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Journal of Virology, March 2008, p. 3054-3060, Vol. 82, No. 6
0022-538X/08/$08.00+0 doi:10.1128/JVI.01153-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

The Burnet Institute, G.P.O. Box 2284, Melbourne, Victoria, Australia,1 Department of Immunology, Monash University, Melbourne, Victoria, Australia,2 Department of Microbiology, Monash University, Clayton, Victoria, Australia,3 Department of Microbiology and Immunology, University of Melbourne, Parkville, Victoria, Australia4
Received 28 May 2007/ Accepted 11 December 2007
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) enzyme-linked immunospot (ELISPOT) assay responses in the peripheral blood of two marmosets were assessed throughout the course of GBV-B infection. These T-cell responses were directed against the GBV-B nonstructural proteins 3 (NS3), 4A (NS4A), and 5B (NS5B), and their appearance was temporally associated with clearance of viremia. These marmosets were then rechallenged with GBV-B at least 3 months after clearance of the primary infection to determine if the animals were protected from reinfection. There was no detectable viremia following reinfection, although a sharp increase in T-cell responses against GBV-B proteins was observed. Epitope mapping of T-cell responses to GBV-B was performed with liver and blood samples from both marmosets after rechallenge with GBV-B. Three shared, immunodominant T-cell epitopes within NS3 were identified in animals with multiple common major histocompatibility complex class I alleles. IFN-
ELISPOT responses were also detected in the livers of two marmosets that had resolved a primary GBV-B infection. These responses were high in frequency and were directed against epitopes within GBV-B NS3, NS4A, and NS5B proteins. These results indicate that virus-specific T-cell responses are detectable in the liver and blood of GBV-B-infected marmosets and that the clearance of GBV-B is associated with the appearance of these responses. |
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B), resulting in impaired innate antiviral defenses (8). Similar to HCV infections in humans and chimpanzees, reinfection of convalescent marmosets or tamarins with GBV-B results in viremia of reduced magnitude and duration, indicating the existence of protective immunity (3, 4). However, the role of T-cell responses in this protective response is unknown. The use of the GBV-B-marmoset model for the study of HCV immunity has been impeded by the lack of reagents and assays for measuring T-cell immune responses in these animals. In this study, we demonstrate that GBV-B-specific T-cell responses are detectable in marmoset liver and blood samples following viral clearance. Furthermore, we also show that the appearance of these responses is associated with viral clearance and protection from reinfection.
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)-specific enzyme-linked immunospot (ELISPOT) assay. Isolation of lymphocytes from blood and liver. PBMC were isolated from peripheral blood samples by use of a Ficoll-Hypaque density gradient (GE Healthcare Bio-Sciences, Uppsala, Sweden). To recover IHL, the whole marmoset liver was cut into small pieces and gently homogenized in phosphate-buffered saline containing 1% fetal calf serum (FCS), using a Wheaton Dounce tissue homogenizer (Wheaton, Millville, NJ). PBMC and IHL were cryopreserved in FCS containing 10% dimethyl sulfoxide.
Quantification of GBV-B RNA. GBV-B RNA was extracted from 70 µl of marmoset serum by using a QIAamp viral RNA mini kit (Qiagen) according to the manufacturer's instructions. GBV-B RNA was quantified by quantitative RT-PCR using a primer-probe which hybridized to the GBV-B core gene, as described previously (3, 15, 25). The serum viral load was calculated by comparison with a standard curve generated from serial 10-fold dilutions of RNA transcribed in vitro from pGBB.
GBV-B peptides. Overlapping peptides spanning the GBV-B proteins core (amino acids [aa] 1 to 156; 15 peptides), NS3 (aa 941 to 1250; 30 peptides), NS3/NS4A (aa 1241 to 1615; 37 peptides), and NS5B (aa 2275 to 2864; 58 peptides) were kindly provided by Chris Walker (Columbus Children's Research Institute, Columbus, OH). Individual peptides were 20 aa in length, with a 10-aa overlap.
ELISPOT assay.
