Effect of Differentially Expressed MicroRNAs 602 and 323-5p on Hepatitis C Virus Genotype 1b Viral Load in Infected Liver Cells

Background: Hepatitis C virus (HCV) infection is a major cause of severe liver disease worldwide. Interferon/ ribavirin treatment remains the standard therapeutic regimen for HCV infection. Emerging evidence suggests that microRNAs, a class of small non-coding RNAs, are involved in controlling viral infection. Liver-specific microRNA, miR-122 has been widely studied, which facilitates HCV replication, and anti-miR-122 is used as a mono-therapy in patient with HCV infection. Studies show that anti-miR-122 might have some negative impacts on the hepatocytes’ metabolism which could be prone to emergence of resistance. Hence, other microRNAs should be investigated, which could be potential candidates for treatment of HCV infection. 
Methods: We performed microarray profile of 704 human microRNAs in Huh-7.5 cells (hepatocytes) transfected with HCV genotype 1b RNA. Microarray profile demonstrated that miR-602 was up-regulated 1256.32 fold, and miR- 323-5p was down-regulated -2182.03 fold. We further investigated the intracellular expression of miR-602 and miR- 323-5p in Huh-7.5 cells not transfected with HCV genotype 1b RNA. We studied the sequestering effect of miR-602 and miR-323-5p on HCV genotype 1b RNA accumulation in Huh-7.5 cells using their respective microRNA inhibitors, and their anti-HCV activity using qRT-PCR. 
Results: Here, we show that miR-602 and miR-323-5p are normally expressed in Huh-7.5 cells. HCV genotype 1b RNA accumulation increased and decreased in transfected Huh-7.5 cells with inhibitors directed against miR-602 and miR-323-5p, respectively. Our results also demonstrated that when miR-602 was transfected with HCV genotype 1b RNA, it inhibited HCV genotype 1b accumulation in Huh-7.5 cells. 
Conclusions: Our results suggest that miR-602 and miR-323-5p which were differentially expressed in microarray profiling, can be used as a potential early detection markers for HCV genotype 1b infection and miR-602 can be a candidate therapeutic biomarker for HCV treatment.


Introduction
Hepatitis C Virus (HCV) is a small (50 nm in size) enveloped positive sense single-stranded (ss) RNA virus. The genome consists of a single open reading frame that is 9600 nucleotide (9.6 kb) bases long. It is the only known member of the Hepacivirus genus in the family Flaviviridae. Sequence analysis of HCV isolates around the world has revealed the presence of six major genotypes, labeled 1 through 6, and subtypes, labeled a through r [1]. Worldwide, about 200 million people (3% of the world's population) are infected with HCV, and 3 to 4 million people are newly infected each year with a global 170 million chronic carriers at risk of developing liver cirrhosis and/or liver cancer [2]. Approximately 4.1 to 5.2 million people in the United States have chronic HCV infection [3,4]. Hence, HCV infections account for a substantial proportion of liver diseases worldwide.
Current standard therapy is the combination of pegylated interferon-α (PEG-IFN-α), ribavirin (RBV), and protease inhibitors boceprevir and telaprevir (TVR) for patients with chronic HCV infection. This strategy results in a sustained virologic response (SVR) rate of 50%-80% in chronic hepatitis C (CHC) infected patients depending on the type of genotype [5][6][7][8]. However, many patients neither qualify nor can tolerate the standard therapy [9,10], especially those infected with HCV genotype 1, due to the genetic diversity of HCV genotypes and genetic variation in host factor Interleukin 28B (IL28B) [11,12]. At present PEG-IFN-lambda 1 is being investigated as a novel treatment for CHC because of its lesser adverse effects than IFN-α [13]. Thus, anti-HCV drugs continue to be the mainstay of therapy, with substantial risk of drug interactions and reduced efficacy against certain HCV genotypes and subtypes.
for viral infections. The influence of a naturally occurring liver-specific miRNA, miR-122 has been widely studied because it facilitates HCV replication [21,22]. Additionally, miR-122 represents 50% to 70% of all the miRNAs expressed in the liver [21,23,24], which has 4 binding sites in the HCV genome [25], and is implicated in regulation of different metabolic pathways in liver cells (cholesterol metabolism) [26]. Since the first publication reporting that miR-122 facilitates replication of HCV in human liver [27], this liver-specific miRNA has been a focus of numerous research projects investigating the liver and HCV interaction, and the possible role of miR-122 as a target for antiviral intervention [27,28]. Studies have shown that miR-122 up-regulates the expression of HCV in cultured Huh-7 cells (liver cells) by binding to 5'-UTR of the HCV genome [29,30]. It has been demonstrated that treatment of chronically infected chimpanzees with a locked nucleic acid (LNA)modified oligonucleotide anti-miR-122 (SPC3649) complementary to miR-122 leads to long-lasting suppression of HCV viremia, with no evidence of viral resistance or side effects in the treated animals [31]. The same anti-miR-122 molecule (miravirsen or SPC3649) by California based biopharmaceutical company Santaris Pharma A/S, recently has completed phase 2 miravirsen 12 week mono therapy study in patients with HCV infection who did not respond to PEG-IFN-α/ RBV treatment. The company has also enrolled its first patients into another Phase 2 clinical trial that will assess the safety, tolerability, and antiviral activity of miravirsen given for 12 weeks in combination with telaprevir (TVR) and ribavirin (RBV) in patients with HCV infection, who are non-responders to PEG-IFN-α/RBV, to treat previously untreated CHC patients infected with HCV (http://www.santaris. com/news/2013/08/27/santaris-pharma-completes-enrollment-phase-2-clinical-trial-miravirsen). Recent study has shown that the use of miravirsen in CHC patients infected with HCV genotype 1, resulted in prolonged dose dependent reduction in HCV RNA levels without evidence of viral resistance [32].
Even though that miR-122 has been the most studied miRNA in HCV infection and clinical trials using anti-miR-122, it has shown to be a promising antiviral therapy for HCV. This strategy against miR-122 might have some negative impacts on the hepatocytes' metabolism and which could be prone to emergence of resistance. Studies have shown that CHC subjects undergoing IFN therapy revealed no correlation between miR-122 expression with viral load, and markedly decreased pretreatment miR-122 levels in subjects who had no virological response during IFN therapy [33,34]. Studies also show that hepatic miR-122 expression does not correlate with HCV viral load in the human liver [35]. It has also been demonstrated that, although the approach of hostfactor miR-122 antagonism has the potential for HCV therapy as being tested in clinical trials, the reduced antiviral effect by single insertion in the site 1 (S1) binding site for miR-122 in HCV, supports the reevaluation of this approach as mono therapy for future HCV treatment [36]. These data indicate the implications for targeting other miRNAs that could play an important role in HCV-host interactions and could be potential candidates for treatment of HCV infection.
In the current study, we evaluated the expression levels of a panel of 704 miRNA sequences of the human miRNA genome (miRNome) (Sanger mirBASE Release 14) in Huh-7.5 cells transfected with HCV genotype 1b RNA, to identify new potentially important diagnostic and therapeutic host miRNA targets for the prevention of HCV infections. We identified 2 human microRNAs (hsa-miRs) 602 and 323-5p, which were up-regulated 1256.32 fold and down-regulated -2182.03 fold in microarray profiling, respectively. Our results also demonstrated that hsa-miR-602 which was up-regulated, when transfected in Huh-7.5 cells with HCV genotype 1b RNA, lowered HCV accumulation. Hence, hsa-miR-602 could be used as a potential diagnostic and therapeutic biomarker for treating HCV genotype 1b infection.

