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Journal of Virology, February 2004, p. 1448-1455, Vol. 78, No. 3
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.3.1448-1455.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
CD81 Is Required for Hepatitis C Virus Glycoprotein-Mediated Viral Infection
Jie Zhang,1 Glenn Randall,1 Adrian Higginbottom,2 Peter Monk,2 Charles M. Rice,1 and Jane A. McKeating1*
Center for the Study of Hepatitis C, Laboratory of Virology and Infectious Diseases, The Rockefeller University, New York, New York 10021,1
School of Medicine and Biomedical Sciences, University of Sheffield, Sheffield S10 2RX, United Kingdom2
Received 31 July 2003/
Accepted 4 October 2003

ABSTRACT
CD81 has been described as a putative receptor for hepatitis
C virus (HCV); however, its role in HCV cell entry has not been
characterized due to the lack of an efficient cell culture system.
We have examined the role of CD81 in HCV glycoprotein-dependent
entry by using a recently developed retroviral pseudotyping
system. Human immunodeficiency virus (HIV) pseudotypes bearing
HCV E1E2 glycoproteins show a restricted tropism for human liver
cell lines. Although all of the permissive cell lines express
CD81, CD81 expression alone is not sufficient to allow viral
entry. CD81 is required for HIV-HCV pseudotype infection since
(i) a monoclonal antibody specific for CD81 inhibited infection
of susceptible target cells and (ii) silencing of CD81 expression
in Huh-7.5 hepatoma cells by small interfering RNAs inhibited
HIV-HCV pseudotype infection. Furthermore, expression of CD81
in human liver cells that were previously resistant to infection,
HepG2 and HH29, conferred permissivity of HCV pseudotype infection.
The characterization of chimeric CD9/CD81 molecules confirmed
that the large extracellular loop of CD81 is a determinant for
viral entry. These data suggest a functional role for CD81 as
a coreceptor for HCV glycoprotein-dependent viral cell entry.

INTRODUCTION
Hepatitis C virus (HCV) is an enveloped, positive-stranded RNA
virus classified in the family
Flaviviridae. An estimated 170
million individuals worldwide are infected with HCV. Infection
is associated with the development of chronic hepatitis, cirrhosis,
and hepatocellular carcinoma. The principal site of virus replication
is thought to be the liver; however, the specific cell types
targeted by HCV remain unclear. Recent reports of HCV antigen
detection in the chronically infected liver (
43) and serum-derived
virus infection of primary liver cell cultures (
7) suggest that
hepatocytes are the primary target cells in vivo. However, authors
from several laboratories have suggested that HCV may infect
a wider range of cell types, including B cells and cells of
the monocyte/macrophage lineage within the central nervous system
(
14,
18,
32,
40). Since attachment of a virus to a target cell
is determined by specific interactions between the viral glycoproteins
(gp) and cell surface receptors, this suggests that liver-specific
molecules may act as receptors for HCV.
HCV encodes two putative envelope gp's, E1 and E2, which are believed to be type I integral transmembrane proteins. Our understanding of gp maturation and virus assembly is limited by the lack of a tissue culture system supporting virus assembly and release. Hence, the mechanism(s) by which HCV enters target cells is currently unknown. In the absence of a cell culture system, surrogate assays have been developed to study HCV entry, including the expression of a truncated version(s) of the E2 gp (10, 29), E1E2-liposomes (15), vesicular stomatitis virus (VSV)-HCV pseudotypes (6, 22, 24), and viruslike particles expressed in insect cell systems (4, 42, 44). Truncated versions of E2 bind specifically to human cells and were used to identify interactions with a number of cell surface molecules. These include CD81 (10, 29), scavenger receptor class B type 1 (SR-BI) (35), and dendritic cell-specific intracellular adhesion molecule 3-grabbing nonintegrin (DC-SIGN) (11, 20, 30). In addition, HCV purified from human plasma is associated with low-density lipoprotein (LDL), suggesting that the virus may use the LDL receptor to enter cells (1, 45). While these studies characterized gp-receptor binding, the significance of these receptor candidates for HCV entry has not been tested.
