Abstract
Background:
Hepatitis C virus (HCV) infection is one of the most prevalent infectious diseases responsible for high morbidity and mortality worldwide. Therefore, designing new and effective therapeutics is of great importance. The aim of the current study was to construct a DNA vaccine containing structural proteins of HCV and evaluation of its expression in a eukaryotic system.
Methods:
Structural proteins of HCV (core, E1, and E2) were isolated and amplified from JFH strain of HCV genotype 2a using PCR method. The PCR product was cloned into pCDNA3.1 (+) vector and finally were confirmed by restriction enzyme analysis and sequencing methods. The eukaryotic expression of the vector was confirmed by RT-PCR.
Results:
A recombinant vector containing 2241bp fragment of HCV structural genes was constructed. The desired plasmid was sequenced and corresponded to 100% identity with the submitted sequences in GenBank. RT-PCR results indicated that the recombinant plasmid could be expressed efficiently in the eukaryotic expression system.
Conclusion:
Successful cloning of structural viral genes in pCDNA3.1 (+) vector and their expression in the eukaryotic expression system facilitates the development of new DNA vaccines against HCV. A DNA vaccine encoding core-E1-E2 antigens was designed. The desired expression vector can be used for further attempts in the development of vaccines.
Key Words: HCV, Structural proteins, DNA Vaccine
Introduction
Hepatitis C virus (HCV) is a small enveloped, positive-sense single-stranded RNA virus that belongs to Flaviviridae family (1). The HCV genome is 9600 nucleotide bases in length. The positive-sense RNA genome is translated into a single polyprotein then processed by cellular and viral proteases into three structural proteins (core, E1 and E2) and seven nonstructural (NS) proteins (p7, NS2, NS3, NS4A, NS4B, NS5A and NS5B). Core protein is located at the N terminus of the polyprotein and is followed by E1 and E2 proteins (2, 3).
It is estimated that more than 170 million people globally (3% of the world's population) are persistently infected with HCV infection (4). HCV causes severe liver disease that is a serious common health problem. It slowly affects the liver and causes few symptoms that eventually results in cirrhosis or liver cancer. HCV is a blood borne virus transmitted through direct blood-to- blood contacts between humans. Injecting drug users, recipients of blood products, healthcare staff, and patients undergoing haemodialisis are at an increased risk (5).
Administration of pegylated IFN-α and ribavirin are standard therapies for the treatment of HCV infection. However, IFN therapy has side effects in many patients such as headache, fever, severe depression, myalgia, arthralgia, and hemolytic anemia and in many infected people the only way to save a patient's life is liver transplantation that is very costly and risky. Therefore, development of a new treatment and vaccine is urgently needed.
HCV has 7 genotypes that differ in global prevalence and responses to treatment. Genotypes 1, 2 and 3 have a worldwide distribution. They differ by 31%–34% in their nucleotide sequence and by about 30% in their amino acid sequence. This diversity is mostly related to low fidelity of the viral RNA-dependent RNA polymerase. Currently an effective vaccine against HCV has not yet been developed. In order to control HCV, an ideal vaccine should be able to stimulate cellular and humoral immune responses (6, 7). Diversity of the HCV genome is a major obstacle in vaccine development and may be greater when chronic infection is occurred. E1–E2 complex is expressed on the surface of the HCV particle and once viral particles reach the liver, they attach to receptors on the surface of hepatocells. C or core, and envelope proteins E1 and E2, are three structural proteins with core protein being the most conserved one among various HCV genotypes. Core protein is a multifunctional protein with different properties (8-12). There is a relationship between the presence of neutralizing antibodies and the elimination of acute HCV infection. Therefore, induction of broadly neutralizing antibodies usually targeting the viral surface antigen could be a useful approach to minimize the infection (13).
