenicity than HCV core aa 1–173: antibodies were two to three times lower in titer and of restricted specificity targeting mainly the N-terminus of the protein (Figures 2 and 3). At the same time, only core 1–152 was able to induce a specific T-cell response, albeit of a very low level. Apparently, the truncation of the C-terminus led to a partial loss of B-cell immunogenicity (in terms of both breadth and potency) and at the same time the induction of the T-cell arm of immune response. We have recently shown that HCV core devoid of the N-terminus upregulated the transcription of a ROS-generating enzyme cytochrome P450 2E1 [64]. Furthermore, the same fragment induced the expression of endoplasmic reticulum oxidoreductin 1α. The latter triggers the efflux of Ca2+ ions from ER to mitochondria via mitochondrial Ca2+ uniporter, leading to the generation of superoxide anions and possibly also H2O2 [64]. ROS have a physiological role in signaling extending to every cell type involved in the induction of immune response; ROS were the first molecules found to suppress the T-cell function [65]. As with any signaling mechanism, ROS can become cytotoxic if the signal is too strong and/or too prolonged. ROS help to mediate T-cell activation; however, T-cell activation also depends on the capacity of accessory cells to maintain sufficient level of glutathione and is compromised by the oxidative stress [66]. Furthermore, excessive amounts of ROS can oxidize the protein kinases and phosphatases that regulate critical cell signals and distort the activation of signaling pathways including regulation of the lymphocyte functions [67]. Immunosuppressive effects of ROS may also be due to the fact that Tregs cells are more resistant to ROS than the effector T-cells and pertain their downregulating activity when the effector T-cells fail [66]. An excessive oxidative stress may thus be detrimental for the normal T-cell functions. This would explain the observed deleterious role of the high HCV core protein “doses” for the specific T-cell immunity in a mouse model [9]. For humoral response, on the contrary, ROS appear to contribute to Th1/Th2/Th17 cell fate decisions during T-lymphocyte activation and enhance immunoglobulin production by B-lymphocytes [68]. Our data indicates that (as in HCV infection) high levels of HCV core support the strong multiepitopic B-cell, but low or no T-cell response, and point at the role of certain core domains, specifically at the C-terminus, in tilting the response towards the humoral one. Involvement in ROS induction may explain an unexpectedly strong humoral immunogenicity in rabbits of a peptide covering aa 147–191 derived from the ROS-inducing core fragment.
3.3. Immunogenicity in Rabbits of DNA Encoding Core aa 1–152
High levels of circulating HCV core antigen in HCV infection would induce high levels of ROS and promote strong humoral response but little immunity on the T-cell level, a scenario of immune response in the chronic HCV infection, whereas the immune success and viral clearance coincide with a weak or no antibody response [69] and potent cellular immunity manifested mainly CD4+ T-cells [13, 17]. To strengthen the cellular immune response component, one would need to both decrease the immunogen dose and delete the ROS-inducing/B-cell activating signals.
To evade both the potential pitfalls as immune suppression induced by an excess of ROS and the immune competition from the ARF products, we exploited a synthetic gene encoding HCV core devoid of the C-terminus (DNAcore152) with a forbidden frameshift (not supporting F-protein formation [36]). Rabbits were immunized with DNAcore152 by two closely spaced priming injections (double prime, four rabbits), in two rabbits followed by a series of boosts performed first with one-month and then with four-month intervals. The latter scheme was applied in view of earlier experiments in chimpanzees which demonstrated gradual increase if there were proliferative responses to HCV core after repeated boosts performed under long period of time [4]. Contrary to the HCV core 1–152 immunized rabbits, rabbits receiving injections of DNAcore152 exhibited low but consistent proliferative response to both HCV core and core-derived peptides (Figure 5(a)), boosted by the booster DNA injections (Figure 5(b); Supplementary Figure S2). Rabbits immunized with repeated injections of DNAcore152 developed also a low-level humoral response to HCV core, weakly boosted after the repeated gene administrations (Figure 5(c)). No anticore responses were registered in rabbits mock-immunized with empty vector DNA (data not shown).