In vitro RNA transcription
Plasmids carrying KT-9 (HCV genotype 1b) constructs were linearized with XbaI enzyme and plasmid DNA was purified with the QIA quick Gel Extraction Kit protocol (Cat # 28704, Qiagen, GmbH, Hilden). Purified DNA was subjected to an in vitro transcription reaction using MEGAscript T7 RNA polymerase (Cat # AM1334, Ambion, TX) at 37°C for 4 hours in a 100 μL reaction mixture, according to the manufacturer's instructions. RNA from the In vitro transcription reaction was purified with the Nucleospin® RNA II kit (Cat # 740955.50, Macherey-Nagel, GmbH, Düren). RNA quantitation was done using NanoDrop Lite (Thermo Scientific, Wilmington, DE) and concentration was determined by measuring optical density at 260 nm. Finally, RNA was stored at -80°C until use.

HCV genotype 1b RNA PCR amplification
HCV is a RNA virus, so first cDNA synthesis was carried out using iScript cDNA Synthesis Kit (Cat # 170-8890, BIO-RAD, Hercules, CA) according to the manufacturer's instructions. In order to confirm HCV genotype 1b, a nested PCR was carried out using the primer pairs from the 5'NCR (non-coding region) as follows: Outer sense: 5'-TTGTGGTACTGCCTGATAGGG-3' and Outer antisense: 5'-GGATGTACCCCATGAGGTCG-3' for the first round of PCR [39]. One microliter (1 μL) of the first round PCR product was amplified with nested PCR primers using inner sense primer: 5'-GTGCCCCGGGAGGTCTCGTAG-3' and antisense primer: 5-' AGCCTTGGGGATAGGTTGTC-3' for HCV genotype 1b, according to the protocol described earlier [39]. The type-specific fragments were separated by gel electrophoresis using 2% agarose and viewed under the UV transilluminator.

Cell line and cell culture
Huh-7.5 cells (hepatocytes), a subline derived from Huh-7 hepatoma, were a generous gift from Dr. Charles Rice (Rockefeller University, New York). Huh-7.5 cells are highly permissive for the initiation of HCV replication. Huh-7.5 cells are Huh-7 cells cured of the HCV replicon with interferon [40].

