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  • G01N2500/10—Screening for compounds of potential therapeutic value involving cells

Definitions

• This invention pertains to novel HCV NS3 protease replicon shuttle vectors which are useful for screening, testing and evaluating HCV and other Flavivirus protease inhibitors.
• Hepatitis C virus is a major health problem and the leading cause of chronic liver disease throughout the world. (Boyer, N. et al. J. Hepatol. 2000 32:98-112). Patients infected with HCV are at risk of developing cirrhosis of the liver and subsequent hepatocellular carcinoma and hence HCV is the major indication for liver transplantation.
• HCV has been classified as a member of the virus family Flaviviridae that includes the genera flaviviruses, pestiviruses, and hepaciviruses which includes hepatitis C viruses (Rice, C. M., Flaviviridae: The viruses and their replication, in: Fields Virology, Editors: Fields, B. N., Knipe, D. M., and Howley, P. M., Lippincott-Raven Publishers, Philadelphia, Pa., Chapter 30, 931-959, 1996).
• HCV is an enveloped virus containing a positive-sense single- stranded RNA genome of approximately 9.4 kb.
• the viral genome consists of a 5'- untranslated region (UTR), a long open reading frame encoding a polyprotein precursor of- approximately 3011 amino acids, and a short 3' UTR.
• the 5' UTR is the most highly conserved part of the HCV genome and is important for the initiation and control of polyprotein translation.
• HCV Haptenase
• genotypes showing a >30% divergence in the DNA sequence.
• Each genotype contains a series of more closely related subtypes which show a 20-25 % divergence in nucleotide sequences (Simmonds, P. 2004 J. Gen. Virol. 85:3173-88) . More than 30 subtypes have been distinguished.
• Type Ib is the most prevalent subtype in Asia. (X. Forns and J. Bukh, Clinics in Liver Disease 1999 3:693-716; J. Bukh et al, Semin. Liv. Dis. 1995 15:41-63).
• Type 1 infections are less responsive to the current therapy than either type 2 or 3 genotypes (N. N. Zein, Clin. Microbiol. Rev., 2000 13:223-235).
• Nonstructural protein portion of the ORF of pestiviruses and hepaciviruses possess a single large open reading frame (ORF) encoding all the viral proteins necessary for virus replication. These proteins are expressed as a polyprotein that is co- and post-translationally processed by both cellular and virus-encoded proteinases to yield the mature viral proteins.
• ORF open reading frame
• the viral proteins responsible for the replication of the viral genome RNA are located towards the carboxy-terminal. Two-thirds of the ORF are termed nonstructural (NS) proteins.
• the mature nonstructural (NS) proteins in sequential order from the amino -terminus of the nonstructural protein coding region to the carboxy-terminus of the ORF, consist of p7, NS2, NS3, NS4A, NS4B, NS5A, and NS5B.
• the NS proteins of pestiviruses and hepaciviruses share sequence domains that are characteristic of specific protein functions.
• the NS3 proteins of viruses in both groups possess amino acid sequence motifs characteristic of serine proteinases and of helicases (Gorbalenya et al. Nature 1988 333:22; Bazan and Fletterick Virology 1989 171 :637-639; Gorbalenya et al. Nucleic Acid Res. 1989 17.3889-3897).
• the NS5B proteins of pestiviruses and hepaciviruses have the motifs characteristic of RNA-directed RNA polymerases (Koonin, E. V. and Dolja, V. V. Crit. Rev. Biochem. Molec. Biol. 1993 28:375-430).
• NS3 serine proteinase is responsible for all proteolytic processing of polyprotein precursors downstream of its position in the ORF (Wiskerchen and Collett Virology 1991 184:341-350; Bartenschlager et al. J. Virol. 1993 67:3835-3844; Eckart et al. Biochem. Biophys. Res. Comm. 1993 192:399-406; Grakoui et al. J. Virol. 1993 67:2832-2843; Grakoui et al. Proc. Natl. Acad. Sci.
• the NS4A protein acts as a cofactor with the NS3 serine protease (Bartentscher et al. J. Virol. 1994 68:5045-5055; Failla et al. J. Virol. 1994 68: 3753-3760; Xu et al. J Virol. 1997 71 :53 12-5322).