Immunization with DNA encoding HCV core devoid of the 39 amino acids on the C-terminus allowed shifting the immune response to almost exclusively Th1 type as manifested by weak but consistent core-specific proliferative responses of PBMCs and low level of anti-core antibody production resembling the profiles observed in the primate trials of the multicomponent immunogens including diverse forms of HCV core (DNA, recombinant virus, protein) [4–6]. These results fall in line with our earlier observations made in the DNA-immunized mice; namely, the induction of cellular response to HCV core does not require high levels of HCV core protein (low amounts provided by cells in vivo transfected at immunization sites appear to be sufficient). Furthermore, we could show that truncation, at least partial, of the ROS-inducing core domain may rescue cellular response. Additional positive input was possibly made by forbidding the formation of F-protein. The actual role of immune competition from the F-protein is currently being assessed in a series of mouse immunizations.
Again, as in the case of protein immunizations, the specificity of B- and T-cell response to HCV core-derived peptides in DNA-immunized rabbits resembled that observed in the HCV infection [70]. Core-specific T-cell responses were persistent and boostable, resembling responses observed in the self-limiting rather than chronic HCV infection which is characterized by a gradual loss of the specific T-cell response [17, 71].
4. Conclusions
In primate trials, the responses to the structural HCV proteins including the nucleocapsid (core) were shown to significantly correlate to the protection against HCV challenge [1] implying an input of anticore response on the observed protection effects. This emphasizes the necessity of the experiments aimed at achieving an effective core-specific cellular response in larger animals than mice. Rabbits are widely used in the toxicity and safety testing of medical devices, drugs, and vaccines because of both genetic heterogeneity and possibility of the longitudinal follow-up experiments. Here, we used the rabbit model to evaluate the immunogenicity of polypeptides encoded by the 5′ terminus of HCV RNA. By polypeptide immunization, we have induced in rabbits a strong humoral immune response to an abundant HCV core form aa 1–173 and the most stable ARFP form, F-protein. Immunization with HCV core aa 1–173 led to a B-cell response of broad specificity targeting multiple linear epitopes. The C-terminally truncated core 1–152 induced a weaker antibody response directed only against the N-terminus of the protein implicating the role of the C-terminus in promoting humoral immunogenicity. Delivery of the C-terminally truncated HCV core by DNA immunization with a plasmid forbidding frameshift led to the induction of weak but sustained T-cell response to multiple epitopes within the protein. Both B- and T-cell responses observed in rabbits mimicked that in HCV infection which indicates the promiscuity of major epitopes localized in the polyproteins encoded by the 5′-terminus of HCV genomic RNA. These are promising findings which allow a step forward in the development of the HCV core based prototype HCV vaccines, as the previous data indicated that although HCV core is the main target of an immune response in the infected individuals [72], it is not so immunogenic in the larger species as humans [73] and could even suppress the immune response [14], also heterologous [74]. The immunogenicity of DNA representing the 5′ terminus of HCV RNA and of the polyproteins encoded therein and the promiscuity of the observed responses promote the use of rabbit model for the preclinical trials of HCV vaccines, although other adjuvants would be needed to comply with the requests to vaccine formulations. These considerations may be important in further development and testing of HCV vaccines based on the structural viral proteins.
Supplementary Material
Acknowledgments
This research was funded by grant from the Research Council of Latvia no. 532/2012 and grant from the Russian Fund for Basic Research no. 13-04-0152313. Networking between the partners was supported by the Thematic Partnership Grant of the Swedish Institute no. 09272_2013. Maria Isaguliants was in part supported by the EU BALTINFECT project contract no. 316275. Recombinant B. burgdorferi outer surface protein BB0689 with 6xHis-tag was a generous gift of Dr. Kaspars Tars.
