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Progression of fibrosis during chronic hepatitis C is associated with rapid virus evolution.

Progression of fibrosis during chronic hepatitis C is associated with rapid virus evolution. Research Abstract Details 

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  • Progression of fibrosis during chronic hepatitis C is associated with rapid virus evolution. Abstract Text:

    xiao-hong wangXiao-Hong Wang,dale m netskiDale M Netski,jacquie astemborskiJacquie Astemborski,shruti h mehtaShruti H Mehta,michael s torbensonMichael S Torbenson,david l thomasDavid L Thomas,stuart c rayStuart C Ray,

    Hepatic fibrosis is the primary mediator of disease due to chronic infection with hepatitis C virus (HCV). HCV exists as a quasispecies in each infected individual, and longitudinal viral sequence changes may reveal viral dynamics and the selection pressures applied by the host immune system. Thus, we hypothesized that patterns of sequence change might reveal the immunopathogenesis of fibrosis progression. We tested this hypothesis by studying individuals enrolled in a prospective study of chronic HCV-related hepatic fibrosis with little or no fibrosis at first biopsy (stage 0 or 1) and a second planned liver biopsy sample obtained 4 years later. Serum was obtained from five individuals with fast progression (FP; defined as a >2-stage change between visits) and 10 carefully matched individuals with slow progression (SP; defined as a <2-stage change between visits). We sequenced multiple cloned hemigenomic cDNAs from each person spanning six genes (core through NS3). Phylogenetic analysis revealed temporal shifts in phylogenetic clustering over time, suggesting frequent quasispecies replacement rather than simple diversification. In addition, mixed infections were detected in three subjects, with coexistence in two subjects (one FP, one SP) of subtypes 1a and 1b throughout the 4-year biopsy interval. Subjects with FP had a higher rate of evolution than subjects with SP, with a preponderance of synonymous changes, suggesting purifying selection, except in hypervariable region 1, where positive selection pressure is frequently detected. Thus, in a small but carefully matched cohort we found evidence for rapid neutral evolution of HCV in persons with rapid progression of hepatic fibrosis, suggesting higher turnover of infected cells.

    Progression of fibrosis during chronic hepatitis C is associated with rapid virus evolution. Publishing Authors By Initials

    xh wangXH Wang,dm netskiDM Netski,j astemborskiJ Astemborski,sh mehtaSH Mehta,ms torbensonMS Torbenson,dl thomasDL Thomas,sc raySC Ray,

    For similar biological phenomena, cell phenomena, and immunity: biological phenomena: evolution: phylogeny research abstracts see: biological phenomena, cell phenomena, and immunity: biological phenomena: evolution: phylogeny research

    PUBMED ID PMID:

    MEDLINE DATE:

    Progression of fibrosis during chronic hepatitis C is associated with rapid virus evolution. Journal Published:

    PUBLICATION TYPE: Research Support, N.I.H., Extr

    Journal: Journal of virology

    VOLUME: 81

    Page Numbers: 6513-22

    Journal Abbreviation: J. Virol.

    ISSN: 0022-538X

    DAY: 28

    MONTH: 02

    YEAR: 2007

    Progression of fibrosis during chronic hepatitis C is associated with rapid virus evolution. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 113724

    Progression of fibrosis during chronic hepatitis C is associated with rapid virus evolution. Keywords Mesh Terms:

    KEYWORDS: Phylogeny

    MESH TERMS: virology

    Chemical & Substance for Abstract: Progression of fibrosis during chronic hepatitis C is associated with rapid virus evolution. Information

    Substance Name: DNA, Viral

    Registry Number: 0

    Grant and Affiliation Information for Progression of fibrosis during chronic hepatitis C is associated with rapid virus evolution.

    AFFILIATION: Viral Hepatitis Center, Div. of Inf. Dis., Department of Medicine, Johns Hopkins University School of Medicine, 1503 E. Jefferson Street, Suite 114, Baltimore, MD 21231, USA, and Southwest Hospital, Chongqing, People's Republic of China.

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NIDA

    GRANT: R01 DA16078

    ACRONYM: DA

    MEDLINETA: J Virol

    REFSOURCE:

    DATABASENAME:

    ACCESSION NUMBER:

    Number Hits: 0

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