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HEPATOLOGY, VOLUME 62, NUMBER 1 (SUPPL) AASLD ABSTRACTS 697A<br />

hand, iron loss has been reported to trigger PINK1/Parkin-independent<br />

mitophagy. The aim of this study was to determine<br />

whether iron chelation restores mitophagy suppressed by HCV.<br />

Methods: HCV-JFH1 infected cells were treated for 24h with a<br />

final concentration of 1mM deferiprone (DFP), iron chelator.<br />

Transgenic mice expressing the HCV polyprotein were administered<br />

0.075g of DFP dissolved in water through gastric tube<br />

for 2 months. The effect of DFP on mitophagy and mitochondrial<br />

function was examined in vitro and in vivo. Results: As<br />

reported previously, suppressed mitophagy was confirmed in<br />

HCV-JFH1 infected cells. DFP treatment increased the expression<br />

of microtubule-associated protein light chain 3 (LC3)-II and<br />

decreased the expression of p62 in dose-dependent manner,<br />

but did not affect translocation of Parkin to mitochondria in<br />

HCV-JFH1 infected cells. Electron microscopy also revealed<br />

that DFP significantly increased the number of mitophagosomes<br />

in HCV-JFH1 infected cells and liver specimens from transgenic<br />

mice expressing the HCV polyprotein. These results showed<br />

that DFP restored mitophagy suppressed by HCV core protein.<br />

DFP also decreased mitochondrial membrane potential<br />

and reactive oxygen species (ROS) production, but not ATP<br />

production in HCV-JFH1 infected cells. Next, we measured<br />

mitochondrial ferrous iron content, using a highly specific<br />

turn-on fluorescent probe (Ac-MT-FluNox1) that is specific to<br />

labile ferrous iron in mitochondria. Mitochondrial ferrous iron<br />

content was significantly higher in cells with HCV-JFH1 infection<br />

than in those without HCV-JFH1 infection in the absence of<br />

DFP treatment. DFP decreased mitochondrial ferrous iron content<br />

in dose dependent manner regardless of HCV infection.<br />

Conclusion: These results indicated that iron chelation restores<br />

mitophagy suppressed by HCV. The mechanisms underlying<br />

mitophagy induced by iron chelation remains to be unknown,<br />

but decrease in mitochondrial ferrous iron and disrupted mitochondrial<br />

function may be critical for inducing mitophagy.<br />

Disclosures:<br />

The following authors have nothing to disclose: Yuichi Hara, Sohji Nishina,<br />

Tasuku Hirayama, Hideko Nagasawa, Keisuke Hino<br />

996<br />

Cell-specific peripheral innate immune responses to<br />

immunomodulatory stimulation in chronic HCV<br />

Jacinta A. Holmes 1,2 , Narelle A. Skinner 2 , Mario Congiu 2 , Rosemary<br />

M. Millen 2 , Lijia Yu 2 , William Sievert 3 , Paul V. Desmond 1 ,<br />

Kumar Visvanathan 2 , Alex J. Thompson 1,2 ; 1 Gastroenterology, St<br />

Vincent’s Hospital, Fitzroy, VIC, Australia; 2 Immunology Research<br />

Centre, St Vincent’s Hospital, Melbourne, VIC, Australia; 3 Gastroenterology,<br />