CD81 is a member of the tetraspanin membrane protein superfamily, whose members function to organize signaling complexes at the cell surface by association with other tetraspanins, integrins, and signaling proteins in a cell-type-dependent manner (19). Human CD81 was identified to interact with soluble HCV E2 and virus in serum and was proposed to play a role in HCV entry (10, 29). However, several reports suggested that soluble E2 cloned from diverse genotypes fails to interact with CD81 (34, 35, 38). Despite numerous studies on the CD81-E2 interaction, definitive data showing its role in HCV infection were missing due to the lack of a functional assay. Indeed, the role of CD81 as a putative receptor was questioned due to the ubiquitous expression of CD81 in vivo and the ability of CD81 in tamarins (2, 23), a monkey species known to be refractory to HCV infection, to bind E2, suggesting that CD81 expression is not the sole determinant of HCV species and/or tissue tropism.
Recent studies (3, 13) have reported on the generation of retroviral pseudotypes harboring HCV envelope gp's, allowing both HCV gp-dependent binding and entry to be studied. HCV pseudotypes infect human liver cell lines, and entry is pH dependent and can be neutralized by monoclonal antibodies (MAbs) specific for E2 (13). Pseudotype infection of both primary human hepatocytes and Huh-7 hepatoma cells was blocked by a recombinant soluble form of CD81 and a MAb specific for CD81, suggesting that CD81 is required for HCV pseudotype infection (3, 13). In this report, we show that HCV pseudotype infection of several target cells is CD81 dependent. This conclusion is supported by (i) the inhibition of HCV pseudotype infection by a MAb specific for CD81 and CD81-specific small interfering RNAs (siRNAs) and (ii) the conferment of permissivity of HCV pseudotype infection by expression of CD81. The large extracellular loop (LEL) of CD81 was found to be a critical determinant for viral entry.

MATERIALS AND METHODS
Cells.
Hos.CD4.R5 cells were obtained through the National Institutes
of Health AIDS Research and Reference Reagent Program, Division
of AIDS, National Institute of Allergy and Infectious Diseases,
and propagated in Dulbecco's modified Eagle medium (DMEM) with
10% fetal bovine serum (FBS) and 1 µg of puromycin/ml.
HeLa, SW13, and 293-T cells (obtained from the American Type
Culture Collection [ATCC]) and Huh-7 (gift of R. Lanford, Southwestern
Foundation for Biomedical Research), Huh-7.5 (
5), PLC/PR5 (gift
of J. Garson, University College London, London, United Kingdom),
HepH (ATCC), HH29 (gift of A. Schwartz, Washington University,
Saint Louis, Mo.), Hep3B (ATCC), and HepG2 (gift of Y. Matsuura,
Osaka University, Osaka, Japan) cells were propagated in DMEM-10%
FBS. HepG2 cells were cultured on collagen type 1-coated tissue
culture plastic. The mouse liver cell lines Hepa1-6, H2-35,
and AML 12 were obtained from the ATCC and propagated according
to ATCC instructions. SK Hep1 and FT0-2B (gifts of L. Reid,
University of North Carolina School of Medicine, Chapel Hill,
N.C.) were propagated in RPMI medium-10% FBS. Fet Hep1.3 cells
(gift of H. Hsu, Washington University) were propagated in Williams
E medium-10% FBS-5 µg of insulin/ml-5 µg of transferrin/ml.
Human lymphoid cells (MT-2, Molt 4, Hut-78, and Daudi) and peripheral
blood mononuclear cells (PBMC) (gift of C. Cheng-Mayer, Aaron
Diamond AIDS Research Center, New York, N.Y.) were propagated
in RPMI medium-10% FBS. Caco-2 cells and HT-29 cells (gifts
of M. Poles, Aaron Diamond AIDS Research Center) were propagated
in Eagle's minimal essential medium-10% FBS and McCoys 5A medium-10%
FBS, respectively. All cells were grown at 37°C in 5% CO
2.
Plasmids and antibodies.
The plasmids carrying HCV strain H and Con1 E1E2 gp's (polyprotein residues 171 to 746), SF162 gp160, and VSV G protein (VSV G) were described previously (13). Wild-type CD81 and CD81 mutants (T163A, F186L, E188K, and D196E) were described previously and were cloned into the BamHI/XhoI site of the lentiviral vector TRIP (12, 46). CD81 and CD9 LEL chimeras (CD81-9LEL and CD9-81LEL) were generated by four-primer PCR by switching the reciprocal nucleotide sequences encoding the CD81 (amino acids [aa] 116 to 201) and CD9 (aa 114 to 192) LELs. Both chimeric constructs were cloned into the lentiviral vector TRIP, and sequences were verified.
