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Journal of Virology, August 2006, p. 7885-7893, Vol. 80, No. 16
0022-538X/06/$08.00+0 doi:10.1128/JVI.00519-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Relationships between Hepatitis C Virus Replication and CXCL-8 Production In Vitro
Bon Chang A. Koo,1,
Paula McPoland,1
Jessica P. Wagoner,1
Olivia J. Kane,1
Volker Lohmann,4 and
Stephen J. Polyak1,2,3*
Virology Division, Departments of Laboratory Medicine,1
Microbiology,2
Pathobiology, University of Washington, Seattle, Washington,3
Department of Molecular Virology, Heidelberg University, Heidelberg, Germany4
Received 13 March 2006/
Accepted 2 June 2006

ABSTRACT
The chemokine CXCL-8 (interleukin-8) is induced by many viruses,
including hepatitis C virus (HCV). In the current study, we
examined CXCL-8 levels in the context of acute and chronic HCV
replication in vitro. Two different small interfering RNAs were
used to silence CXCL-8 mRNA and protein expression in Huh7 and
BB7 replicon cells. HCV RNA synthesis in BB7 cells was inhibited
by CXCL-8 knockdown. Furthermore, antibody neutralization of
endogenous CXCL-8 activity inhibited HCV replication, while
addition of recombinant human CXCL-8 stimulated NS5A protein
expression. Moreover, CXCL-8 protein levels correlated positively
with HCV RNA levels in four independent subgenomic and genomic
replicon lines (
R = 0.41,
P = 0.0013). However, CXCL-8 mRNA
levels correlated inversely with CXCL-8 protein and HCV RNA
levels in all replicon lines and in Huh7 cells. Transient replication
assays with strongly permissive and weakly permissive Huh7 cells
and three independent subgenomic replicons with various replicative
capacities revealed that CXCL-8 protein levels were higher in
weakly than in strongly permissive cells. The JFH-1 subgenomic
replicon, which replicated to high levels in both strongly and
weakly permissive Huh7 cells, induced CXCL-8 protein to high
levels in both cell types. The data indicate that in the replicon
system, CXCL-8 protein levels are positively associated with
chronic HCV replication and that CXCL-8 removal inhibits HCV
replication. During acute HCV replication, CXCL-8 production
may be inhibitory to viruses with low replicative capacity.
The data underscore the complex regulation of CXCL-8 mRNA and
protein expression and further suggest that in addition to contributing
to HCV pathology via proinflammatory actions, CXCL-8 may have
opposing antiviral and proviral effects depending on the level
of HCV replication, the cellular context, and whether the infection
is acute or chronic.

INTRODUCTION
Infection with hepatitis C virus (HCV) is a serious medical
issue. HCV is unique among hepatitis viruses in that the majority
(>70%) of acutely infected individuals progress to chronic
infection, resulting in an estimated 170 million infected individuals
worldwide. Chronic HCV infection is thus a major cause of liver
diseases including fibrosis, cirrhosis, and hepatocellular carcinoma
(
2).
Cloned in 1989 (7), HCV encodes a single polyprotein precursor that is cleaved when expressed in cell culture into at least 10 proteins. The first third of the genome encodes the structural proteins that form the virion. They include the core protein, two envelope proteins (E1 and E2), and a small protein with ion channel functions (P7). An additional open reading frame in the core gene has recently been described, although the role of this protein in HCV replication and pathogenesis remains to be determined. Nonstructural proteins are derived from the remaining two-thirds of the polyprotein and include NS2, NS3 (a serine protease/helicase), NS4A, NS4B, NS5A, and NS5B (the RNA-dependent RNA polymerase). Despite extensive genetic and biochemical studies of HCV, propagation of infectious virus in vitro has proven to be challenging until very recently. Progress with HCV replicons has provided important insights into viral replication.
