Abstract: Equine hepacivirus (EqHV) is phylogenetically the closest relative of HCV and shares genome organization, hepatotropism, transient or persistent infection outcome, and the ability to cause hepatitis. Thus, EqHV studies are important to understand equine liver disease and further as an outbred surrogate animal model for HCV pathogenesis and protective immune responses. Here, we aimed to characterize the course of EqHV infection and associated protective immune responses. Seven horses were experimentally inoculated with EqHV, monitored for 6 months, and rechallenged with the same and, subsequently, a heterologous EqHV. Clearance was the primary outcome (6 of 7) and was associated with subclinical hepatitis characterized by lymphocytic infiltrate and individual hepatocyte necrosis. Seroconversion was delayed and antibody titers waned slowly. Clearance of primary infection conferred nonsterilizing immunity, resulting in shortened duration of viremia after rechallenge. Peripheral blood mononuclear cell responses in horses were minimal, although EqHV-specific T cells were identified. Additionally, an interferon-stimulated gene signature was detected in the liver during EqHV infection, similar to acute HCV in humans. EqHV, as HCV, is stimulated by direct binding of the liver-specific microRNA (miR), miR-122. Interestingly, we found that EqHV infection sequesters enough miR-122 to functionally affect gene regulation in the liver. This RNA-based mechanism thus could have consequences for pathology. EqHV infection in horses typically has an acute resolving course, and the protective immune response lasts for at least a year and broadly attenuates subsequent infections. This could have important implications to achieve the primary goal of an HCV vaccine; to prevent chronicity while accepting acute resolving infection after virus exposure.
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The research explores the progression of Equine hepacivirus (EqHV) infection and the associated immune responses in horses. The researchers discovered that the infection usually resolves acutely, and the immune response offers protection for at least a year against repeat infections.
Objective of the Study
The researchers aim was to understand the progression of EqHV infection and the corresponding protective immune responses in horses. This study becomes crucial as EqHV, being genetically the closest relative of the Hepatitis C Virus (HCV), could serve as a surrogate animal model to understand the pathogenesis and immune responses of HCV.
Method
Seven horses were experimentally infected with EqHV. Their health was monitored for a period of 6 months.
Each horse was re-exposed to the same strain of EqHV and then a different strain of the virus.
Results: Progression of EqHV Infection
The primary outcome of the infection was clearance; six out of seven horses cleared the infection.
The infection was associated with mild hepatitis evidenced by lymphocytic infiltrate and individual hepatocyte necrosis.
Antibody production was delayed and the pace at which the antibodies reduced was slow.
Results: Immune Responses to EqHV Infection
Clearance of the primary infection conferred immunity which had a non-sterilizing effect, leading to a decreased duration of viremia upon subsequent exposure.
However, immune responses in peripheral blood mononuclear cells were minimal, although EqHV-specific T cells were identified.
The researchers also found an interferon-stimulated gene signature in the liver during EqHV infection, which is similar to acute HCV in humans.
EqHV Interaction with microRNA
Like HCV, EqHV binds directly with the liver-specific microRNA (miR), miR-122. miR-122 helps in regulating gene expression within the liver cells.
During the EqHV infection, enough miR-122 is sequestered, enough to affect the gene regulation in the liver. This RNA-based mechanism might have an impact on the pathology of the disease.
Implication
The study indicates that horses typically experience an acute resolving course of EqHV infection and the protective immune response lasts for at least a year, giving a strong defense against subsequent infections.
This has important implications for the development of an HCV vaccine, aiming to prevent chronicity while accepting acute resolving infection after virus exposure.
Cite This Article
APA
Tomlinson JE, Wolfisberg R, Fahnøe U, Patel RS, Trivedi S, Kumar A, Sharma H, Nielsen L, McDonough SP, Bukh J, Tennant BC, Kapoor A, Rosenberg BR, Rice CM, Divers TJ, Van de Walle GR, Scheel TKH.
(2021).
Pathogenesis, MicroRNA-122 Gene-Regulation, and Protective Immune Responses After Acute Equine Hepacivirus Infection.
Hepatology, 74(3), 1148-1163.
https://doi.org/10.1002/hep.31802
Baker Institute for Animal Health, Cornell University College of Veterinary Medicine, Ithaca, NY.
Wolfisberg, Raphael
Copenhagen Hepatitis C Program (CO-HEP), Department of Infectious Diseases, Hvidovre Hospital and Department of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.
Fahnøe, Ulrik
Copenhagen Hepatitis C Program (CO-HEP), Department of Infectious Diseases, Hvidovre Hospital and Department of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.
Patel, Roosheel S
Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY.
Trivedi, Sheetal
Center for Vaccines and Immunity, Research Institute at Nationwide Children's Hospital, Columbus, OH.
Kumar, Arvind
Center for Vaccines and Immunity, Research Institute at Nationwide Children's Hospital, Columbus, OH.
Sharma, Himanshu
Center for Vaccines and Immunity, Research Institute at Nationwide Children's Hospital, Columbus, OH.
Nielsen, Louise
Copenhagen Hepatitis C Program (CO-HEP), Department of Infectious Diseases, Hvidovre Hospital and Department of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.
McDonough, Sean P
Department of Biomedical Sciences, Cornell University College of Veterinary Medicine, Ithaca, NY.
Bukh, Jens
Copenhagen Hepatitis C Program (CO-HEP), Department of Infectious Diseases, Hvidovre Hospital and Department of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.
Tennant, Bud C
Department of Clinical Sciences, Cornell University College of Veterinary Medicine, Ithaca, NY.
Kapoor, Amit
Center for Vaccines and Immunity, Research Institute at Nationwide Children's Hospital, Columbus, OH.
Rosenberg, Brad R
Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY.
Rice, Charles M
Laboratory of Virology and Infectious Disease, The Rockefeller University, New York, NY.
Divers, Thomas J
Department of Clinical Sciences, Cornell University College of Veterinary Medicine, Ithaca, NY.
Van de Walle, Gerlinde R
Baker Institute for Animal Health, Cornell University College of Veterinary Medicine, Ithaca, NY.
Scheel, Troels K H
Copenhagen Hepatitis C Program (CO-HEP), Department of Infectious Diseases, Hvidovre Hospital and Department of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.
Laboratory of Virology and Infectious Disease, The Rockefeller University, New York, NY.
MeSH Terms
Animals
Disease Progression
Gene Expression Regulation
Hepacivirus / immunology
Hepacivirus / metabolism
Hepatitis, Viral, Animal / genetics
Hepatitis, Viral, Animal / immunology
Horses
Liver / immunology
Liver / metabolism
MicroRNAs / genetics
MicroRNAs / immunology
MicroRNAs / metabolism
T-Lymphocytes / immunology
Transcriptome
Grant Funding
K08 AI141767 / NIAID NIH HHS
R01 AI137567 / NIAID NIH HHS
R01 AI151175 / NIAID NIH HHS
S10 OD026880 / NIH HHS
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