However, other parameters measured were not influenced by the ran

However, other parameters measured were not influenced by the range of CO2(aq) treatments. This included growth rates, chlorophyll a concentration and photosynthetic yield (FV/FM). Different light treatments had a large effect on nutrient uptake. High light conditions LY2157299 caused an increased nutrient uptake rate compared to cells grown in low light conditions. Light and CO2 conditions co-determined in various ways the response of P. alata to changing environmental conditions. Overall P. alata appeared to be well adapted to the natural variability in light availability and CO2(aq) concentration of the modern Southern Ocean. Nevertheless, our results showed that P. alata is susceptible to future changes in inorganic

carbon concentrations in the Southern Ocean. “
“In this study, we present the first comprehensive analyses of the diversity and distribution of marine protist (micro-, nano-, and picoeukaryotes) in the Western Fram Strait, using 454-pyrosequencing and high-pressure liquid chromatography (HPLC) at five stations in summer 2010. Three stations (T1; T5; T7) were influenced by Polar Water, characterized by cold water with lower salinity (<33) and different extents of ice concentrations. Atlantic Water influenced the other two stations (T6; T9). While T6 was located in the mixed water zone characterized by cold water with intermediate salinity (~33) and high ice concentrations, T9 was

located in warm water with high salinity (~35) and no ice-coverage at all. General trends in community structure according to prevailing environmental settings, observed with both methods, coincided well. At two stations, T1 and T7, characterized by Protein Tyrosine Kinase inhibitor lower ice concentrations, diatoms (Fragilariopsis sp., Porosira sp., Thalassiosira spp.) dominated the protist community. The third station (T5) was ice-covered, but has been ice-free for ~4 weeks prior to sampling. At this station, dinoflagellates

(Dinophyceae 1, Woloszynskia sp. and Gyrodinium sp.) were dominant, reflecting a post-bloom situation. At station T6 and T9, the protist communities consisted mainly of picoeukaryotes, e.g., Micromonas spp. Based on our results, 454-pyrosequencing has proven to be an adequate tool to provide comprehensive information on the composition of protist communities. Baf-A1 in vitro Furthermore, this study suggests that a snap-shot of a few, but well-chosen samples can provide an overview of community structure patterns and succession in a dynamic marine environment. “
“Phototrophic”Dinophysis Ehrenberg species are well known to have chloroplasts of a cryptophyte origin, more specifically of the cryptophyte genus complex Teleaulax/Geminigera. Nonetheless, whether chloroplasts of “phototrophic”Dinophysis are permanent plastids or periodically derived kleptoplastids (stolen chloroplasts) has not been confirmed. Indeed, molecular sequence data and ultrastructural data lead to contradictory interpretations about the status of Dinophysis plastids.

Soft agar colonies were stained with 0 5 μM of calcein-AM solutio

Soft agar colonies were stained with 0.5 μM of calcein-AM solution (Life Technologies) and counted 5-14 days after plating with an Acumen eX3 multiplate reader (TTP LabTech Ltd., Melbourn, UK). Data were derived from five independent experiments. Percent inhibition was defined as percent selleck chemical reduction in average number of colonies formed

in siBCL9 or siMTDH cells, relative to siControl cells (set to 100%), in each assay. P values between siControl and siBCL9 or siMTDH samples were calculated using a two-sample t test. To characterize the genomic landscape of HCC, we compiled a collection of snap-frozen tumor and adjacent nontumor liver tissues from 286 patients who were treated with surgical resection (Table 1). Both RNA and DNA were isolated from all samples and profiled on the Illumina Human HT-12 v4 BeadChips and Human Omni1-Quad SNP genotyping arrays (Illumina), respectively.

