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Journal of Virology, November 2007, p. 11658-11668, Vol. 81, No. 21
0022-538X/07/$08.00+0     doi:10.1128/JVI.00995-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Viral Sequence Evolution in Acute Hepatitis C Virus Infection ^,

Thomas Kuntzen,¹ Joerg Timm,² Andrew Berical,¹ Lia L. Lewis-Ximenez,³ Andrea Jones,¹ Brian Nolan,¹ Julian Schulze zur Wiesch,^1, Bin Li,¹ Arne Schneidewind,¹ Arthur Y. Kim,¹ Raymond T. Chung,^1,4 Georg M. Lauer,¹ and Todd M. Allen^1*

Partners AIDS Research Center, Infectious Disease Division, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts,¹ Department of Virology, University Hospital Essen, Essen, Germany,² Departamento de Virologia, Instituto Oswaldo Cruz/Fiocruz, Rio de Janeiro, Brazil,³ Gastrointestinal Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts⁴

Received 8 May 2007/ Accepted 5 August 2007

CD8⁺-T-cell responses play an important role in the containment and clearance of hepatitis C virus (HCV) infection, and an association between viral persistence and development of viral escape mutations has been postulated. While escape from CD8⁺-T-cell responses has been identified as a major driving force for the evolution of human immunodeficiency virus (HIV) and simian immunodeficiency virus (SIV), a broader characterization of this relationship is needed in HCV infection. To determine the extent, kinetics, and driving forces of HCV sequence evolution, we sequenced the entire HCV genome longitudinally in four subjects monitored for up to 30 months after acute infection. For two subjects the transmission sources were also available. Of 53 total nonenvelope amino acid substitutions detected, a majority represented forward mutations away from the consensus sequence. In contrast to studies in HIV and SIV, however, only 11% of these were associated with detectable CD8⁺ T-cell responses. Interestingly, 19% of nonenvelope mutations represented changes toward the consensus sequence, suggesting reversion in the absence of immune pressure upon transmission. Notably, the rate of evolution of forward and reverse mutations correlated with the conservation of each residue, which is indicative of structural constraints influencing the kinetics of viral evolution. Finally, the rate of sequence evolution was observed to decline over the course of infection, possibly reflective of diminishing selection pressure by dysfunctional CD8⁺ T cells. Taken together, these data provide insight into the extent to which HCV is capable of evading early CD8⁺ T-cell responses and support the hypothesis that dysfunction of CD8⁺ T cells may be associated with failure to resolve HCV infections.

Published ahead of print on 15 August 2007.

Supplemental material for this article may be found at http://jvi.asm.org/.

Present address: Medizinische Klinik, Universitätsklinikum Eppendorf, Hamburg, Germany.

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