Conflict of Interests
The authors declare that there is no conflict of interests regarding the publication of this paper.
References
- 1.Dahari H., Feinstone S. M., Major M. E. Meta-analysis of hepatitis C virus vaccine efficacy in chimpanzees indicates an importance for structural proteins. Gastroenterology. 2010;139(3):965–974. doi: 10.1053/j.gastro.2010.05.077. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Fietta P., Delsante G. The effector T helper cell triade. Rivista di Biologia. 2009;102(1):61–74. [PubMed] [Google Scholar]
- 3.Zhang N., Bevan M. J. CD8+ T cells: foot soldiers of the immune system. Immunity. 2011;35(2):161–168. doi: 10.1016/j.immuni.2011.07.010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Elmowalid G. A., Qiao M., Jeong S.-H., et al. Immunization with hepatitis C virus-like particles results in control of hepatitis C virus infection in chimpanzees. Proceedings of the National Academy of Sciences of the United States of America. 2007;104(20):8427–8432. doi: 10.1073/pnas.0702162104. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Rollier C., Depla E., Drexhage J. A. R., et al. Control of heterologous hepatitis C virus infection in chimpanzees is associated with the quality of vaccine-induced peripheral T-helper immune response. Journal of Virology. 2004;78(1):187–196. doi: 10.1128/jvi.78.1.187-196.2004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Rollier C. S., Paranhos-Baccala G., Verschoor E. J., et al. Vaccine-induced early control of hepatitis C virus infection in chimpanzees fails to impact on hepatic PD-1 and chronicity. Hepatology. 2007;45(3):602–613. doi: 10.1002/hep.21573. [DOI] [PubMed] [Google Scholar]
- 7.Youn J.-W., Park S.-H., Lavillette D., et al. Sustained E2 antibody response correlates with reduced peak viremia after hepatitis C virus infection in the chimpanzee. Hepatology. 2005;42(6):1429–1436. doi: 10.1002/hep.20934. [DOI] [PubMed] [Google Scholar]
- 8.Youn J.-W., Hu Y.-W., Tricoche N., et al. Evidence for protection against chronic hepatitis C virus infection in chimpanzees by immunization with replicating recombinant vaccinia virus. Journal of Virology. 2008;82(21):10896–10905. doi: 10.1128/jvi.01179-08. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Alekseeva E., Sominskaya I., Skrastina D., et al. Enhancement of the expression of HCV core gene does not enhance core-specific immune response in DNA immunization: advantages of the heterologous DNA prime, protein boost immunization regimen. Genetic Vaccines and Therapy. 2009;7, article 7 doi: 10.1186/1479-0556-7-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Satoi J., Murata K., Lechmann M., et al. Genetic immunization of wild-type and hepatitis C virus transgenic mice reveals a hierarchy of cellular immune response and tolerance induction against hepatitis C virus structural proteins. Journal of Virology. 2001;75(24):12121–12127. doi: 10.1128/JVI.75.24.12121-12127.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Vidalin O., Muslmani M., Estienne C., Echchakir H., Abina A. M. In vivo target validation using gene invalidation, RNA interference and protein functional knockout models: it is the time to combine. Current Opinion in Pharmacology. 2009;9(5):669–676. doi: 10.1016/j.coph.2009.06.017. [DOI] [PubMed] [Google Scholar]