Based on the SNP genotyping array data, we derived the somatic copy number profiles of the 286 HCCs using their matched nontumor liver tissue as references. On average, there are 200 somatic copy number gain events and 247 somatic copy number loss events per HCC, accounting for 12.0% and 11.3% of the genome, respectively. A genome-wide view of the segmented copy numbers revealed that most chromosome arms have undergone large-scale copy number gains or losses, with frequent gains observed on 1q, 6p, 7p, 7q, 8q, 13q, and 17q and frequent losses on 1p, 4q, 8p, 9p, 9q, 13p, 16p, and 16q (Fig. 1A). We also find more devised a CIN score, which is a single metric that summarizes the extent of CNAs in individual tumors (see Patients and Methods). We found that the CIN scores were positively associated with various features of tumor progression, such as American Joint Committee on Cancer (AJCC) stage, Edmondson grade, and tumor size, in agreement with our understanding of somatic CNAs as a cumulative process as a tumor

advances (Table 1). On the other hand, the CIN scores were negatively associated with patients’ U0126 purchase age, the Child-Pugh score, and cirrhosis, which reflect overall liver function and pathological state of the non-HCC liver (Table 1). In addition to clinical HCC samples, we also profiled 30 HCC cell lines on the same gene expression and SNP genotyping array platforms. Overall, the spectrum of CNAs in HCC cell lines recapitulates primary HCCs (Fig. 1A). To assess the extent to which somatic CNAs in HCC drive downstream transcriptional programs, we calculated the correlation between a gene’s somatic copy number and its mRNA expression in cis across our patient cohort. Overall, there were 3,152 genes for which at least 10% (i.e., correlation coefficient ≥0.316) of their expression variation can be explained by their own copy number changes, whereas by chance only one gene was expected at the same level of correlation (FDR = 3.17 × 10−4) (Supporting Fig. 1A).

Results: Four pairs of liver tissues were selected for RNA extrac

Results: Four pairs of liver tissues were selected for RNA extraction. miRNA microarray and FDR calculation were performed and four genes were selected due to the previous report on their correlation with HCC. The results of luciferase assay and transfection of HepG2 cells indicated that miRNA-128 indeed binds to the 3′ UTR of Axin1. In Western blotting study miR-128 indeed decreased Axin1 protein levels, demonstrating that Axin1 is indeed a target of miR-128 in HepG2 cells. Conclusion: In this study we report that miR-128 is up-regualted in clinical HCC tissues and that miR-128 binds to 3′ UTR of Axin1. The identification of miR-128 as oncomir and determination of its target gene Axin 1

will shed light on the pathogenesis of HCC. Key Word(s): 1. hepatocellular carcinoma; 2. microRNA; selleck chemical 3. tumorigenesis Presenting Author: EUNAE CHO Additional Authors: MOON JONG HAN, CHAN YOUNG OAK, DONG IK KIM, MI YOUNG KIM, DU HYEON www.selleckchem.com/products/Y-27632.html LEE, SHI HYUN YOO Corresponding Author: EUNAE CHO Affiliations: Chonnam National University Hospital, Chonnam National University Hospital, Chonnam National University Hospital, Chonnam National University Hospital, Chonnam National University Hospital, Chonnam National University Hospital Objective: 18F-fluorodeoxyglucose PET computed tomography (18F-FDG PET CT)

has been used widely in oncology part as a part of staging workup, prediction of treatment response and clinical outcomes in various malignancies. However, its use in hepatocellular carcinoma (HCC) has been limited to evaluation of extrahepatic metastasis. The aim of this study was to investigate the role of 18F-FDG PET CT as an independent prognostic factor in hepatocellular carcinoma. Fenbendazole Methods: A total of 77 patients with newly diagnosed HCC who underwent 18F-FDG PET CT before treatment from January 2009 to December 2013 were reviewed retrospectively. Maximal standardized uptake values (SUVmax)

of the tumors were obtained. Results: Sixty-four patients were male (83.1%) and 13 patients were female (16.9%). Mean age of the enrolled patients was 61.73 years and mean duration of follow-up was 8.6 months. High SUVmax (≥5.0) was significantly associated with the tumor burden such as α-fetoprotein (P = 0.003), amino transaminase (AST) (P = 0.001), tumor size (P = 0.01), and TNM staging (P = 0.04). The overall survival rates in patients with high SUVmax (≥5.0) were 24.3% while those in patients with low SUVmax (<5.0) were 64.5% (P < 0.001). In subgroup analysis, among the 42 patients who received transarterial chemoembolization (TACE), patients with high SUVmax (≥5.0) were more likely to have earlier recurrence (P = 0.019). Conclusion: SUVmax of 18F-FDG PET CT can not only serve as an indicator of tumor burden and an independent prognostic factor in HCC but also predict recurrence after TACE. Key Word(s): 1. hepatocellular carcinoma; 2.

