Evidence map›Paper›PMID 27531641›Full record

ArticleJournal of hepatology2017

High resolution sequencing of hepatitis C virus reveals limited intra-hepatic compartmentalization in end-stage liver disease.

Ditte L Hedegaard, Damien C Tully, Ian A Rowe, Gary M Reynolds, David J Bean, Ke Hu, Christopher Davis, Annika Wilhelm, Colin B Ogilvie, Karen A Power and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of hepatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 13% 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.

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

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Identification of Genetically Related HCV Infections Among Self-Described Injecting Partnerships.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. LncRNAs in HCV Infection and HCV-Related Liver Disease.International journal of molecular sciences · 2020
    Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Viral hepatitis and liver cancer.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2017
    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 at 5 institutions in 3 countries.

Ditte L HedegaardCentre for Human Virology, University of Birmingham, Birmingham, UK.
Damien C TullyRagon Institute of MGH, MIT and Harvard, Cambridge, MA, USA.
Ian A RoweCentre for Human Virology, University of Birmingham, Birmingham, UK.
Gary M ReynoldsNIHR Birmingham Liver Biomedical Research Unit, University of Birmingham, UK.
David J BeanRagon Institute of MGH, MIT and Harvard, Cambridge, MA, USA.
Ke HuCentre for Human Virology, University of Birmingham, Birmingham, UK.
Christopher DavisCentre for Human Virology, University of Birmingham, Birmingham, UK.
Annika WilhelmNIHR Birmingham Liver Biomedical Research Unit, University of Birmingham, UK.
Colin B OgilvieRagon Institute of MGH, MIT and Harvard, Cambridge, MA, USA.
Karen A PowerRagon Institute of MGH, MIT and Harvard, Cambridge, MA, USA.
Alexander W TarrSchool of Life Sciences, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.
Deirdre KellyLiver Unit, Birmingham Childrens' Hospital, Birmingham, UK.
Todd M AllenRagon Institute of MGH, MIT and Harvard, Cambridge, MA, USA.
Peter BalfeCentre for Human Virology, University of Birmingham, Birmingham, UK. Electronic address: p.balfe@bham.ac.uk.
Jane A McKeatingCentre for Human Virology, University of Birmingham, Birmingham, UK; NIHR Birmingham Liver Biomedical Research Unit, University of Birmingham, UK; Institute for Advanced Study, Technische Universität München, Lichtenbergstrasse 2a, D-85748 Garching, Germany.
Ragon Institute of MGH, MIT and Harvard · USUniversity of Birmingham · GBNIHR Birmingham Liver Biomedical Research Unit · GBBirmingham Children's Hospital · GBUniversity of Nottingham · GB

Funding

Virology CoreU19AI082630 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG, GEORG Michael LAUER · 2009 to 2026
$48.1M
Medical Research Council G0400802Medical Research Council G0800476Medical Research Council G0801976Medical Research Council G1100247Medical Research Council MC_PC_16056Medical Research Council MR/K01532X/1Medical Research Council MR/L01629X/1NIAID NIH HHS U19 AI082630
6 · The paper itself

Abstract

BACKGROUND &

aimsThe high replication and mutation rate of hepatitis C virus (HCV) results in a heterogeneous population of viral sequences in vivo. HCV replicates in the liver and infected hepatocytes occur as foci surrounded by uninfected cells that may promote compartmentalization of viral variants. Given recent reports showing interferon stimulated gene (ISG) expression in chronic hepatitis C, we hypothesized that local interferon responses may limit HCV replication and evolution.

methodsTo investigate the spatial influence of liver architecture on viral replication we measured HCV RNA and ISG mRNA from each of the 8 Couinaud segments of the liver from 21 patients undergoing liver transplant.

resultsHCV RNA and ISG mRNA levels were comparable across all sites from an individual liver but showed up to 500-fold difference between patients. Importantly, there was no association between ISG and HCV RNA expression across all sites in the liver or plasma. Deep sequencing of HCV RNA isolated from the 8 hepatic sites from two subjects showed a similar distribution of viral quasispecies across the liver and uniform sequence diversity. Single genome amplification of HCV E1E2-envelope clones from 6 selected patients at 2 hepatic sites supported these data and showed no evidence for HCV compartmentalization.

conclusionsWe found no differences between the hepatic and plasma viral quasispecies in all patients sampled. We conclude that in end-stage liver disease HCV RNA levels and the genetic pool of HCV envelope sequences are indistinguishable between distant sites in the liver and plasma, arguing against viral compartmentalization. LAY SUMMARY: HCV is an RNA virus that exists as a quasispecies of closely related genomes that are under continuous selection by host innate and adaptive immune responses and antiviral drug therapy. The primary site of HCV replication is the liver and yet our understanding of the spatial distribution of viral variants within the liver is limited. High resolution sequencing of HCV and monitoring of innate immune responses at multiple sites across the liver identified a uniform pattern of diversity and argues against viral compartmentalization.

Indexed as

End Stage Liver DiseaseHepacivirusHepatitis C, ChronicLiverAdultAntiviral AgentsCell CompartmentationFemaleHigh-Throughput Nucleotide SequencingHumansInterferonsMaleMiddle AgedRNA, ViralSequence Analysis, RNAVirus ReplicationAntiviral AgentsInterferonsRNA, ViralCompartmentalizationESLDEvolutionHepatitis CInnate immunity

Identifiers

PMID27531641
PMCPMC5558612
OpenAlexW2512572123

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.