The aim of the present study was to isolate core-E1-E2 genes from JFH1 strain of HCV and construction of a fusion antigen DNA vaccine encoding these antigens. JFH1 strain is a unique strain with propagating capability in Huh7.5 cell line. This strain has frequently been used for drug and vaccine studies (14, 15). In the current study, the genes encoding core-E1-E2 were isolated and inserted into the pcDNA3.1(+) plasmid and the constructed plasmid pcDNA3.1(+)/core -E1- E2 was transfected into Huh7.5 cells by calcium phosphate transfection method; this is a simple way to introduce extracellular DNA to eukaryotic cells. In this method, DNA reacts with calcium ions which then deposits on the cell surface. Finally extracellular DNA enters into the cell by endocytosis or pinocytosis. Benefits of this method can be routinely used for different types of cells and resistant to intracellular and serum nucleases (16, 17). Finally the HCV core -E1- E2 RNA production was detected by RT-PCR method.
Materials and Methods
Polymerase chain amplification of core-E1-E2 genes
Primers for amplifying core-E1-E2 genes of JFH1 strain were designed using Gene Runner (Version 3.05, Hastings Software Inc.) software. Two specific primers, 5´- ATCGTAAGCTTACCATGGGGAGCACAA ATCCTAAACC-3´as a forward primer and 5´- AATGCGGATCCCTACTGGCCCAACAAGATGA-3´as a reverse primer were used for PCR amplification of core-E1-E2 genes. Forward primer included Kozak consensus sequence to enhance mammalian expression and HindIII restriction sites. Reverse primer had a stop codon and BamHI restriction sites. Italic, bold and underlined letters indicate Kozak sequence, stop codon and restriction sites, respectively. PCR was performed for 40 cycles as follows: initial denaturation at 95 °C for 5 min, denaturation at 95 °C for 1 min, annealing at 58 °C for 1 min, and extension at 72 °C for 1 min and was ended with the final extension of 10 min at 72 °C. PCR mixture consisted of 100 ng DNA, 5 pmol of each primer, 0.2 mM dNTPs, 1 unit Taq DNA polymerase (CinnaGen, Iran), 1.5 mM MgCl2, 2.5 µl of 10x PCR buffer, 17.3 µl double distilled water in total volume of 25 µl. PCR product was visualized on 1% agarose gel by Green viewer staining (ParsTous, Iran) and UV transilluminator.
Cloning of core-E1-E2 genes into eukaryotic expression vector
Amplified genes along with pcDNA 3.1(+) vector underwent double digestion with a similar pair of restriction enzymes BamHI and HindIII (Fermentas, Germany). In separate sterile tubes 100 ng of core-E1-E2 PCR product and100 ng of pcDNA 3.1(+) were added into mixture containing 5 µl of 10x buffer, 2 IU HindIII enzyme, 2 IU BamHI enzyme and 16µl double distilled water (DDW) were mixed gently. The reaction tube was incubated at 37 °C for 24 h. Digested products of core-E1-E2 gene and pCDNA 3.1(+) was loaded on 1% agarose gel. Specific bands were excited and extracted from gel by using DNA extraction kit in accordance with the manufacture’s recommendations (Bioneer, South Korea). pCDNA 3.1(+) and core-E1-E2 gene were ligated at 16 °C overnight under the reaction mixture as follows: 2 IU T4 DNA ligase, 1.5 µl 10 x buffer, 25 ng digested pCDNA 3.1(+), 75 ng digested core-E1-E2 PCR product, 1 µl PEG. E. coli strain JM109 was transformed by the ligation product using heat shock procedure as descried previously (16). Transformed E. coli with chimeric pCDNA 3.1(+) vector was able to grow in presence of ampicillin 100 mM/ml antibiotic in a selection procedure. Double digestion and sequencing were performed to confirm accurate cloning.
