The
interferon-induced
2',5'-oligoadenylate synthetase (2-5OAS) is responsible, at least in part, for the
antiviral state established in cells in response to
viral infections. The purpose of this work was to study the relationship between hepatitis C virus (HCV)
infection and 2-5OAS in patients with
chronic hepatitis C. Peripheral blood mononuclear cells (PBMC) of 27 patients with
chronic hepatitis C were investigated, as well as PBMC of 10 control subjects. Then, the patients were treated with 3 mu
interferon-alpha 2a three times per week. At month 3 of
therapy, PBMC were sampled. Of the total PBMC samples obtained, half were used for determination of in vivo 2-5OAS activity. The remaining cells were cultured for 24 h in either the absence or presence of 500 U/ml of
interferon-alpha 2a for the determination of in vitro 2-5OAS activity. The mean basal in vivo 2-5OAS activities were 3.6 +/- 2.8 nmol/10(6) cells in patients versus 1.6 +/- 1.1 nmol/10(6) cells in controls (p < 0.01). Basal in vivo 2-5OAS activity did not correlate with mean HCV
viremia, quantified by a "branched
DNA"-based assay. Before treatment,
interferon-alpha was detected in the serum of 2 patients in 27. After a 24 h culture of PBMC in the presence of
interferon, in vitro 2-5OAS activity was significantly induced in the PBMC of both the patients and the controls. However, in vitro induction of 2-5OAS activity was significantly lower in the PBMC of the patients than in the PBMC of the controls (p < 0.01). At month 3
therapy, in vivo 2-5OAS activity was significantly induced (20.5 +/- 17.9; p < 0.0001). In vitro IFN inductions of 2-5OAS activity in PBMC before treatment and at month 3 of
therapy were not significantly different. In conclusion, in vivo 2-5OAS activity is significantly induced in patients with
chronic hepatitis C, but endogenously produced
interferon-alpha does not seem to be involved. Chronic induction of 2-5OAS activity results in a decreased sensitivity of PBMC to exogenous
interferon induction. Whether this phenomenon plays a role in the resistance of
chronic hepatitis C to
interferon therapy remains uncertain.