
Blood, 15 October 2001, Vol. 98, No. 8, pp. 2291-2291
An unexpected link between HCV and platelets
Neither the cellular binding sites nor the extrahepatic
reservoirs for the hepatitis C virus (HCV) are well understood. The study of Hamaia and colleagues (page 2293) investigates the
characteristics of HCV binding to platelets and 2 mononuclear cell
lines. Among the interesting findings of this study: (1) Most HCV
(95%) circulates bound to IgG; only 1% of circulating virus is cell
bound. (2) HCV binds efficiently to platelets. (3) The mechanism of HCV
binding to platelets is different than to mononuclear cells in that
platelets bind free and complexed HCV equally well and that platelet
binding does not reach a saturation limit; platelet binding may
represent simple absorption. (4) Although CD81 has been
proposed as a major receptor for HCV binding, HCV binds equally to
CD81+ cells (MOLT-4) and CD81
cells (U-937
and platelets) and antibody to CD81 does not block HCV binding.
Thus, CD81-independent binding sites must exist. (5) The
hypervariable region 1 (HVR1) of HCV appears to play an important role
in viral attachment. (6) The binding characteristics of recombinant HCV
envelope (rE2) are different than those of native HCV, suggesting that
studies that employ rE2 may not be fully representative of natural infection.
The implications of this study are that platelets as well as
mononuclear cells may serve to transport HCV to sites of immune recognition or alternately to sequester virions from such recognition. In addition, these hematologic cells may serve as important reservoirs of HCV that account for the almost universal infection of HCV-naive livers following liver transplantation. This study also indicates that
HCV binding is not dependent on the postulated HCV receptor, CD81, and
that HVR1 serves as an important attachment site of the virion. HVR1 is
also the region presumed to be the target for neutralizing antibody
against HCV and the region that under immune pressure mutates to create
the vast HCV quasi species.
Harvey J. Alter
National Institutes of Health