HCV replicons replicate modified HCV genomes to high levels in human hepatoma (Huh7) cells (29). Genetically, replicons consists of a neomycin resistance gene under the control of the 5' untranslated region (UTR) of HCV, followed by HCV nonstructural proteins 3 through 5B inclusive, under the control of the encephalomyocarditis virus or poliovirus 5' UTR. Both the HCV and picornavirus 5' UTRs contain internal ribosome entry sites (IRESs) that facilitate translation of neomycin and HCV genes. Following transcription with T7 RNA polymerase, replicon RNA is transfected into Huh7 cells, followed by selection in G418-containing media. Cells survive only if they replicate HCV, and studies indicate that HCV replicons acquire adaptive mutations that enhance replication fitness (3, 23). Replicons containing the full-length HCV genome have also been described, but they do not appear to produce infectious particles (17, 34). However, a genotype 2a genomic-length replicon from a Japanese patient with fulminant hepatitis (18) provides the most robust replication to date in the absence of adaptive mutations and also appears to release an infectious unit into culture supernatants (26, 33, 44, 45, 51). The permissiveness of Huh7 cells for HCV replication likely reflects a dynamic balance between the host cell and the virus. In this regard, Huh7-derived sublines have been developed that demonstrate increased permissivity to HCV replicons (4, 51).
HCV RNA and protein expression perturbs many aspects of host cell metabolism, including modulation of innate antiviral responses, cell growth, and immunity (13). For example, the HCV NS5A protein induces interleukin-8 (CXCL-8) mRNA and protein expression (5, 14, 37, 40), which inhibits the antiviral actions of interferon (IFN) (19). Thus, in the context of IFN antiviral pressure, these and other studies (20, 21) suggest that CXCL-8 is a proviral chemokine. Moreover, CXCL-8 is induced during the inflammatory response to many other virus infections (22, 31), further suggesting that modulation of CXCL-8 expression during HCV infection may affect viral replication and pathogenesis. Indeed, it has been demonstrated that serum levels of CXCL-8 are elevated in chronic HCV infection, and serum CXCL-8 is also higher in patients who fail to respond to antiviral therapy than in patients who respond (30, 38). The question arises as to the relationship between HCV replication and CXCL-8 production. However, since Huh7 and replicon cells produce CXCL-8 (15), strategies that inhibit CXCL-8 production were invoked.
RNA interference (RNAi) is an evolutionarily conserved system for negative regulation of gene expression, which occurs as a result of processing of double-stranded RNA into 21- to 23-nucleotide small interfering RNAs (siRNAs) (42, 50). The antisense strand of the siRNA directs the double-stranded RNA oligonucleotide to the correct mRNA, whereby message degradation occurs via the RNA-induced silencing complex. Through simple transfection of siRNA duplexes, it is now possible to determine the specific effects of any cellular gene. In this study, we used RNAi to silence CXCL-8 gene expression and assess the effects on HCV replication in a stable replicon cell line. We further examined the correlation between CXCL-8 protein and mRNA and HCV RNA synthesis in three independent subgenomic and one genomic-length stable replicon cell line. We also examined CXCL-8 production during acute HCV replication of replicons with various replicative capacities in strongly permissive and weakly permissive Huh7 cells.

MATERIALS AND METHODS
Cells.
Human hepatoma Huh7 cells were grown in Dulbecco modified Eagle
medium containing 9% fetal bovine serum; 1
x penicillin, streptomycin,
and amphotericin B (Fungizone); 10 mM
L-glutamine; and 1
x nonessential
amino acids (all reagents were from Invitrogen, Carlsbad, CA).
