Hepatitis C virus (HCV) is predominantly a hepatotropic virus. Nonetheless, there is mounting evidence that hematopoietic cells may support HCV replication. The HCV 5 untranslated region (5UTR), responsible for initiation of viral translation, via an internal ribosome entry site (IRES), has been previously described to contain specific nucleotide substitutions when cultured in infected lymphoid cells. Our purpose was to establish whether the 5UTR polymorphism of quasispecies from 3 cell compartments (liver, peripheral blood mononuclear cells [PBMG], and monocyte-derived dendritic cells
IntroductionHepatitis C virus (HCV) is a positive strand RNA virus that establishes a chronic infection in more than 80% of cases. Chronicity frequently leads to liver cirrhosis and hepatocellular carcinoma, 1 making HCV infection the first indication for liver transplantation. Poor fidelity of the viral RNA-dependent RNA polymerase results in the coexistence of closely related but distinct variants called quasispecies, which are likely involved in viral persistence. 2,3 There is mounting evidence for an extrahepatic replication based on the frequent association of hepatitis C infection with lymphoproliferative disorders such as cryoglobulinemia and nonHodgkin lymphomas (reviewed by Dammacco et al 4 ), and the possibility of experimental transmission of non-A non-B hepatitis to a chimpanzee by mononuclear leucocytes from a chronically infected patient. 5 Supporting the results of Hellings et al, 6 severe combined immunodeficiency (SCID) mice have been shown to be susceptible to persistent HCV infection after injection of human HCV-positive peripheral blood mononuclear cells (PBMCs). In addition, tissue compartmentalization of the HCV genome has been described during HCV infection 7,8 and coinfection with HIV. 8 Finally, the detection of HCV RNA-negative strand as the theoretical intermediate of replication, although somewhat controversial, 9,10 has been well documented in PBMCs. Indeed, negativestrand RNA has been reported in mononuclear cells such as B and T lymphocytes and monocytes, [11][12][13][14][15] in polynuclear lymphocytes, 16,17 and even in hematopoietic progenitor cells. 18 Moreover, the viral genomic RNA has been detected more frequently in PBMCs from nonresponders 19 to interferon (IFN) treatment. Interestingly, considering viral dynamics such as virus half-life, the suppressing effect on viral replication observed through treatment appears consistently slower in PBMCs than in serum. 20 On the basis of these studies, one can argue that a specific replicative dynamics of HCV exists in PBMCs.The relationship between quasispecies and replication in PBMCs is unclear. In a previous study we demonstrated, in the serum of a patient chronically infected with HCV, 21 the coexistence of internal ribosome entry site (IRES) quasispecies segregating according to their respective translation efficiencies in lymphoid and nonlymphoid optimal IRES. The HCV IRES responsible for the capindependent initiation of viral RNA translation 2...