In vitro transfection and RNA isolation
In vitro transfection was carried out according to the protocol described earlier [41] with few optimized modifications. 1.0×10 7 Huh-7.5 cells/mL were electroporated with 1 µg of HCV genotype 1b RNA at 700 V, 3 pulse with 10 ms width for passage of current using Neon TM Transfection System (Cat # MPK5000, Invitrogen, Carlsbad, CA). Un-transfected 1.0×10 7 Huh-7.5 cells/mL (control) was transferred to their respective labeled T25 tissue culture flasks having pre-warmed complete DMEM media. Whereas, the transfected 1.0×10 7 Huh-7.5 cells/mL with 1µg of HCV genotype 1b RNA were transferred to their respective labeled T25 tissue culture flasks having pre-warmed complete DMEM media devoid of antibiotics (penicillin/streptomycin), and were incubated overnight at 37°C in 5% CO 2 . Next morning the media was removed from the flasks having Huh-7.5 cells transfected with 1µg of HCV genotype 1b RNA and pre-warmed DMEM complete media with antibiotics (penicillin/streptomycin) was added. Transfected Huh-7.5 cells and control cells (un-transfected Huh-7.5 cells) were allowed to grow for 6 weeks at 37°C in 5% CO 2 . After 6 weeks of electroporation, cells were trypsinized and RNA was isolated using miRNeasy Mini Kit (Cat # 217004, Qiagen, GmbH, Hilden), according to the manufacturer's protocol. RNA quantitation was done using NanoDrop Lite (Thermo Scientific, Wilmington, DE) and concentration was determined by measuring the optical density at 260/280 nm.

Quantitative Reverse Transcriptase-PCR (qRT-PCR)
The presence of HCV RNA (Ct <33) was confirmed in both Huh-7.5 cells transfected with HCV genotype 1b and control cells (un-transfected Huh-7.5 cells) by qRT-PCR using iScript™ One-Step RT-PCR Kit with SYBR ® Green (Cat # 170-8893, BIO-RAD, Hercules, CA) and HCV primers: HCV TAQ1 (5'-GTC TAG CCA TGG CGT TAG TA-3'), HCV TAQ 2 (5'-GTA CTC ACC GGT TCC GC-3') [42]. The HCV primer sequences were directed against the 5'NCR of the HCV genome. Amplification was performed with 5 ng RNA in a 25 μL volume containing 12.5 µL of 2X SYBR ® Green containing Taq polymerase, 0.5 µL of reverse transcriptase enzyme, 200 nM of HCV TAQ 1 and HCV TAQ 2 primers, and nuclease free water. The reaction mixture was amplified by using the following thermal cycling conditions: cDNA Synthesis at 50°C for 10 minutes, iScript Reverse Transcriptase inactivation at 95°C for 5 minutes, followed by 45 cycles of amplification at 95°C for 15 seconds, 60°C for 60 seconds and 72°C for 60 seconds. Final extension was done at 72°C for 10 minutes. Melt Curve Analysis was carried out at 95°C for 1 minute, 60°C for 1 minute, 60°C for 10 seconds (70 cycles, increasing each by 0.5°C each cycle) and 4°C forever. Amplification and detection of HCV RNA was done on CFX-Connect™ Real-Time System (BIO-RAD, Hercules, CA). QRT-PCR reactions were run in triplicate.

cDNA synthesis
After confirming the HCV viremia in HCV infected Huh-7.5 cells, equal amounts of RNA (300 ng) from both HCV transfected and un-transfected Huh-7.5 cells (control) were used to convert enriched miRNA to cDNA using RT 2 miRNA First Strand Kit (Cat#331401, SABiosciences, Valencia, CA) according to the manufacturer's protocol.

MicroRNA profiling using RT 2 MicroRNA PCR Array
After cDNA synthesis, cDNA was added to the RT² SYBR ® Green ROX™ qPCR Master Mix (Cat # 330520, SABiosciences, Valencia, CA) containing all of the optimized reagents and buffers needed for SYBR ® Green based detection on instrument that uses ROX as a reference dye for real-time polymerase chain reactions (PCR). MicroRNA (miRNA) profiling was carried out by adding 25 µL of the master mix containing cDNA to each well of Human Genome V2.0, 96 RT 2 miRNA PCR Array (Cat # MAH-200A SABiosciences, Valencia, CA) and real-time PCR reactions were run on Applied Biosystems 7500 Real Time PCR System (v 2.0.5, Applied Biosystems, Foster City, CA) as follows: 95°C for 5 minutes, followed by 45 cycles of amplification at 95°C for 15 seconds, 60°C for 60 seconds and 72°C for 60 seconds. Final extension was done at 72°C for 10 minutes. Melt Curve Analysis was carried out at 95°C for 1 minute, 60°C for 1 minute, 60°C for 10 seconds (70 cycles, increasing each by 0.5°C each cycle) and 4°C forever. The Human Genome V2.0, 96 RT 2 miRNA PCR Array, profiles the expression of 704 miRNA sequences in the human miRNA genome (miRNome) as annotated by the Sanger mirBASE Release 14, and also consists of 4 housekeeping genes (HKG), 2 PCR control genes and 2 RT control genes.