BB7 cells are Huh7 cells that support the replication of a subgenomic
genotype 1b HCV replicon containing an S2204I adaptive mutation
in the NS5A gene (
3). FL-Neo cells are a stable Huh7-derived
cell line containing a genomic-length HCV replicon with the
S2204I mutation in NS5A and a P1496L mutation in NS3. Huh7,
BB7, and FL-Neo cells were obtained from Apath, LLC. Subgenomic
replicon cell lines 9-13 and 5-15-9-2-3 (hereafter referred
to as 5-15 cells) containing different adaptive mutations (9-13,
R2884G mutation in NS5B; 5-15, S2197P mutation in NS5A) (
23,
28,
29) were provided by Ralf Bartenschlager. Replicon cell
lines were maintained in Huh7 medium containing 400 µg/ml
of G418 (Calbiochem, San Diego, CA). For transient HCV replication
assays, "strongly permissive" and "weakly permissive" Huh7 cells
were used. "Strongly permissive" Huh7 cells refer to a cured
replicon cell clone allowing strongly efficient HCV replication
(
12). "Weakly permissive" Huh7 cells are naïve Huh7 cells
of a low passage number that support only low-level HCV replication
in transient replication assays (
27). Cells were maintained
in humidified incubators at 37°C with 5% CO
2.
RNA interference.
Two synthetic double-stranded RNA oligonucleotides referred to as CXCL8-1 (5'-AAGGTGCAGTTTTGCCAAGGA) and CXCL8-2 (5'AAGAACTGAGAGTGATTGAGA) were synthesized in a ready-to-use format (Dharmacon, Inc., Boulder, CO). CXCL8-1 and CXCL8-2 span nucleotides 62 to 82 and 151 to 169 of CXCL-8 mRNA, respectively (GenBank accession number Y00787). Control siRNAs included two commercially available siRNAs: lamin A/C and fluorescein (Dharmacon). The day prior to transfection 10,000 cells were plated in complete medium lacking G418 in 12-well plates. Cells were then transfected with or without 0 to 100 nM of duplexed RNA using Oligofectamine (Invitrogen) in complete medium without G418.
Western blotting, ELISA, antibody neutralization, and real-time RT-PCR.
Protein lysates were quantitated (bicinchoninic acid protein assay; Pierce, Rockford, IL), and equal amounts (typically, 10 µg) of total protein were separated on 4 to 20% sodium dodecyl sulfate-polyacrylamide gels. NS5A and NS3 proteins were detected using random, deidentified HCV-infected patient serum, as described previously (36). Infected serum was inactivated by adding Triton X-100 to 1% prior to use. NS5A was also detected with a monoclonal antibody (Biosource, Camarillo, CA). Lamin A/C was detected using polyclonal rabbit antisera (Santa Cruz Biotechnology, Santa Cruz, CA). Differences in NS5A protein content were determined by calculating pixel intensity using Image J, a version of NIH Image for Macintosh OSX. NS5A pixel intensities were normalized to control protein pixel intensities. Culture supernatants were also harvested for determination of CXCL-8 levels by enzyme-linked immunosorbent assay (ELISA) using a commercial kit (Pierce, Rockford, IL). Interleukin-1ß (IL-1ß), tumor necrosis factor alpha (TNF-
), and interleukin-6 (IL-6) levels in culture supernatants were assessed by fluorescent multiplex ELISA (Biosource, Camarillo, CA).
To block endogenous CXCL-8 activity, a neutralizing monoclonal antibody was used, while control cultures were treated with an isotype-matched immunoglobulin G (IgG) antibody (Pierce Endogen). Antibodies were added at 100 µg/ml directly to cell cultures.
HCV RNA and CXCL-8 mRNA were quantitated by real-time RT-PCR, using recently described procedures (8, 15, 35).
HCV replicons and transient HCV replication assay.