• the NS3 protein of both viruses also functions as a helicase (Kim et al. Biochem. Biophys. Res. Comm.
• NS5B proteins of pestiviruses and hepaciviruses have the predicted RNA-dependent RNA polymerase activity (Behrens et al. EMBO 1996 15:12-22; Lechmann et al. J. Virol. 1997 71 :8416-8428; Yuan et al. Biochem. Biophys. Res. Comm. 1997 232:231-235; Hagedorn, PCT WO 97/12033; Zhong et al. J. Virol. 1998 72:9365- 9369).
• the HCV NS protein 3 contains a serine protease activity that helps process the majority of the viral enzymes, and is thus considered essential for viral replication and infectivity. It is known that mutations in the yellow fever virus NS3 protease decreases viral infectivity (Chambers et. al., Proc. Natl. Acad. Sci. USA, 1990, 87:8898-8902). The first 181 amino acids of NS3 (residues 1027-1207 of the viral polyprotein) have been shown to contain the serine protease domain of NS3 that processes all four downstream sites of the HCV polyprotein (Lin et al., J. Virol. 1994 68:8147-8157).
• HCV NS3 serine protease and its associated cofactor, NS4A helps process all of the viral enzymes, and is thus considered essential for viral replication. This processing appears to be analogous to that carried out by the human immunodeficiency virus aspartyl protease, which is also involved in viral enzyme processing HIV protease inhibitors, which inhibit viral protein processing are potent antiviral agents in man, indicating that interrupting this stage of the viral life cycle results in therapeutically active agents. Consequently it is an attractive target for drug discovery.
• HCV replication Despite advances in understanding the genomic organization of the virus and the functions of viral proteins, fundamental aspects of HCV replication and pathogenesis remain unknown.
• a major challenge in gaining experimental access to HCV replication is the lack of an efficient cell culture system that allows production of infectious virus particles. Although infection of primary cell cultures and certain human cell lines has been reported, the amounts of virus produced in those systems and the levels of HCV replication have been too low to permit detailed analyses.
• HCV RNAs that replicate with minimal efficiency in the human hepatoma cell line Huh-7 have been reported.
• Lohman et al. reported the construction of a replicon (1 377 /NS3-3') derived from a cloned full-length HCV consensus genome (genotype Ib) by deleting the C-p7 or C-NS2 region of the protein- coding region (Lohman et al., Science 1999 285: 110-113).
• the replicon contained the following elements: (i) the HCV 5"-UTR fused to 12 amino acids of the capsid encoding region; (ii) the neomycin phosphotransferace gene (NPTII); (iii) the IRES from encephalomyocarditis virus (EMCV), inserted downstream of the NPTII gene and which directs translation of HCV proteins NS2 or NS3 to NS5B; and (iv) the 3"-UTR.
• NPTII neomycin phosphotransferace gene
• EMCV encephalomyocarditis virus
• Independent G418 -resistant cell clones were sequenced to determine whether high-level HCV replication required adaptation of the replicon to the host cell. Multiple independent adaptive mutations that cluster in the HCV nonstructural protein NS5A were identified. The mutations conferred increased replicative ability in vitro, with transduction efficiency ranging from 0.2 to 10% of transfected cells as compared to earlier- constructed replicons in the art, e.g., the I 377/NS3-3' replicon had a 0.0001% transduction efficiency.
• the present invention features the development of a novel HCV replicon shuttle vector in which unique restriction enzyme sites are introduced at the 5" and 3" ends of the protease domain of the NS3 gene such that NS3 protease sequences derived from the samples of HCV-infected patients can be cloned in the shuttle vector and the resulting replicons be evaluated for replication fitness and susceptibility to HCV NS3 protease inhibitors. Since an individual HCV-infected patient typically contains a genetically diverse virus population due to the high error rate of the NS5B RNA polymerase, the use of the shuttle vector of the present invention would allow the characterization of specific patient-derived NS3 protease variants and the sensitivity or resistance of these variants to drug treatment.