Murine MAbs used in this study included 5A6 (a gift of S. Levy, Stanford University, Stanford, Calif.), 1D6 (Serotec Ltd., Oxford, United Kingdom), and 1.3.3.22 (Santa Cruz, Santa Cruz, Calif.), specific for CD81; C3-3A2 (Ancell Immmunology Research Products), specific for CD9; and CLA1 (BD Biosciences), specific for SR-BI. Rat MAbs specific for HCV E2 were previously described (10).
Flow cytometric analysis.
Expression of CD81 was quantified as previously described (13). All cells were incubated with an irrelevant isotype-matched immunoglobulin G (IgG) or the antibody of interest, and the fluorescence signal(s) was used to establish threshold values of detection for the test MAbs. Analyses were performed using a FACScalibur flow cytometer (Becton Dickinson) and FlowJo software (Tree Star, San Carlos, Calif.).
Pseudotype production and infection.
Human immunodeficiency virus (HIV) pseudotypes were generated by cotransfection of 293-T cells with equal amounts of expression plasmids expressing the viral gp's or an empty vector and the pNL4-3.Luc.R-E- plasmid containing the env-defective proviral genome (9, 13). The supernatants were collected 48 h posttransfection, and HIV p24 antigen contents were assessed using a commercially available enzyme immunoassay (Coulter Beckman). Target cells were seeded onto 96-well plates (8 x 103 cells/well) 24 h before infection. Equal volumes of p24 antigen-normalized viral supernatants were diluted in 3% FBS-DMEM plus 4 µg of Polybrene/ml, and 100 µl was added per well for 4 h. Virus was removed, and the cells were incubated at 37°C for 72 h and lysed with 40 µl of cell lysis buffer (Promega)/well. Thirty-five microliters of lysate was tested for luciferase activity by the addition of 50 µl of luciferase substrate and measured for 10 s in a luminometer (Lumat LB 9507).
In antibody blocking experiments, target cells were incubated with anti-CD81 at 5 µg/ml (100 µl/well) for 30 min on ice and 100 µl of pseudotyped virus, diluted in 3% FBS-DMEM plus 4 µg of Polybrene/ml, and incubated for 4 h. Cultures were incubated at 37°C for 72 h, and luciferase activity was measured. MAb 11/20, specific for E2 (final concentration, 5 µg/ml), was incubated with pseudotype virus for 30 min at 37°C, and virus-ligand mixtures were tested for infectivity of target cells.
RNA interference assay.
Silencing RNAs (siRNAs) were designed with the following sense strand sequences (a complementary oligonucleotide was synthesized for each): CD81 siRNA (siCD81), 5'-ugauguucguuggcuuccuTT, and irrelevant siRNA (siIRR), 5'-ggcgcuuguggacauucugTT. Chemically synthesized RNA oligonucleotides were annealed, deprotected, and desalted as recommended by the manufacturer (Dharmacon) (33). Four nanomoles of RNA duplexes in annealing buffer (100 mM potassium acetate, 30 mM HEPES-KOH [pH 7.4], 2 mM magnesium acetate) was electroporated into 2.5 x 106 Huh-7.5 cells (5 pulses of 900 V with 1-s intervals on a BTX electroporator). Cells were propagated and tested for CD81 cell surface expression and for their ability to support pseudotype infection.
Transduction of cells to express CD81.
HepG2, HH29, and Huh-7.5 cells were plated at 8 x 105 cells per well on a 6-well dish and infected 24 h later with a packaged lentivirus expressing human CD81 (TRIP-CD81) at an approximate multiplicity of infection of 1 to 3 in 3% FBS-DMEM plus 4 µg of Polybrene/ml for 12 h. Cells were washed, trypsinized, and seeded at 8 x 103 cells/well on a 96-well plate, infected 48 h later with pseudotypes, and stained for cell surface CD81 expression. HepG2 cells were transduced with lentivirus-expressing wild-type and mutant human CD81 proteins and stained with the CD81-specific MAb 1D6 and phycoerythrin-conjugated secondary antibody, and positively stained cells were sorted using a FACSVantage sorter (Becton Dickinson). Expression-positive cell populations were infected with pseudotypes.