Replicons ET, S2197P, and GND used in this study are derived from the Con1 genotype 1b isolate; contain the HCV 5' nontranslated region (nucleotides 1 to 341), the gene encoding firefly luciferase under translational control of the poliovirus IRES, the encephalomyocarditis virus IRES, the HCV nonstructural proteins NS3 to NS5B, and the HCV 3' nontranslated region; and have been described elsewhere (repPi Luc [27]). Replicon ET harbors adaptive mutations in NS3 and NS4B (E1202G, T1280I, and K1846T; numbers refer to the amino acid position of the polyprotein from the Con1 isolate, EMBL database accession number AJ242654), replicon S2197P has the indicated adaptive mutation in NS5A, and the GND replicon contains an inactivating mutation in the active center of the polymerase NS5B (D2737N). The replicon designated JFH has the same architecture, but all HCV sequences are derived from plasmid pSGR-JFH1, which contains a selectable replicon of the JFH-1 isolate, which is grouped into genotype 2a and exhibits very high replication efficiency in cell culture (18). Construction of this replicon has been recently described (46). In vitro transcription, electroporation, and transient replication assays including luciferase measurement in cell lysates have been described in detail elsewhere (27). Briefly, 4 x 106 strongly permissive or weakly permissive Huh7 cells were electroporated with 5 µg of in vitro-transcribed RNA derived from the indicated replicons or in the absence of RNA (mock), suspended in 12 ml complete Dulbecco modified Eagle medium, and seeded in 2-ml aliquots in six-well plates. Cell lysates and supernatants were harvested at 4, 24, 48, and 72 h posttransfection. CXCL-8 protein was measured on culture supernatants, and luciferase activity was measured on cell lysates.
Statistics.
Linear mixed models were applied to determine whether a significant correlation existed between CXCL-8 protein and HCV RNA. Measures were transformed to the log10 scale.

RESULTS
CXCL-8 knockdown by RNAi in human liver cell cultures.
Two CXCL-8-specific siRNAs (CXCL8-1 and CXCL8-2) were designed
according to established procedures (Dharmacon), and the efficiency
of CXCL-8 knockdown was assessed by transfecting different concentrations
of the siRNAs into Huh7 and BB7 cells. Control siRNAs included
targets to knock down the cellular gene, lamin A/C, and fluorescein
as an additional control for nonspecific effects since this
gene is not carried in the human genome. Figures
1A and B demonstrate
dose-dependent reduction of CXCL-8 protein expression by CXCL8-1
and CXCL8-2 siRNAs relative to the fluorescein siRNA, in Huh7
and BB7 cells, respectively. CXCL8-1 inhibited CXCL-8 production
by 4- to 14-fold in Huh7 cells and 2- to 13-fold in BB7 cells.
CXCL8-2 inhibited CXCL-8 production by three- to sixfold in
both Huh7 and BB7 cells. Similar effects were observed when
the reduction (
n-fold) in CXCL-8 protein was calculated by comparing
CXCL-8 siRNA with lamin siRNA results (data not shown). CXCL-8
mRNA was similarly inhibited by the CXCL-8 siRNAs (see Fig.
S1 in the supplemental material).
To determine the kinetics of CXCL-8 silencing, Huh7 and BB7
cells were transfected with 25 nM of lamin, fluorescein, CXCL8-1,
and CXCL8-2 siRNAs, and CXCL-8 protein in culture supernatants
was measured by ELISA at days 1, 3, and 6 posttransfection.
Figures
1C and D demonstrate that the CXCL8-1 and CXCL8-2 siRNAs
inhibited CXCL-8 protein expression as early as 1 day posttransfection
compared to lamin and fluorescein siRNAs. Effective silencing
of CXCL-8 was maintained at days 3 and 6 posttransfection, with
three- to eightfold suppression of CXCL-8. Note also that BB7
replicon cells produced two to four times more CXCL-8 than Huh7
cells did, indicating that HCV replication in this cell line
is associated with elevated CXCL-8 expression (
15). The data
demonstrate that single transfections of CXCL-8 siRNAs inhibit
CXCL-8 protein production for up to 1 week in BB7 and Huh7 cells.
To demonstrate the specificity of CXCL-8 silencing, culture supernatants from BB7 cells that were mock transfected or transfected with CXCL8-1 siRNA were tested for the cytokines IL-1ß, IL-6, and TNF-
by fluorescent multiplex ELISA (Fig. 1E). The levels of these cytokines were not affected by CXCL-8 knockdown. To verify that lamin protein expression was inhibited by the lamin siRNA, Western blot assays were performed. Figure 1E demonstrates that the lamin siRNA effectively inhibited lamin protein expression in Huh7 cells. The data demonstrate specific inhibition of CXCL-8 mRNA and protein production using RNAi.