• the present invention provides an HCV replicon shuttle vector comprising an HCV polynucleotide sequence comprising, in order, a unique restriction enzyme sequence placed between 10 nucleotides 5" and 10 nucleotides 3" from the 5" end of a polynucleotide sequence encoding a NS3 protein; a polynucleotide sequence encoding the protease domain of the NS3 protein; a unique restriction enzyme sequence placed between 10 nucleotides 5" and 10 nucleotides 3" from the 3" end of the polynucleotide sequence encoding the protease domain of the NS3 protein; a polynucleotide sequence encoding the helicase domain of the NS3 protein; a polynucleotide sequence encoding a NS4A protein; a polynucleotide sequence encoding a NS4B protein; a polynucleotide sequence encoding a NS5A protein
• the polynucleotide sequence encoding the protease domain of the NS3 protein has been modified or deleted such that the protease domain of the NS3 protein is non-functional.
• the unique restriction enzyme sequence at the 5" end of the polynucleotide sequence encoding the NS3 protein recognizes EcoRV and the unique restriction enzyme sequence at the 3" end of the polynucleotide sequence encoding the protease domain of the NS3 protein recognizes AsiSI.
• the HCV replicon shuttle vector comprises an HCV polynucleotide sequence selected from SEQ ID NO:3 or SEQ ID NO:6.
• a further embodiment of the present invention provides a method for assessing the effectiveness of an HCV NS3 protease inhibitor to control an HCV infection in a subject comprising the steps of providing a sample from the subject infected with HCV, PCR- amplifying polynucleotide sequences encoding the protease domain of the NS3 protein from a plurarity of HCV quasispecies present in the sample with the use of a sense-strand primer which comprises a unique restriction enzyme sequence, and an anti-sense strand primer which comprises a different unique restriction enzyme sequence, cloning said PCR-amplifed polynucleotide sequences into an HCV replicon shuttle vector to produce chimeric HCV replicon plasmids, linearizing said chimeric HCV replicon plasmids and subjecting said linearized plasmids to in vitro transcription to produce chimeric HCV replicon RNAs, and transfecting a Huh7 cell line with said HCV replic
• a still further embodiment of the present invention provides a method for assessing the effectiveness of an HCV NS3 protease inhibitor to control an HCV infection in a subject comprising the steps of providing a sample from the subject infected with HCV, PCR- amplifying polynucleotide sequences encoding the protease domain of the NS3 protein from a plurarity of HCV quasispecies present in the sample with the use of a sense-strand primer which comprises a unique restriction enzyme sequence, and an anti-sense strand primer which comprises a different unique restriction enzyme sequence, cloning said PCR-amplifed polynucleotide sequences into an HCV replicon shuttle vector to produce chimeric HCV replicon plasmids, transforming said plasmids into cells to generate a plurarity of colonies of transformed cells, pooling said colonies and isolating chimeric HCV replicon plasmids from the pooled colonies, linearizing said chimeric HCV replic
• Figure 1 is a schematic representation of the components of the HCV replicon shuttle vectors.
• Figure 2 shows the plasmid maps of the NS3 protease replicon shuttle vectors
• A pSC_lb_NS3/Protease_EcoRV_AsiSI (SEQ ID NO:3)
• B pSC_lb_NS3/Protease/LacZ_EcoRV_AsiSI (SEQ ID NO:6)
• Figure 3 shows the replication capability of pSC_lb_NS3/Protease_EcoRV_AsiSI as well as replicons that contain patient-derived NS3 proteases from HCV genotype- Ia or genotype Ib.
• RLU represents level of firefly luciferase signal observed after 96 hours following tranfection.
• HCV replicon refers to a nucleic acid from the Hepatitis C virus that is capable of directing the generation of copies of itself.
• the term “replicon” includes RNA as well as DNA, and hybrids thereof.
• double-stranded DNA versions of HCV genomes can be used to generate a single-stranded RNA transcript that constitutes an HCV replicon.
• the HCV replicons can include full length HCV genome or HCV subgenomic contructs also referred as a "subgenomic replicon".
• the subgenomic replicons of HCV described herein contain most of the genes for the non-structural proteins of the virus, but are missing most of the genes coding for the structural proteins.
