Hepatitis C virus (HCV) is the main cause of chronic hepatitis, liver cirrhosis, and hepatocellular carcinoma. HCV is a single-stranded, positive-sense RNA virus that is classified into the Flaviviridae family, Hepacivirus genus (21). More than 170 million people worldwide are chronically infected with HCV. The 9.6-kb HCV genome encodes a polyprotein of approximately 3,010 amino acids (aa). The polyprotein is cleaved co-and posttranslationally into at least 10 proteins by viral proteases and cellular signalases: the structural proteins core, E1, E2, and p7 and the nonstructural proteins NS2, NS3, NS4A, NS4B, NS5A, and NS5B (21).Persistent HCV infection causes not only intrahepatic diseases but also extrahepatic manifestations, such as type 2 diabetes. Clinical and experimental data suggest that HCV infection is an additional risk factor for the development of diabetes (26,29,30). HCV-related glucose metabolic changes and insulin resistance have significant clinical consequences, such as accelerated fibrogenesis, reduced virological response to alpha interferon (IFN-␣)-based therapy, and increased incidence of hepatocellular carcinoma (29). Therefore, the molecular mechanism of HCV-related diabetes needs to be clarified.We have sought to identify a novel mechanism of HCV-induced diabetes. We previously demonstrated that HCV suppresses hepatocytic glucose uptake through downregulation of cell surface expression of glucose transporter 2 (GLUT2) in a human hepatoma cell line (19). The uptake of glucose into cells is conducted by facilitative glucose carriers, i.e., glucose transporters (GLUTs). GLUTs are integral membrane proteins that contain 12 membrane-spanning helices. To date, a total of 14 isoforms have been identified in the GLUT family (24). GLUT2 is expressed in the liver, pancreatic -cells, hypothalamic glial cells, retina, and enterocytes. Glucose is transported into hepatocytes by GLUT2 (34). We previously reported that GLUT2 expression was reduced in hepatocytes obtained from HCV-infected patients (19). We also demonstrated that GLUT2 mRNA levels were lower in HCV replicon cells and in HCV J6/JFH1-infected cells than in the control cells. GLUT2 promoter activity was suppressed in HCV-replicating cells. However, the molecular mechanism of HCV-induced suppression of GLUT2 gene expression remains to be elucidated.In the present study, we aimed to clarify molecular mechanisms of HCV-induced suppression of GLUT2 gene expression. We analyzed transcriptional regulation of the GLUT2 promoter in HCV replicon cells. We demonstrate that HCV infection downregulates hepatocyte nuclear factor 1␣ (HNF-1␣) expression at both transcriptional and posttranslational levels, resulting in suppression of GLUT2 promoter. We propose that HCV-induced downregulation of HNF-1␣ may play a crucial role in glucose metabolic disorders caused by HCV.
MATERIALS AND METHODSCell culture. The human hepatoma cell line Huh-7.5 (4) was kindly provided by Charles M. Rice (The Rockefeller University, New York, NY).