The endpoint of study was the development of the hepatorenal synd

The endpoint of study was the development of the hepatorenal syndrome (HRS) or death. Results: 109 patients with LC were enrolled in the study (84 men and 25 women; age 52.4 ± 12.0 years). The Lesley equation was better correlated with GFR from 51Cr-EDTA than model for modification of diet in reanl disease (MDRD), Cockcroft and Gault (C & G). The CysC and Lesley equation were independent predictive factors for HRS (p = 0.001, p = 0.024) and death (p < 0.000, p = 0.039). The Lesley equation is more effective predictor of HRS development than sCr, model for End-Stage liver disease (MELD),

MDRD, C & G (AUROC = 0.728, 0.617, 0.625, Selleck LY294002 0.666, 0.669). And the Lesley equation is also more effective predictor of death (AUROC = 0.655, 0.560, 0.597, 0.601, 0.586). Conclusion: Lesley equation is representative marker of renal function compared to serum creatinine based MDRD, C & G in decompensated LC patients. Lesley equation is the useful marker for predicting HRS and survival. Key Word(s): 1. Lesley equation; 2. Hepatorenal syndrome; 3. Decompensated LC; Presenting Author: HEE YOON JANG Additional Authors: YOUNG SEOK KIM, YOUN HEE CHO, MIN JIN KIM, YUN NAH LEE,

SANG GYUNE KIM, SAE HWAN LEE, JAE YOUNG JANG, HONG SOO KIM, BOO SUNG KIM Corresponding Author: YOUNG SEOK KIM Affiliations: Digestive Disease Center and Research Institute, Department of Internal Medicine, Soon Chun Hyang University School of Medicine Objective: Recently EMD 1214063 in vitro gastric variceal obturation therapy using Histoacryl® for the first gastric variceal bleeding is the most appropriate treatment. However, the secondary prophylactic efficacy of beta blocker after gastric variceal obturation therapy has not been established. We evaluate the secondary Reverse transcriptase prophylactic efficacy of beta blocker after gastric variceal obturation therapy. Methods: Between June 2001 and March 2010 at Soon Chun Hyang University Hospital, a total of 93 patients with gastric variceal bleeding received gastric variceal obturation therapy using Histoacryl® were enrolled. Gastric variceal obturation therapy was continued until gastric variceal eradication. Among these 93 patients, 42 patients underwent only gastric variceal obturation therapy (Group I) and 51 patients

also underwent gastric variceal obturation therapy but additionally received beta blocker therapy (Group II). In all patients, the desired heart rate could be achieved. The rate of rebleeding free survival and overall survival were observed in two groups by Kaplan-Meyer analysis. Results: The mean follow-up periods in Group I and II after an initial eradication of gatric varices were 9.26 (1–100) and 25.45 (1–119) months, respectively. During follow-up period, rebleeding occurred in 10 (23.8%) and 21 (41.2%) patients, respectively, and 42 patients died (24 patients; 57.1% in Group I vs. 18 patients; 35.3% in Group II). The mean rebleeding free survival times were 65.40 and 37.40 months, respectively, and were not different significantly (p = 0.774).

