Interferon alfa down-regulates CD81 in patients with chronic hepatitis C

CD81 protein has been shown to bind hepatitis C virus (HCV) envelope 2 (E2) glycoprotein in vitro and may act as a (co)receptor for HCV, Regulation of CD81 expression by interferon alfa (IFN-alpha) and ribavirin could thereby affect the response to antiviral therapy. In the present study, the effect s of IFN-alpha and ribavirin on CD81 protein and CD81 mRNA were assessed in peripheral blood lymphocytes (PBL) and isolated human hepatocytes by fluor escence-activated cell sorter (FACS) analysis and real-time polymerase chai n reaction (PCR), respectively, In addition, regulation of CD81 in PBL nas investigated in 10 patients treated with combination therapy. Incubation wi th IFN-alpha (50 U/mL) down-regulated total CD81 in PBL (81.7 +/- 11.6% of control; P = .003) and in isolated human hepatocytes (91.6 +/- 8.1% of cont rol; P = .034). Incubation with IFN-alpha with and without ribavirin (2.2 m ug/mL) significantly reduced cell surface-associated CD81 protein (83.9 +/- 10.3% of control; P = .003), PBL of untreated patients chronically infecte d with HCV had significantly higher levels of total CD81 protein compared w ith PBL obtained from healthy donors (631.1 +/- 93.3 vs. 538.9 +/- 95.2 rel ative fluorescence units [RFU]; P = .030). Pretreatment cell surface-associ ated CD81 protein was lower in patients infected with genotype HCV-3 than t hose infected with HCV-1 (111.8 +/- 15.0 vs. 162.0 +/- 41.3 RFU; P = .019), Furthermore, cell surface-associated CD81 protein was lower 4 weeks after initiation of therapy in patients with an initial virologic response compar ed with initial virologic nonresponders (110.5 +/- 8.5 vs. 139.8 +/- 27.5 R FU; P = .057), In conclusion, IFN-alpha and ribavirin regulate CD81 express ion in vitro and in vivo. CD81 expression correlates with HCV genotype and initial virologic response in patients with chronic hepatitis C.