RT Journal Article SR Electronic T1 Human hepatic stellate cells are not permissive for hepatitis C virus entry and replication JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 957 OP 965 DO 10.1136/gutjnl-2013-305634 VO 64 IS 6 A1 Alexandre Florimond A1 Philippe Chouteau A1 Patrice Bruscella A1 Jacques Le Seyec A1 Emilie Mérour A1 Nazim Ahnou A1 Ariane Mallat A1 Sophie Lotersztajn A1 Jean-Michel Pawlotsky YR 2015 UL http://gut.bmj.com/content/64/6/957.abstract AB Background Chronic HCV infection is associated with the development of hepatic fibrosis. The direct role of HCV in the fibrogenic process is unknown. Specifically, whether HCV is able to infect hepatic stellate cells (HSCs) is debated. Objective To assess whether human HSCs are susceptible to HCV infection. Design We combined a set of original HCV models, including the infectious genotype 2a JFH1 model (HCVcc), retroviral pseudoparticles expressing the folded HCV genotype 1b envelope glycoproteins (HCVpp) and a subgenomic genotype 1b HCV replicon, and two relevant cellular models, primary human HSCs from different patients and the LX-2 cell line, to assess whether HCV can infect/replicate in HSCs. Results In contrast with the hepatocyte cell line Huh-7, neither infectious HCVcc nor HCVpp infected primary human HSCs or LX-2 cells. The cellular expression of host cellular factors required for HCV entry was high in Huh-7 cells but low in HSCs and LX-2 cells, with the exception of CD81. Finally, replication of a genotype 2a full-length RNA genome and a genotype 1b subgenomic replicon was impaired in primary human HSCs and LX-2 cells, which expressed low levels of cellular factors known to play a key role in the HCV life-cycle, suggesting that human HSCs are not permissive for HCV replication. Conclusions Human HSCs are refractory to HCV infection. Both HCV entry and replication are deficient in these cells, regardless of the HCV genotype and origin of the cells. Thus, HCV infection of HSCs does not play a role in liver fibrosis. These results do not rule out a direct role of HCV infection of hepatocytes in the fibrogenic process.