In a recent meta-analysis, we have shown that metformin

In a recent meta-analysis, we have shown that metformin R788 datasheet use was associated with a 50% reduction in risk of developing HCC, whereas sulfonylurea or insulin use was associated with a 62% and 161% increase in the risk of HCC, respectively.[2] Metformin may exert its antineoplastic effect by activation of

adenosine monophosphate (AMP)-kinase and a consequent inhibition of the mammalian target of rapamycin (mTOR) pathway.[3] On the other hand, sulfonylureas, by increasing insulin secretion, and exogenous insulin itself, can promote carcinogenesis by increasing insulin-like growth factor 1 activity, resulting in abnormal stimulation of multiple cellular proliferation cascades.[4] Lack of information about antidiabetic medications is a crucial limitation of this study. It is likely that patients with good glycemic control are treated with metformin, whereas patients with poor glycemic control require aggressive polypharmacy and the use of insulin. This selective use of antidiabetic medications driven by glycemic control may explain the apparent lower risk of HCC observed in well-controlled diabetics. Multiple observational studies and meta-analysis have failed to demonstrate an association between intensive glycemic control and risk of cancer, including gastrointestinal

cancer.[5-7] The variable effects of different antidiabetic medications on cancer risk modification may explain why intensive glucose lowering with combination therapy is not associated with lower cancer risk. Siddharth Singh, M.D.1 “
“García-Pagán JC, Caca K, Bureau C, Laleman W, Appenrodt B, Luca A, et al. Early use of TIPS C646 price in patients with cirrhosis and variceal bleeding. N Engl J Med 2010;362:2370-2379. (Reprinted with permission.) Background: Patients with cirrhosis in Child–Pugh class C or those in class B who have persistent

bleeding at endoscopy are at high risk for treatment failure and a poor prognosis, even if they have undergone rescue treatment with a transjugular intrahepatic portosystemic shunt Montelukast Sodium (TIPS). This study evaluated the earlier use of TIPS in such patients. Methods: We randomly assigned, within 24 hours after admission, a total of 63 patients with cirrhosis and acute variceal bleeding who had been treated with vasoactive drugs plus endoscopic therapy to treatment with a polytetrafluoroethylene-covered stent within 72 hours after randomization (early-TIPS group, 32 patients) or continuation of vasoactive-drug therapy, followed after 3 to 5 days by treatment with propranolol or nadolol and long-term endoscopic band ligation (EBL), with insertion of a TIPS if needed as rescue therapy (pharmacotherapy–EBL group, 31 patients). Results: During a median follow-up of 16 months, rebleeding or failure to control bleeding occurred in 14 patients in the pharmacotherapy–EBL group as compared with 1 patient in the early-TIPS group (P=0.001).

8% and 51 3%, respectively) Patients with ACLF by the APASL defi

8% and 51.3%, respectively). Patients with ACLF by the APASL definition were significantly different from those defined by the EASL-CLIF definition in terms of patient characteristics, including higher bilirubin, lower creatinine, frequent ascites, less frequent encephalopathy, higher Child-Pugh score, and lower CLIF-SOFA score. Conclusions: The development of ACLF is associated with high short-term mortality. However, patient characteristics are significantly

different when ACLF is defined by the two different APASL vs. EASL-CLIF definitions. Thus refinement of selleck inhibitor the two ACLF definitions or a consensus definition is urgently needed. Disclosures: Dong Hyun Sinn – Speaking and Teaching: Gilead, Yuhan pharmacy The following people BIBW2992 have nothing to disclose: Tae Yeob Kim, Dong Joon Kim, Do Seon Song, Eileen L Yoon, Joo Hyun Sohn, Chang wook Kim, Young Kul Jung, Ki Tae Suk, Jin Mo Yang, Heon Ju Lee Background: Acute liver injury (ALI) is characterized by severe liver injury resulting in coagulopathy without encephalopathy in patients

without prior chronic liver diseases. While there are several prognosis models for acute liver failure (ALF) patients, there are none available to help identify ALI patients that are at the highest risk of progressing to ALF. We use the random forest (RF) statistical procedure to build a prediction model for ALI patients. A novel machine learning algorithm, RF can better distinguish important predictors of a given outcome than many traditional modeling procedures such as logistic regression. Aim: To derive a model to predict the risk that a patient with ALI will progress to ALF. Methods: 386 ALI subjects were pro-spectively enrolled in the ALF Study Group database between January 2008 and October 2013, defined as follows: INR ≥ 2.0 and ALT ≥ 10x ULN for acetaminophen (APAP) ALI, or INR ≥ 2.0, ALT ≥ 10x ULN, and bilirubin ≥ 3.0mg/dL for non-APAP ALI. 82 clinical variables from the database were entered into the RF for predicting ALI progression

