5 th <strong>European</strong> <strong>Congress</strong> <strong>of</strong> <strong>Virology</strong>the whole human exome sequence <strong>of</strong> patients who were severely infectedwith influenza during the pandemic that did not have severe comorbidities.Through this approach we have identified potential SNP variantsthat may affect susceptibility to influenza infection. We have used RNAiscreening in A549 cells to knockdown genes where SNP variants havebeen identified, followed by infection with influenza to validate this datain vitro. To gain more insight into the effect <strong>of</strong> these variants we have alsocompared influenza infection <strong>of</strong> human lymphoblastoid cell lines, whichhave either the ‘reference/wild type’ genotype or the SNP variant identifiedin our exome analysis associated with severe influenza. The results <strong>of</strong>this powerful strategy to identify host factors that affect the outcome <strong>of</strong>influenza infections will be discussed.REF O107Characterization <strong>of</strong> one novel interferon stimulated gene participatingin the type I interferon block to HIV 1 infectionCaroline GOUJON 1 , Olivier MONCORGÉ 2 , Christopher WARD 1 ,Tomas DOYLE 1 , Hélène BAUBY 1 , Stéphane HUÉ 3 , WendyS. BARCLAY 2 , Reiner SCHULTZ 4 , Michael H. MALIM 11 Department <strong>of</strong> Infectious Diseases, King’s College London, London,UNITED KINGDOM; 2 Division <strong>of</strong> Infectious Diseases, Imperial CollegeLondon, London, UNITED KINGDOM; 3 Department <strong>of</strong> Infection, UniversityCollege London, London, UNITED KINGDOM; 4 Department <strong>of</strong>Medical & Molecular Genetics, King’s College London, London, UNITEDKINGDOMType I interferon (IFN) induces a potent block to the early steps <strong>of</strong> HIV1 infection in some cell types, including primary CD4+ T cells, macrophages,THP 1 and U87 MG cells. We have previously shown that othercell types, such as T cell lines, were unable to block HIV 1 infection followingIFN stimulation despite normal IFN responsiveness. Consequently,we used a comparative transcriptomic analysis in permissive versus restrictivecells following IFN treatment to generate a list <strong>of</strong> interferon stimulatedgenes (ISGs) with potential anti HIV 1 activity. We screened a series <strong>of</strong> candidateISGs using a lenviral vector containing an antisense and inducibleexpression cassette.The overexpression in U87 MG cells <strong>of</strong> one <strong>of</strong> these ISGs, previously notknown to be anti viral, conferred a potent block to HIV 1 infection (up to10 50 fold decrease in infection efficiency). The block was observed withseveral strains <strong>of</strong> HIV 1, and both with wild type and VSV G pseudotypedviruses. This gene was highly induced by type 1 IFN in primary cells as wellas U87 MG and THP 1 cells, but its expression was almost undetectablein T cell lines. Importantly, the silencing <strong>of</strong> this gene partially rescuedthe IFN induced block to HIV 1 infection, both in U87 MG and THP 1cells (7 10 fold rescue out <strong>of</strong> 35 50 fold decrease in infection with IFN).Ongoing efforts include determining the range <strong>of</strong> anti viral specificity<strong>of</strong> this ISG and identifying the specific step at which it blocks HIV 1infection.Taken together, we have identified one new and potent effector <strong>of</strong> the typeI IFN response against HIV 1.Vi<strong>rologie</strong>, Vol 17, supplément 2, septembre 2013S85
