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708A AASLD ABSTRACTS HEPATOLOGY, October, 2015<br />

Disclosures:<br />

The following authors have nothing to disclose: Emilie Crouchet, Mathieu Lefèvre,<br />

Eloi R. Verrier, Thomas F. Baumert, Catherine Schuster<br />

1020<br />

Substitution in amino acid 70 of hepatitis C virus core<br />

protein changes the adipokine profile via toll-like receptor<br />

2/4 signaling<br />

Masahiko Tameda, Kazushi Sugimoto, Yoshiyuki Takei; Mie University,<br />

Tsu, Japan<br />

Background & Aims: It has been suggested that amino acid<br />

(aa) substitution at position 70 from arginine (70R) to glutamine<br />

(70Q) in the genotype 1b hepatitis C virus (HCV) core protein<br />

is associated with insulin resistance and worse prognosis.<br />

However, the precise mechanism is still unclear. The aim of<br />

this study was to investigate the impact of the substitution at<br />

position 70 in HCV core protein on adipokine production by<br />

murine and human adipocytes. Methods: The influence of treatment<br />

with HCV core protein (70R or 70Q) on adipokine production<br />

by both 3T3-L1 and human adipocytes were examined<br />

with real-time PCR and enzyme-linked immunosorbent assay<br />

(ELISA), and triglyceride content was also analyzed. The effects<br />

of toll-like receptor (TLR)2/4 inhibition on IL-6 production by<br />

3T3-L1 induced by HCV core protein were examined. Results:<br />

IL-6 production was significantly increased and adiponectin<br />

production was reduced without a change in triglyceride content<br />

by treatment with 70Q compared to 70R core protein in<br />

both murine and human adipocytes. IL-6 induction of 3T3-L1<br />

cells treated by 70Q HCV core protein was significantly inhibited<br />

with anti-TLR2 antibody by 42%, and by TLR4 inhibitor<br />

by 40%. Conclusions: Our study suggests that extracellular<br />

HCV core protein with substitution at position 70 enhanced IL-6<br />

production and reduced adiponectin production from visceral<br />

adipose tissue, which can cause insulin resistance, hepatic<br />

steatosis, and ultimately development of HCC.<br />

Disclosures:<br />

The following authors have nothing to disclose: Masahiko Tameda, Kazushi<br />

Sugimoto, Yoshiyuki Takei<br />

1021<br />

Variability of the hepatitis delta virus quasispecies in<br />

chronic infection is high and similar to that of the hepatitis<br />

C virus quasispecies<br />

Maria Homs 1,2 , Josep Gregori 3 , Hadi Karimzadeh 4 , Damir G.<br />

Cehic 3 , Maria Blasi 1,2 , Rosario Casillas 3 , David Tabernero 1,2 ,<br />

Josep Quer 1,3 , Michael Roggendorf 4 , Mar Riveiro-Barciela 5 , Rafael<br />

Esteban 1,5 , Francisco Rodriguez-Frias 1,2 , Maria Buti 1,5 ; 1 Centro de<br />

Investigacion Biomedica en Red de Enfermedades Hepaticas y<br />

Digestivas, CIBERehd, Barcelona, Spain; 2 Microbiology, Hospital<br />

Vall d’Hebron, Barcelona, Spain; 3 Liver Diseases, Research Institute<br />

Vall d’Hebron, Barcelona, Spain; 4 Institut für Virologie, Technische<br />

Universität München, München, Germany; 5 Hepatology,<br />

Hospital Vall d’Hebron, Barcelona, Spain<br />

Background Hepatitis D virus (HDV) is a satellite RNA virus with<br />

a small 1.7-kb genome that uses the hepatitis B virus envelope<br />

to infect hepatocytes. The complexity of the hepatitis D viral<br />

population has not been described. Hepatitis C virus (HCV)<br />

is another RNA virus that circulates in infected individuals as<br />

a quasispecies; the NS5A region is one of the most complex<br />

of the non-structural encoding HCV genes. Aim To study the<br />

complexity of the HDV quasispecies in patients with chronic<br />

hepatitis D and compare it with that of the HCV quasispecies.<br />

Samples and methods Fifteen serum samples from 10<br />

chronic HCV- and 5 chronic HDV-infected treatment-naïve<br />

patients were analyzed. Samples with similar viremia levels<br />

were selected (mean HCV-RNA 6.51 log copies/mL, SD 0.57<br />

and HDV-RNA 6.31 log copies/mL, SD 0.61 p=0.84). HCV-<br />

RNA was quantified by COBAS-AmpliPrep (Roche) (detection<br />

limits 1.63-7.83 log IU/mL) and HDV-RNA, by an in-house<br />

method (detection limits 3.5-8.5 log copies/mL). HCV-RNA<br />

values were converted to log copies/mL. One essential region<br />

in each virus was deep-sequenced: the NS5A of HCV (positions<br />

6299-6735, 436 bp) and the C-terminal region of HDV<br />

antigen (positions 912-1298, 386 bp). Abundance filters for<br />

deep-sequencing were set at 0.25%. Quasispecies complexity<br />

was evaluated by determining the mutation frequency (Mf)<br />

and nucleotide diversity (Pi). Both parameters take into account<br />

amplicon length, and represent the number of differences/site<br />

with respect to the most represented haplotye (Mf) or between<br />

each pair of genomes (Pi). Results are presented as mean and<br />

standard deviation (SD). Results A total of 187,606 sequences<br />

were analyzed. Mf and Pi showed a normal distribution and<br />

significantly correlated (R=0.985, p

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