• Subgenomic replicons are capable of directing the expression of all of the viral genes necessary for the replication of the viral subgenome, replication of the sub-genomic replicon, without the production of viral particles.
• a basic HCV replicon is a subgenomic construct containing an HCV 5 "-untranslated (UTR) region, an HCV NS3-NS5B polyprotein encoding region, and a HCV 3"-UTR.
• Other nucleic acid regions can be present such as those providing for HCV NS2, structural HCV protein(s) and non-HCV sequences.
• the HCV 5"-UTR region provides an internal ribosome entry site (IRES) for protein translation and elements needed for replication.
• the HCV 5"-UTR region includes naturally occurring HCV 5"-UTR extending about 36 nucleotides into a HCV core encoding region, and functional derivatives thereof.
• the 5"-UTR region can be present in different locations such as site downstream from a sequence encoding a selection protein, a reporter, protein, or an HCV polyprotein.
• non-HCV IRES elements can also be present in the replicon.
• the non-HCV IRES elements can be present in different locations including immediately upstream the region encoding for an HCV polyprotein. Examples of non-HCV IRES elements that can be used are the EMCV IRES, polio virus IRES, and bovine viral diarrhea virus IRES.
• HCV 3"-UTR assists HCV replication.
• HCV 3" UTR includes naturally occurring HCV 3"-UTR and functional derivatives thereof.
• Naturally occurring 3"-UTRs include a poly U tract and an additional region of about 100 nucleotides.
• the NS3-NS5B polyprotein encoding region provides for a polyprotein that can be processed in a cell into different proteins.
• Suitable NS3-NS5B polyprotein sequences that may be part of a replicon include those present in different HCV strains and functional equivalents thereof resulting in the processing of NS3-NS5B to produce a functional replication machinery. Proper processing can be measured for by assaying, for example, NS5B RNA dependent RNA polymerase.
• a “vector” is a piece of DNA, such as a plasmid, phage or cosmid, to which another piece of DNA segment may be attached so as to bring about the replication, expression or integration of the attached DNA segment.
• a “shuttle vector” refers to a vector in which a DNA segment can be inserted into or excised from a vector at specific restriction enzyme sites. The segment of DNA that is inserted into shuttle vector generally encodes a polypeptide or RNA of interest and the restriction enzyme sites are designed to ensure insertion of the DNA segment in the proper reading frame for transcription and translation.
• vectors can be used to express a nucleic acid molecule.
• Such vectors include chromosomal, episomal, and virus-derived vectors, e.g., vectors derived from bacterial plasmids, from bacteriophage, from yeast episomes, from yeast chromosomal elements, including yeast artificial chromosomes, from viruses such as baculoviruses, papovaviruses such as SV40, vaccinia viruses, adenoviruses, poxviruses, pseudorabies viruses, herpes viruses, and retroviruses.
• viruses such as baculoviruses, papovaviruses such as SV40, vaccinia viruses, adenoviruses, poxviruses, pseudorabies viruses, herpes viruses, and retroviruses.
• Vectors may also be derived from combinations of these sources, such as those derived from plasmid and bacteriophage genetic elements, e.g., cosmids and phagemids.
• Appropriate cloning and expression vectors for prokaryotic and eukaryotic hosts are described in Sambrook et al, (1989) Molecular Cloning: A Laboratory Manual. 2nd edn. Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY, USA.
• a vector containing the appropriate nucleic acid molecule can be introduced into an appropriate host cell for propagation or expression using known techniques.
• Host cells can include bacterial cells including, but not limited to, E. coli, Streptomyces, and Salmonella typhimurium, eukaryotic cells including, but not limited to, yeast, insect cells, such as Drosophila, animal cells, such as Huh-7, HeLa, COS, HEK 293, MT- 2T, CEM-SS, and CHO cells, and plant cells.
• Vectors generally include selectable markers that enable the selection of a subpopulation of cells that contain the recombinant vector constructs.
• the marker can be contained in the same vector that contains the nucleic acid molecules described herein or may be on a separate vector. Markers include tetracycline- or ampicillin-resistance genes for prokaryotic host cells and dihydrofolate reductase or neomycin resistance for eukaryotic host cells. However, any marker that provides selection for a phenotypic trait will be effective.
