Evidence map›Paper›PMID 22138189›Full record

ArticleGastroenterology2012

Hepatitis C virus infects the endothelial cells of the blood-brain barrier.

Nicola F Fletcher, Garrick K Wilson, Jacinta Murray, Ke Hu, Andrew Lewis, Gary M Reynolds, Zania Stamataki, Luke W Meredith, Ian A Rowe, Guangxiang Luo and 10 more

Registry-linked trialAbstract read
In one paragraph

Article in Gastroenterology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02745132 (Personalized Medicine in HCV Infection), which is not on this map. Cited by 110 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 2 pooled it
8.9field-weighted citation impact, top 1% of its field
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.

NCT02745132 phase4unknown statusnot on this mapstarted 2016, after this paper: background citation

Personalized Medicine in HCV Infection: Cognitive Impairments and Brain Anomalies in Chronic Hepatitis C Infected Individuals. Characterization and Potential Reversibility With Direct Antiviral Agents.

TypeinterventionalSponsorInstituto de Investigación Marqués de ValdecillaRan2016 to 2017Enrolled80ConditionsHepatitis CArmsNeuropsychological evaluation and Brain MRI
3 · Its place in the literature

Who cites it

110 citing papers in PubMed, 2 syntheses or guidelines pooled it, 241 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Viruses and neurodegeneration: a growing concern.Journal of translational medicine · 2025
    Review
  9. Review
  10. Review
  11. Review
  12. Neuroimmune modulation in liver pathophysiology.Journal of neuroinflammation · 2024
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. La Tunisie medicale · 2024
    Article
  18. Review
  19. Review
  20. Current neuropharmacology · 2024
    Review

50 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 9 institutions in 3 countries.

Nicola F FletcherHepatitis C Research Group, Institute for Biomedical Research, University of Birmingham, Birmingham, England.
Garrick K Wilson
Jacinta Murray
Ke Hu
Andrew Lewis
Gary M Reynolds
Zania Stamataki
Luke W Meredith
Ian A Rowe
Guangxiang Luo
Miguel A Lopez-Ramirez
Thomas F Baumert
Babette Weksler
Pierre-Olivier Couraud
Kwang Sik Kim
Ignacio A Romero
Catherine Jopling
Susan Morgello
Peter Balfe
Jane A McKeating
University of Birmingham · GBIcahn School of Medicine at Mount Sinai · USThe Open University · GBUniversity of Nottingham · GBCornell University · USHôpitaux Universitaires de Strasbourg · FRInstitut Cochin · FRJohns Hopkins Medicine · USUniversity of Kentucky · US

Funding

The Manahattan HIV Brain BankR24MH059724 · NIMH · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI MORGELLO, SUSAN · 1998 to 2007
$15.4M
The Manhattan HIV Brain BankU24MH100931 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MORGELLO, SUSAN · 2013 to 2023
$14.0M
The Manhattan HIV Brain BankU01MH083501 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MORGELLO, SUSAN · 2008 to 2012
$8.9M
National NeuroAIDS Tissue Consortium Statistics and Data Coordinating CenterU01MH083545 · NIMH · INDIANA UNIVERSITY INDIANAPOLIS · PI YIANNOUTSOS, CONSTANTIN THEODORE · 2008 to 2012
$3.3M
Underlying Mechanisms of ApoE in HCV Infection and AssemblyR01AI097318 · NIAID · UNIVERSITY OF KENTUCKY · PI LUO, GUANGXIANG GEORGE · 2012 to 2016
$1.8M
Viral and Cellular Determinants of HCV AssemblyR01AI091953 · NIAID · UNIVERSITY OF KENTUCKY · PI LUO, GUANGXIANG GEORGE · 2011 to 2014
$1.5M
Biotechnology and Biological Sciences Research Council BB/F02360X/1Medical Research Council G0400802Medical Research Council G0800476Medical Research Council G0801976Medical Research Council G1100247NIAID NIH HHS R01 AI091953NIAID NIH HHS R01 AI097318NIMH NIH HHS R24 MH059724NIMH NIH HHS U01 MH083501NIMH NIH HHS U01 MH083545NIMH NIH HHS U24 MH100931Wellcome Trust
6 · The paper itself

Abstract

BACKGROUND &

aimsHepatitis C virus (HCV) infection leads to progressive liver disease and is associated with a variety of extrahepatic syndromes, including central nervous system (CNS) abnormalities. However, it is unclear whether such cognitive abnormalities are a function of systemic disease, impaired hepatic function, or virus infection of the CNS.

methodsWe measured levels of HCV RNA and expression of the viral entry receptor in brain tissue samples from 10 infected individuals (and 3 uninfected individuals, as controls) and human brain microvascular endothelial cells by using quantitative polymerase chain reaction and immunochemical and confocal imaging analyses. HCV pseudoparticles and cell culture-derived HCV were used to study the ability of endothelial cells to support viral entry and replication.

resultsUsing quantitative polymerase chain reaction, we detected HCV RNA in brain tissue of infected individuals at significantly lower levels than in liver samples. Brain microvascular endothelia and brain endothelial cells expressed all of the recognized HCV entry receptors. Two independently derived brain endothelial cell lines, hCMEC/D3 and HBMEC, supported HCV entry and replication. These processes were inhibited by antibodies against the entry factors CD81, scavenger receptor BI, and claudin-1; by interferon; and by reagents that inhibit NS3 protease and NS5B polymerase. HCV infection promotes endothelial permeability and cellular apoptosis.

conclusionsHuman brain endothelial cells express functional receptors that support HCV entry and replication. Virus infection of the CNS might lead to HCV-associated neuropathologies.

Indexed as

AdultAntiviral AgentsBlood-Brain BarrierCapillary PermeabilityCase-Control StudiesCell Line, TumorEndothelial CellsFemaleHEK293 CellsHepacivirusHepatitis CHumansImmunohistochemistryLiverMaleMicroscopy, ConfocalAntiviral AgentsReceptors, VirusRNA, ViralViral Envelope Proteins

Identifiers

PMID22138189
PMCPMC3801216
OpenAlexW2058585307

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.