Soluble E2 binding to CD81-transduced HepG2 cells.
Binding of soluble E2661 to HepG2 cells expressing wild-type or mutant CD81 proteins was as previously described (10). Briefly, 2 x 105 cells were incubated with a saturating amount of E2-containing tissue culture supernatant at room temperature for 1 h, and unbound soluble protein was removed by washing. Cell-bound E2 was detected with rat anti-E2 MAb 6/1a and phycoerythrin-conjugated anti-rat IgG. Analyses were performed using a FACScalibur flow cytometer (Becton Dickinson) and FlowJo software (Tree Star).

RESULTS
Identification of cell types able to support HCV pseudotype infection.
The principal site of HCV replication is thought to be the liver,
though authors from several laboratories have suggested that
the virus may infect a wider range of cell types, including
monocytes/macrophages and B cells (
17,
28,
40). We were interested
to use the HCV pseudotype system to determine which cell types
could support HCV gp-mediated infection. A range of human and
rodent liver, epithelial, and lymphoid cells were tested for
their ability to support infection with HIV pseudotypes bearing
no envelope gp (no Env), HCV E1E2 gp's (strains H and Con1),
HIV SF162 gp160, and VSV G (Table
1). As expected, pseudotypes
bearing SF162 gp160 infected only Hos.CD4.R5 cells and activated
PBMC. HIV-VSV G infected most cell types, with the exception
of PBMC and some lymphoid cell lines. HCV pseudotypes infected
only four human liver cell lines (Huh-7, Huh-7.5, PLC/PR5, and
Hep3B) among the cell lines studied, which included nine of
human liver origin (Table
1). HIV strain H E1E2 demonstrated
50% tissue culture infective dose titers of 2
x 10
4, 2.2
x 10
3,
and 1.2
x 10
3/ml for Hep3B, Huh-7, and PLC/PR5 cells, respectively.
Consistent with a previous observation, the pseudotypes harboring
strain H or Con1 HCV gp's showed similar infectivities in the
permissive cell lines (
13). HCV pseudotype infection was gp
dependent since particles lacking gp's (no Env) failed to infect
any cell type tested and HIV strain H E1E2 infection was neutralized
by the anti-E2 MAb 11/20 (data not shown). While all of the
human cell lines, with the exception of HepG2 and HH29, expressed
CD81 to various levels, only four were permissive to HCV pseudotype
infection (Table
1). In conclusion, HCV pseudotypes infect a
subset of human liver cells that express CD81; however, CD81
expression alone is not sufficient to confer susceptibility
to infection.
CD81 is required for HCV gp-dependent entry into human liver cells.
We next examined the requirement of CD81 for HIV-HCV infection
of human cells by two independent approaches: (i) blocking infection
with a CD81-specific MAb and (ii) silencing CD81 expression
in Huh-7.5 cells with siRNAs. It has been previously reported
that HIV-HCV pseudotype infection of Huh-7.5 cells can be inhibited
by MAbs specific for CD81 and a recombinant soluble form of
human CD81, suggesting that CD81 may be involved in mediating
infection (
13). We tested whether HCV pseudotype infection of
the other permissive hepatoma cell lines was CD81 dependent.
Target cells were incubated with either an irrelevant isotype
control antibody or anti-CD81 MAb 5A6 and infected with pseudotypes
bearing HCV H and Con1 gp's. The CD81 MAb inhibited HIV-HCV
H and Con1 infection of Huh-7.5, Hep3B, and PLC/PR5 cells, suggesting
a CD81-dependent route of infection for the HCV pseudotypes
(Fig.
1).
To further investigate whether CD81 expression in Huh-7.5 cells
is required for HCV pseudotype infection, we silenced CD81 expression
by the use of siRNAs. It was previously reported that siRNAs
targeted to either HCV or lamin A/C effectively silence their
targets in Huh-7.5 cells (
33). Using this strategy, we designed
siRNAs to specifically target CD81 (siCD81) or an irrelevant
sequence (siIRR). siRNAs were transfected into Huh-7.5 cells,
and 54 h later, the cells were harvested and examined for cell
surface CD81 expression. Introduction of siCD81 resulted in
a threefold reduction (median fluorescence intensity, 25 versus
71) in CD81 cell surface expression compared to that in cells
transfected with siIRR (Fig.