5 th <strong>European</strong> <strong>Congress</strong> <strong>of</strong> <strong>Virology</strong>Friday 13 th September 2013, 15h00 – 17h15WORKSHOP 9: “ANTIVIRAL THERAPY ANDRESISTANCE TO CHRONIC VIRAL INFECTION”KEYNOTE:Chairpersons: Henri AGUT (Paris, France)& Christine C. GINOCCHIO (Lake Success, USA)AmphitheaterCell-cell transmission governs spread and immune escape <strong>of</strong> HIV-1Alexandra TRKOLAInstitute <strong>of</strong> Medical <strong>Virology</strong>, University <strong>of</strong> Zurich, SWITZERLANDHIV enters and infects cells via two distinct routes either as cell-free virionor via cell-to cell transmission. While dependency on primary and coreceptorare identical in both pathways, cell-cell transmission is distinctivelymore effective than free virus infection in vitro. To what extent this reflectson the relative importance <strong>of</strong> the cell-cell transmission mode in naturalinfection has not yet been resolved. Recent findings highlight that, besides<strong>of</strong>fering a more efficacious entry route for HIV, cell-cell transmission providesan essential strategy for the virus to evade the host’s neutralizingantibody response.ORAL COMMUNICATIONSREF O108Simultaneous Hepatitis C virus (HCV) NS3 protease and NS5B polymeraseresistance testing by an alternative error correction 454 deepsequencing pipelineF. Xavier LÓPEZ LABRADOR 1,4 , Karina SALVATIERRA 1 , AmbarGRIJALVA 2 , Elisa MARTRÓ 3,4 , Veronica ORTIZ 2 , AlejandroARTACHO 1 , Nancy LÓPEZ 2 , Ferràn PALERO 1 , John ARCHER 5 ,Marina BERENGUER 6,71 Joint Unit in Genomics and Health, Center for Public Health Research(CSISP)/Institut Cavanilles, University <strong>of</strong> Valencia. Publ, Valencia,SPAIN; 2 Minority Health and Health Disparities International ResearchTraining Program (MHIRT). National Institutes <strong>of</strong> Health/School <strong>of</strong>,Irvine, U.S.A.; 3 Microbiology Service, Hospital Universitari GermansTrias i Pujol, Autonomous University <strong>of</strong> Barcelona, Badalona, SPAIN;4 CIBER ESP (Centro de Investigación Biomédica en Epidemiología ySalud Publica), ISCIII, SPAIN; 5 Faculty <strong>of</strong> Life Sciences, University<strong>of</strong> Manchester, Manchester, UNITED KINGDOM; 6 Hepatology – Livertransplantation Section, Hospital Universitari La Fe, Valencia, SPAIN;7 CIBER EHD (Centro de Investigación Biomédica en Hepatologia yGastroentelogía), ISCIII, SPAIN; 8 Department Medicine, University <strong>of</strong>Valencia, Valencia, SPAINResistance mutations (RAVs) for several specific antivirals against HCV(STAT C) can be detected with deep sequencing to multiplex severalsamples in a single assay and to detect minority variants.Methods: The entire HCV NS3 protease and NS5b polymerase geneswere sequenced by Sanger chemistry in isolates from 60 patients (HCV1b). In ten selected patients, PCR products were cloned and sequenced(average 25 clones per patient/region); and simultaneous analysis <strong>of</strong> theprotease and polymerase was done by deep sequencing multiplexing (454Roche). Deep sequencing was tuned with error filtering algorithms, andmolecular clones as calibrators.Results: Conventional Sanger sequencing detected variations betweenpatients in several NS3 protease and/or NS5B sites, including RAVs(mostly to non nucleosidic inhibitors, NNI). No major resistance mutationsto boceprevir or telaprevir or nucleosidic(NI) NS5B inhibitors weredetected by Sanger, or by clonal sequencing. In contrast, RAVs not detectedby Sanger were detected by cloning, and 454 deep sequencing identifiedall variations found by cloning and also new variant sites, including new“real” and “noisy” RAVs.Conclusions: (I) Sanger sequencing is appropriate to detect major RAVs(mainly to NNI), but the “gold standard” cloning analysis is more sensitive;(II) We