• polynucleotide or “nucleic acid molecule” generally refers to any polyribonucleotide or polydeoxribonucleotide, which may be unmodified RNA or DNA or modified RNA or DNA.
• Polynucleotides include, without limitation single- and double-stranded DNA, DNA that is a mixture of single- and double-stranded regions, single- and double-stranded RNA, and RNA that is mixture of single- and double-stranded regions, hybrid molecules comprising DNA and RNA that may be single-stranded or, more typically, double-stranded or a mixture of single- and double-stranded regions.
• polynucleotide refers to triple-stranded regions comprising RNA or DNA or both RNA and DNA. “Polynucleotide” also embraces relatively short polynucleotides, often referred to as oligonucleotides.
• DNA molecule refers only to the primary and secondary structure of the molecule, and does not limit it to any particular tertiary forms.
• the term includes double-stranded DNA found, inter alia, in linear DNA molecules (e.g., restriction fragments), viruses, plasmids, and chromosomes.
• sequences may be described herein according to the normal convention of giving only the sequence in the 5" to 3" direction along the nontranscribed strand of DNA (i.e., the strand having a sequence homologous to the mRNA).
• RNA molecule refers to the polymeric form of ribonucleotides in its either single- stranded form or a double-stranded helix form.
• sequence may be described herein according to the normal convention of giving the sequence in the 5' to 3' direction.
• restriction enzyme sequence refers to a specific double stranded-DNA sequence which is recognized and cut by bacterial enzymes, each of which cut double-stranded DNA at or near a specific nucleotide sequence.
• the restriction enzyme "EcoRV” recognizes the sequence 5 ' GAT T ATC 3 ' and cuts the double-stranded DNA at the indicated
• primer refers to an oligonucleotide, either RNA or DNA, either single-stranded or double-stranded, either derived from a biological system, generated by restriction enzyme digestion, or produced synthetically which, when placed in the proper environment, is able to functionally act as an initiator of template-dependent nucleic acid synthesis.
• suitable nucleoside triphosphate precursors of nucleic acids, a polymerase enzyme, suitable co factors and conditions such as a suitable temperature and pH
• the primer may be extended at its 3" terminus by the addition of nucleotides by the action of a polymerase or similar activity to yield a primer extension product.
• the primer may vary in length depending on the particular conditions and requirement of the application. For example, in PCR reactions, the primer is typically 15-25 nucleotides or longer in length.
• the primer must be of sufficient complementarity to the desired template to prime the synthesis of the desired extension product, i.e. to be able to anneal with the desired template strand in a manner sufficient to provide the 3"-hydroxyl moiety of the primer in appropriate juxtaposition for use in the initiation of synthesis by a polymerase or similar enzyme. It is not required that the primer sequence represent an exact complement of the desired template.
• a non- complementary nucleotide sequence e.g. a restriction enzyme recognition sequence
• non- complementary bases may be interspersed within the oligonucleotide primer sequence, provided that the primer sequence has sufficient complementarity with the sequence of the desired template strand to functionally provide a template-primer complex for the synthesis of the extension product.
• chimeric as used herein means a molecule of DNA that has resulted from DNA from two or more different sources that have been fused or spliced together.
• the term "quasispecies” means a collection of micro variants of a predominant HCV genome sequence (i.e. genotype), said microvariants being formed in a single infected subject or even in a single cell clone or even in a single cell clone as a result of high mutation rate during HCV replication.
• subject refers to vertebrates, particular members of the mammalian species and includes, but not limited to, rodents, rabbits, shrews, and primates, the latter including humans.
• sample refers to a sample of tissue or fluid isolated from a subject, including but not limited to, for example, plasma, serum, spinal fluid, lymph fluid, the external sections of the skin, respiratory, intestinal and genitourinary tracts, tears, saliva, milk, blood cells, tumors, organs, and also samples of in vitro cell culture constituents (including but not limited to, conditioned medium resulting from the growth of cultured cells, putatively viral infected cells, recombinant cells, and cell components).
• a cell has been "transformed” or “transfected” by exogenous or heterologous DNA or RNA when such DNA or RNA has been introduced inside the cell.