Cell culture and transfection
Huh7.5 cell line was used for the expression of structural HCV antigens. Huh7.5 cells were cultured in Dulbecco's modified Eagle's medium (DMEM) (Invitrogen, USA) supplemented with 10% fetal calf serum (FCS), 100U of penicillin per ml, 100μg of streptomycin per ml. The cells were grown at 37 ºC in a 5% CO2 atmosphere. In order to transfect, first 103 cells of Huh7.5 were seeded into 6 well tissue culture microplate and incubated at 37 °C, 5% CO2 until cell confluency reached 85 -90. After that, they were transfected by the calcium phosphate method (18); briefly, 5-20 μg of the vector containing core-E1-E2 genes was sized 225 μl with DDW (19). Twenty five μl of CaCl2 (2.5M) was added to the mixture until the final volume reached 250 μl. Finally, 250 μ1 of HBS buffer (NaCl 140 mM, Na2HPO4 1.5 mM, HEPES 50 mM, pH=7) was added (16, 17). The solution was kept for 20-30 min at room temperature. The prepared mixture was added to Huh7.5 cell culture with 90% confluency. Four to six hours after transfection, cell supernatant medium was replaced with fresh medium. Seventy two hours after transfection, Huh7.5 cells were harvested for RNA isolation and RT-PCR assay procedures.
RNA extraction
RNA extraction procedure was performed on transfected Huh7.5 cells, using RNA X-plus solution (CinnaGen, Iran) according to the manufacturer’s instructions. To remove genomic DNA, extracted RNA was treated with DNaseI (Fermentas, Germany) enzyme. Three µg of RNA was added to 5 units of DNaseI enzyme and 10x buffer in a total volume of 10 μl. The mixture was then incubated at 37 °C for 30 min. For inactivation of DNaseI enzyme, the mixture was incubated at 65 °C for 10 min.
cDNA synthesis and RT-PCR
In order to prepare cDNA, 5 µg of total RNA, 1 µl oligo-dT primer and 3 µl DEPC-treated water were mixed together and the mixture was incubated at 65 °C for 5 min and was chilled on ice and the reagents were added as follows: 5x RT buffer, 2 u of RNase inhibitor, 1 mM dNTP Mix, 2u Thermo-resistance RT enzyme (Parstous, Iran). Synthesis procedure was performed by Applied Biosystems thermo cycler using pre-set program (25 °C, 10 min; 47 °C, 60 min and 70 °C, 10 min). Synthetic cDNA was further used in the PCR method. PCR mixture contained 1 ng recombinant plasmid, 5 pmol Forward primer and Reverse primer (specific for core region and partially of E1) each of them 1 µl, 0.5 µl of 0.2 mM dNTP, 0.2 µl of Taq DNA polymerase (CinnaGen, Iran), 1.5 µl of 1.5 mM Mgcl2, 2.5 µl of 10x PCR buffer, 17.3 µl DDW in a total volume of 25 µl.
Results
Primers were designed based upon published sequence of JFH1 in Genbank and were used to amplify the fragment of the genes corresponding to 2241bp core-E1-E1 fragment (Figure1). The accuracy of the constructed plasmid was confirmed by restriction enzyme digestion (Figure2) and sequencing of the insert. Sequencing data was analyzed with DNAMAN (Lynnon Biosoft version 5.2) and BLAST (www.blast.ncbi. nlm.nih.gov) softwares and no inconsistency was observed. Multiplicity and transcription of chimeric plasmid was confirmed in vitro by using RT-PCR (Figure 3). Using calcium phosphate method, core-E1-E2 antigens were successfully expressed in Huh7.5 cell line.
Fig. 1.

Agarose gel electrophoresis of coreE1-E2 PCR product. Lane 1, 2: a 224 bp PCR product; Lane 3: 1kb DNA size marker (Fermentas, Germany
Fig. 2.

Double digestion of recombinant vector by BamHI and HindIII restriction enzymes that lead to excision of core-E1-E2 fusion gene. Lane 1: digested vector and core-E1-E2 fusion fragment; Lane 2: recombinant vector linearized by BamHI; Lane M: 1kb DNA size marker (Fermentas, Germany
Fig. 3.

Detection of core-E1-E2 mRNA in transfected and non-transfected Huh- 7.5 cells by RT-PCR analysis. RTPCR analysis using specific primers designated for N-terminal region of fragment showed negative results in non- transfected cells (lane3) and a band with a size of approximately 950bp in transfected cells with recombinant vector (lanes 1,2). Lane M: 1kb DNA size marker
Discussion
During the last decade, multiple vaccines against HCV have been evaluated on animal models but only some of them reached the clinical trial stages. Lack of an appropriate animal model and an efficient cell culture system in the laboratory are the major obstacles in vaccine development against HCV. Humans and chimpanzee are the only species susceptible to HCV infection. However, not to mention ethical issues, studies performed using them are very costly. As a result, these obstacles have prevented the development of an effective vaccine against HCV (20-22).