developed a multiplexed 454 deep sequencing pipelineallowing for simultaneous analysis <strong>of</strong> the HCV protease and polymerase;(III) Deep sequencing may be useful for detecting RAVs, but appropriateerror filtering algorithms are needed to avoid false positive results.REF O109Experience <strong>of</strong> HCV resistance after 2 years antiproteases clinicalpractice; detection <strong>of</strong> resistance mutations after long period <strong>of</strong> undetectabilityChristophe RAMIERE 1,2,3 , Mary Anne TRABAUD 1 , Vinca ICARD 1 ,Marianne MAYNARD MUET 4 , Fabien ZOULIM 4,2 , PatriceANDRÉ 1,2,3 , Caroline SCHOLTES 1,2,31 Hospices Civils de Lyon, Hôpital de la Croix Rousse, Laboratoire deVi<strong>rologie</strong>, Lyon, FRANCE; 2 Université de Lyon, université Lyon 1, Lyon,FRANCE; 3 Inserm, U1111, Lyon, FRANCE; 4 Hospices Civils de Lyon,Hôpital de la Croix Rousse, Service d’hépatogastroente<strong>rologie</strong>, Lyon,FRANCENS3/4A protease inhibitors were recently approved for treatment <strong>of</strong> HepatitisC Virus (HCV) genotype 1 infection. During clinical trials resistancemutations were selected in patients with treatment failure. Their detectionbefore treatment or when virological breakthrough occur may be importantfor patient follow up and still needs to be explored. We evaluated theuse <strong>of</strong> NS3 genotyping for HCV resistance monitoring after 2 years <strong>of</strong>clinical practice. Resistance genotyping was assessed by sanger populationsequencing <strong>of</strong> the NS3 gene in 116 genotype 1 (half 1a and half 1b)patients upon physician demand.60% <strong>of</strong> the patients were sequenced upon treatement failure, 40% beforetreatment. The majority <strong>of</strong> the patients with resistance associated variants(RAV) were <strong>of</strong> genotype 1a (63%) and only 32% <strong>of</strong> genotype 1b. Repartition<strong>of</strong> the different RAVs will be discussed. Noteworthy RAVs weredetected 3 patients relapsing after completion <strong>of</strong> the whole therapy processand >40 weeks HCV RNA below quantification threshold. One livertransplanted patient relapsed with a low level A156S detected, althoughHCV RNA was undetectable after triple therapy on the transplantation day.Real life is in accordance with data observed in clinical trials regarding thehigher rate <strong>of</strong> selection <strong>of</strong> resistance with linear antiproteases for patientsinfected with subtype 1a versus 1b.Particular cases suggest the existence <strong>of</strong> reservoirs that may currently notbe reached with sufficient concentration by current treatments. HCV canreplicate in these sanctuary sites without contributing to plasma viral loads.REF O110Mutagenesis <strong>of</strong> HIV 1 reverse transcriptase ribonuclease H domaindefines residues contributing to ribonuclease H activity inhibition bydiketo acidsAngela CORONA 1 , Francesco Saverio DI LEVA 2 , FrancescaESPOSITO 1 , Roberto DI SANTO 3 , Roberta COSTI 3 , LucaPESCATORI 3 , Sandro COSCONATI 4 , Ettore NOVELLINO 5 , EnzoTRAMONTANO 11 Department <strong>of</strong> Life and Environmental Sciences, University <strong>of</strong> Cagliari,Cagliari, ITALY; 2 Department <strong>of</strong> Drug Discovery and Development, IstitutoItaliano di Tecnologia, Genoa, ITALY; 3 Istituto Pasteur FondazioneCenci Bolognetti, Dipartimento di Chimica e Tecnologie del Farmaco,“Sapienza” Università di Roma, Roma, ITALY; 4 DiSTABiF, Seconda Universitàdi Napoli, Caserta, ITALY; 5 Dipartimento di Farmacia, Universitàdegli Studi di Napoli “Federico II”, Napoli, ITALYS86 Vi<strong>rologie</strong>, Vol 17, supplément 2, septembre 2013