Hepatitis C virus (HCV) infection is often associated with chronic liver disease, which is a major risk factor for the development of hepatocellular carcinoma (HCC). To study the HCV host-cell relationship on the molecular level, HepG2 and Huh7 cells were stably transfected with an infectious cDNA clone of HCV or with empty vector. Evidence for HCV replication was obtained in both culture systems. HCV also stimulated growth in vitro. To identify genes whose altered expression by HCV are important to the pathogenesis of infection, RNAs were isolated from HepG2-HCV and HepG2-vector cells and subjected to microarray analysis. The results showed that arginase 1 mRNA and protein were elevated about threefold in HCV positive compared with negative cells (p < 0.01). Arginase 1 expression was elevated in more than 75% of HCV infected liver samples compared with paired HCC from the same patients (>33% positive) and to uninfected liver tissues (0% positive). Arginase 1 specific siRNA inhibited the ability of HCV to stimulate hepatocellular growth in culture by >70%, suggesting that the metabolism of arginine to ornithine may contribute to HCV mediated stimulation of hepatocellular growth. Introduction of arginase specific siRNA also resulted in increased nitric oxide synthase (iNOS) (>1.2-fold), nitric oxide (NO) production (>3-fold) and increased cell death (>2.5-fold) in HCV positive compared with negative cells, suggesting that these molecules potentially contribute to hepatocellular damage. Hence, an important part of the mechanism whereby HCV regulates hepatocellular growth and survival may be through altering arginine metabolism. '
UICCKey words: arginine; arginase 1; hepatocellular carcinoma; hepatitis C virus; nitric oxide Chronic hepatitis C virus (HCV) infection is associated with the development of hepatocellular carcinoma (HCC), 1-3 although the nature of this relationship at the cellular and molecular levels is not clear. HCV core, NS3 and NS5A have been shown to potentially contribute to hepatocarcinogenesis, 2,4 but most of these experiments have used cell culture systems over-expressing each of these proteins. Interestingly, HCV core over-expressing transgenic mice develop steatosis and eventually HCC, 5,6 which is similar to what is observed in chronic human infections. 7 However, during the pathogenesis of natural infection, both liver and HCC nodules replicate HCV at levels estimated to be 5-50 copies of HCV RNA molecules per cell. 8 Therefore, if HCV contributes importantly to HCC, it will be important to do so in the context of liver cells replicating these levels of virus.Several years ago, this laboratory developed a system, in which, an infectious clone of HCV was shown to replicate at physiological levels in HepG2 and Huh7 cells following stable transfection of virus cDNA. 9 Importantly, HCV was shown to stimulate the growth of these cells in vitro, in soft agar and accelerated the development of tumors in nude mice. 9 These observations suggested that intact HCV promoted tumorigenesis and that ...