Approximately 20% of people with acute infection will spontaneously clear the infection. It seems that multiple components of the immune system, both innate and adaptive, play a key role in this process. Host immune system is naturally able to combat HCV virus and designing an effective vaccine that induces and motivates similar responses is a realistic goal (23-26). Production of more specific and mount of strong neutralizing antibodies responses are the hallmark in viral controlling at early stage of the HCV acute infection and can enhance viral clearance by cellular immune responses. Early antibody responses mainly target structural antigens (core, E2, E1). Thus, development of an effective vaccine containing these antigens could be of usage. In recent studies, core, E1 and E2 antigens have been regarded as an attractive candidate for vaccine development. These envelope proteins are variable across HCV genotypes. There are conserved neutralizing epitopes in E1 and E2 (27, 28).
Among different proteins derived from HCV, core protein is the most conserved antigen across various HCV genotypes and trigger immune responses to a broad range of virus variants (29, 30). Core protein has main role in protecting of HCV genomic RNA and recent researches highlighted modulatory aspects of it. Core antigen of HCV has potent immunomodulatory functions. Core antigen binds to gC1qR on T cells which leads to deregulation and suppression of CD8+ T cells so anti-core antibody can nullify its negative effects (31). HCV core protein has played experimentally a role in nucleocapsid formation modulating host-cell gene transcription, cell proliferation, cell death and cell signaling, lipid metabolism, and host immune responses. The core protein is highly conserved between various genotypes of HCV and is a target for designing DNA vaccine. However, mice immunized with the HCV core DNA vaccine alone showed no significant antibody responses (32).
E1 and E2 are viral envelope glycoproteins embedded in the lipid envelope and serves as a target for neutralizing antibodies. These antigens are variable among HCV genotypes and are able to induce the production of neutralizing antibodies. Neutralizing antibodies to one HCV strain typically are not effective to other strains but new studies identified conserved neutralizing epitopes in E1 and E2 (33, 34). E2 is a key protein in invading the liver cells because E2 binds to the CD81 receptor on the liver cells (35, 36). Binding site of E2 is conserved among different strains of HCV. These findings can pave the way for designing new HCV vaccines which will enhance the production of neutralizing antibodies effective against a wide range of viral strains. In order to enhance the humoral immune responses against this nonsecreted viral protein some cytokine genes such as GM-CSF, IL-2, or IL-4 genes was co-administered along with the HCV core DNA (37, 38). The first DNA vaccine was introduced in 2001. DNA vaccine is a plasmid containing gene of interest that could replicate in the host cells and results in protein expression in-vivo and subsequently induce and trigger host immune responses. Compared with conventional vaccines, DNA vaccine have some advantages including easy preparation, motivation wide range of immune responses such as CTL, T helper cell, and antibody responses, stability and no need for cold chain etc. (39, 40). CIGB-230A, a DNA vaccine expressing HCV structural antigens (core/E1/E2) is the first DNA based vaccine against HCV that reached to Phase I clinical trial. Patients with HCV genotype-1 infection that failed PEG-IFN/ribavirin therapy received this vaccine. Nearly 73% of vaccinated subjects exhibited specific T cell proliferative and IFN-gamma secretory response (41). In a Phase I study effectiveness of recombinant E1/E2 adjuvanted with MF59C adjuvant was evaluated. In all healthy vaccinated subjects development of anti-envelope antibodies and T-cell lymphocyte proliferation responses to E1/E2 was seen (42). In a study, 20 healthy and 34 chronically infected individual received recombinant HCV-E1 protein in alum adjuvant. In both groups HCV-specific antibody and T-cell responses was detected. Despite the lack of change in the amount of HCV RNA levels improvements in liver histology and reduction of liver inflammation were seen (38, 43, 44). In previous studies recombinant E1/E2 antigens derived from genotype 1a, were administered to guinea pigs and chimpanzees. In vaccinated animals induction protective immune responses and reduction rate of chronicity were observed. These findings indicate that E1/ E2 proteins are protective antigens. In phase I clinical trial safety and immunogenicity of this vaccine in healthy volunteers was examined and production of neutralizing antibodies against all seven genotype were seen but cross neutralization activity of this vaccine was especially against genotypes 1a and 2a and efficiencies of it differed among all genotypes. Direct injection of DNA opened new way to introduce various antigens to immune system. This discovery has been successfully used to generate protective immunity against some life-threating disease such as influenza virus, rabies virus, bovine herpes virus 1.DNA vaccine is able to stimulate CTL responses and antibody production (45).