GBV-B-specific T-cell responses were enumerated for PBMC or IHL by an ELISPOT assay using anti-human IFN-
antibody pairs (Mabtech, Sweden). Responses were measured against the four GBV-B peptide pools described above. For epitope mapping studies, NS3 and NS4A 20-mer peptides were arranged in intersecting mapping pools to identify individual peptides that contained GBV-B epitopes. PBMC and IHL were cultured in duplicate wells at 2 x 105/well and 2.5 x 104/well, respectively, in RPMI (Invitrogen) supplemented with 10% FCS and a 1-µg/ml final concentration of GBV-B peptide pool in precoated ELISPOT plates and then incubated at 37°C for 40 h. PBMC or IHL stimulated without antigen and with phytohemagglutinin at 5 µg/ml were used as negative and positive controls, respectively. The cells were then removed, and ELISPOT plates were developed according to the manufacturer's instructions. The number of spot-forming cells (SFC) was analyzed using an AID ELISPOT plate reader and calculated by subtracting the mean number of spots in negative control duplicates from the mean number of spots in test duplicates and then normalizing the result to SFC/106 PBMC or IHL.
MHC class I analysis of marmosets. Sharing of MHC class I alleles in marmosets was analyzed by reference strand-mediated conformation analysis (RSCA), using a protocol adapted from similar methods to detect pigtail macaque MHC alleles (24, 30). Approximately 700 bp of MHC class I cDNA was amplified from marmoset PBMC cDNA by using the 5'RSCA and 3'RSCA primers as described previously (30). Three to five separate reference-strand MHC class I alleles isolated from rhesus macaques were PCR amplified under the same conditions, except that 5'RSCA was replaced with 5'-end-labeled Cy5-5'RSCA. Heteroduplex reactions between each reference strand and amplified marmoset MHC class I cDNA were performed under the following conditions: 95°C for 4 min, 55°C for 5 min, and 15°C for 5 min. Heteroduplex products were then run in a nondenaturing polyacrylamide gel on an ABI377 sequencer for 7 h, along with ROX-labeled external size standards (24). The migration rate of MHC alleles in the gel is determined by the conformation of the allele with the reference strand. Identical alleles shared between marmosets have the same mobility when heteroduplexed with the same reference strand.
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ELISPOT assays on PBMC collected from a marmoset that had resolved infection. To perform this experiment, marmoset M803 was infected with GBV-B by intravenous injection of infectious serum (2 x 104 GE/inoculation). GBV-B RNA was detected at week 1 postinfection and reached a peak viral load at week 2 postinfection (4.8 x 106 GE/ml) before clearance of the infection at week 5 (Fig. 1A). PBMC were collected at week 10 postinfection and were assessed for virus-specific T-cell responses against GBV-B peptide pools (Fig. 1B) by using an IFN-
ELISPOT assay (Fig. 1C). GBV-B peptide pools spanning core, NS3, NS4A, and NS5B were used in these assays, as numerous CD4+ and CD8+ T-cell epitopes have been described for the equivalent HCV proteins (32). In addition, mutations have been described for GBV-B core, NS3, NS4A, and NS5B in a tamarin that had a prolonged course of viremia, indicating that these regions may be subject to T-cell selection pressure (21). T-cell responses were detected against GBV-B NS3/NS4A only (275 SFC/106 PBMC) (Fig. 1C). No responses were detected against peptide pools comprising GBV-B core, NS3, or NS5B.
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FIG. 1. GBV-B-specific T cells are detectable in the peripheral blood following recovery from GBV-B infection. (A) GBV-B viremia following intravenous injection of infectious serum. (B) Localization of GBV-B peptide pools encompassing core, NS3, NS3/NS4A, and NS5B. (C) IFN- ELISPOT responses in peripheral blood following clearance of infection. PBMC were isolated at week 10 postinfection and tested for IFN- responses against GBV-B peptide pools.
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FIG. 2. The appearance of virus-specific T-cell responses is associated with viral clearance and protection from reinfection. Marmosets F841 and F899 were infected with GBV-B and allowed to recover (primary infection). The animals were then rechallenged with GBV-B 21 weeks after the primary infection (secondary infection). PBMC were collected at multiple times postinfection and assessed for IFN- responses by ELISPOT assay. Individual bars represent the responses to individual GBV-B peptide pools. The solid line represents the summed response to the GBV-B peptide pools. GBV-B RNA is represented by gray area plots.