Monash Health, Monash University, Melbourne, VIC,<br />

Australia<br />

INTRODUCTION: Our preliminary data showed chronic HCV<br />

(CHC) patients (pts) who achieve SVR have potent and early<br />

immune responses, with chemokine, cytokine and interferon-stimulated<br />

gene (ISG) induction. The pattern is similar in CC<br />

IFNL3 genotype (gt) pts. There are no data regarding which<br />

cell types contribute most to immunomodulatory responses or<br />

which immune pathways are important in CHC. We hypothesised<br />

monocytes (MC) would display the greatest induction<br />

of ISGs post-stimulation, particularly in CC pts, and viral sensing<br />

TLR pathways would generate the greatest responses. We<br />

performed a pilot study to characterise cell-specific ISGs in<br />

CHC PBMCs pre/post immunomodulatory stimulation. METH-<br />

ODS: Treatment-naïve HCV1 F0-3 pts were enrolled. PBMCs<br />

were stimulated with TLR2, 3, 4, 7/8, 9 ligands and IFNa.<br />

PBMCs were sorted into NKs, NKTs and MC using a cell<br />

sorter. RNA was extracted, and ISG expression (MX1/ISG15)<br />

measured (rtPCR). Levels were compared between cell types,<br />

pre/post-stimulation (fold-change), and according to IFNL3 gt.<br />

RESULTS: 10 pts were included: 50% CC, 40% male, median<br />

age 53 years. At baseline non-CC pts demonstrated higher ISG<br />

mRNA, predominantly from NK/NKT cells (Fig.1a). Post-stimulation,<br />

ISG induction was significantly higher in MC (131 to<br />

168-fold increase) than NK/NKT cells (maximum 60-fold-increase)<br />

following TLR7/8 and IFNa stimulation (Fig.1b). MC<br />

from CC pts demonstrated a 2-3 fold-increase in MX1 than<br />

non-CC pts following stimulation (Fig.1c). CONCLUSIONS:<br />

The data identify MC as key immunomodulatory cells, and<br />

demonstrate the importance of the TLR7/8 pathway in immune<br />

responses in CHC, supporting clinical development of TLR7<br />

agonists. Furthermore, MC from CC IFNL3 gt pts demonstrated<br />

greater immune reactivity, and may contribute to the more<br />

potent immune responses observed during therapy, leading to<br />

greater viral clearance. Unraveling these differences in immune<br />

responses may lead to new therapeutic targets, particularly for<br />

patients who fail IFN-free therapies.<br />

Disclosures:<br />

Jacinta A. Holmes - Grant/Research Support: Roche, Merck, AASLD, St Vincent’s<br />

Hospital Research Endowment Fund<br />

William Sievert - Advisory Committees or Review Panels: Gilead Sciences, Bristol<br />

Myers Squibb, Merck; Speaking and Teaching: Merck, Bristol Myers Squibb<br />

Alex J. Thompson - Advisory Committees or Review Panels: Gilead, Abbvie,<br />

BMS, Merck, Spring Bank Pharmaceuticals, Arrowhead, Roche; Grant/Research<br />

Support: Gilead, Abbvie, BMS, Merck; Speaking and Teaching: Roche, Gilead,<br />

Abbvie, BMS<br />

The following authors have nothing to disclose: Narelle A. Skinner, Mario Congiu,<br />

Rosemary M. Millen, Lijia Yu, Paul V. Desmond, Kumar Visvanathan<br />

997<br />

Role of very-low-density lipoprotein (VLDL) biogenesis<br />

in hepatitis C virus (HCV) production: a reassessment in<br />

primary human adult hepatocytes<br />

Veronique Pene 1 , Maxime Villaret 1 , Matthieu Lemasson 1 , Lynda<br />

Aoudjehane 2,3 , Jean-François Méritet 1,4 , Filomena Conti 3,5 , Yvon<br />

Calmus 3,5 , Arielle R. Rosenberg 1,4 ; 1 EA 4474 “Hepatitis C Virology”,<br />

Université Paris Descartes, Paris, France; 2 Human HepCell,<br />

Hôpital Saint-Antoine, Paris, France; 3 UMRS 938 “CDR Saint-Antoine”,<br />

Inserm, Paris, France; 4 Service de Virologie, AP-HP, Hôpital<br />

Cochin, Paris, France; 5 Unité de Transplantation Hépatique,<br />

AP-HP, Hôpital Pitié-Salpêtrière, Paris, France<br />

Background and Aim. In the blood of HCV-infected patients,<br />

infectivity is mainly supported by viral particles associated<br />

with triglyceride-rich lipoproteins containing apolipoprotein B<br />

(ApoB) and ApoE. These complexes are believed to assemble<br />

within the hepatocyte, which is both the primary replication site

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