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Trends for genetic variation of Hepatitis C Virus quasispecies in Human Immunodeficiency virus-1 coinfected patients
Authors:López-Labrador F Xavier  Dove Lorna  Hui Chee-Kin  Phung Yume  Kim Michael  Berenguer Marina  Wright Teresa L
Affiliation:

aPublic Health Department, Generalitat Valenciana and Evolutionary Genetics Unit, Institut Cavanilles de Biodiversitat i Biologia Evolutiva, University of Valencia, Apt. Of. 2085, E-46071 Valencia, Spain

bCIBER-ESP (Network Center for Biomedical Research in Epidemiology and Public Health), Spain

cCentre for Liver Disease & Transplant, Columbia University College of Physicians and Surgeons, 630 West 168th Street, New York, NY 10032, United States

dGI unit, San Francisco Veterans Administration Medical Center 111B and Department of Medicine, University of California San Francisco, 4150 Clement Street, San Francisco, CA 94121, USA

eHepatogastroenterology Service, Hospital Universitari La Fe, Av. Campanar 21, 46009 Valencia, Spain

fCIBER-EHD (Network Center for Biomedical Research in Hepatic and Digestive Diseases), Spain

Abstract:Chronic infection by Hepatitis C Virus (HCV) causes liver fibrosis, which is accelerated by unknown mechanisms in patients with HIV-1 coinfection. The evolution of HCV quasispecies in this setting of coinfection is not fully understood. To compare HCV quasispecies between HIV–HCV coinfection and HCV monoinfection, we sequenced 340 HCV clones from the HVR-1 and NS3 regions at two different time points in two groups of treatment-naïve patients with HCV-1a infection: (1) HIV–HCV positive (n = 6); and (2) HIV negative–HCV positive (n = 3). In HCV/HIV coinfection, we found a trend for reduced HCV genetic complexity and diversity, and a trend towards reduced dN/dS ratios in the HVR-1 region, especially in those patients with CD4 < 200 cells/mm3, who lost positive selective immune pressure in the HVR-1 region. Differences in immune regulation of HCV quasispecies in HIV coinfected individuals deserve further exploration to clarify the different outcomes of chronic hepatitis C noted between the immunocompromised and the immunocompetent host.
Keywords:Immune pressure   Coinfection   AIDS   Envelope   NS3   CD4 counts
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