to ALF. A selection procedure which minimizes the prediction error rate was implemented Thalidomide to determine variables for inclusion in the model. Analyses were carried out using R software. Results: Of the 82 variables entered into the model, etiology, INR, bilirubin, and jaundice days prior to hospital admission were the most predictive of progression to ALF. The resulting model yielded an overall prediction accuracy of 73%, sensitivity of 76%, specificity of 73%, and area under the receiver operating curve of 0.82. Etiologies with higher likelihood of progressing to ALF were autoimmune hepatitis, drug induced liver injury and indeterminate. APAP overdose, hepatitis B and shock/ ischemia were not as likely to progress to ALF. High values of INR, bilirubin, and jaundice days prior to hospital admission were associated with higher likelihood of progressing to ALF.

[25, 28-30] As was mentioned above, it has been reported that inc

[25, 28-30] As was mentioned above, it has been reported that increased expression of inhibitory receptors is associated

with the impaired HCV-specific CD8 T cells observed in chronic HCV patients. However, the underlying mechanisms for HCV-mediated impaired CD8 T-cell responses have yet to be determined. Based on our finding that lower level of activation and higher levels of expression of regulatory molecules, Tim-3 and PD-1, by intrahepatic CD8 T cells and higher levels of expression of PD-L1 by intrahepatic APC were observed in core (+) mice in comparison with core buy Lorlatinib (−) mice, it is possible that HCV core-induced T-cell dysfunction is one of the viral factors that contributes to impaired CD8 T-cell responses as seen in chronic HCV patients. Our speculation is in accordance with the study by Lukens et al.[31] Suppression of CTL responses via highly expressed Ag was found in chronic HCV infection. Inverse relationships between HCV viral titer and HCV-specific T cells have been reported.[7,

32, 33] In this study, we found higher levels of expressions of PD-L1 by intrahepatic APC and an impaired intrahepatic CD8 T-cell response in high infectious dose setting. Moreover, we found a significant inverse correlation between the percentages of IFN-γ-producing cells and expression of regulatory molecules in Ag-specific intrahepatic CD8 T cells. It is likely that the PD-1/PD-L1 or Tim-3/Gal9 pathway play a major inhibitory role in our model. High-dose Ad-HCV NS3 infection may inhibit the NS3-specific CD8 T-cell responses BMS-777607 not at the induction phase but at the effector phase because Ag-specific-MHC tetramer+ T cells were observed, and most Ag-specific MHC tetramer+ T cells was anergic to PMA/ionophore stimulation and these T cells expressed PD-1 and Tim-3. The role of PD-1/PD-L1 as mechanism for liver tolerance has been well established. PD-1 expression by T cells has been shown to inhibit intrahepatic antiviral immune responses at the effector phase.[34-36] during Hepatitis C virus infection affects approximately

170 million people in the world and is a major global health problem because infected individuals can develop liver cirrhosis and hepatocellular carcinoma. Pegylated interferon and ribavirin therapy, although beneficial in approximately half of treated patients, are expensive and associated with significant side-effects.[37] In this clinical context, there is an urgent need for the development of a therapeutic and/or prophylactic HCV vaccine.[38] Because HCV infects only humans and chimpanzees, it is difficult to evaluate effective therapeutic vaccine candidates. Recently, as a small animal model for HCV infection study, chimeric humanized mouse harboring a human hepatocyte and hematolymphoid system was established by xenotransplantation technique.

