RT Journal Article T1 The antigenic variability of HCV in viral HLA-Ag binding is related to the activation of the host immune response A1 Munoz de Rueda, P. A1 Jimenez-Ruiz, S. M. A1 Quiles, R. A1 Pavon-Castillero, E. J. A1 Munoz-Gamez, J. A. A1 Casado, J. A1 Gila, A. A1 Ruiz-Extremera, A. A1 Salmeron, J. K1 Hepatitis-c virus K1 T-cell response K1 Protease inhibitor K1 Infection K1 Interferon K1 Resistance K1 Mutations K1 Ns3 K1 Sofosbuvir K1 Clearance AB Our previous data show that hepatitis C virus (HCV) genotype 1 patients expressing the HLA-DQB1*0301 allele have a combined response probability of 69%, while the remaining 31% do not respond, probably because the HCV immunodominant epitope (IE) against the DQB1*0301 allele is mutated. HCV IE (region sequenced in NS3 is a region encoding aa 1253-1272) from 37 patients (21 Sustained Virological Response, SVR; 16 non-SVR) HLA-DQB1*0301+, were analysed by pyrosequencing. In vitro cultures were also determined by CD4+ proliferation, using non-mutated IE (wild-type synthetic peptide) and synthetic mutated peptide. The pyrosequencing study revealed 34 different haplotypes. The SVR patients had fewer haplotypes (P = 0.07), mutations/haplotypes (P = 0.01) and polymorphic sites (P = 0.02) than non-SVR. Three polymorphic sites were associated with the non-SVR patients: haplotype 7 (L5P); haplotype 11 (L7P); and haplotype 15, (L15S) (P = 0.02). The in vitro study (n = 7) showed that in 4/7 patients (Group 1) the CD4+ proliferation obtained with wild-type synthetic peptide was higher than that obtained with the negative control and with the synthetic mutated peptide (P = 0.039). However, in the remaining 3/7 patients (Group 2) this pattern was not observed (P = 0.7). Our findings suggest that HLA-DQB1*0301+ patients with high antigenic variability in HCV IE (NS31253-1272) have a lower SVR rate, due to reduced CD4+ proliferation as a result of incorrect viral HLA-Ag binding. PB Nature publishing group SN 2045-2322 YR 2017 FD 2017-11-14 LK http://hdl.handle.net/10668/18906 UL http://hdl.handle.net/10668/18906 LA en DS RISalud RD Apr 18, 2025