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production. Virus-specific T-cell responses were first detected in marmoset F841 at week 7 postinfection, coincident with clearance of viremia (Fig. 2). These responses were detected against peptide pools encompassing NS3 (52 SFC/106 PBMC) and NS3/NS4A (105 SFC/106 PBMC). The responses against NS3 remained stable from weeks 8 to 21 postinfection, while the responses to NS3/NS4A rose steadily before reaching a peak level at week 15 postinfection (207 SFC/106 PBMC). No responses were detected against GBV-B core or NS5B. GBV-B-specific IFN-
production from PBMC was first detectable in marmoset F899 at week 5 postinfection, coinciding with a 1,000-fold reduction in viral load from week 4 to week 5 (week 4, 1.3 x 106 GE/ml; week 5, 639 GE/ml) (Fig. 2). The responses were directed against NS3 (217 SFC/106 PBMC) and NS5B (127 SFC/106) and expanded to encompass NS3, NS3/NS4A, and NS5B at week 7 postinfection. Responses to NS3 only were detectable at weeks 8 and 9, and thereafter no responses were detected until reinfection.
Reinfection of marmosets with GBV-B.
HCV infection studies with chimpanzees have shown that virus-specific T-cell responses are associated with viral clearance (9, 31, 33) and are able to respond rapidly to viral antigen when an animal is rechallenged (2, 14, 29). The duration and magnitude of viremia in the secondary infection are reduced in comparison to those of the primary infection and are associated with the rapid induction of memory CD4+ and CD8+ T cells (29). To determine if marmosets were protected from reinfection with GBV-B and if virus-specific memory T cells were associated with this protection, we reinfected marmosets F841 and F899 with GBV-B and assessed virus-specific T-cell responses in PBMC collected throughout the course of infection. Marmosets F841 and F899 were rechallenged with the same dose and by the same route of administration used in the primary infection. The marmosets were rechallenged 21 weeks after the primary infection and at least 12 weeks after clearance of virus (Fig. 2). GBV-B viremia was not detected in either of the marmosets at any time after reinfection, whereas virus-specific T-cell responses were increased significantly. For marmoset F841, total IFN-
responses against NS3 and NS3/NS4A peptide pools increased from 205 SFC/106 PBMC at the time of reinfection to 415 SFC/106 PBMC 1 week later (Fig. 2). The T-cell responses against the NS3 and NS3/NS4A peptide pools were then reduced almost twofold 2 weeks after reinfection and remained stable up until week 12. For marmoset F899, total IFN-
responses increased from an undetectable level at the time of reinfection to 805 SFC/106 PBMC 1 week after reinfection (Fig. 2). The responses 1 week after reinfection were against GBV-B peptide pools encompassing NS3, NS3/NS4A, and NS5B (277, 170, and 357 SFC/106 PBMC, respectively). Thereafter, total IFN-
responses to GBV-B peptides were reduced fivefold 2 weeks after reinfection and were limited to the NS3 and NS3/NS4A peptide pools only. IFN-
responses to the NS3 peptide pool only were detected at week 4, and these responses remained stable until week 12 postreinfection (Fig. 2).
Detection of intrahepatic virus-specific T-cell responses in marmosets following GBV-B infection.
As opposed to the responses in marmoset peripheral blood, we were not able to assess intrahepatic T-cell responses in marmosets F841 and F899 throughout the course of infection, as the animals were too small for us to obtain weekly liver biopsy specimens. Consequently, intrahepatic T-cell responses were analyzed at week 12 postinfection, when the animals were sacrificed. IHL were collected from marmoset whole liver and assessed for virus-specific T-cell responses, and these responses were compared to responses measured in peripheral blood (Fig. 3). For marmoset F841, IFN-
responses against the NS3 (355 SFC/106 IHL), NS3/NS4A (805 SFC/106 IHL), and NS5B (275 SFC/106 IHL) peptide pools were detected in IHL (Fig. 3A). These responses were fivefold greater than those measured in peripheral blood against the NS3 and NS3/NS4A peptide pools (72 and 157 SFC/106 PBMC, respectively). T-cell responses against the NS3, NS3/NS4A, and NS5B peptide pools were also detected in the liver of marmoset F899 (890, 850, and 220 SFC/106 IHL, respectively), while responses to NS3 only were detected in the peripheral blood (72 SFC/106 PBMC) (Fig. 3B).