The DNA vaccines expressing structural antigens of HCV provide a basis for future experimental studies. Currently structural antigens of some virus such as HPV, HBV and HCV have been used in making virus like particles (VLPs) that is a new strategy in vaccine. DNA vaccine and other strategies in the field of vaccine development need more research that is underway (46, 47).
In the present study, core -E1-E2 genes were isolated from JFH1 strain of genotype 2a. This plasmid has a eukaryotic cytomegalovirus (CMV) promoter that efficiently regulate the expression of interested genes. Protective and therapeutic properties of this DNA-based vaccine remain to be determined in further studies.
Conclusions
HCV disease is a serious public health problem. Despite many efforts, a reliable vaccine against it has not yet been developed. Based on the result of this study; this construction can be used to further develop a DNA vaccine against HCV infection. Immunological responses can be measured in animal model in future study.
Acknowledgements
This study was financially supported by the Research Council of Mashhad University of Medical Sciences, Mashhad, Iran (Grant No: 910024). The authors declare that there is no conflict of interests.
Conflict of interest
None of the authors have any conflict of interest to disclose.
References
- 1.Shakeri MT, Nomani H, Mobarhan MG, Sima HR, Gerayli S, Shahbazi S, et al. The prevalence of hepatitis C virus in mashhad, iran: a population-based study. Hepatitis Monthly. 2013;13(3) doi: 10.5812/hepatmon.7723. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.David M, Knipe PH. Fields Virology. Sixth ed. Lippincott Williams & Wilkins; 2013. [Google Scholar]
- 3.Meshkat Z, Audsley M, Beyer C, Gowans EJ, Haqshenas G. Reverse genetic analysis of a putative, influenza virus M2 HXXXW-like motif in the p7 protein of hepatitis C virus. J Viral Hepat. 2009;16(3):187–94. doi: 10.1111/j.1365-2893.2008.01064.x. [DOI] [PubMed] [Google Scholar]
- 4.Mohd Hanafiah K, Groeger J, Flaxman AD, Wiersma ST. Global epidemiology of hepatitis C virus infection: new estimates of age-specific antibody to HCV seroprevalence. Hepatology. 2013;57(4):1333–42. doi: 10.1002/hep.26141. [DOI] [PubMed] [Google Scholar]
- 5.Gerald L, Mandell M, John E. Bennett, Raphael Dolin. Principles and Practice of Infectious Diseases. 7 ed 2009. [Google Scholar]
- 6.Roohvand F, Kossari N. Advances in hepatitis C virus vaccines, Part one: Advances in basic knowledge for hepatitis C virus vaccine design. Expert Opin Ther Pat. 2011;21(12):1811–30. doi: 10.1517/13543776.2011.630662. [DOI] [PubMed] [Google Scholar]
- 7.Afshari R, Nomani H, Zaniani FR, Nabavinia MS, Mirbagheri Z, Meshkat M, et al. Genotype distribution of hepatitis C virus in Khorasan Razavi Province, Iran. Turk J Med Sci. 2014;44(4):656–60. doi: 10.3906/sag-1305-64. [DOI] [PubMed] [Google Scholar]
- 8.Cooper S, Erickson AL, Adams EJ, Kansopon J, Weiner AJ, Chien DY, et al. Analysis of a successful immune response against hepatitis C virus. Immunity. 1999;10(4):439–49. doi: 10.1016/s1074-7613(00)80044-8. [DOI] [PubMed] [Google Scholar]
- 9.Deng T, Fan G, Chen T, Chen N, Hu D, Wang M, et al. [Expression and immune response to hepatitis C virus core gene combined hepatitis B virus core gene with two multiple cloning sites vector] Zhonghua Yi Xue Za Zhi. 2002;82(2):77–80. [PubMed] [Google Scholar]