Effect of CXCL-8 inhibition on HCV replication in stable replicon cells.
HCV RNA levels were quantitated in BB7 cells that were transfected with the different siRNAs. Figure 2A demonstrates that the CXCL8-2 siRNA inhibited CXCL-8 protein production by 7.9-fold relative to the fluorescein siRNA and 7.2-fold relative to the lamin siRNA. This level of CXCL-8 knockdown was associated with 3.8 (relative to fluorescein)- and 2.5 (relative to lamin)-fold suppression of HCV RNA when analyzed 3 days posttransfection. A similar reduction in HCV RNA levels by CXCL-8 inhibition was observed 6 days posttransfection (see Fig. S2 in the supplemental material). To independently verify the association between CXCL-8 inhibition and suppression of HCV replication, BB7 cells were treated with a neutralizing monoclonal antibody to CXCL-8. Figure 2B demonstrates that neutralization of CXCL-8 activity in BB7 cells was associated with 3.6-fold inhibition of HCV replication. HCV replication was not affected in control cultures treated with isotype-matched IgG. Furthermore, treatment of BB7 cells with recombinant human CXCL-8 induced a modest, dose-dependent increase in HCV NS5A protein expression (Fig. 2C). The data indicate that CXCL-8 is positively associated with chronic HCV replication in stable cell lines.
To examine this issue further, the relationships between basal
HCV RNA, CXCL-8 protein, and CXCL-8 mRNA were temporally analyzed
in three independent subgenomic and one genomic-length stable
replicon cell line. Figure
3 demonstrates that subgenomic replicons
(BB7, 5-15, and 9-13), a genomic replicon cell line (FL-Neo),
and Huh7 cells accumulate CXCL-8 protein over 4 days of culturing,
while CXCL-8 mRNA declines during the same period. The increase
in CXCL-8 protein correlates with increased HCV RNA production
in all cell lines, except 9-13 replicon cells, which had the
highest level of HCV replication among all replicon lines, and
remained sustained during the culture period. A positive association
was found between CXCL-8 protein and HCV RNA on the log
10 scale
(
R = 0.41,
P = 0.0013; see Fig. S3 in the supplemental material).
Moreover, Fig.
3 shows that CXCL-8 mRNA levels were negatively
correlated with HCV replication. An independent analysis of
different passages of Huh7 cells with various permissivities
for HCV replication revealed a similar negative correlation
between HCV replicative efficacy and CXCL-8 mRNA expression
(see Table S1 in the supplemental material). The data indicate
that CXCL-8 protein levels correlate positively with HCV RNA
levels in independent subgenomic and genomic replicon lines.
However, since replicons may acquire genetic or epigenetic mutations
during continuous selection in G418 medium and exposure to high-level
HCV replication (
4,
41), we next examined the relationship between
CXCL-8 protein levels and acute HCV replication.
CXCL-8 levels during acute HCV replication.
HCV replication as measured in transient replication assays
is strongly dependent on the permissiveness of the host cell
and on the efficiency of the viral sequence (
27). In order to
look for correlations between HCV replication and CXCL-8 secretion,
we wanted to achieve various levels of HCV replication in Huh7
cells. Therefore, we used two sets of Huh7 cells and three different
subgenomic luciferase replicons to cover a broad range of intracellular
levels of HCV replication: strongly permissive cells, referring
to a cured Huh7 replicon cell clone; weakly permissive cells,
representing naïve Huh7 cells of a low passage number;
the JFH replicon, based on a genotype 2a isolate (
18) exhibiting
very high replication efficiency; ET, the most efficient replicon
of the Con1 isolate with adaptive mutations in NS3 and NS4B
(
27); and S2197P, a moderately adapted Con1-based replicon with
a mutation in NS5A (
27). We included an RNA incapable of replication
due to an inactivating mutation in the GDD motif of the NS5B
polymerase (GND) to serve as a negative control and cells electroporated
in the absence of RNA (mock). Figure
4A shows the time course
of luciferase expression after transfection. Luciferase activity
4 h after transfection reflects transfection efficiency, which
was similar between the different replicons and cell types.