Microarray data analysis
The Ct values obtained with a threshold of 0.2 were used to analyze the relative degrees of miRNA expressions in HCV transfected samples versus the un-transfected (control) samples. Expression of HKG, RT control genes and PCR control genes were checked for each array. If a particular miRNA in either the control or the HCV transfected samples showed expression of Ct value 35 or greater, it was excluded from the analysis [43]. Ct values that passed these stringent criteria were uploaded into the SABiosciences software (RT 2 Profiler PCR Array Data Analysis version 3.5) (http://pcrdataanalysis.sabiosciences.com/pcr/ arrayanalysis.php) and the fold changes were determined for miRNA expression. Data were further subjected to statistical analysis using the manufacturer's web-based software (Standard RT² PCR Array: MAH-100 & MAH-200) to determine whether a significant p value (p≤ 0.05) discriminated between the transfected and un-transfected samples.
On the basis of miR-602 and miR-323-5p differential expression levels (Table 1), these 2 miRNAs were selected for further studying: (i) their homology with HCV genome, (ii) their intracellular expression in un-transfected Huh-7.5 cells, (iii) effect of these 2 synthetic miRNA inhibitors on HCV genotype 1b replication, and (iv) the effect of these 2 miRNAs on HCV genotype 1b replication in Huh-7.5 cells.

MicroRNA alignment with HCV
Mature sequences of miRNAs, miR-602 and miR-323-5p were aligned with HCV genome (NC_004102) to see the percentage of homology between the miRNAs and HCV.

Inhibition of HCV genotype 1b RNA accumulation with MISSION Synthetic miRNA Inhibitors
The effect of inhibition of miRNAs, miR-602 and miR-323-5p on HCV genotype 1b RNA accumulation in Huh-7.5 cells was studied using MISSION Synthetic miRNA Inhibitors, a generous gift from Sigma-Aldrich (Custom made for miR-602 and miR-323-5p). After 85% confluency was obtained, Huh-7.5 cells were washed briefly with 1X PBS and trypsinized. Trypsinized cells were washed with 1X PBS, supernatant was removed, the cell pellet was re-suspended in 500 µL of R Buffer (Invitrogen, Carlsbad, CA) and cells were counted in hemocytometer.
Each respective MISSION Synthetic miRNA Inhibitor labeled T25 tissue culture flasks contained 1.0×10 7 Huh-7.5 cells/mL and were grown overnight in complete DMEM media having antibiotic at 37°C in 5% CO 2 . Next, Huh-7.5 cells were transfected with 25 nM of each of the MISSION Synthetic miRNA Inhibitors miR-602 and miR-323-5p, and negative control 1 (Neg C1) NCSTUD001 overnight, using Lipofectamine 2000 (Cat # 11668-019, Invitrogen, Carlsbad, CA) according to the manufacturer's instructions. Next the transfected Huh-7.5 cells were trypsinized and in vitro transfection was carried out using Neon™ Transfection System (Cat # MPK5000, Invitrogen, Carlsbad, CA), by electroporating 1 µg of HCV genotype 1b RNA at 700 V, 3 pulse with 10 ms width for passage of current. Huh-7.5 cells transfected with MISSION Synthetic miRNA Inhibitors miR-602, miR-323-5p and NCSTUD001, and HCV genotype 1b RNA were transferred to their respective labeled T25 tissue culture flasks having pre-warmed DMEM media devoid of antibiotic (penicillin/streptomycin) and incubated at 37°C in 5% CO 2 for 24 hours. Un-transfected 1.0×10 7 Huh-7.5 cells/ mL (negative control) were transferred to T25 tissue culture flasks having complete DMEM media and antibiotics, and incubated at 37°C in 5% CO 2 . Transfected 1.0×10 7 Huh-7.5 cells/mL with 1µg of HCV genotype 1b RNA (positive control) were transferred to T25 tissue culture flasks having pre-warmed complete DMEM media devoid of antibiotics (penicillin/streptomycin), and were incubated overnight at 37°C in 5% CO 2 . After 24 hours of incubation, media was changed in the flasks having Huh-7.5 cells transfected with MISSION Synthetic miRNA Inhibitors miR-602, miR-323-5p and NCSTUD001, and HCV genotype 1b RNA, and complete DMEM media having antibiotic was added and incubated at 37°C in 5% CO 2 . Flasks were checked on daily basis for 48 hours and 96 hours. After 48 and 96 hours, transfected and un-transfected cells were trypsinized and total RNA was extracted using Gen Elute TM Mammalian Total RNA Miniprep Kit (Cat # RTN70, Sigma-Aldrich, St. Louis, MO) according to the manufacturer's protocol to detect the HCV viral load by qRT-PCR and determine the effect of these 2 miRNA inhibitors on HCV genotype 1b replication.