Thus, IM may be better defined that it is not a true trans-differ

Thus, IM may be better defined that it is not a true trans-differentiation but a “disguised state” of gastric cells, as miRNA expression profile can be more informative in

elucidating the developmental lineage.[15] It has been well-documented that considerable genetic and epigenetic changes occurred JQ1 molecular weight in IM including p53 mutations, methylations of Runx3, CDH, and p16 that have been documented as important genetic/epigenetic alterations in gastric cancers.[1, 16] Among these changes, methylation of Runx3 seems important in inducing IM, because deficiency of Runx3 function was shown to induce CDX2 expression.[17] We have confirmed that micro-dissected human IM tissue contained a number of mutations in p53 genes (Table 1). Additional genetic/epigenetic changes in the IM would lead to neoplastic, dysplastic lesions as demonstrated by an elegant study by McDonald and colleagues, who showed that dysplastic lesions contained the same genetic alterations with the surrounding IM.[18] Further genetic alterations occurring in the dysplastic lesions give rise to cancerous foci within dysplastic area, so-called “cancer in adenoma” (Fig. 4a,b). As was shown in our mice model, these human studies would support that at least in some cases, IM is directly connected to adenoma-carcinoma

https://www.selleckchem.com/products/Maraviroc.html sequence. Exon3, Intron 5, Exon 6 gttttt, ag, cgacca gagggg, ccgcgg gagcag VF, RP, EG, PR, EQ cttttt, aaaccc, ctgcag, gt, tc LF, NP, LQ How can we explain the mechanisms of these genetic and epigenetic changes seen

in IM or dysplasia? Some of the epigenetic changes have been reported in chronic gastritis, and could be reversed by eradication. However, H. pylori may play only a limited role in the neoplastic progression from IM as it cannot colonize in IM. In support of the role of other factors in this process, continuous occurrence of gastric cancer long after successful eradication of H. pylori has been reported.[19, 20] What would be Hydroxychloroquine order the feasible mechanisms and factors to explain this process? We propose that bacterial overgrowth and resultant increased nitrosamine production in the stomach which was once the leading theory for gastric carcinogenesis should be reevaluated to explain this process. In hypochlorhydric or achlorhydric stomach, abundant growth of bacteria, mainly from oral source, can be seen (Fig. 5). Since gastric juice is not acidic with low level of ascorbic acid in the stomach harboring the IM, nitrites from saliva can stay in the gastric juice and are converted to carcinogenic nitrosamines. It is also plausible that in other area of the stomach, H. pylori and other microbacteria may coexist, since IM distribution in the stomach is sporadic. Such coexistence of multiple organisms may be more dangerous by aggravating the inflammation and atrophy.

The chimpanzee then underwent a heterologous challenge with the H

The chimpanzee then underwent a heterologous challenge with the HCV

H77 strain (HCV genotype 1a). In contrast, chimpanzee 10273 was rechallenged with the HCV H77 strain in order to compare the quantity and quality of the induced immune responses. Following homologous and heterologous HCV rechallenges, we prospectively analyzed the intrahepatic immune response, the peripheral T-cell response, and the induction of neutralizing antibodies in relation to the clinical and virologic course of the animals. ALT, alanine aminotransferase; ELISpot, enzyme-linked immunosorbent PD0325901 price spot; HCV, hepatitis C virus; HCVpp, HCV pseudoparticle; IFN, interferon; IL, interleukin; ISGs, interferon-stimulated genes; JFH1cc, cell-culture generated JFH-1 virus; Selleckchem IWR1 PBMC, peripheral blood mononuclear cell; RT-PCR, reverse transcription polymerase chain reaction. The housing, maintenance, and care of the chimpanzees (Pan troglodytes) in this study were in compliance with the Institutional Animal Care and Use Committee of the Centers for Disease Control and Prevention. Chimpanzee 10273 (CH10273 age 5, 20 kg) is a recovered animal initially infected intravenously in 2005 with 100 μL serum (9.6 × 106 copies) from a patient with fulminant hepatitis C, from whom the JFH-1 strain was isolated.17 Chimpanzee 10274