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FIG. 3. Comparison of virus-specific T-cell responses in the blood and liver following clearance of infection. PBMC and IHL from marmosets F841 (A) and F899 (B) were collected 12 weeks after rechallenge with GBV-B and assessed for IFN- ELISPOT responses against GBV-B core, NS3, NS3/NS4A, and NS5B peptide pools. (C) IHL were also isolated from two marmosets (M839 and M848) 2 weeks after clearance of a primary GBV-B infection and assessed for IFN- ELISPOT responses against GBV-B peptide pools.
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Epitope mapping of GBV-B-specific T-cell responses.
Acute resolving HCV infections are characterized by the accumulation in the liver of HCV-specific CD4+ and CD8+ T cells that recognize multiple viral epitopes, whereas infections that lead to persistence are characterized by weaker T-cell responses against fewer viral epitopes (9, 14, 29, 33). To determine the specificity and breadth of the T-cell response in resolving GBV-B infections in marmosets, epitope mapping experiments were performed on liver and blood samples collected from marmosets F841 and F899 at week 12 after reinfection. In the primary and secondary infections, the NS3 and NS3/NS4A peptide pools represented the total response in marmoset F841 and 73% and 78%, respectively, of the response in marmoset F899 (Fig. 2). Consequently, epitope mapping analysis was performed on these regions, using individual GBV-B 20-mer peptides from NS3 and NS3/NS4A peptide pools arranged in intersecting mapping pools. Positive IFN-
responses against intersecting peptide mapping pools were confirmed using the corresponding individual 20-mer peptides. For both marmosets, IFN-
responses against three 20-mer GBV-B NS3 peptides were responsible for the total response to the NS3 and NS3/NS4A peptide pools (NS31081-1100 [APILCSSGHVIGMFTAARNS], NS31131-1150 [PTVPNEYSVQILIAPTGSGK], and NS31421-1440 [GMVPECNIVEAFDAAKAWYG]) (Fig. 4). For marmoset F841, IFN-
responses against all three 20-mer peptides were detected in liver and blood samples but were two- to fivefold higher in the liver than in peripheral blood (for NS31081-1100, 145 versus 52 SFC/106 IHL/PBMC; for NS31131-1150, 235 versus 57 SFC/106 IHL/PBMC; and for NS31421-1440, 750 versus 137 SFC/106 IHL/PBMC) (Fig. 4). For marmoset F899, IFN-
responses against NS31081-1100, NS31131-1150, and NS31421-1440 were also detected in the liver (532, 167, and 805 SFC/106 IHL, respectively), whereas only NS31081-1100 was recognized by T cells in the peripheral blood (62 SFC/106 PBMC) (Fig. 4).
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FIG. 4. The T-cell response to GBV-B infection is mediated by three immunodominant NS3 epitopes. PBMC and IHL from marmosets F841 and F899 were collected 12 weeks after rechallenge with GBV-B, and epitope mapping was performed using intersecting peptide mapping pools in IFN- ELISPOT assays. T-cell responses were measured against three individual GBV-B 20-mer peptides in NS3.
