UNIVERSITÉ DE STRASBOURG ÉCOLE DOCTORALE 414, ED des Sciences de la Vie et de la Santé LABORATOIRE: INSERM U1110 THÈSE présentée par: Fei XIAO soutenue le : 28 Juillet 2014 pour obtenir le grade de: Docteur de l’Université de Strasbourg Discipline/ Spécialité: Virologie: aspects moléculaires et médicaux Hepatitis C virus entry and cell-cell transmission: implication for viral life cycle and antiviral treatment THÈSE dirigée par : Mr BAUMERT Thomas Professeur, Université de Strasbourg RAPPORTEURS : Mr NASSAL Michael Professeur, University Hospital Freiburg Mr FÉRAY Cyrille Professeur, Inserm U955, Hôpital Henri Mondor AUTRE MEMBRE DE JURY (EXAMINATEUR) : Mr RICCI Romeo Professeur, IGBMC, Université de Strasbourg Where there’s a will, there’s a way . - 1 - Acknowledgement First of all, I would like to thank my supervisor, Prof. Thomas Baumert, for his guidance and support since my first day in the lab. I’ve learned a lot from his enthusiasm for science, spirit of innovation and hard-working attitude and will follow his footsteps to develop my career. Many thanks to my thesis committee members, Prof. Michael Nassal, Prof. Cyrille Férray and Prof. Romeo Ricci, who squeeze their precious time to participate in my thesis defense. I would like to express my heartful thanks to Mirjam Zeisel, who gave me a lot of detailed guidance on designing the experiments and writing the manuscripts and encouraged me to cheer up when I felt depressed and hopeless. Like my older sister, she shared my joy and sorrow and gave me strength to move forward. I express my gratitude to Christine Thumann, who helped me to adapt to the new environment when I came to the lab and taught me a lot of experimental skills. She not only made a lot of contributions to my projects but also provided many practical tips and information for my living in Strasbourg. I express my sincere thanks to senior staffs, Catherine S., Joachim, Heidi, Laurent, Eric R., Samira, Christiane and Françoise for their support! I acknowledge Eric S., Laura, Sarah, Charlotte, Jochen and Nicolas B. for doing experiments and providing technical support for my projects. I give my special thanks to Catherine C., Anne, Sigis, Jérémy and Patricia for their help in administrative and technical issues. I feel grateful to my colleges Rajeev, Dan, Olga, Nicolaas, Eloi, Catherine F., Simonetta, Sophie P., Lamine, Emilie, Antonina, Thomas D., Sylvie and Géraldine for the friendship and support. I will never forget my previous colleagues Isabel, Patric, Sophie K., Laetitia, Daniel, Marine, Nauman, Céline and Roxane, although they have left the lab. - 2 - My gratitude to my Chinese colleagues Bin and Tao as well as the previous ones Yifan, Ke and Hao, who gave me full support and relieved my homesickness. Words are not enough to express my thanks to my parents, who gave me life, brought me up and supported me without any conditions. Finally, I would like to thank Inserm, the University of Strasbourg, the French government and the European Union for providing me scholarships and salary to support my research. - 3 - Table of Content List of figures ............................................................................................................. 6 Abbreviations ............................................................................................................. 7 Résumé....................................................................................................................... 9 Introduction ............................................................................................................. 15 History of HCV ........................................................................................................ 17 Epidemiology and transmission of hepatitis C ........................................................ 17 Diagnosis of hepatitis C .......................................................................................... 18 Pathogenesis of hepatitis C .................................................................................... 19 Viral genome and genetic diversity ......................................................................... 20 HCV cell culture models ......................................................................................... 23 HCV animal models ................................................................................................ 25 HCV entry and cell-cell transmission ...................................................................... 27 HCV translation, replication and assembly ............................................................. 31 Innate and adaptive immune responses to HCV .................................................... 33 Treatment of chronic hepatitis C ............................................................................. 34 Aims of the study ................................................................................................... 37 Results..................................................................................................................... 38 Part 1: Synergy of enty inhibitors with direct-acting antivirals uncovers novel combinations for prevention and treatment of hepatitis C ....................... 42 Introduction ............................................................................................................. 43 Publication nº1: Synergy of enty inhibitors with direct-acting antivirals uncovers novel combinations for prevention and treatment of hepatitis C ............................. 44 Abstract ............................................................................................................... 45 Significance of the study ..................................................................................... 46 Introduction ......................................................................................................... 