HCV eradication with IFN-based therapy does not completely restore gene expression in PBMCs from HIV/HCV-coinfected patients

OBJECTIVE: To evaluate the impact of hepatitis C virus (HCV) elimination via interferon (IFN)-based therapy on gene expression profiles related to the immune system in HIV/HCV-coinfected patients.

METHODS: We conducted a prospective study in 28 HIV/HCV-coinfected patients receiving IFN-based therapy at baseline (HIV/HCV-b) and week 24 after sustained virological response (HIV/HCV-f). Twenty-seven HIV-monoinfected patients (HIV-mono) were included as a control. RNA-seq analysis was performed on peripheral blood mononuclear cells (PBMCs). Genes with a fold-change (FC) ≥ 1.5 (in either direction) and false discovery rate (FDR) ≤ 0.05 were identified as significantly differentially expressed (SDE).

RESULTS: HIV/HCV-b showed six SDE genes compared to HIV-mono group, but no significantly enriched pathways were observed. For HIV/HCV-f vs. HIV/HCV-b, we found 58 SDE genes, 34 upregulated and 24 downregulated in the HIV/HCV-f group. Of these, the most overexpressed were CXCL2, PDCD6IP, ATP5B, IGSF9, RAB26, and CSRNP1, and the most downregulated were IFI44 and IFI44L. These 58 SDE genes revealed two significantly enriched pathways (FDR < 0.05), one linked to Epstein-Barr virus infection and another related to p53 signaling. For HIV/HCV-f vs. HIV-mono group, we found 44 SDE genes that revealed 31 enriched pathways (FDR < 0.05) related to inflammation, cancer/cell cycle alteration, viral and bacterial infection, and comorbidities associated with HIV/HCV-coinfection. Five genes were overrepresented in most pathways (JUN, NFKBIA, PIK3R2, CDC42, and STAT3).

CONCLUSION: HIV/HCV-coinfected patients who eradicated hepatitis C with IFN-based therapy showed profound gene expression changes after achieving sustained virological response. The altered pathways were related to inflammation and liver-related complications, such as non-alcoholic fatty liver disease and hepatocellular carcinoma, underscoring the need for active surveillance for these patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

Journal of biomedical science - 28(2021), 1 vom: 30. März, Seite 23

Sprache:

Englisch

Beteiligte Personen:

Brochado, Óscar [VerfasserIn]
Martínez, Isidoro [VerfasserIn]
Berenguer, Juan [VerfasserIn]
Medrano, Luz [VerfasserIn]
González-García, Juan [VerfasserIn]
Jiménez-Sousa, María Ángeles [VerfasserIn]
Carrero, Ana [VerfasserIn]
Hontañón, Víctor [VerfasserIn]
Navarro, Jordi [VerfasserIn]
Guardiola, Josep M [VerfasserIn]
Fernández-Rodríguez, Amanda [VerfasserIn]
Resino, Salvador [VerfasserIn]
GESIDA Study Group [VerfasserIn]
Carrero, A [Sonstige Person]
Miralles, P [Sonstige Person]
López, J C [Sonstige Person]
Parras, F [Sonstige Person]
Padilla, B [Sonstige Person]
Aldamiz-Echevarría, T [Sonstige Person]
Tejerina, F [Sonstige Person]
Díez, C [Sonstige Person]
Pérez-Latorre, L [Sonstige Person]
Fanciulli, C [Sonstige Person]
Gutiérrez, I [Sonstige Person]
Ramírez, M [Sonstige Person]
Carretero, S [Sonstige Person]
Bellón, J M [Sonstige Person]
Bermejo, J [Sonstige Person]
Berenguer, J [Sonstige Person]
Hontañón, V [Sonstige Person]
Arribas, J R [Sonstige Person]
Montes, M L [Sonstige Person]
Bernardino, I [Sonstige Person]
Pascual, J F [Sonstige Person]
Zamora, F [Sonstige Person]
Peña, J M [Sonstige Person]
Arnalich, F [Sonstige Person]
Díaz, M [Sonstige Person]
González-García, J [Sonstige Person]
Domingo, P [Sonstige Person]
Guardiola, J M [Sonstige Person]
Van den Eynde, E [Sonstige Person]
Pérez, M [Sonstige Person]
Ribera, E [Sonstige Person]
Crespo, M [Sonstige Person]
Casado, J L [Sonstige Person]
Dronda, F [Sonstige Person]
Moreno, A [Sonstige Person]
Pérez-Elías, M J [Sonstige Person]
Sanfrutos, M A [Sonstige Person]
Moreno, S [Sonstige Person]
Quereda, C [Sonstige Person]
Arranz, A [Sonstige Person]
Casas, E [Sonstige Person]
de Miguel, J [Sonstige Person]
Schroeder, S [Sonstige Person]
Sanz, J [Sonstige Person]
Sanz, J [Sonstige Person]
Santos, I [Sonstige Person]
Bustinduy, M J [Sonstige Person]
Iribarren, J A [Sonstige Person]
Rodríguez-Arrondo, F [Sonstige Person]
Von-Wichmann, M A [Sonstige Person]
Vergas, J [Sonstige Person]
Téllez, M J [Sonstige Person]
Vinuesa, D [Sonstige Person]
Muñoz, L [Sonstige Person]
Hernández-Quero, J [Sonstige Person]
Ferrer, A [Sonstige Person]
Galindo, M J [Sonstige Person]
Ortiz, L [Sonstige Person]
Ortega, E [Sonstige Person]
Montero, M [Sonstige Person]
Blanes, M [Sonstige Person]
Cuellar, S [Sonstige Person]
Lacruz, J [Sonstige Person]
Salavert, M [Sonstige Person]
López-Aldeguer, J [Sonstige Person]
Pérez, G [Sonstige Person]
Gaspar, G [Sonstige Person]
Yllescas, M [Sonstige Person]
Crespo, P [Sonstige Person]
Aznar, E [Sonstige Person]
Esteban, H [Sonstige Person]

Links:

Volltext

Themen:

9008-11-1
Gene expression
HCV clearance
HIV/HCV coinfection
Immune system
Interferon therapy
Interferons
Journal Article
PBMCs

Anmerkungen:

Date Completed 13.09.2021

Date Revised 13.09.2021

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12929-021-00718-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM323407773