2A). The levels of expression of
an untargeted cell surface receptor, SR-BI, were equivalent
in both transfected cell populations (data not shown). HIV-HCV
H and Con1 infection was greatly reduced in siCD81-treated Huh-7.5
cells, whereas HIV-VSV G infection was unaffected (Fig.
2B).
We tested the effect of silencing CD81 expression on infection
with a range of concentrations of HIV-HCV H virus. siIRR-treated
cells showed a linear increase in luciferase activity with increasing
virus dose (Fig.
2C). Conversely, siCD81-treated cells showed
minimal luciferase activity over background with the same range
of virus inocula (Fig.
2C). These data, in combination with
the CD81 MAb blocking data in Fig.
1, confirm that CD81 is required
for HIV-HCV pseudotype infection of Huh-7.5 cells.
CD81 expression in HepG2 and HH29 liver cells confers susceptibility to HIV-HCV pseudotype infection.
Our initial screening of cell lines identified HepG2 and HH29
as human liver cell lines that were both resistant to HIV-HCV
infection and negative for cell surface CD81 expression. To
confirm a direct role of CD81 in HCV pseudotype infection, we
tested the ability of CD81 to confer susceptibility to infection
of HepG2 and HH29 cells. Both cell lines were infected with
a lentiviral vector encoding human CD81 and tested for their
ability to support HCV pseudotype infection. Transduced HepG2
and HH29 cells expressed CD81 at the cell surface in 74.7 and
19.1% of the cells, respectively (Fig.
3A). CD81-transduced
HepG2 cells were susceptible to infection with HIV-HCV H or
Con1 (Fig.
3B). HIV-HCV H infected the CD81-expressing HH29
cells, albeit much less efficiently, while HIV-HCV Con1 failed
to produce luciferase activity significantly above background
(Fig.
3B). It is likely that the differences in susceptibilities
to infection of HepG2 and HH29 cells reflects the different
transduction efficiencies of the cell types. HIV-VSV G infection
of both cell types was not affected by CD81 expression. To confirm
that HCV pseudotype infection of the transduced cells was CD81
and HCV gp dependent, all infections were performed in the presence
of the anti-CD81 MAb 5A6 and the neutralizing anti-E2 MAb 11/20
(
13). HIV-HCV H infection of CD81-expressing cells was reduced
by both MAbs, confirming the specificity of infection (Fig.
3C). The relative efficiency of the anti-CD81 blocking of pseudotype
infectivity was lower on the transduced HepG2 and Huh-7.5 cells
than on the HH29 cells, and this is most likely due to the high
levels of CD81 expression after transduction.
To ascertain whether CD81 expression levels were rate limiting
for HCV pseudotype infection of Huh-7.5, the cells were transduced
with TRIP-CD81 and tested for their ability to support pseudotype
infection. Transduced Huh-7.5 cells demonstrated a twofold increase
in surface CD81 expression levels but no detectable change in
their ability to support HIV-HCV H infection (Fig.
3B). However,
HIV-HCV Con1 infection was increased more than twofold in the
transduced Huh-7.5 cells (Fig.
3B). These data show that cell
surface expression levels of CD81 in Huh-7.5 cells limit HIV-HCV
Con1 infection but not HIV-HCV H infection, suggesting that
these gp's may have different affinities for CD81. This conclusion
is consistent with the inability of HIV-HCV Con1 to infect the
TRIP-CD81-transduced HH29 cells (Fig.
3B).
Mapping the CD81 determinants for HCV pseudotype infection of HepG2 cells.