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responses against NS31091-1110, which shares 10 COOH-terminal amino acids with NS31081-1100, were detected in both marmosets, indicating that the T-cell epitope is located in the sequence 1091-IGMFTAARNS-1100 and is likely to represent a CD8+ T-cell epitope. In contrast, there were no responses to overlapping 20-mer peptides of NS31131-1150 or NS31421-1440 in either marmoset, indicating that the T-cell epitope is located in the middle of these peptides rather than at the NH2 or COOH terminus. MHC class I analysis of marmosets F841 and F899. The finding that marmosets F841 and F899 responded to the same GBV-B epitopes, including the putative CD8+ T-cell epitope located at NS31091-1100, suggests that they have common MHC alleles. To determine if the marmosets have common MHC class I restriction elements, we performed RSCA, using marmoset PBMC cDNA heteroduplexed separately with four reference MHC class I alleles derived from rhesus macaques (Fig. 5). This assay relies on the finding that each MHC allele, even when it differs only marginally from other MHC alleles, has a unique conformation when heteroduplexed with the fluorescent reference strand and therefore has a unique mobility profile on a nondenaturing gel. This analysis revealed that marmosets F841 and F899 shared at least four MHC class I alleles (Fig. 5). For example, cDNAs from marmosets F841 and F899 heteroduplexed with the rhesus reference allele Mamu-A*15 demonstrated four distinct heteroduplex peaks with virtually identical (<1.5 bp) mobilities. Four heteroduplex peaks shared between F841 and F899 were also observed with the other rhesus reference alleles studied. The sharing of multiple common MHC class I alleles between marmosets F841 and F899 suggests that these two marmosets are likely to respond to shared GBV-B CD8+ T-cell epitopes.
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FIG. 5. Marmosets F841 and F899 share common MHC class I alleles. cDNAs from marmosets were heteroduplexed with reference strand Mamu-A15 and examined by electrophoresis on a nondenaturing gel. Each MHC allele heteroduplex has a unique mobility, with each peak representing an MHC class I allele.
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ELISPOT assay to assess GBV-B-specific T-cell responses in marmoset peripheral blood and liver samples from experimentally infected animals. Our findings on GBV-B-specific T-cell immunity in marmosets significantly expand the utility of the GBV-B/marmoset model. Resolution of acute HCV infection in chimpanzees and humans is mediated by CD4+ and CD8+ T cells targeting multiple epitopes of HCV (9, 10, 20, 33). In the chimpanzee model, depletion of CD4+ or CD8+ T cells prolongs infection, indicating that both T-cell subtypes are required for viral clearance (14, 29). In this study, we have shown that virus-specific T-cell responses directed against multiple GBV-B epitopes are present in the liver and blood of marmosets following clearance of viremia and that their appearance in the peripheral blood is associated with resolution of viremia. Similar to the case for HCV infections in humans and chimpanzees, responses detected in the liver were higher in frequency than those in peripheral blood. Analysis of T-cell frequencies in individuals with persistent HCV infection, using tetramers, has revealed that frequencies in the liver are at least 10-fold higher than those in peripheral blood (13, 16). In this study, using T cells isolated from marmoset whole liver without expansion, intrahepatic T-cell frequencies were higher than those in peripheral blood by a similar order of magnitude, indicating that virus-specific T cells accumulated in the liver, the site of virus replication. Although one of the epitopes (NS31091-1100) was mapped to a 10-mer peptide indicating a CD8+ T-cell response, we were unable to definitively determine if the responses were mediated by CD4+ or CD8+ T cells, as antibodies specific for marmoset CD4 or CD8 that could be used in depletion experiments were not available. Serum alanine aminotransferase (ALT) levels have been used in HCV studies to assess hepatocyte destruction by CD8+ cytotoxic T cells (14, 20, 29, 33). ALT levels were not elevated in marmosets M839 and M848 following infection (15), indicating that noncytolytic mechanisms may have been responsible for the control of viral replication. However, serum ALT levels have been shown to be a poor indicator of viral clearance in marmosets, and another liver enzyme (glutamate dehydrogenase) is associated with viral clearance and hepatocyte destruction (4). Therefore, it is possible that viral clearance was mediated by cytolytic CD8+ T cells. We recently developed lymphocyte proliferation and cytotoxic T-cell assays with marmosets to further characterize GBV-B-specific CD4+ and CD8+ T-cell responses.