Replication efficiency was judged by increased luciferase activity
compared to the GND mutant at 24 h, 48 h, and 72 h after transfection.
The replicons with high (JFH), intermediate (ET), and low (S2197P)
replicative efficiencies behaved as expected in strongly permissive
cells, with JFH replicating to the highest levels, followed
by ET, followed by S2197P. The three replication-competent RNAs
replicated about 10-fold (JFH) to 250-fold (ET) less efficiently
in the weakly permissive than in the strongly permissive Huh7
cells. Furthermore, in the weakly permissive cells, the differences
in the replicative capacities of the different replicons were
even more apparent: replication of the S2197P replicon was barely
detectable in nonpermissive cells and ET replicated moderately
efficiently in these cells, whereas JFH reached replication
levels in weakly permissive cells similar to those of the ET
replicon in strongly permissive cells. The highest replication
efficiency was obtained for the JFH replicon in permissive Huh7
cells, reaching the maximum at 24 h posttransfection and staying
at this level for the remaining 2 days.
Figure
4B depicts the corresponding CXCL-8 ELISA data. Weakly
permissive cells secreted high levels of CXCL-8 protein into
the culture medium over time independently of the replicon construct.
For replicons with low (S2197P) to moderate (ET) levels of HCV
replication, CXCL-8 protein levels were up to five times lower
in strongly permissive Huh7 cells than in weakly permissive
Huh7 cells. In contrast, the JFH replicon, which replicated
to high levels in both highly permissive and weakly permissive
Huh7 cells, induced CXCL-8 to high levels in both cell types.
The data suggest that in the replicon system, acute HCV replication
is associated with CXCL-8 induction, which may be inhibitory
to viruses with low replicative capacity.

DISCUSSION
CXCL-8 inhibits the antiviral actions of IFN (
19,
37). Assuming
the level of HCV replication is inversely proportional to the
vigor of the innate antiviral response, it can be hypothesized
that CXCL-8 removal would inhibit HCV replication. Since Huh7
and replicon cells produce CXCL-8 (
15), CXCL-8 addition experiments
were precluded. It is for this reason that we inhibited CXCL-8
production using RNAi, and we found that CXCL-8 knockdown was
associated with inhibition of HCV replication in BB7 cells.
Moreover, there was a statistically significant correlation
between CXCL-8 protein production and HCV replication in independent
replicon cell lines. These data demonstrate for the first time
that CXCL-8 protein levels are positively associated with HCV
replication in vitro. The increase of CXCL-8 protein could be
a consequence of HCV-induced cellular stress and activation
of the inflammatory response. Indeed, it has been shown that
CXCL-8 is induced in response to cellular stress, including
virus infection (
22). Alternatively, CXCL-8 may modulate HCV
replication via inhibition of IFN antiviral responses (
37,
38),
the mechanisms of which are currently under investigation.
The regulation of CXCL-8 expression is a very complex process, with multiple regulatory mechanisms operative at the transcriptional and posttranscriptional levels. CXCL-8 induction involves transcriptional activation of the CXCL-8 promoter (31) and mRNA stabilization (16, 24, 47), via regulatory AU-rich elements (AREs) in the 3' UTR of the cellular mRNAs (1). We have previously shown that HCV induction of CXCL-8 involves increases in both transcription and mRNA stabilization (15, 37). In the current report, we found that CXCL-8 protein accumulated in culture supernatants along with HCV RNA, yet CXCL-8 mRNA levels progressively declined as all cell lines, including Huh7 cells, grew in culture. CXCL-8 protein may have accumulated because of a longer half-life than its corresponding mRNA's half-life of about 45 min (11, 15, 39). Thus, HCV may induce stabilization of CXCL-8 mRNA via modulation of protein interactions on the 3' UTR ARE sequences, but the innate mechanism which regulates ARE-dependent mRNA decay likely contributes to the CXCL-8 mRNA decay as cells grow in culture. These issues will be resolved using transient HCV replication/infection using the JFH-1 infectious culture system. Nonetheless, the inverse correlation between CXCL-8 mRNA and protein indicates that future studies focusing on CXCL-8 should not solely rely on assessments of CXCL-8 mRNA, as this message, like most ARE-containing genes, turns over rapidly (15). This is a particularly important consideration for microarray-based studies of the host response to HCV infection.