- 12.Vidalin O., Fournillier A., Renard N., et al. Use of conventional or replicating nucleic acid-based vaccines and recombinant semliki forest virus-derived particles for the induction of immune responses against hepatitis C virus core and E2 antigens. Virology. 2000;276(2):259–270. doi: 10.1006/viro.2000.0566. [DOI] [PubMed] [Google Scholar]
- 13.Rehermann B. Hepatitis C virus versus innate and adaptive immune responses: a tale of coevolution and coexistence. The Journal of Clinical Investigation. 2009;119(7):1745–1754. doi: 10.1172/jci39133. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Hu G.-J., Wang R. Y.-H., Han D.-S., Alter H. J., Shih J. W.-K. Characterization of the humoral and cellular immune responses against hepatitis C virus core induced by DNA-based immunization. Vaccine. 1999;17(23-24):3160–3170. doi: 10.1016/S0264-410X(99)00130-9. [DOI] [PubMed] [Google Scholar]
- 15.Geissler M., Tokushige K., Wakita T., Zurawski V. R., Jr., Wands J. R. Differential cellular and humoral immune responses to HCV core and HBV envelope proteins after genetic immunizations using chimeric constructs. Vaccine. 1998;16(8):857–867. doi: 10.1016/S0264-410X(97)00236-3. [DOI] [PubMed] [Google Scholar]
- 16.Geissler M., Gesien A., Tokushige K., Wands J. R. Enhancement of cellular and humoral immune responses to hepatitis C virus core protein using DNA-based vaccines augmented with cytokine-expressing plasmids. Journal of Immunology. 1997;158(3):1231–1237. [PubMed] [Google Scholar]
- 17.Park S.-H., Rehermann B. Immune responses to HCV and other hepatitis viruses. Immunity. 2014;40(1):13–24. doi: 10.1016/j.immuni.2013.12.010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Bode J. G., Brenndörfer E. D., Häussinger D. Hepatitis C virus (HCV) employs multiple strategies to subvert the host innate antiviral response. Biological Chemistry. 2008;389(10):1283–1298. doi: 10.1515/bc.2008.147. [DOI] [PubMed] [Google Scholar]
- 19.Hiroishi K., Ito T., Imawari M. Immune responses in hepatitis C virus infection and mechanisms of hepatitis C virus persistence. Journal of Gastroenterology and Hepatology. 2008;23(10):1473–1482. doi: 10.1111/j.1440-1746.2008.05475.x. [DOI] [PubMed] [Google Scholar]
- 20.Yao Z. Q., King E., Prayther D., Yin D., Moorman J. T cell dysfunction by hepatitis C virus core protein involves PD-1/PDL-1 signaling. Viral Immunology. 2007;20(2):276–287. doi: 10.1089/vim.2006.0096. [DOI] [PubMed] [Google Scholar]
- 21.Dawson G. J. The potential role of HCV core antigen testing in diagnosing HCV infection. Antiviral Therapy. 2012;17(7):1431–1435. doi: 10.3851/imp2463. [DOI] [PubMed] [Google Scholar]
- 22.Tillmann H. L. Hepatitis C virus core antigen testing: role in diagnosis, disease monitoring and treatment. World Journal of Gastroenterology. 2014;20(22):6701–6706. doi: 10.3748/wjg.v20.i22.6701. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Kroger C. J., Alexander-Miller M. A. Dose-dependent modulation of CD8 and functional avidity as a result of peptide encounter. Immunology. 2007;122(2):167–178. doi: 10.1111/j.1365-2567.2007.02622.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Hashempour T., Bamdad T., Bergamini A., et al. F protein increases CD4+CD25+ T cell population in patients with chronic hepatitis C. Pathogens and Disease. 2015;73(4) doi: 10.1093/femspd/ftv022. [DOI] [PubMed] [Google Scholar]
- 25.Yue M., Deng X., Zhai X., et al. Th1 and Th2 cytokine profiles induced by hepatitis C virus F protein in peripheral blood mononuclear cells from chronic hepatitis C patients. Immunology Letters. 2013;152(2):89–95. doi: 10.1016/j.imlet.2013.05.002. [DOI] [PubMed] [Google Scholar]
