# Novel viral immune interference mechanisms: HCV as a model system

> **NIH VA I01** · IOWA CITY VA MEDICAL CENTER · 2020 · —

## Abstract

Hepatitis C virus (HCV) infection causes liver fibrosis, cirrhosis, and hepatocellular
carcinoma, leading to >350,000 deaths annually globally, and is the most common etiology
leading to liver transplantation in the U.S. An estimated 174,000 veterans have HCV
infection, and the VA is the largest provider of HCV care. Although there are new and
exciting HCV treatments, due to resistance and access issues, therapy is not likely to
eradicate HCV infection completely. Thus, a vaccine is needed. In addition, people with
HCV infection may continue to develop hepatocellular carcinoma. In persistent HCV
infection, proliferation and activation of virus-specific T cells is delayed and inefficient, and
immune responses to HBV vaccination and bacterial and schistosomal infections are
repressed. This suggests that HCV infection suppresses T cell function, although the
mechanism for this is unknown. Recent data showed that HCV RNA is released from
hepatocytes in infectious exosomes that can transfer HCV RNA to T cells. Since HCV
does not replicate in T cells, it is unclear why viral RNA is transferred to these cells. We
found that HCV genomic RNA is processed into a viral short RNA sequence (vsRNA) that
reduces expression of protein tyrosine phosphatase type E (PTPRE). PTPRE knockdown
inhibits phosphorylation and activation of the lymphocyte-specific Src kinase (LCK).
Mutating the HCV vsRNA sequence restored LCK phosphorylation and subsequent TCR
stimulation. Targeting HCV RNA to a different T cell receptor (CXCR4) restored TCR
signaling and PTPRE protein expression, but reduced expression of CXCR4. Thus, HCV
appears to exploit the cellular microRNA machinery to process its genome into vsRNAs
that reduce PTPRE expression and inhibit TCR-mediated signaling. Based on our recent
studies, we hypothesize that, in lymphocytes and hepatocytes, HCV vsRNAs target
expression of multiple genes that influence T cell function and viral replication, and thus
offer new insights into immune evasion, potential targets for antiviral therapies, and (since
they block T-cell responsiveness) better vaccine strategies. Since major knowledge gaps
remain concerning HCV vsRNAs we explore key questions in three specific aims. First, we
will characterize HCV RNA structures that target PTPRE and examine cellular factors that
mediate vsRNA biogenesis. We hypothesize that HCV vsRNA uses non-canonical miRNA
mechanisms to generate the vsRNA. Secondly, we will characterize the mechanism(s) by
which HCV vsRNAs are delivered to T cells, potentially identifying novel therapeutic
targets. We hypothesize that transfer may involve exosomes released into plasma by
infected hepatocytes. Finally, we will demonstrate the relevance of the HCV vsRNA we
previously identified in human HCV infection. Our preliminary data show that PTPRE and
TCR signaling are reduced during HCV infection, and restored following curative therapy.
The level of PTPRE reduction correlated directly with the HCV vsRNA sequence. The...

## Key facts

- **NIH application ID:** 9898211
- **Project number:** 5I01BX000207-12
- **Recipient organization:** IOWA CITY VA MEDICAL CENTER
- **Principal Investigator:** Jack T. Stapleton
- **Activity code:** I01 (R01, R21, SBIR, etc.)
- **Funding institute:** VA
- **Fiscal year:** 2020
- **Award amount:** —
- **Award type:** 5
- **Project period:** 2009-04-01 → 2021-09-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9898211

## Citation

> US National Institutes of Health, RePORTER application 9898211, Novel viral immune interference mechanisms: HCV as a model system (5I01BX000207-12). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9898211. Licensed CC0.

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