miRNASelect™ pEGP-miR cloning and expression
Commercially provided E. coli cells containing miRNASelect™ pEGP-miR Null Control Vector containing Green Fluorescent Protein (GFP) and puromycin selection markers (Cat # MIR-NULL-GP, Cell Biolabs, San Diego, CA) were cultured on 1% LB Agar at 37°C for 32 hours. A single colony was picked and grown in 100 mL of 1% LB media at 37°C for 24 hours. According to the manufacturer's protocol the vector was isolated from 200 µL of liquid culture using GenElute TM Plasmid Miniprep kit (Cat # PLN10, Sigma-Aldrich, St. Louis, MO). Concentration of the pEGP Null vector was determined by measuring the optical density at 260 nm.
First restriction digestion was carried out using BamHI (Cat # R6021, Promega, Madison, WI) and NheI (Cat # R6501, Promega, Madison, WI) enzymes. Then miR-602 and miR-323-5p were cloned in miRNASelect™ pEGP-miR Null Control Vector containing GFP and puromycin selection markers and ligated using T4 ligase (Cat#M1801, Promega, Madison, WI), according to the manufacturer's protocol. Hence, 2 miRNA gene constructs were generated, each expressing the respective duplex miRNA, and the control was an empty vector pEGP without any miRNA, designated as ΔNC.
HCV genotype 1b RNA and miRNA: 602 and 323-5p transfection in Huh-7.5 cells After 85% confluency was obtained, Huh-7.5 cells were washed briefly with 1X PBS and trypsinized. Trypsinized cells were washed with 1X PBS, supernatant was removed and the cell pellet was resuspended in 500 µL of R Buffer provided in Neon™ Transfection Kit (Cat # MPK1025, Invitrogen, Carlsbad, CA). Cells were counted in a hemocytometer. Each respective miRNA labeled microfuge tube contained 1.0×10 7 Huh-7.5 cells/mL.
In vitro transfection was carried out using Neon™ Transfection System (Cat # MPK5000, Invitrogen, Carlsbad, CA), by electroporating 1 µg of HCV genotype 1b RNA with 1.0×10 7 Huh-7.5 cells/mL and 10 ng of each of the miRNAs, miR-602 and miR-323-5p (test), and 10 ng of empty vector pEGP without any miRNA, designated as ΔNC (negative control), at 700 V, 3 pulse with 10 ms width for passage of current. 1.0×10 7 Huh-7.5 cells/mL were also electroporated with only 10 ng of each of the miRNAs, miR-602 and miR-323-5p (negative control), and 10 ng of ΔNC (negative control). 1.0×10 7 Huh-7.5 cells/ mL were also electroporated with only 1µg of HCV genotype 1b RNA (positive control). Huh-7.5 cells transfected with miR-602, miR-323-5p and ΔNC, with and without HCV genotype 1b RNA, and Huh-7.5 cells transfected with HCV genotype 1b RNA (positive control) were transferred to the respective labeled T25 tissue culture flasks having pre-warmed complete DMEM media devoid of antibiotic (penicillin/ streptomycin) and incubated at 37°C in 5% CO 2 for 24 hours. Untransfected 1.0×10 7 Huh-7.5 cells/mL (negative control) was grown in complete DMEM media and antibiotics. After 24 hours of incubation, media was changed in the flasks having transfected Huh-7.5 cells with miR-602, miR-323-5p, and ΔNC, with and without HCV genotype 1b RNA, and complete DMEM media was added having antibiotic and incubated at 37°C in 5% CO 2 . Flasks were checked on daily basis.
When 85% confluency was obtained after one week of transfection, transfected and un-transfected cells were trypsinized and checked for GFP fluorescence to see the efficiency of transfection, before subjecting the transfected cells except the positive control (Huh-7.5 cells transfected with HCV genotype 1b RNA) and un-transfected Huh-7.5 cells (negative control) to selection media containing 0.5 µg/mL of Puromycin (Cat # P9620, Sigma Aldrich, St Louis, MO), so as to select only those cells that were transfected with miRNA with or without HCV genotype 1b RNA. Positive control (Huh-7.5 cells transfected with HCV genotype 1b) and un-transfected cells (Huh-7.5 cells only) were not subjected to selection because they were not transfected with miRNA Select™ pEGP-miR Null Control Vector containing the miRNA, GFP and Puromycin selection markers (Cell Biolabs, Inc.). Flasks and their contents subjected to transfection by electroporation with and without HCV genotype 1b RNA are mentioned in Table 2. Experiments were run in triplicate.

Green Fluorescent Protein (GFP) staining
Transfected and un-transfected Huh-7.5 cells obtained after trypsinization were checked for GFP fluorescence to see the efficiency of transfection before selection, after 1 week, 4 weeks and 8 weeks selection. Once the transfected cells were all selected after 8 week of selection on the basis of GFP fluorescence, they were grown in complete DMEM media having antibiotic (penicillin/ptreptomycin) with and without puromycin for another 8 weeks. Hence, the cells were also checked for GFP fluorescence after 9 weeks, 12 weeks and 16 weeks of puromycin selection, and 9 weeks, 12 weeks and 16 weeks without puromycin. Cells were washed with 1X PBS, supernatant was removed and the cell pellet was re-suspended in 300 µL of complete media and added to the respective labeled wells of 8 well chambered slides (Cat # T-2820-8, Nunc® Lab-Tek® II Glass Chamber Slide™, Thermo Scientific, Wilmington, DE) and incubated at 37°C in 5% CO 2 for 24 hours. After 24 hours of incubation, cells were washed with 1X PBS and fixed with SafeFix II (Cat # 23-042-600, Fisher Scientific, Kalamazoo, MI) and incubated at 4°C for 24 hours. Next, cells were washed with 1X PBS, mounted in mounting media (1:1 of 1X PBS and glycerol) and observed for GFP fluorescence. GFP staining was performed in triplicate.