- 26.Chuang W. C.-M., Allain J.-P. Differential reactivity of putative genotype 2 hepatitis C virus F protein between chronic and recovered infections. Journal of General Virology. 2008;89(8):1890–1900. doi: 10.1099/vir.0.83677-0. [DOI] [PubMed] [Google Scholar]
- 27.Komurian-Pradel F., Rajoharison A., Berland J.-L., et al. Antigenic relevance of F protein in chronic hepatitis C virus infection. Hepatology. 2004;40(4):900–909. doi: 10.1002/hep.20406. [DOI] [PubMed] [Google Scholar]
- 28.Kong J., Deng X., Wang Z., Yang J., Zhang Y., Yu J. Hepatitis C virus F protein: a double-edged sword in the potential contribution of chronic inflammation to carcinogenesis. Molecular Medicine Reports. 2009;2(3):461–469. doi: 10.3892/mmr-00000122. [DOI] [PubMed] [Google Scholar]
- 29.Branch A. D., Stump D. D., Gutierrez J. A., Eng F., Walewski J. L. The hepatitis C virus alternate reading frame (ARF) and its family of novel products: the alternate reading frame protein/F-protein, the double-frameshift protein, and others. Seminars in Liver Disease. 2005;25(1):105–117. doi: 10.1055/s-2005-864786. [DOI] [PubMed] [Google Scholar]
- 30.Rispeter K., Lu M., Lechner S., Zibert A., Roggendorf M. Cloning and characterization of a complete open reading frame of the hepatitis C virus genome in only two cDNA fragments. Journal of General Virology. 1997;78, part 11:2751–2759. doi: 10.1099/0022-1317-78-11-2751. [DOI] [PubMed] [Google Scholar]
- 31.Mokhonov V. V., Novikov D. V., Samokhvalov E. I., et al. Genome analysis of hepatitis C virus strain 274933RU isolated in Russian Federation. Voprosy Virusologii. 2002;47(1):9–12. [PubMed] [Google Scholar]
- 32.Petrakova N. V., Kalinina T. I., Khudiakov I., Gazina E. V., Smirnov V. D. Preparation and purification of a polypeptide containing antigenic determinants of hepatitis C core protein. Voprosy Virusologii. 1997;42(5):208–212. [PubMed] [Google Scholar]
- 33.Mihailova M., Fiedler M., Boos M., et al. Preparation of hepatitis C virus structural and non-structural protein fragments and studies of their immunogenicity. Protein Expression and Purification. 2006;50(1):43–48. doi: 10.1016/j.pep.2006.06.011. [DOI] [PubMed] [Google Scholar]
- 34.Isaguliants M. G., Iakimtchouk K., Petrakova N. V., et al. Gene immunization may induce secondary antibodies reacting with DNA. Vaccine. 2004;22(11-12):1576–1585. doi: 10.1016/j.vaccine.2003.09.033. [DOI] [PubMed] [Google Scholar]
- 35.National Research Council (US) Committee for the Update of the Guide for the Care and Use of Laboratory Animals. Guide for the Care and Use of Laboratory Animals. 8th. Washington, DC, USA: National Academies Press; 2011. [PubMed] [Google Scholar]
- 36.Khudyakov Y. E., Fields H. A., Favorov M. O., Khudyakova N. S., Bonafonte M.-T., Holloway B. Synthetic gene for the hepatitis C virus nucleocapsid protein. Nucleic Acids Research. 1993;21(11):2747–2754. doi: 10.1093/nar/21.11.2747. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 37.Wahren B., Hinkula J., Ljungdahl Stahle E., Borrebaeck C. A. K., Schwartz S., Wigzell H. Nucleic acid vaccination with HIV regulatory genes. Annals of the New York Academy of Sciences. 1995;772:278–281. doi: 10.1111/j.1749-6632.1995.tb44759.x. [DOI] [PubMed] [Google Scholar]