- 10.Ray R, Meyer K, Banerjee A, Basu A, Coates S, Abrignani S, et al. Characterization of antibodies induced by vaccination with hepatitis C virus envelope glycoproteins. J Infect Dis. 2010;202(6):862–6. doi: 10.1086/655902. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Wahid A, Dubuisson J. Virus-neutralizing antibodies to hepatitis C virus. J Viral Hepat. 2013;20(6):369–76. doi: 10.1111/jvh.12094. [DOI] [PubMed] [Google Scholar]
- 12.Yu CI, Chiang BL. A new insight into hepatitis C vaccine development. J Biomed Biotechnol. 2010;2010:548280. doi: 10.1155/2010/548280. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Feinstone SM, Hu DJ, Major ME. Prospects for prophylactic and therapeutic vaccines against hepatitis C virus. Clin Infect Dis. 2012;55 (Suppl 1):S25–32. doi: 10.1093/cid/cis362. [DOI] [PubMed] [Google Scholar]
- 14.Liu S Fau - Xiao L, Xiao L Fau - Nelson C, Nelson C Fau - Hagedorn C, Hagedorn C. A cell culture adapted HCV JFH1 variant that increases viral titers and permits the production of high titer infectious chimeric reporter viruses. PLoS One. 2012;7(9):e44965. doi: 10.1371/journal.pone.0044965. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Komorowski M, Kolakowska A, Godzik P, Godzik P, Madalinski K, Madalinski K. HCV replication in Huh-7.5 cell line. Med Dosw Mikrobiol . 2012;64(3):239–44. [PubMed] [Google Scholar]
- 16.Joseph Sambrook DWR. Molecular Cloning: A Laboratory Manual. 3 rd ed. new york: cold spring harbor; 2001. [Google Scholar]
- 17.Wolff JA, Malone RW, Williams P, Chong W, Acsadi G, Jani A, et al. Direct gene transfer into mouse muscle in vivo. Science. 1990;247(4949 Pt 1):1465–8. doi: 10.1126/science.1690918. [DOI] [PubMed] [Google Scholar]
- 18.Mirshahabi H, Soleimanjahi H, Pourpak Z, Meshkat Z, Hassan ZM. Production of Human Papilloma Virus Type 16 E6 Oncoprotein as a Recombinant Protein in Eukaryotic Cells. Iran J Cancer Prevent. 2012;5(1):16–20. [PMC free article] [PubMed] [Google Scholar]
- 19.Meshkat Z, Mirshahabi H, Soleimanjahi H, Mohamad Hassan Z. Construction a DNA Vaccine Containing Human Papillomavirus Type 16 Early Genes as a Potential Vaccine for Cervical Cancer Prevention and Therapy. Iran J Pathol. 2009;4(2):65–70. [Google Scholar]
- 20.Suzuki T, Aizaki H, Murakami K, Shoji I, Wakita T. Molecular biology of hepatitis C virus. J Gastroenterol. 2007;42(6):411–23. doi: 10.1007/s00535-007-2030-3. [DOI] [PubMed] [Google Scholar]
- 21.Tan S-L. Indianapolis. 2006. Hepatitis C Viruses Genomes and Molecular Biology. [PubMed] [Google Scholar]
- 22.Wang JH, Pianko MJ, Ke X, Herskovic A, Hershow R, Cotler SJ, et al. Characterization of antigenic variants of hepatitis C virus in immune evasion. Virol J. 2011;8:377. doi: 10.1186/1743-422X-8-377. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Lavillette D, Morice Y, Germanidis G, Donot P, Soulier A, Pagkalos E, et al. Human serum facilitates hepatitis C virus infection, and neutralizing responses inversely correlate with viral replication kinetics at the acute phase of hepatitis C virus infection. J Virol. 