(CH10274, age 5, 22 kg) is a recovered animal initially infected intravenously in 2005 with cell culture-derived HCV (JFH1cc, 1.4 × 107 copies).16 Both animals had been tested negative for HCV RNA by reverse-transcription polymerase chain reaction (RT-PCR) in serum to and at the time of rechallenge. CH10274 was then experimentally rechallenged three times with cell culture-derived HCV (JFH1cc, 2 × 107 HCV copies) at 6-week U0126 mouse intervals (homologous challenges). At week 22, CH10274

was rechallenged with HCV H77 1a inoculum (CH1536 serum, 330 CID50).18 CH10273 received a heterologous challenge with HCV 1a inoculum. All rechallenge inocula were given intravenously. Serum samples were collected at 3- to 4-day intervals and tested for HCV RNA by quantitative real-time PCR and qualitative nested RT-PCR (detection limit: Cobas Monitor quantitative: 600 IU/mL, Cobas qualitative assay, 50 IU/mL). Serum samples were tested for HCV antibodies with the ORTHO v. 3.0 enzyme-linked immunosorbent assay (ELISA) test system. Recombinant HCV core, helicase, NS5A and NS5B of genotype 1 were purchased from Mikrogen (Neuried, Germany). 15-mer peptides overlapped by 10 amino acids of the H77 strain (genotype 1a) were provided by the NIH AIDS Reagent Program and were pooled to generate one HCV core pool (27 peptides), two HCV NS3 pools (each with 30 peptides), two HCV NS5A pools (each with 33 peptides), and two HCV NS5B pools (each with 44 peptides).

4D) HCV core protein and nonstructural protein NS5A have been sh

4D). HCV core protein and nonstructural protein NS5A have been shown to induce oxidative stress,26, 27 a trigger of viral replication.28 In fact, we found that incubation of LucUbiNeo-ET replicon cells in

the presence of H2O2 dose dependently resulted in modification of HCV replication, which was increased by low concentrations and reduced by higher concentrations (Fig. 5A). Oxidative stress, for example, caused by viral replication, down-regulates expression of antiviral factors.29, 30 We found that biliverdin, which, like bilirubin, is able to reduce oxidative stress,31 induced expression of antiviral interferons (Fig. 5B). We measured endogenous interferon alpha2 and alpha17 expression (Fig. 5B), as well as expression of interferon-dependent antiviral

genes, such as 2′,5′-oligoadenylate synthetase DNA Damage inhibitor (OAS) 1 and OAS2, or protein kinase R (PKR), but not OAS3, as well as heme-regulated eIF2alpha kinase (Fig. 5C). Therefore, biliverdin seems to interfere with HCV replication by restoring the expression of antiviral interferons, which are reduced during viral infection. HO-1 has profound antiviral effects on HBV, HCV and HIV, although the replication machinery of these viruses is quite different. In case of HBV inhibition, HO-1 is able to reduce stability of HBV core protein and thus block refill of nuclear HBV covalently closed circular DNA.24 The contribution of HO-1 products to inhibition of HBV replication is the subject of our ongoing investigations. In the case of HIV, HO-1 has been shown to reduce, but not completely block, JNK pathway inhibitor viral entry and also to interfere with nonspecified post-entry events in viral replication.23 A connection between HO-1 and HCV replication is implicated by the observation that HCV increases basal HO-1 expression32 but interferes with HO-1 induction, rendering cells more susceptible Tyrosine-protein kinase BLK to cytotoxicity.33 This effect has been attributed to HCV core protein33;

however, nonstructural HCV proteins also might be involved, because we observed that HO-1 induction by CoPP was less prominent in HCV replicon cells expressing NS3 to NS5, compared with the parental cell line Huh-7 (Fig. 1E). Basic HO-1 expression in Huh-5-15 cells was found to be elevated but not significantly higher than in Huh-7 cells (Fig. 1E), which might be a cellular defense mechanism against oxidative stress induced by viral infection.29 Recently, HO-1 effects on HCV replication have been demonstrated by induction25 or overexpression of the enzyme,26 where the underlying mechanism has been attributed to modulation of oxidative cellular stress.26 In previous HO-1–related work, we have been able to connect HO-1 effects in the liver to one, or a combination, of its products.11, 17 This was also the aim of the current study.