- 38.Isaguliants M. G., Nordlund S., Sallberg M., et al. HIV-1 epitopes exposed by hybrid hepatitis B core particles affect proliferation of peripheral blood mononuclear cells from HIV-1 positive donors. Immunology Letters. 1996;52(1):37–44. doi: 10.1016/0165-2478(96)02579-5. [DOI] [PubMed] [Google Scholar]
- 39.Yasui K., Wakita T., Tsukiyama-Kohara K., et al. The native form and maturation process of hepatitis C virus core protein. Journal of Virology. 1998;72(7):6048–6055. doi: 10.1128/jvi.72.7.6048-6055.1998. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Suzuki R., Tamura K., Li J., et al. Ubiquitin-mediated degradation of hepatitis C virus core protein is regulated by processing at its carboxyl terminus. Virology. 2001;280(2):301–309. doi: 10.1006/viro.2000.0785. [DOI] [PubMed] [Google Scholar]
- 41.Vassilaki N., Mavromara P. The HCV ARFP/F/Core+1 protein: production and functional analysis of an unconventional viral product. IUBMB Life. 2009;61(7):739–752. doi: 10.1002/iub.201. [DOI] [PubMed] [Google Scholar]
- 42.Baril M., Brakier-Gingras L. Translation of the F protein of hepatitis C virus is initiated at a non-AUG codon in a +1 reading frame relative to the polyprotein. Nucleic Acids Research. 2005;33(5):1474–1486. doi: 10.1093/nar/gki292. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43.Boulant S., Becchi M., Penin F., Lavergne J.-P. Unusual multiple recoding events leading to alternative forms of hepatitis C virus core protein from genotype 1b. The Journal of Biological Chemistry. 2003;278(46):45785–45792. doi: 10.1074/jbc.m307174200. [DOI] [PubMed] [Google Scholar]
- 44.Boumlic A., Nominé Y., Charbonnier S., et al. Prevalence of intrinsic disorder in the hepatitis C virus ARFP/Core+1/S protein. FEBS Journal. 2010;277(3):774–789. doi: 10.1111/j.1742-4658.2009.07527.x. [DOI] [PubMed] [Google Scholar]
- 45.Vassilaki N., Mavromara P. Two alternative translation mechanisms are responsible for the expression of the HCV ARFP/F/core+1 coding open reading frame. The Journal of Biological Chemistry. 2003;278(42):40503–40513. doi: 10.1074/jbc.m305504200. [DOI] [PubMed] [Google Scholar]
- 46.Li H.-C., Ma H.-C., Yang C.-H., Lo S.-Y. Production and pathogenicity of hepatitis C virus core gene products. World Journal of Gastroenterology. 2014;20(23):7104–7122. doi: 10.3748/wjg.v20.i23.7104. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47.Varaklioti A., Vassilaki N., Georgopoulou U., Mavromara P. Alternate translation occurs within the core coding region of the hepatitis C viral genome. Journal of Biological Chemistry. 2002;277(20):17713–17721. doi: 10.1074/jbc.m201722200. [DOI] [PubMed] [Google Scholar]
- 48.Xu Z., Choi J., Yen T. S. B., et al. Synthesis of a novel hepatitis C virus protein by ribosomal frameshift. The EMBO Journal. 2001;20(14):3840–3848. doi: 10.1093/emboj/20.14.3840. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Barban V., Fraysse-Corgier S., Paranhos-Baccala G., et al. Identification of a human epitope in hepatitis C virus (HCV) core protein using a molecularly cloned antibody repertoire from a non-symptomatic, anti-HCV-positive patient. Journal of General Virology. 2000;81(2):461–469. doi: 10.1099/0022-1317-81-2-461. [DOI] [PubMed] [Google Scholar]
- 50.Sällberg M., Rudén U., Wahren B., Magnius L. O. Immune response to a single peptide containing an immunodominant region of hepatitis C virus core protein: the isotypes and the recognition site. Immunology Letters. 1992;33(1):27–33. doi: 10.1016/0165-2478(92)90089-7. [DOI] [PubMed] [Google Scholar]