The LEL of CD81 has been shown to interact with HCV E2 (10, 29). The ability of CD81 to confer susceptibility to HIV-HCV infection on HepG2 cells provides an ideal system to test the determinants of CD81 required for viral infection. To determine whether the LEL domain of CD81 is critical for HCV pseudotype infection, we engineered a set of chimeras with CD81 and the related tetraspanin CD9 in which the LEL domains of CD81 and CD9 were exchanged (Fig. 4A). HepG2 cells were transduced to express CD9, CD81, CD9-81LEL, or CD81-9LEL and infected with pseudotypes bearing no gp (no Env), VSV G, or HCV H or Con1 gp's. Levels of cell surface expression of CD9, CD81, and the chimeras were comparable, and expression was detected in more than 95% of the cells (data not shown). Expression of CD9, CD81, or the chimeras did not affect the infectivity of HIV-VSV G. HCV pseudotypes failed to infect cells transduced with CD9 or CD81-9LEL, both of which express the CD9 LEL. Conversely, HCV pseudotypes infected cells expressing the CD81 LEL, both in the context of the native protein and as a chimeric CD9 molecule (CD9-81LEL) (Fig. 4B). We conclude that the CD81 LEL is critical for receptor activity.
It was previously reported that soluble E2 failed to interact
with African green monkey CD81, which differed from the human
molecule at four amino acid residues within the LEL (
12). Mutation
of the human CD81 sequence at each of the four residues corresponding
to the African green monkey sequence identified aa 186 to be
critical for maintaining an interaction with soluble E2. The
CD81 variants T163A, F186L, E188K, and D196E were expressed
in HepG2 cells and tested for cell surface expression and their
abilities to interact with soluble E2 and to support HIV-HCV
pseudotype infection. All CD81 variants were expressed at comparable
levels on the cell surface and in more than 95% of cells (data
not shown). Cells expressing all of the CD81 variants, with
the exception of F186L, interacted with HCV strain H E2, consistent
with previous reports that the F186L mutation abolishes the
interaction with E2 (Fig.
4C). CD81 E188K and CD81 D196E showed
reduced binding to soluble E2. The Con1 strain of E2 showed
minimal binding to HepG2 cells expressing wild-type and mutant
CD81 proteins (Fig.
4C). In contrast to the soluble E2 binding,
pseudotypes bearing H and Con1 gp's infected cells expressing
wild-type and mutant CD81 proteins equivalently (Fig.
4B). All
four mutants conferred susceptibility to infection of HepG2
cells by the HCV pseudotypes. This result, while surprising,
highlights the limitations of studying soluble E2-CD81 interactions
and suggests that the regions of CD81 which are critical for
HCV pseudotype infection and soluble E2 interaction differ and
that the former may extend beyond aa residues 186 and 188 and
their immediately adjacent residues.

DISCUSSION
In this study, we show that CD81 is required for HCV gp-dependent
infection with retroviral pseudotypes. HIV-HCV strain H and
Con1 pseudotype infection of human liver hepatoma cell lines
is blocked by a CD81-specific MAb, confirming that CD81 is involved
in the infection of all susceptible cell types. Silencing CD81
expression in Huh-7.5 cells with siRNAs reduced HCV pseudotype
infection, suggesting that CD81 is required for infectivity.
The observation that CD81 expression in two previously nonpermissive
human liver cell lines renders them susceptible to infection
demonstrates that expression of CD81 in the appropriate target
cell allows HCV gp-dependent pseudotype entry.
The traditional experiments for virus receptor characterization, such as antibody and soluble receptor blocking of virus infection, were supplemented with siRNA-mediated gene silencing. RNA interference has proven to be a valuable tool in studying the function of host genes, including viral receptors. HIV infection is precluded by the silencing of either of its coreceptors, CD4 or CCR5 (26, 31). Silencing of CD81 in Huh-7.5 cells produced a threefold reduction in total CD81 cell surface expression that significantly reduced HCV pseudotype infection. It is unclear why the residual CD81 is insufficient to promote viral entry. It is possible that a threshold of CD81 expression is required for viral entry or, alternatively, that distinct subpopulations of CD81 exist on the cell surface that are able to function as receptors. CD81 and other members of the tetraspanin family have been reported to reside within lipid rafts (8). One possibility is that CD81 within a receptor complex may be present in lipid rafts that are turned over with more-rapid kinetics and thus preferentially silenced. In support of this model, methyl-beta-cyclodextrin treatment of Huh-7 and Hep3B cells, which depletes cholesterol from the plasma membrane and thereby disrupts lipid rafts, specifically inhibited HCV pseudotype infection without affecting HIV-VSV G infection (data not shown).