47 Material and methods ......................................................................................... 48 Results ................................................................................................................ 51 Discussion .......................................................................................................... 58 References ......................................................................................................... 63 Figure legends .................................................................................................... 68 Figures ................................................................................................................ 71 - 4 - Supplementary data ............................................................................................ 77 Part 2: Hepatitis C virus cell-cell transmission and resistance to direct-acting antiviral agents ................................................................................. 89 Introduction ............................................................................................................. 90 Publication nº2: Hepatitis C virus cell-cell transmission and resistance to direct-acting antiviral agents ................................................................................. 91 Abstract ............................................................................................................... 93 Author summary .................................................................................................. 94 Introduction ......................................................................................................... 95 Material and methods ......................................................................................... 97 Results .............................................................................................................. 101 Discussion ........................................................................................................ 106 References ....................................................................................................... 109 Figure legends and tables ................................................................................. 115 Figures and supplementary tables .................................................................... 124 Conclusions and perspectives ............................................................................ 136 References ............................................................................................................ 140 - 5 - List of Figures Résumé Figure : Combinaisons d’inhibiteurs d'entrée et des antiviraux directs dans l’infection par le HCV ................................................................................................ 14 Figure 1: Global prevalence of HCV ........................................................................ 18 Figure 2: Neutralizing antibody and HCV RNA in resolving and chronic HCV infection .................................................................................................................... 19 Figure 3: Outcomes associated with HCV infection ................................................. 20 Figure 4: Phylogenetic tree of members of the family Flaviviridae ........................... 21 Figure 5: HCV genome ............................................................................................ 22 Figure 6: Evolutionary tree of HCV genotypes 1-7 .................................................. 22 Figure 7: HCV cell culture model ............................................................................. 24 Figure 8: Human liver uPA-SCID mouse model with HCV infection ........................ 26 Figure 9: HCV entry ................................................................................................. 27 Figure 10: HCV host factors .................................................................................... 29 Figure 11: Cell-free transmission and cell-cell transmission .................................... 31 Figure 12: Different mechanisms of virus cell-cell transmission .............................. 31 Figure 13: HCV life cycle ......................................................................................... 32 - 6 - Abbreviations BHV Bat hepacivirus CARD Caspase recruitment domain CC Cytotoxic concentration CD81 Cluster of differentiation 81 CI Combination index CLDN Claudin CTRL Control DAA Direct-acting antiviral EGFR Epidermal growth factor receptor EIA Enzyme immunoassay EMCV Encephalomyocarditis virus EphA2 Erythropoietin-producing hepatocellular receptor tyrosine kinase class A2 HA Human albumin HAV Hepatitis A virus HBV Hepatitis B virus HCC Hepatocellular carcinoma HCV Hepatitis C virus HCVcc Cell culture-derived HCV HCVpp Hepatitis C virus pseudoparticle HIV Human immunodeficiency virus HTA Host-targeting agent HTEI Host-targeting entry inhibitors IC Inhibitory concentration IFN Interferon IL Interleukin IRES Internal ribosome entry site ISG Interferon-stimulated gene LOQ Limit of quantification LT Liver transplantation - 7 - mAb Monoclonal antibody MAV Mitochondrial antiviral signaling protein miRNA microRNA MLV Murine leukemia virus MOA Mechanism of action MTT 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide NANB Non-A, non-B NPC1L1 Niemann Pick C1-Like 1 NPHV Non-primate hepacivirus NTR Non translated region OCLN Occludin ORF Open reading frame PEG-IFN Pegylated interferon PCR Polymerase chain reaction PHH Primary human hepatocyte PKI Protein kinase inhibitor PKR Protein kinase R RBV Ribavirin RHV Rodent hepacivirus RIG-I Retinoic acid inducing interferon gene I RLR RIG-I like receptor SOC Standard of care SR-BI Scavenger receptor class B type I SVR Sustained viral response TLR Toll like receptor UTR Untranslated region WHO World health organization - 8 - Résumé - 9 -
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