PMID- 38103659 OWN - NLM STAT- MEDLINE DCOM- 20240124 LR - 20240217 IS - 1873-4596 (Electronic) IS - 0891-5849 (Linking) VI - 212 DP - 2024 Feb 20 TI - Impact of amino acid substitutions in hepatitis C virus core region on the severe oxidative stress. PG - 199-206 LID - S0891-5849(23)01159-0 [pii] LID - 10.1016/j.freeradbiomed.2023.12.014 [doi] AB - Hepatitis C virus (HCV) infection is a major cause of chronic liver disease, leading to liver steatosis, fibrosis, and hepatocellular carcinoma (HCC). Despite the accumulation of clinical data showing the impact of amino acid substitutions at positions 70 (R70Q/H) and/or 91 (L91M) in the HCV core protein in progressive liver diseases, including HCC, the underlying mechanisms have not been elucidated. We analyzed 72 liver biopsy specimens from patients with chronic HCV genotype 1b (HCV-1b) infection prior to antiviral treatment. Levels of 8-hydroxy-2'-deoxyguanosine (8-OHdG) and nuclear factor erythroid 2-related factor 2 (NRF2) in the nucleus were quantified using liver tissue immunohistochemistry. The effects of amino acid substitutions in the HCV core region on hepatocellular oxidative stress were investigated using wild-type or double-mutant (R70Q/H+L91M) HCV-1b core transfection and stable expression in human hepatoma HuH-7 cells. Overall, 24, 19, 11, and 18 patients had the wild-type, R70Q/H, L91M, and R70Q/H+L91M genotypes, respectively, in the HCV core. A significantly higher accumulation of hepatocellular 8-OHdG and a lower NRF2/8-OHdG ratio were observed in patients with R70Q/H+L91M than in those with the wild-type disease. Increased levels of intracellular superoxide and hydrogen peroxide in the cytoplasm and mitochondria, mRNA expression of enzymes generating oxidative stress, and nuclear expression of nicotinamide adenine dinucleotide phosphate oxidase 4 were augmented in cells treated with R70Q+L91M. HCV core proteins harboring either or both substitutions of R70Q/H or L91M enhanced hepatocellular oxidative stress in vivo and in vitro. These amino acid substitutions may affect HCC development by enhancing hepatic oxidative stress in patients with chronic HCV-1b infection. CI - Copyright (c) 2023 Elsevier Inc. All rights reserved. FAU - Chida, Takeshi AU - Chida T AD - Hepatology Division, Department of Internal Medicine II, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka, 431-3192, Japan; Department of Regional Medical Care Support, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka, 431-3192, Japan. FAU - Watanabe, Shinya AU - Watanabe S AD - Department of Gastroenterology, Shimada General Medical Center, 1200-5 Noda, Shimada, Shizuoka, 427-8502, Japan. FAU - Ohta, Kazuyoshi AU - Ohta K AD - Hepatology Division, Department of Internal Medicine II, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka, 431-3192, Japan. FAU - Noritake, Hidenao AU - Noritake H AD - Hepatology Division, Department of Internal Medicine II, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka, 431-3192, Japan. FAU - Ito, Masahiko AU - Ito M AD - Department of Microbiology & Immunology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka, 431-3192, Japan. FAU - Suzuki, Tetsuro AU - Suzuki T AD - Department of Microbiology & Immunology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka, 431-3192, Japan. FAU - Suda, Takafumi AU - Suda T AD - Hepatology Division, Department of Internal Medicine II, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka, 431-3192, Japan. FAU - Kawata, Kazuhito AU - Kawata K AD - Hepatology Division, Department of Internal Medicine II, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka, 431-3192, Japan. Electronic address: kawata@hama-med.ac.jp. LA - eng PT - Journal Article DEP - 20231214 PL - United States TA - Free Radic Biol Med JT - Free radical biology & medicine JID - 8709159 RN - 0 (NF-E2-Related Factor 2) RN - 88847-89-6 (8-Hydroxy-2'-Deoxyguanosine) RN - 0 (Viral Core Proteins) SB - IM MH - Humans MH - *Carcinoma, Hepatocellular/pathology MH - Hepacivirus/genetics MH - *Liver Neoplasms/pathology MH - Amino Acid Substitution MH - NF-E2-Related Factor 2/genetics MH - *Hepatitis C/genetics MH - *Hepatitis C, Chronic/genetics MH - Oxidative Stress/genetics MH - 8-Hydroxy-2'-Deoxyguanosine MH - Viral Core Proteins/genetics/pharmacology/therapeutic use MH - Genotype OTO - NOTNLM OT - Amino acid substitutions OT - Core OT - Hepatitis C virus (HCV) OT - Nicotinamide adenine dinucleotide phosphate oxidase 4 (NOX4) OT - Nuclear factor erythroid 2-related factor 2 (NRF2) OT - Oxidative stress COIS- Declaration of competing interest The authors report no conflicts of interest. EDAT- 2023/12/17 09:45 MHDA- 2024/01/24 06:43 CRDT- 2023/12/16 19:26 PHST- 2023/06/18 00:00 [received] PHST- 2023/12/08 00:00 [revised] PHST- 2023/12/11 00:00 [accepted] PHST- 2024/01/24 06:43 [medline] PHST- 2023/12/17 09:45 [pubmed] PHST- 2023/12/16 19:26 [entrez] AID - S0891-5849(23)01159-0 [pii] AID - 10.1016/j.freeradbiomed.2023.12.014 [doi] PST - ppublish SO - Free Radic Biol Med. 2024 Feb 20;212:199-206. doi: 10.1016/j.freeradbiomed.2023.12.014. Epub 2023 Dec 14.