The soluble form of HCV E2 has been used widely as a tool to identify interacting molecules and was used to clone CD81 and identify it as a receptor candidate (29). The truncated soluble form of strain H E2 has been reported to bind CD81 with 10-9 M affinity (27), whereas E2 proteins cloned from other genotypes show minimal interaction with CD81 (34, 38). In contrast, we demonstrate that pseudotypes bearing HCV gp's of strain H or Con1 infect cells in a CD81-dependent manner, despite the differing affinities of their soluble E2 for CD81 (Fig. 4). These data demonstrate that the interaction between soluble E2 and CD81 does not predict the CD81 dependence of HCV gp-mediated infection. This interpretation is reinforced by the observation that the CD81 F186L mutant, which was previously reported to disrupt the soluble E2-CD81 interaction, supported HCV pseudotype infection of HepG2 cells (12). In summary, these data suggest that pseudotype virus interaction with CD81 and other cellular molecules is more complex than the interaction of monomeric soluble E2 with CD81.
The specific role of CD81 in HCV pseudotype infection is yet to be defined. Tetraspanin molecules such as CD9 and CD81 have been implicated in the fusion between gametes, myoblasts, and virus-infected cells (16, 25, 36, 41). However, the mechanism(s) is unclear, and these molecules may play a role in facilitating the fusion reaction rather than a direct role of interacting with ligands on the cell surface. Silvie and colleagues recently demonstrated that CD81 expression on hepatocytes is essential for Plasmodium falciparum sporozoite infection, demonstrating that although ubiquitously expressed, CD81 can contribute to tissue-specific tropism (39).
The observation that retroviral pseudotypes bearing HCV gp's display a restricted tropism for cells of human liver origin is consistent with the liver being the primary reservoir for HCV replication in vivo and supports a model in which a liver-specific coreceptor(s) may contribute to the tissue specificity of HCV infection. The inability of HCV pseudotypes to infect lymphoid cells may reflect the phenotypes of the HCV strains being tested (H and Con1, genotype 1b), and future experiments will study the tropism of pseudotypes harboring gp's cloned directly from the PBMC of HCV-infected individuals. Although CD81 is required for HCV gp-mediated virus entry, CD81 expression alone is not sufficient to confer susceptibility to infection. Indeed, transgenic mice expressing human CD81 failed to support HCV infection, suggesting that CD81 is not the sole determinant of HCV tissue and species specificity (21). It was previously reported that several human cell lines (SW13, Hos, and U937) expressing CD81 and the other candidate HCV receptors, LDL receptor and SR-BI, were refractory to HIV-HCV pseudotype infection, suggesting that CD81 together with the other putative receptors is not sufficient for HCV gp-mediated infection. Since the only cell lines able to support HCV pseudotype infection are of liver origin, we propose that one or more liver-specific cell surface proteins function with CD81 as a receptor for HCV. Recent studies show that several virus families utilize receptors comprising more than one cellular protein to infect their host cells (37). Efforts to identify the liver cell-specific coreceptor molecule(s) and to further analyze the CD81-HCV pseudotype interaction will provide insights into the role of these molecules in the initial steps of HCV infection.

ACKNOWLEDGMENTS
We are grateful to Hernan Jaramillo, Jack Hietpas, and James
Fan for excellent technical support and to Pat Holst for obtaining
many of the liver cell lines used in this study. We thank Mike
Flint and Peter Balfe for reading the manuscript and for their
helpful comments. We thank Shoshana Levy for antibody reagents.
J.Z., C.M.R., and J.A.M. are supported by the Greenberg Medical Research Institute and PHS grants CA57973 and AI40034. G.R. is supported by postdoctoral fellowship American Cancer Society Grant PF-02-016-01-MBC.

FOOTNOTES
* Corresponding author. Mailing address: Center for the Study of Hepatitis C, Laboratory of Virology and Infectious Diseases, The Rockefeller University, 1230 York Ave., New York, NY 10021. Phone: (212) 327-7066. Fax: (212) 327-7048. E-mail:
mckeatj{at}rockefeller.edu.


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Journal of Virology, February 2004, p. 1448-1455, Vol. 78, No. 3
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.3.1448-1455.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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