Immunostaining
E2 primary antibody used for immunostaining was a generous gift from Dr. Jean Dubuisson (Institut de Biologie de Lille, France). Transfected and un-transfected Huh-7.5 cells obtained after trypsinization were checked for HCV presence with E2 antibody (H52; envelop glycoprotein, essential component of the HCV virion envelope, necessary for viral entry and fusion) [44], after 8 weeks, 12 weeks and 16 weeks of puromycin selection, and after 8 weeks, 12 weeks and 16 weeks without puromycin, as transfected cells were all selected after 8 weeks of selection. Cells were washed with 1X PBS, supernatant was removed and the cell pellet was re-suspended in 300 µL of complete DMEM media and added to the respective labeled wells of 8 well chambered slides (Cat # T-2820-8, Nunc® Lab-Tek® II Glass Chamber Slide™, Thermo Scientific, Wilmington, DE) and incubated at 37°C in 5% CO 2 for 24 hours. After 24 hours of incubation, slides were washed with 1X PBS and fixed with SafeFix II (Cat # 23-042-600, Fisher Scientific, Kalamazoo, MI) and incubated at 4°C for 24 hours. Next, cells were washed with 1X PBS, treated with cold methanol for 1 minute, washed with 1X PBS, treated with 3% hydrogen peroxide (H 2 O 2 ) for 20 minutes at room temperature (RT) for blocking the endogenous peroxidase activity, washed with 1X PBS, treated with 1% Bovine Serum Albumin (BSA: Cat # A2153, Sigma-Aldrich, St. Louis, MO) for 30 minutes at RT and incubated overnight at 4°C with 1:100 goat polyclonal E2 primary antibody prepared in 1% BSA. After overnight incubation, cells were washed with 1X PBS and incubated overnight at 4°C with 1:100 antigoat IgG (whole molecule) TRITC labeled antibody produced in rabbit (Cat # T7028-1mL, Sigma-Aldrich, St. Louis, MO). After overnight incubation, slides were washed in 1X PBS and mounted in mounting media (1:1 of 1X PBS and glycerol) and observed for red staining for E2 within Huh-7.5 cells. Immunostaining was performed in triplicates to see the presence of HCV within Huh-7.5 cells.

In-situ PCR-hybridization
After trypsinization, transfected and un-transfected Huh-7.5 cells were subjected to in-situ PCR-hybridization using HCV primers and probe [42] to see the localization of HCV within the transfected and un-transfected Huh-7.5 cells with and without puromycin after 8 weeks, 12 weeks and 16 weeks. Cells were washed with 1X PBS, supernatant was removed and the cell pellet was re-suspended in 300 µL of complete DMEM media and added to the respective labeled wells of 8 well chambered slides (Cat # T-2820-8, Nunc® Lab-Tek® II Glass Chamber Slide™, Thermo Scientific, Wilmington, DE) and incubated at 37°C in 5% CO 2 for 24 hours. After 24 hours of incubation, cells were washed with 1X PBS and fixed with SafeFix II (Cat # 23-042-600, Fisher Scientific, Kalamazoo, MI) and incubated at 4°C for 24 hours. Next, cells were washed with 1X PBS and treated with 1 µg/mL of proteinase K for 20 minutes at RT to digest the proteins. Proteinase K activity was stopped by washing the slides in 1X PBS and heat deactivated at 100°C for 1 minute. Amplification was performed using iScript™ One-Step RT-PCR Kit with SYBR ® Green (Cat#170-8893, BIO-RAD, Hercules, CA) containing 25 µL of 2X SYBR ® Green containing Taq polymerase, 1µL of reverse transcriptase enzyme, 1 µL of 200 nM of each primer: HCV TAQ 1 (5'-GTC TAG CCA TGG CGT TAG TA-3') and HCV TAQ 2 (5'-GTA CTC ACC GGT TCC GC-3') [42], and 22 µL of nuclease free water. 50 µL of this reaction mixture was added to each slide and amplification was carried out using the following thermal cycling conditions: cDNA Synthesis at 50°C for 10 minutes, iScript Reverse Transcriptase inactivation at 95°C for 5 minutes, followed by 45 cycles of amplification at 95°C for 15 seconds, 60°C for 60 seconds and 72°C for 60 seconds. Final extension was done at 72°C for 10 minutes and 4°C forever. Amplification and detection of HCV RNA was done on Chromo 4 DNA Engine Hybridization Tower (Cat # PTC200, BIO-RAD, Hercules, CA). Next, cells were washed in 1X PBS and 2 µL of 200 nM of HCV biotin labeled probe HCV TAQPR (CCC TCC CGG GAG AGC CAT AGT G-Biotin) [42] was added to 48 µL of hybridization solution and total reaction mixture of 50 µL was added to each slide. The HCV primer and probe sequences were directed against the 5'NCR

cells. Localization of HCV in Huh-7.5 cells by in-situ PCR-Hybridization was performed in triplicates.
Photographs for the GFP staining, immunostaining and in-situ PCR-hybridization were taken with EVOS fluorescent (fl) inverted microscope (Cat # 12563460, Advanced Microscopy Group, Mill Creek, WA). All images were captured using the same parameter.

