Evidence map›Paper›PMID 21551190›Full record

ArticleGut2011

Molecular footprints reveal the impact of the protective HLA-A*03 allele in hepatitis C virus infection.

Karen Fitzmaurice, Danijela Petrovic, Narayan Ramamurthy, Ruth Simmons, Shazma Merani, Silvana Gaudieri, Stuart Sims, Eugene Dempsey, Elizabeth Freitas, Susan Lea and 5 more

Abstract read
In one paragraph

Article in Gut, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. CD8Frontiers in immunology · 2022
    Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Adaptive Immune Response against Hepatitis C Virus.International journal of molecular sciences · 2020
    Review
  16. Article
  17. Review
  18. Review
  19. Differential escape of HCV from CD8Journal of viral hepatitis · 2019
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Karen FitzmauriceDepartment of Clinical Medicine, Trinity College Dublin, St James' Hospital, Dublin, Ireland. kfitzmau@tcd.ie
Danijela Petrovic
Narayan Ramamurthy
Ruth Simmons
Shazma Merani
Silvana Gaudieri
Stuart Sims
Eugene Dempsey
Elizabeth Freitas
Susan Lea
Susan McKiernan
Suzanne Norris
Aideen Long
Dermot Kelleher
Paul Klenerman

Funding

Wellcome Trust 091663Wellcome Trust PK-WT091663MA
6 · The paper itself

Abstract

BACKGROUND AND

aimsCD8 T cells are central to the control of hepatitis C virus (HCV) although the key features of a successful CD8 T cell response remain to be defined. In a cohort of Irish women infected by a single source, a strong association between viral clearance and the human lecucocyte (HLA)-A*03 allele has been described, and the aim of this study was to define the protective nature of the associated CD8 T cell response.

methodsA sequence-led approach was used to identify HLA-A*03-restricted epitopes. We examine the CD8 T cell response associated with this gene and address the likely mechanism underpinning this protective effect in this special cohort, using viral sequencing, T cell assays and analysis of fitness of viral mutants.

resultsA strong 'HLA footprint' in a novel NS3 epitope (TVYHGAGTK) was observed. A lysine (K) to arginine (R) substitution at position 9 (K1088R) was seen in a significant number of A*03-positive patients (9/12) compared with the control group (1/33, p=0.0003). Threonine (T) was also substituted with alanine (A) at position 8 (T1087A) more frequently in A*03-positive patients (6/12) compared with controls (2/33, p=0.01), and the double substitution of TK to AR was also observed predominantly in HLA-A*03-positive patients (p=0.004). Epitope-specific CD8 T cell responses were observed in 60% of patients three decades after exposure and the mutants selected in vivo impacted on recognition in vitro. Using HCV replicons matched to the viral sequences, viral fitness was found to be markedly reduced by the K1088R substitution but restored by the second substitution T1087A.

conclusionsIt is proposed that at least part of the protective effect of HLA-A*03 results from targeting of this key epitope in a functional site: the requirement for two mutations to balance fitness and escape provides an initial host advantage. This study highlights the potential protective impact of common HLA-A alleles against persistent viruses, with important implications for HCV vaccine studies.

Indexed as

DNA FootprintingAdultAllelesCD8-Positive T-LymphocytesCohort StudiesElectroporationEpitopes, T-LymphocyteFemaleGenetic FitnessHepatitis CHLA-A3 AntigenHumansImmunodominant EpitopesProtein BiosynthesisSequence AlignmentEpitopes, T-LymphocyteHLA-A*03 antigenHLA-A3 AntigenImmunodominant Epitopes

Identifiers

PMID21551190
PMCPMC3184218

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.