- 51.Baghbani-arani F., Roohvand F., Aghasadeghi M. R., et al. Expression and characterization of Escherichia coli derived hepatitis C virus ARFP/F protein. Journal of Molekuliarnaia Biologiia. 2012;46(2):251–259. [PubMed] [Google Scholar]
- 52.Bain C., Parroche P., Lavergne J. P., et al. Memory T-cell-mediated immune responses specific to an alternative core protein in hepatitis C virus infection. Journal of Virology. 2004;78(19):10460–10469. doi: 10.1128/JVI.78.19.10460-10469.2004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 53.Gao D.-Y., Zhang X.-X., Hou G., et al. Assessment of specific antibodies to F protein in serum samples from Chinese hepatitis C patients treated with interferon plus ribavarin. Journal of Clinical Microbiology. 2008;46(11):3746–3751. doi: 10.1128/jcm.00612-08. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 54.Qureshi H., Qazi R., Hamid S., Qureshi S. A. Identification of immunogenic regions within the alternative reading frame protein of hepatitis C virus (genotype 3) European Journal of Clinical Microbiology and Infectious Diseases. 2011;30(9):1075–1083. doi: 10.1007/s10096-011-1194-1. [DOI] [PubMed] [Google Scholar]
- 55.Shesheer K. M., Venkateswara R. K., Mohammed H. C., Reddy V. D. Expression of alternate reading frame protein (F1) of hepatitis C virus in Escherichia coli and detection of antibodies for F1 in Indian patients. Infection, Genetics and Evolution. 2008;8(3):374–377. doi: 10.1016/j.meegid.2007.12.008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 56.Mondelli M. U., Cerino A., Bono F., et al. Hepatitis C virus (HCV) core serotypes in chronic HCV infection. Journal of Clinical Microbiology. 1994;32(10):2523–2527. doi: 10.1128/jcm.32.10.2523-2527.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 57.Pujol F. H., Khudyakov Y. E., Devesa M., et al. Characterization of the antibody reactivity to synthetic peptides from different parts of the hepatitis C virus genome. Viral Immunology. 1996;9(2):89–96. doi: 10.1089/vim.1996.9.89. [DOI] [PubMed] [Google Scholar]
- 58.Siemoneit K., da Silva Cardoso M., Wölpl A., et al. Isotype-specific immune response to a single hepatitis C virus core epitope defined by a human monoclonal antibody: diagnostic value and correlation to PCR. Annals of Hematology. 1994;69(3):129–133. doi: 10.1007/bf01695693. [DOI] [PubMed] [Google Scholar]
- 59.Walewski J. L., Keller T. R., Stump D. D., Branch A. D. Evidence for a new hepatitis C virus antigen encoded in an overlapping reading frame. RNA. 2001;7(5):710–721. doi: 10.1017/S1355838201010111. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 60.Harase I., Moriyama T., Kaneko T., et al. Immune response to hepatitis C virus core protein in mice. Immunology and Cell Biology. 1995;73(4):346–352. doi: 10.1038/icb.1995.53. [DOI] [PubMed] [Google Scholar]
- 61.Kakimi K., Kuribayashi K., Iwashiro M., et al. Hepatitis C virus core region: helper T cell epitopes recognized by BALB/c and C57BL/6 mice. Journal of General Virology. 1995;76(5):1205–1214. doi: 10.1099/0022-1317-76-5-1205. [DOI] [PubMed] [Google Scholar]
- 62.Shehat M. G., Bahey-El-Din M., Kassem M. A., Farghaly F. A., Abdul-Rahman M. H., Fanaki N. H. Recombinant expression of the alternate reading frame protein (ARFP) of hepatitis C virus genotype 4a (HCV-4a) and detection of ARFP and anti-ARFP antibodies in HCV-infected patients. Archives of Virology. 2015;160(8):1939–1952. doi: 10.1007/s00705-015-2465-4. [DOI] [PubMed] [Google Scholar]
