Abstract
We investigated the sequential change in the hypervariable region 1 (HVR1) of hepatitis C virus (HCV) E2/NS1 gene in an infant. He was transfused with 160 mL of blood containing the HCV (0.7 Meq/mL) on the 6th d after birth and subsequently developed chronic viremia. At 16 mo, the HVR1 amino acid sequences of HCV observed in the infant's sera were very similar to those from the donor (his maternal grandfather) on the day of transfusion. However, highly variable amino acid sequences of HVR1 were observed throughout infancy. These results demonstrate that an adaptive response of HCV to evade host immunity seems to occur, as in adult cases, even in early infancy when the ability to produce humoral immunoglobulin is thought to be low.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
Abbreviations
- HCV:
-
hepatitis C virus
- HVR:
-
hypervariable region
- PCR:
-
polymerase chain reaction
- ALT:
-
alanine aminotransferase
References
Hijikata M, Kato N, Ootuyama Y, Nakagawa M, Ohkoshi S, Shimotohno K 1991 Hypervariable regions in the putative glycoprotein of hepatitis C virus. ommun 175: 220–228.
Weiner AJ, Brauer MJ, Rosenblatt J, Richman KH, Tung J, Crawford K, Bonino F, Saracco Q-L, Choo M, Houghton M, Han JH 1991 Variable and hypervariable domains envelope and NS1 proteins and the pestivirus envelope glycoproteins. Virology 180: 842–848.
Kurosaki M, Enomoto N, Maruno F, Sato C 1993 Rapid sequence variation of the hypervariable region of hepatitis C virus during the course of chronic infection. Hepatology 18: 1293–1299.
Kato N, Ootsuyama Y, Sekiya H, Ohkoshi S, Nakazawa T, Hijikata M, Shimotohno N 1994 Genetic drift in hypervariable region 1 of the viral genome in persistent hepatitis C virus infection. J Virol 68: 4776–4784.
Maniwa H, Miyake Y, Hamada M, Oda T, Li R, Yokoyama T, Sugiyama K, Wada Y 1995 Clinical and serological courses of a newborn with post-transfusion hepatitis C. J Viral Hepatol 2: 303–305.
Davis GL, Lau JYN, Urdea MS, Neuwald PD, Wilber JC, Kindsay K, Ferrillo RP, Albrecht J 1994 Quantitative detection of hepatitis C virus RNA with a solid-phase signal amplification method. Hepatology 19: 1337–1341.
Hino K, Shimoda K, Iino S, Yasuda K, Suzuki H 1992 Clinical significance of quantitative assay for HCV core antibody. Biotherapy 6: 1561–1570.
Okamoto H, Sugiyama Y, Okada S, Kurai K, Akahane Y, Sugai Y, Tanaka T, Sato K, Tsuda F, Miyakawa Y, Mayumi M 1992 Typing hepatitis C virus by polymerase chain reaction with type-specific primers: application to clinical surveys and tracing infectious sources. J Gen Virol 73: 673–679.
Simmonds P 1995 Variability of hepatitis C virus. Hepatology 21: 570–583.
Li R, Miyake Y, Oda T, Maniwa H, Okajima K, Kawabe Y, Sugiyama K, Wada Y 1995 Genomic analysis of hepatitis C virus envelope region transmitted from mother to infant. J Jpn Pediatr Soc 99: 1420–1423.
Okada S, Akahane Y, Suzuki H, Okamoto H, Mishiro S 1992 The degree of variability in amino terminal region of the E2/NS1 protein of hepatitis C virus correlates with responsiveness to interferon therapy in viremic patients. Hepatology 16: 619–624.
Okamoto H, Okada S, Sugiyama Y, Kuria K, Iizuka H, Machida A, Miyakawa Y, Mayumi M 1991 Nucleotide sequence of the genomic RNA of hepatitis C virus isolated from a human carrier: comparison with reported isolates for conserved and divergent regions. J Gen Virol 72: 2697–2704.
Takamizawa T, Mori C, Fuke I, Manabe S, Murakami S, Fujita J, Onishi E, Andoh T, Yoshida I, Okayama H 1991 Stracture and organization of the hepatitis C virus genome isolated from human carriers. J Virol 65: 1105–1113.
Kato N, Ootsuyama Y, Ohkoshi S, Nakazawa T, Sekiya H, Hijikata M, Shimotohno K 1992 Characterization of hypervariable regions in the putative envelope protein of hepatitis C virus. Biochem Biophys Res Commun 189: 119–127.
Wakamiya M 1995 Response to interferon in patients with chronic hepatitis C who were infected with hepatitis C virus with mixed genotypes. Acta Hepatol Jpn 36: 263–272.
Okamoto H, Kojima M, Okada S, Yoshizawa H, Iizuka H, Tanaka T, Muchmore EE, Peterson DA, Ito Y, Mishiro S 1992 Genetic Drift of Hepatitis C virus during an 8:2-year infection in a chimpanzee: variability and stability. Virology 190: 894–899.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sugiyama, K., Goto, K., Miyake, Y. et al. Analysis of the Hypervariable Region of Hepatitis C Virus E2/NS1 Gene in an Infant Infected by Blood Transfusion. Pediatr Res 42, 247–250 (1997). https://doi.org/10.1203/00006450-199708000-00020
Received:
Accepted:
Issue date:
DOI: https://doi.org/10.1203/00006450-199708000-00020