An intriguing finding in the current study is the inverse correlation between permissiveness of a cell for acute HCV replication and CXCL-8 protein expression. The data from transient HCV replication assays suggest that the cellular proinflammatory status may be inhibitory to HCV replication in replicons or viruses with low to moderate replicative capacity. In this scenario, high CXCL-8 could render cells refractory to HCV replication. This is reminiscent of the proinflammatory molecule TNF-
, which exerts both protective and deleterious effects in vivo. In addition to being closely associated with the pathology of many chronic diseases including hepatitis (9), TNF-
displays antiviral activity against several different viruses (48, 49). The duality of function of TNF-
further suggests that proinflammatory chemokines such as CXCL-8 may display both antiviral and proviral effects. By analogy with TNF-
, the biological effects of CXCL-8 may depend on a complex set of interdependent factors such as tissue type; cellular context; receptor expression; and the dose, duration, and timing of the CXCL-8 response (43).
The current study also suggests that innate antiviral responses are linked to proinflammatory responses via complex signaling networks. Indeed, interferon regulatory factor 3 regulates the expression of the chemokine RANTES (25), and respiratory syncytial virus regulates CXCL-8 expression via interferon regulatory factor 1 (6). Thus, viruses may induce CXCL-8 during acute infection as a consequence of innate antiviral pathways communicating with the inflammatory response during virus infection. The CXCL-8 that is produced may have antiviral effects against viruses with low replicative capacity. If chronic infection is established, as might be expected from a virus with high replicative capacity, chronic induction of CXCL-8 may cause pathology as in the case of chronic illnesses like arthritis (10) or Helicobacter pylori infection (32).
In summary, inhibition of CXCL-8 protein production inhibited chronic HCV replication in stable subgenomic replicon cells. CXCL-8 protein but not mRNA correlated with HCV replication. During acute HCV replication, CXCL-8 was induced in cell lines that failed to support the growth of HCV replicons with low to moderate replicative capacity. However, CXCL-8 was induced to high levels by replicons with high replicative capacity. The inflammatory response of liver cells to HCV infection may contribute to control of acute virus replication and pathogenicity in the context of chronic infection.

ACKNOWLEDGMENTS
We thank Khalid Khabar and Amalia Meier for statistical advice,
Apath LLC and Ralf Barteschlager for replicon cells, Tom Tuschl
for advice on RNAi, Mark Wener and Bracan Williams for multiplex
cytokine determinations, and Kelli Kraft and Trevor Arneberg
for technical assistance.
S.J.P. is partially supported by NIH grant DK62187 and the Royalty Research Fund of the University of Washington. V.L. acknowledges support from the National Genome Research Network, NGFN, from the German Ministry for Research and Education.

FOOTNOTES
* Corresponding author. Mailing address: Virology Division, 359690, 325 9th Avenue, Seattle, WA 98104-2499. Phone: (206) 341-5224. Fax: (206) 341-5203. E-mail:
polyak{at}u.washington.edu.

Supplemental material for this article may be found at http://jvi.asm.org/. 
Present address: Department of Gastroenterology, Mount Sinai School of Medicine, New York, N.Y. 

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Journal of Virology, August 2006, p. 7885-7893, Vol. 80, No. 16
0022-538X/06/$08.00+0 doi:10.1128/JVI.00519-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
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