Aim and Background: The interferon stimulated gene 15 (ISG15) plays an important role in the pathogenesis
of hepatitis C virus (HCV) infection. We recently identified seven ISG15-regulated
proteins, which putatively affect this proviral interaction. Therefore, the aim of
this study was to further elucidate the relation between ISG15 and these proteins
during HCV infection.
Methods: Expression of selected ISGs (ISG15 and interferon-induced protein with tetratricopeptide
repeats 1 (IFI-T1)) and ISG15-regulated genes (Medium-chain specific acyl-CoA dehydrogenase
(ACADM), Heterogeneous nuclear ribonucleoprotein A3 (HnrnpA3), HnrnpK, Hydroxymethylglutaryl-CoA
synthase (Hmgcs1), Isocitrate dehydrogenase cytoplasmic (Idh1), Thioredoxin domain-containing
protein 5 (Txndc5) and Proteasome subunit alpha type-6 (PSMA6)) were analyzed in liver
samples of treatment-naïve HCV-infected patients (n = 54), HBV-infected patients (n
= 23), uninfected controls (n = 12) as well as in primary human hepatocytes (PHH).
Gene expression of ISG15 and PSMA6 was suppressed in a subgenomic HCV replicon cell
line using specific siRNAs.
Results: Analysis of the hepatic expression of ISG15 and the seven ISG15-regulated genes only
revealed a correlation between the expression of ISG15 and PSMA6 (r = 0.332, p < 0.01).
ISG15 and PSMA6 expression patterns even showed a stronger correlation in PHH (r =
0.5629, p < 0.001). Furthermore, an elevated hepatic expression of ISG15, IFI-T1 and
PSMA6 could be shown for HCV infected patients, as well as in PHH isolated from HCV-infected
individuals, compared to uninfected controls. In contrast, hepatic expression profile
of HBV patients also revealed an elevated PSMA6 expression but no induction of ISGs.
Whereas the elevated hepatic ISG expression was associated with the HCV load and the
HCV genotype, PSMA6 expression occurred independently of these viral parameters. To
further analyze the relation between ISG15 and PSMA6, both genes were suppressed separately
and simultaneously in the HCV replicon system, using specific siRNAs. Interestingly,
the suppression of PSMA6 led to significant induction of ISG15 expression (fold change
2.5 (p < 0.001). Thus combined knockdown of both genes abrogated the antiviral effect
induced by the separate suppression of ISG15.
Conclusions: Our data indicate that the proteasome subunit alpha type-6 is up-regulated during
viral hepatitis and implies a negative regulator function for the ISG15, a proviral
factor in the pathogenesis of HCV infection. These findings led to hypothesize, that
the proteasome affects the enigmatic interaction between ISG15 and HCV.