• the transforming or transfecting DNA or RNA may or may not be integrated (covalently linked) into chromosomal DNA making up the genome of the cell.
• the transforming DNA may be maintained on an episomal element such as a plasmid.
• a stably transformed cell is one in which the transforming DNA has become integrated into a chromosome so that it is inherited by daughter cells through chromosome replication. This stability is demonstrated by the ability of the eukaryotic cell to establish cell lines or clones comprised of a population of daughter cells containing the transforming DNA.
• the RNA molecule e.g., an HCV RNA molecule
• Huh-7 cells carrying the HCV replicons are detected either by the presence of a selection marker or a reporter gene present on the replicon.
• a "clone” refers to a population of cells derived from a single cell or common ancestor generally by the process of mitosis.
• the NS3 protease replicon shuttle vectors were derived from the HCV replicon shuttle vector, pSC_lb_NS3_EcoRV which is an intermediate vector used to generate the HCV NS3 replicon shuttle vector, pSC_lb_NS3_EcoRV_XbaI, and is disclosed in US patent application, USSN 60/995,558, filed on September 27, 2007 by Chua et al, entitled "HCV NS3 Replicon Shuttle Vectors", which is incorporated by reference in full herein.
• the components of the replicon shuttle vectors are shown in Figure 1 and contain the HCV polynucleotide sequence from the 5"-UTR, NS3 through NS5B proteins and the 3"-UTR.
• the vectors also include the polio virus internal ribosome entry site (IRES), which controls the translation of a firefly luciferase gene. Downstream of the firefly luciferase gene, the IRES from the encephalomyocarditis virus (EMCV) controls the translation of the HCV non-structural genes (NS3, NS4A, NS4B, NS5A and NS5B).
• IRES polio virus internal ribosome entry site
• EMCV encephalomyocarditis virus
• Anti-sense primer 5 " -GACG AGTTGTCCGTGAAG ACCGGCGATCGC AT AGTGG
• TTCCCAT AGACTC-3 SEQ ID NO:2
• pSC_lb_NS3/Protease_EcoRV_AsiSI SEQ ID NO:3, Figure 2A
• Another NS3 protease replicon shuttle vector was generated whereby the sequence encoding the protease domain of the NS3 gene was replaced by the beta-galactosidase (lacZ) coding sequence from pUC19 (GenBank Accession Number M77789).
• lacZ beta-galactosidase
• An EcoRV restriction site at the 5" end and an AsiSI restriction site at the 3" end of the lacZ gene were introduced by PCR amplification using the following primers
• RNA sequences encoding the protease domain of the NS3 gene were generated by reverse transcription-polymerase chain reaction (RT-PCR) of RNA from plasma obtained from patients infected with HCV genotype- Ia and genotype 1-b using the Superscript III system (Invitrogen) according to the manufacturer's protocol.
• RT-PCR reverse transcription-polymerase chain reaction
• the primers used for this RT-PCR step were the following. Genotype Ia:
• Antisense primer (NS3/helicase) 5" -GTCCAGGACTGTGCCGATGCC ⁇ (SEQ ID NO: 10) Annealing was first done at 50 ° C and was followed by PCR cycles of denaturation at 94 ° C, annealing at 53 ° C and extension at 68 ° C. The amplified products were then subjected to a second round of PCR with the PhusionTM High-Fidelity DNA Polymerase system (New England Bio labs) using primers that introduce unique restriction enzyme sequences at the 5" and 3" ends of the protease domain of the NS3 protein.
• Sense primers used to introduce the EcoRV restriction enzyme sequence near the 5" end of the patient NS3 gene sequence were as follows: Genotype Ia
• Antisense primers used to introduce the AsiSI restriction enzyme sequence near the 3" end (corresponding to amino acid position Serl81) of the protease domain of the NS3 gene sequence were as follows: Genotype Ia 5" -TAGTAGTAGGCGATCGCATGGTTGTCCCTAGGTTCTC ⁇ (SEQ ID NO: 13) Genotype Ib
• NS3 protease shuttle replicon vectors pSC_lb_NS3/protease_EcoRV_AsiSI or pSC_lb_NS3/protease/LacZ_EcoRV_AsiSI were prepared by double digestion with restriction endonucleaseas, EcoRV and Sgfl. Twenty- five ng of shuttle vector were ligated with the digested patient amplicons using MightMix ligation kit (Takara Bio Inc.) for 1.5 hours at 16 ° C. Vector to insert ratio of 1 :2 to 1 :4 were routinely used. 5 ⁇ l of the reaction were transformed into 50 ⁇ l of ToplO Cells (Invitrogen) and plated after 1 hour of phenotypic expression at 37 ° C.