- 63.Skums P., Bunimovich L., Khudyakov Y. Antigenic cooperation among intrahost HCV variants organized into a complex network of cross-immunoreactivity. Proceedings of the National Academy of Sciences of the United States of America. 2015;112(21):6653–6658. doi: 10.1073/pnas.1422942112. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 64.Ivanov A. V., Smirnova O. A., Petrushanko I. Y., et al. HCV core protein uses multiple mechanisms to induce oxidative stress in human hepatoma huh7 cells. Viruses. 2015;7(6):2745–2770. doi: 10.3390/v7062745. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 65.Fisher R. I., Bostick-Bruton F. Depressed T cell proliferative responses in Hodgkin's disease: role of monocyte-mediated suppression via prostaglandins and hydrogen peroxide. Journal of Immunology. 1982;129(4):1770–1774. [PubMed] [Google Scholar]
- 66.Nathan C., Cunningham-Bussel A. Beyond oxidative stress: an immunologist's guide to reactive oxygen species. Nature Reviews Immunology. 2013;13(5):349–361. doi: 10.1038/nri3423. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 67.Yang Y., Bazhin A. V., Werner J., Karakhanova S. Reactive oxygen species in the immune system. International Reviews of Immunology. 2013;32(3):249–270. doi: 10.3109/08830185.2012.755176. [DOI] [PubMed] [Google Scholar]
- 68.Cachat J., Deffert C., Hugues S., Krause K. Phagocyte NADPH oxidase and specific immunity. Clinical Science. 2015;128(10):635–648. doi: 10.1042/CS20140635. [DOI] [PubMed] [Google Scholar]
- 69.Reiche S., Nestler C., Sieg M., et al. Hepatitis C virus (HCV)-specific memory B-cell responses in transiently and chronically infected HIV positive individuals. Journal of Clinical Virology. 2014;59(4):218–222. doi: 10.1016/j.jcv.2014.01.023. [DOI] [PubMed] [Google Scholar]
- 70.Ward S., Lauer G., Isba R., Walker B., Klenerman P. Cellular immune responses against hepatitis C virus: the evidence base 2002. Clinical and Experimental Immunology. 2002;128(2):195–203. doi: 10.1046/j.1365-2249.2002.01840.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 71.Claassen M. A. A., Janssena H. L. A., Boonstra A. Role of T cell immunity in hepatitis C virus infections. Current Opinion in Virology. 2013;3(4):461–467. doi: 10.1016/j.coviro.2013.05.006. [DOI] [PubMed] [Google Scholar]
- 72.Sillanpää M., Melén K., Porkka P., et al. Hepatitis C virus core, NS3, NS4B and NS5A are the major immunogenic proteins in humoral immunity in chronic HCV infection. Virology Journal. 2009;6, article 84 doi: 10.1186/1743-422x-6-84. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 73.Alvarez-Lajonchere L., Shoukry N. H., Grá B., et al. Immunogenicity of CIGB-230, a therapeutic DNA vaccine preparation, in HCV-chronically infected individuals in a Phase i clinical trial. Journal of Viral Hepatitis. 2009;16(3):156–167. doi: 10.1111/j.1365-2893.2008.01058.x. [DOI] [PubMed] [Google Scholar]
- 74.Lechmann M., Liang T. J. Vaccine development for hepatitis C. Seminars in Liver Disease. 2000;20(2):211–226. doi: 10.1055/s-2000-9947. [DOI] [PubMed] [Google Scholar]
- 75.Zhu W., Wu C., Deng W., et al. Inhibition of the HCV core protein on the immune response to HBV surface antigen and on HBV gene expression and replication in vivo. PLoS ONE. 2012;7(9) doi: 10.1371/journal.pone.0045146.e45146 [DOI] [PMC free article] [PubMed] [Google Scholar]
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