Detection of HCV viral load by qRT-PCR
After trypsinization, total RNA was extracted before selection, after 1 week and 4 weeks of puromycin selection, and with and without puromycin after 8 weeks, 12 weeks and 16 weeks, from transfected and un-transfected Huh-7.5 cells, using Gen Elute TM Mammalian Total RNA Miniprep Kit (Cat # RTN70, Sigma-Aldrich, St. Louis, MO) according to the manufacturer's protocol, to detect the HCV genotype 1b RNA viral load by qRT-PCR and determine the effect of miR-602, miR-323-5p on HCV genotype 1b replication.

HCV genotype 1b PCR RNA amplification and identification
First round of PCR and nested PCR yielded an amplification product of 470 bp and 233 bp, respectively (Figure 1), using the primer pairs and amplification protocols as described earlier [39].

Human microRNA alignment with HCV
We also performed an alignment of HCV genome (NC_004102) with miR-602 and miR-323-5p, which were differentially expressed in microarray profiling as shown in Table 1. Table 3 shows the sequence alignment, base pair homology and percentage of identity between HCV, and miR-602 and miR-323-5p. MiR-602 and miR-323-5p sequences exhibited 59.4% and 66.7% identity, respectively, with HCV sequence.

MiRNA expression in miRNASelect™ pEGP-miR Null control vector
Concentration of intact pEGP-miR Null Control Vector containing GFP and puromycin selection markers was 200 ng and was approximately 10,000 bp in size, linearized pEGP-miR Null Control Vector without miRNA (ΔNC) and containing GFP and puromycin selection markers after BamHI and NheI restrict-digestion was approximately 5,600 bp, and ligated pEGP-miR Null Control Vector cloned with miR-602 and miR-323-5p containing GFP and Puromycin selection markers after BamHI and NheI restrict-digestion was approximately 6,000 bp ( Figure  2).

Inhibition of HCV genotype 1b RNA accumulation with Synthetic miRNA Inhibitors
On day 4 (96 hours) of electroporation, we observed an increase in HCV genotype 1b RNA accumulation by sequestering miR-602 and a decrease in HCV genotype 1b RNA accumulation by sequestering miR-323-5p (both miR-602 and miR-323-5p are intra-cellulary expressed in Huh-7.5 cells) using MISSION Synthetic miRNA Inhibitors. Huh-7.5 cells transfected with negative control 1 (NCSTUD001) had no effect on HCV genotype 1b RNA accumulation. The relative HCV mRNA abundance for Huh-7.5 cells sequestered with Synthetic miRNA Inhibitors for miR-602 increased from 2.93 copies/mL to 3.06 copies/ mL and for miR-323-5p decreased from 2.0 copies/mL to 1.61 copies/ mL at 48 and 96 hours after electroporation (Figure 4).

Green Fluorescent Protein (GFP) Immunofluorescence
To facilitate the observation of transfection of Huh-7.5 cells with pEGP (ΔNC) empty vector having GFP and puromycin markers cloned with miRNAs: miR-602 and miR-323-5p, and with and without HCV genotype 1b RNA, GFP fluorescence microscopy was established before selection without puromycin, after 1 week, 4 weeks, 8 weeks, 12 weeks and 16 weeks of selection with puromycin, and after 9 weeks, 12 weeks and 16 weeks of incubation without puromycin. Diffuse green signals were seen before selection and after 4 weeks of selection with puromycin, as all transfected Huh-7.5 cells were not selected. After 8 weeks of selection with puromycin, all transfected Huh-7.5 cells with miRNAs and ΔNC (empty vector without miRNA), with and without HCV genotype 1b RNA were selected and showed green fluorescent staining ( Figure 5). It was observed that Huh-7.5 cells transfected with miR-602, miR-323-5p and ΔNC with and without HCV genotype 1b RNA, showed GFP fluorescence after 9 weeks, 12 weeks and 16 weeks of selection and incubation (data not shown). It was also observed that after 12 weeks and 16 weeks of selection and incubation, the number of transfected Huh-7.5 cells with miR-602 and HCV genotype 1b RNA showing GFP fluorescence remained same (average 6 cells per field, data not shown). Approximately the same number (average 35 cells per field) of transfected Huh-7.5 cells with miR-323-5p and HCV genotype 1b RNA showed GFP fluorescence after 8 weeks, 12 weeks and 16 weeks of selection and incubation (data not shown). No GFP staining was observed in un-transfected Huh-7.5 cells and Huh-7.5 cells transfected with HCV genotype 1b RNA because they were not transfected with vector containing GFP and Puromycin selection markers. Since all the transfected Huh-7.5 cells with miR-602, miR-323-5p and ΔNC, with and without HCV genotype 1b RNA were selected after 8 weeks, they were suitable for identifying the localization of HCV genotype 1b by immunostaining and in-situ PCR-hybridization.  shows that hsa-miR-602 (188.71 copies/mL) and hsa-miR-323-5p (2179.83 copies/mL) are normally expressed in un-transfected Huh-7.5 cells. Expression of hsa-miR-602 increased (1209.33 copies/mL) and expression of hsa-miR-323-5p decreased (-2088.01 copies/mL) in Huh-7.5 cells transfected with HCV genotype 1b RNA over a 6 weeks period of infection, confirming the differential expression of hsa-miR-602 and hsa-miR-323-5p obtained by microarray PCR profiling analysis. Relative expression levels of both the miRNAs were analyzed using the 2 (−ΔΔCt) method, using SNORD61 expression level as a HKG. The graph shows that by inhibiting hsa-miR-602 and hsa-miR-323-5p in Huh-7.5 cells transfected with HCV genotype 1b RNA using MISSION Synthetic miRNA Inhibitors, an increase in HCV genotype 1b RNA accumulation was observed on day 4 (96 hours) of electroporation for hsa-miR-602 and decrease in HCV genotype 1b RNA accumulation was observed for hsa-miR-323-5p. NCSTUD001 (negative control 1) had no effect on HCV genotype 1b RNA accumulation. Relative expression levels of HCV mRNA in un-transfected Huh-7.5 cells and transfected Huh-7.5 cells with HCV genotype 1b RNA treated with MISSION Synthetic miRNA Inhibitors and NCSTUD001, were analyzed using the 2 (−ΔΔCt) method, using the β-actin expression level as a HKG.