2005;79(10):6023–34. doi: 10.1128/JVI.79.10.6023-6034.2005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Osburn WO, Fisher BE, Dowd KA, Urban G, Liu L, Ray SC, et al. Spontaneous control of primary hepatitis C virus infection and immunity against persistent reinfection. Gastroenterology. 2010;138(1):315–24. doi: 10.1053/j.gastro.2009.09.017. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Shata MT, Anthony DD, Carlson NL, Andrus L, Brotman B, Tricoche N, et al. Characterization of the immune response against hepatitis C infection in recovered, and chronically infected chimpanzees. J Viral Hepat. 2002;9(6):400–10. doi: 10.1046/j.1365-2893.2002.00373.x. [DOI] [PubMed] [Google Scholar]
- 26.Stoll-Keller F, Barth H, Fafi-Kremer S, Zeisel MB, Baumert TF. Development of hepatitis C virus vaccines: challenges and progress. Expert Rev Vaccines. 2009;8(3):333–45. doi: 10.1586/14760584.8.3.333. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Broering TJ, Garrity KA, Boatright NK, Sloan SE, Sandor F, Thomas WD Jr, et al. Identification and characterization of broadly neutralizing human monoclonal antibodies directed against the E2 envelope glycoprotein of hepatitis C virus. J Virol. 2009;83(23):12473–82. doi: 10.1128/JVI.01138-09. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Dubuisson J. Folding, assembly and subcellular localization of hepatitis C virus glycoproteins. Curr Top Microbiol Immunol. 2000;242:135–48. doi: 10.1007/978-3-642-59605-6_7. [DOI] [PubMed] [Google Scholar]
- 29.Fauvelle C, Lepiller Q, Felmlee DJ, Fofana I, Habersetzer F, Stoll-Keller F, et al. Hepatitis C virus vaccines--progress and perspectives. Microb Pathog. 2013;58:66–72. doi: 10.1016/j.micpath.2013.02.005. [DOI] [PubMed] [Google Scholar]
- 30.Kong L, Giang E, Nieusma T, Kadam RU, Cogburn KE, Hua Y, et al. Hepatitis C virus E2 envelope glycoprotein core structure. Science. 2013;342(6162):1090–4. doi: 10.1126/science.1243876. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Cao J, Chen Z, Ren Y, Luo Y, Cao M, Lu W, et al. Oral immunization with attenuated Salmonella carrying a co-expression plasmid encoding the core and E2 proteins of hepatitis C virus capable of inducing cellular immune responses and neutralizing antibodies in mice. Vaccine. 2011;29(20):3714–23. doi: 10.1016/j.vaccine.2011.02.083. [DOI] [PubMed] [Google Scholar]
- 32.Hartoonian C, Sepehrizadeh Z, Tabatabai Yazdi M, Jang YS, Langroudi L, Amir Kalvanagh P, et al. Enhancement of Immune Responses by Co-delivery of CCL19/MIP-3beta Chemokine Plasmid With HCV Core DNA/Protein Immunization. Hepat Mon. 2014;14(3) doi: 10.5812/hepatmon.14611. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.El-Awady MK, Tabll AA, Atef K, Yousef SS, Omran MH, El-Abd Y, et al. Antibody to E1 peptide of hepatitis C virus genotype 4 inhibits virus binding and entry to HepG2 cells in vitro. World J Gastroenterol. 2006;12(16):2530–5. doi: 10.3748/wjg.v12.i16.2530. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Lavillette D, Pecheur EI, Donot P, Fresquet J, Molle J, Corbau R, et al. Characterization of fusion determinants points to the involvement of three discrete regions of both E1 and E2 glycoproteins in the membrane fusion process of hepatitis C virus. J Virol. 2007;81(16):8752–65. doi: 10.1128/JVI.02642-06. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Burlone ME, Budkowska A. Hepatitis C virus cell entry: role of lipoproteins and cellular receptors. J Gen Virol. 2009;90(Pt 5):1055–70. doi: 10.1099/vir.0.008300-0. [DOI] [PubMed] [Google Scholar]
