Quasispecies shifts are essential for the development of persistent hepatitis C virus (HCV) infection. Naturally occurring sequence variations in the 59 non-translated region (NTR) of the virus could lead to changes in protein expression levels, reflecting selective forces on the virus. The extreme 59 end of the virus' genome, containing signals essential for replication, is followed by an internal ribosomal entry site (IRES) essential for protein translation as well as replication. The 59 NTR is highly conserved and has a complex RNA secondary structure consisting of several stem-loops. This report analyses the quasispecies distribution of the 59 NTR of an HCV genotype 1b clinical isolate and found a number of sequences differing from the consensus sequence. The consensus sequence, as well as a major variant located in stem-loop IIIa of the IRES, was investigated using self-replicating HCV RNA molecules in human hepatoma cells. The stem-loop IIIa mutation, which is predicted to disrupt the stem structure, showed slightly lower translation efficiency but was severely impaired in the colony formation of selectable HCV replicons. Interestingly, during selection of colonies supporting autonomous replication, mutations emerged that restored the base pairing in the stem-loop. Recloning of these altered IRESs confirmed that these second site revertants were more efficient in colony formation. In conclusion, naturally occurring variants in the HCV 59 NTR can lead to changes in their replication ability. Furthermore, IRES quasispecies evolution was observed in vitro under the selective pressure of the replicon system.
INTRODUCTIONA major complication of hepatitis C virus (HCV) infection is its asymptomatic progression into chronic hepatitis, which can lead to cirrhosis of the liver and ultimately hepatocellular carcinoma and liver failure (Farci & Purcell, 2000). Therapy with interferon alpha and ribavirin, a guanoside analogue, provides the highest sustained virological response rates pivotal to the treatment for chronic HCV liver disease (Pawlotsky, 2003). A contributory factor for development of persistent infection of HCV is that its genome shows considerable genetic heterogeneity as a result of accumulation of mutations during viral RNA replication. This variability, which is characteristic of RNA viruses, results from the fact that the viral RNA polymerase lacks a proofreading activity needed for repair of misincorporated nucleotides during RNA synthesis. Mutations that occur during virus replication might confer selective advantages or disadvantages to the progeny virus, depending on varying local environment conditions including the presence of innate and adaptive immune response, antivirus treatment and availability of permissive cells. The existence of such a population of variants within a single individual is called a quasispecies (Farci & Purcell, 2000).HCV, which is a distinct member of the family Flaviviridae, has a positive-stranded RNA genome of~9600 nt that encodes a single long open reading frame of~3...