PMID- 15185313 OWN - NLM STAT- MEDLINE DCOM- 20040830 LR - 20240109 IS - 0270-9139 (Print) IS - 0270-9139 (Linking) VI - 39 IP - 6 DP - 2004 Jun TI - Hepatitis C virus kinetics and host responses associated with disease and outcome of infection in chimpanzees. PG - 1709-20 AB - To study determinants of clinical outcome following HCV infection, viral kinetics, immune events, and intrahepatic cytokine markers were compared in 10 naive chimpanzees. Four of the animals cleared HCV; 6 developed persistent infections. All animals developed similar acute infections with increasing viremia from 1 to 2 weeks, followed by alanine aminotransferase (ALT) elevations and seroconversion. This viremia pattern consisted of a biphasic increase, a rapid slope (mean doubling time [t(2)] = 0.5 days) followed by a slower slope after the second week (t(2) = 7.5 days). This slowing of virus replication correlated in all animals with increased intrahepatic 2'5' oligoadenylate synthetase 1 (2OAS-1) messenger RNA (mRNA) levels and was independent of disease outcome. An effective control of virus replication was observed following increases in intrahepatic interferon gamma (IFN-gamma) mRNA and ALT levels. Although this control was associated in all animals with a 2-log decrease in virus titer, the timing occurred approximately 2 weeks later in the chronic group (P <.05). Additionally, while cleared infections were characterized by a continual decrease in virus titer, the titers in the persistent infections reached a steady state level of 10(4) to 10(5) RNA copies/mL. This inability of the immune response to sustain viral clearance in the persistent infections was associated with a reduced intrahepatic CD3e and monocyte-induced protein 1alpha (MIP-1alpha) mRNA induction. In conclusion, these data indicate that, regardless of outcome, chimpanzees generate responses that control HCV replication during the early and late acute phase. However, the pathogenesis of HCV may be determined by a more rapid onset of the induced response and the cell population that migrates to the liver. FAU - Major, Marian E AU - Major ME AD - Laboratory of Hepatitis Viruses, Division of Viral Products/Center for Biologics Evaluation and Research /Food and Drug Administration, Bethesda, MD, USA. major@cber.fda.gov FAU - Dahari, Harel AU - Dahari H FAU - Mihalik, Kathleen AU - Mihalik K FAU - Puig, Montserrat AU - Puig M FAU - Rice, Charles M AU - Rice CM FAU - Neumann, Avidan U AU - Neumann AU FAU - Feinstone, Stephen M AU - Feinstone SM LA - eng GR - CA85883/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Hepatology JT - Hepatology (Baltimore, Md.) JID - 8302946 RN - 0 (Cytokines) RN - 0 (Hepatitis C Antibodies) SB - IM CIN - Hepatology. 2005 Mar;41(3):679. PMID: 15723317 MH - Animals MH - Ape Diseases/*virology MH - Cytokines/biosynthesis MH - Female MH - Hepacivirus/*physiology MH - Hepatitis C/immunology/metabolism/*veterinary/virology MH - Hepatitis C Antibodies/biosynthesis MH - Kinetics MH - Male MH - *Pan troglodytes MH - Time Factors EDAT- 2004/06/09 05:00 MHDA- 2004/08/31 05:00 CRDT- 2004/06/09 05:00 PHST- 2004/06/09 05:00 [pubmed] PHST- 2004/08/31 05:00 [medline] PHST- 2004/06/09 05:00 [entrez] AID - 10.1002/hep.20239 [doi] PST - ppublish SO - Hepatology. 2004 Jun;39(6):1709-20. doi: 10.1002/hep.20239.