- 36.Ploss A, Evans MJ. Hepatitis C virus host cell entry. Curr Opin Virol. 2012;2(1):14–9. doi: 10.1016/j.coviro.2011.12.007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 37.Irshad M, Dhar I. Hepatitis C virus core protein: an update on its molecular biology, cellular functions and clinical implications. Med Princ Pract. 2006;15(6):405–16. doi: 10.1159/000095485. [DOI] [PubMed] [Google Scholar]
- 38.Law JL, Chen C, Wong J, Hockman D, Santer DM, Frey SE, et al. A hepatitis C virus (HCV) vaccine comprising envelope glycoproteins gpE1/gpE2 derived from a single isolate elicits broad cross-genotype neutralizing antibodies in humans. PLoS One. 2013;8(3):e59776. doi: 10.1371/journal.pone.0059776. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Gruener NH, Jung MC, Ulsenheimer A, Gerlach JT, Zachoval R, Diepolder HM, et al. Analysis of a successful HCV-specific CD8+ T cell response in patients with recurrent HCV-infection after orthotopic liver transplantation. Liver Transpl. 2004;10(12):1487–96. doi: 10.1002/lt.20300. [DOI] [PubMed] [Google Scholar]
- 40.Halliday J, Klenerman P, Barnes E. Vaccination for hepatitis C virus: closing in on an evasive target. Expert Rev Vaccines. 2011;10(5):659–72. doi: 10.1586/erv.11.55. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41.Alvarez-Lajonchere L, Shoukry NH, Gra B, Amador-Canizares Y, Helle F, Bedard N, et al. Immunogenicity of CIGB-230, a therapeutic DNA vaccine preparation, in HCV-chronically infected individuals in a Phase I clinical trial. J Viral Hepat. 2009;16(3):156–67. doi: 10.1111/j.1365-2893.2008.01058.x. [DOI] [PubMed] [Google Scholar]
- 42.Frey SE, Houghton M, Coates S, Abrignani S, Chien D, Rosa D, et al. Safety and immunogenicity of HCV E1E2 vaccine adjuvanted with MF59 administered to healthy adults. Vaccine. 2010;28(38):6367–73. doi: 10.1016/j.vaccine.2010.06.084. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43.Law M, Maruyama T, Lewis J, Giang E, Tarr AW, Stamataki Z, et al. Broadly neutralizing antibodies protect against hepatitis C virus quasispecies challenge. Nat Med. 2008;14(1):25–7. doi: 10.1038/nm1698. [DOI] [PubMed] [Google Scholar]
- 44.Nevens F, Roskams T, Van Vlierberghe H, Horsmans Y, Sprengers D, Elewaut A, et al. A pilot study of therapeutic vaccination with envelope protein E1 in 35 patients with chronic hepatitis C. Hepatology. 2003;38(5):1289–96. doi: 10.1053/jhep.2003.50474. [DOI] [PubMed] [Google Scholar]
- 45.Papa S, Rinaldi M, Mangia A, Parrella P, Signori E, Lombardi L, et al. Development of a multigenic plasmid vector for HCV DNA immunization. Res Virol. 1998;149(5):315–9. doi: 10.1016/s0923-2516(99)89012-8. [DOI] [PubMed] [Google Scholar]
- 46.Baumert TF, Wellnitz S, Aono S, Satoi J, Herion D, Tilman Gerlach J, et al. Antibodies against hepatitis C virus-like particles and viral clearance in acute and chronic hepatitis C. Hepatology. 2000;32(3):610–7. doi: 10.1053/jhep.2000.9876. [DOI] [PubMed] [Google Scholar]
- 47.Beaumont E, Roingeard P. Prospects for prophylactic hepatitis C vaccines based on virus-like particles. Hum Vaccin Immunother. 2013;9(5):1112–8. doi: 10.4161/hv.23900. [DOI] [PMC free article] [PubMed] [Google Scholar]
