Hepatitis C virus (HCV) interacts with human platelets in vivo as a potential transport of infectious virions to the target liver. The binding of native viral particles with the platelet membrane glycoprotein VI (GPVI) was analysed. A consistent interaction between HCV from plasma or after purification by two different methods and the recombinant extracellular immunoglobulin (Ig)-like domains of human GPVI (hD1D2) was observed with two independent experimental approaches: pull-down and ELISA assays. Between 2 and 7 % of HCV particles were specifically bound to hD1D2. The binding was inhibited by an anti-hD1D2 in a dose-dependent manner. Human D1D2 interaction with HCV was significantly higher than the murine D1D2, supporting the specificity of the interaction and to the single human domains (D1 and D2), suggesting that both Ig-like domains of the molecule are required for efficient binding. GPVI may be a platelet surface ligand for HCV playing a role in viral transport and persistence.
INTRODUCTIONHepatitis C virus (HCV) infection is a global health problem, being a major cause of cirrhosis and hepatocellular carcinoma worldwide. The infection can also lead to a number of serious extra-hepatic manifestations (Major et al., 2001) and the existence of extra-hepatic viral reservoirs, such as lymphocytes, as well as the importance that they might have in the pathophysiology of infection becoming increasingly recognized.HCV infection is also associated with thrombocytopenia. Several investigators have reported HCV association with platelets (de Almeida et al., 2004; Floreani et al., 1996;Li et al., 1994;Nagamine et al., 1996;Silva et al., 1992;Takehara et al., 1994). We have previously shown the interaction of immunoglobulin (Ig) G-free and IgG-complexed HCV with platelets in chronically infected patients (Hamaia et al., 2001). Viral interaction with platelets is well recognized, as it has been described for other viruses such as herpes simplex virus (Forghani & Schmidt, 1983), Vaccinia virus (Bik et al., 1982), Human immunodeficiency virus 1 (HIV-1) (Lee et al., 1998(Lee et al., , 1993Olinger et al., 2000), echovirus 1 (Xing et al., 2004), hantavirus (Gavrilovskaya et al., 1998) and the flavivirus dengue type 2 (Wang et al., 1995) among others. Several mechanisms have been proposed as contributing to thrombocytopenia, but recently a positive correlation between thrombocytopenia and HCV association with platelets was described (de Almeida et al., 2004), suggesting a direct viral effect on platelet count.Platelets do not express CD81 (Levy et al., 1998), SR-BI (Rhainds & Brissette, 2004), DC-and L-SIGN (van Kooyk & Geijtenbeek, 2003) or the classical LDL-R (Korporaal et al., 2004;Pedreno et al., 1992), which are putative HCV receptors (Agnello et al., 1999;Gardner et al., 2003;Lozach et al., 2003; Monazahian et al., 1999;Pileri et al., 1998;Pohlmann et al., 2003;Scarselli et al., 2002). Thus, other molecule(s) might mediate the interaction between HCV and platelets.Preliminary work in the laboratory identified a 6...