HCV infection studies with the chimpanzee model have demonstrated that virus-specific memory CD4+ and CD8+ T cells are required for protection from reinfection (14, 29). In this study, marmosets were protected against reinfection several months after clearance of the primary infection. Reexposure of marmosets to GBV-B was associated with sharp increases in virus-specific T-cell responses to GBV-B nonstructural proteins. Since the nonstructural proteins of GBV-B (like those of HCV) are expressed during the intracellular infection cycle, our results suggest that these T-cell responses were boosted by an abortive infection and probably played a role in limiting viral replication. The T-cell responses measured following secondary infection were greater in magnitude and appeared more rapidly than the responses measured in the primary infection. This is consistent with the T-cell responses detected following reinfection of chimpanzees with HCV (29) and indicates that memory T cells were recalled. The fact that virus-specific T-cell responses were boosted upon reinfection suggests that viral replication occurred in the livers of these animals, triggering rapid induction of memory T cells that controlled infection. However, viral RNA was not detected at any time postinfection by an RT-PCR with a sensitivity of 10 GE/ml serum. Nevertheless, since viral RNA levels could only be assessed at weekly intervals owing to the small size of these animals and difficulties in obtaining blood, it is possible that viral RNA was present transiently before the week 1 time point. Previous studies with marmosets (4) and tamarins (3) have demonstrated reduced viral replication upon rechallenge, indicating that animals can be reinfected with GBV-B.
The role of humoral immunity in clearance of HCV and protection from reinfection is poorly understood. Previous studies with the chimpanzee model suggest that antibody to HCV envelope proteins may have a role in protection against HCV infection or may neutralize a proportion of the challenge dose (11, 17, 18). Neutralizing antibody responses to GBV-B infection have not been investigated in previous studies. In this study, neutralizing antibody responses were analyzed in marmoset M848 following in vitro infection of naïve marmoset hepatocytes as described previously (25). Although this animal had detectable antibody responses against GBV-B core following infection (15), neutralizing antibodies were not detected in this animal at the time of viral clearance or 2 weeks after clearance (unpublished data), and therefore the control of viremia in this animal was most likely due to the appearance of virus-specific T cells. Neutralizing antibody responses were not examined in marmosets F841 and F899 following GBV-B reinfection, but rechallenge of the marmosets with 4 µl of GBV-B-positive serum resulted in a boosting of the T-cell response in both animals, indicating that virus replication occurred. Thus, if neutralizing antibodies were present in these animals, the titer was insufficient to neutralize this low dose of challenge virus. Our data are consistent with previous studies demonstrating that marmosets (4) and tamarins (3) can be reinfected with GBV-B, indicating that neutralizing antibodies do not protect against reinfection.
The majority of the T-cell responses in the infected marmosets were specific for GBV-B epitopes within NS3 and NS4A. Although GBV-B peptides encompassing the entire GBV-B polyprotein were not available, all five marmosets that resolved infection showed T-cell responses against NS3 and NS4A. Epitope mapping experiments demonstrated that several peptides in NS3 were immunodominant and accounted for all of the response to the NS3 and NS3/NS4A peptide pools. Furthermore, both marmosets responded to the same three epitopes, suggesting that the animals had common MHC restriction elements. This observation was confirmed by MHC class I analysis using RSCA and revealed that marmosets F841 and F899 shared four MHC class I alleles. The larger litter size, relatively inbred nature, and limited MHC class II variability of marmosets are very useful features for the development of the GBV-B/marmoset model (1, 23).
In summary, the development of assays for measuring T-cell responses in marmosets infected with GBV-B represents a significant advance in the development of a small-animal model that can be used to understand the nature of protective immunity to members of the Hepacivirus genus. Ongoing work in our laboratory is focusing on various vaccine delivery systems incorporating HCV/GBV-B proteins. The development of these T-cell assays with the marmoset model will enable testing of these vaccines for efficacy in terms of immunogenicity and protection from infection and will provide important information on HCV vaccination strategies.
Assistance with surgical procedures and animal care provided by Denise Noonan, Hugh Robinson, Karen Jenner, and Cherelle Baldock (Monash University, Clayton, Australia) is gratefully acknowledged. We thank Chris Walker (Columbus Children's Research Institute, OH) for providing the GBV-B peptide pools used in this study.
Published ahead of print on 19 December 2007. ![]()
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