• 96 individual colonies were picked to inoculate 200 ⁇ l of Terrific Broth (TB) supplemented with 50 ⁇ g/ml ampicillin. This "stock" 96-well plate was incubated overnight at 37 ° C. The next day, this plate was used to prepare a replica plate. A 48 pin stamp was used to replica plate onto two LB plates supplemented with 100 ⁇ g/ml carbenicillin. The 96 individual 200 ⁇ l cultures were also transferred into 1.5 ml TB cultures supplemented with 50 ⁇ g/ml ampicillin to be used for DNA preparation. After an overnight incubation at 37 ° C, the replica plate was spread with 6 mis of LB to obtain a heterogeneous pool of 96 clones, which was then used for mini-DNA preps.
• TB Terrific Broth
• This DNA patient pool was then used for the subsequent Replicon Phenotypic Assay. After overnight shaking at 37 ° C, the 96 individual 1.5 ml TB cultures were spun down, decanted and plasmid DNA was extracted using Qiagen's Qiaprep 96 Turbo Mini-DNA Kit. These individual molecular clones, which represent the composite 96 pool used for the Replicon Phenotypic Assay, were used for sequencing reactions.
• Heterogeneous clone pool plasmid DNAs or individual molecular clones were submitted to sequencing to confirm the identity of patient samples and to examine sensitivity to inhibitors in the Phenotypic Replicon Assay.
• DNA plasmids Five micrograms of DNA plasmids were linearized by Sea I restriction enzyme (Roche). After overnight digestion at 37 ° C, the DNA was purified using Qiagen PCR purification kit. One microgram of linearized DNA was used for the in vitro transcription using T7 RiboMAX Express (Promega) following manufacturer's protocol. After 2 hours of incubation at 37 ° C, DNase treatment was performed for 30 minutes at 37 ° C to remove the DNA template. In vitro transcribed RNA was then purified using RNeasy spin column (Qiagen) following manufacturer's protocol.
• the hepatoma Lunet Huh-7 cell line were cultured at 37 ° C in a humidified atmosphere with 5 % CO 2 in Dulbecco's Modified Eagle Medium (DMEM) supplemented with GlutamaxTM and 100 mg/ml sodium pyruvate. The medium was further supplemented with 10 % (v/v) FBS and 1 % (v/v) penicillin/streptomycin. All reagents were from lnvitrogen/Gibco.
• DMEM Dulbecco's Modified Eagle Medium
• Lunet Huh7 cells Four million Lunet Huh7 cells were transfected with 5 ⁇ g of in vitro transcribed RNA using electroporation. Cells were then resuspended in 7.2 ml of DMEM containing 5 % FBS and plated in 96-well plate at 50000 cells/well (in 90 ⁇ l final volume). Inhibitors (when used) were added 24 hours post-transfection in 3 fold dilutions at a final DMSO concentration of 1 % and firefly luciferase reporter signal was read 72 hours after addition of inhibitors using the Luciferase Assay system (Promega). The IC50 values were assessed as the inhibitor concentration at which a 50 % reduction in the level of firefly luciferase reporter was observed as compared to the level of firefly luciferase signal without the addition of compounds.
• the replication capacity of the replicon shuttle vector, pSC_lb_NS3/Protease_EcoRV_AsiSI, as well as those of replicons that contain HCV genotype-la and genotype-lb patient-derived NS3 protease domains were tested with the luciferase signal as the readout and the results are shown on Figure 3.
• the inhibitory effects of the HCV protease inhibitors, BILN2061, VX- 950 and NM107 were also tested on these replicons and the results are shown on Table 1.

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