Localization of HCV genotype 1b in transfected Huh-7.5 cells by immunostaining
Localization of HCV genotype 1b RNA within un-transfected and transfected Huh-7.5 cells was detected with E2 antibody after 8 weeks, 12 weeks and 16 weeks of puromycin selection, and after 12 weeks and 16 weeks without puromycin. Within the selected transfected Huh-7.5 cell with miRNAs, miR-602, miR-323-5p, ΔNC and HCV genotype 1b RNA, reddish orange dot-like structures specific for HCV localization were observed. Unselected Huh-7.5 cells transfected with only HCV genotype 1b RNA also showed reddish orange dot-like structures specific for HCV localization (Figure 6a). Whereas, un-transfected Huh-7.5 cells, selected transfected Huh-7.5 cells with miR-602, miR-323-5p, and ΔNC, which served as controls, showed no reddish orange dot-like structures, showing no HCV localization (data not shown). It was also observed that after 12 weeks of puromycin selection and without puromycin, only few transfected Huh-7.5 cells with miR-602 and HCV genotype 1b RNA showed reddish orange dot-like structures (Figure 6b). After 16 weeks with and without puromycin, no reddish orange dot-like structures were observed in Huh-7.5 cells transfected with miR-602 and HCV genotype 1b RNA (data not shown). Huh-7.5 cells transfected with miR-323-5p ( Figure 6B) and ΔNC with HCV genotype 1b RNA showed reddish orange dot-like structures after 8 weeks, 12 weeks and 16 weeks of puromycin selection and without puromycin (data not shown).

Localization of HCV genotype 1b in transfected Huh-7.5 cells by in situ PCR-hybridization
Localization of HCV genotype 1b RNA within the transfected Huh-7.5 cells was detected after 8 weeks, 12 weeks and 16 weeks of puromycin selection, and after 12 weeks and 16 weeks without puromycin. Within the selected transfected Huh-7.5 cell with miRNAs, miR-602, miR-323-5p, ΔNC and HCV genotype 1b RNA, reddish orange dot-like structures specific for HCV localization were observed. Unselected Huh-7.5 cells transfected with only HCV genotype 1b RNA also showed reddish orange dot-like structures specific for HCV localization ( Figure  7). Whereas, un-transfected Huh-7.5 cells, selected transfected Huh-7.5 cells only with miR-602, miR-323-5p, and ΔNC, which served as controls showed no reddish orange dot-like structures, showing no HCV localization (data not shown). It was also observed that after 12 weeks with and without puromycin selection, only few transfected Huh-7.5 cells with miR-602 and HCV genotype 1b RNA showed reddish orange dot-like structures. After 16 weeks with and puromycin selection, no reddish orange dot-like structures was observed in Huh-7.5 cells transfected with miR-602 and HCV genotype 1b RNA (data not shown). Huh-7.5 cells transfected with miR-323-5p and ΔNC with HCV genotype 1b RNA showed reddish orange dot-like structures after 8 weeks, 12 weeks and 16 weeks with and without puromycin selection (data not shown).

Effect of miRNAs on HCV genotype 1b replication by qRT-PCR
The effect of miRNAs, miR-602 and miR-323-5p on HCV genotype  implicated in the regulation of a wide range of important biologic processes, such as cellular growth and differentiation, developmental timing, apoptosis, and modulation of host response to viral infection [47].
miR-122, the most abundant miRNA in hepatocytes, has welldefined roles in HCV replication, and data indicate that it also serves as a viable therapeutic target [31,32]. Studies have reported specific miRNAs altering HCV infection and/or being altered by the presence of the virus. It is reasonable to assume that some of these miRNAs may have a promising potential as therapeutic targets, such as miR-196b, miR-199a-3p and miR-29 that inhibit HCV replication in several models [48][49][50].
Several other miRNAs have been recently reported to be associated as well with HCV infection. Expression of miR-141 is increased in HCV-transfected primary human hepatocytes when co-cultured with a rat hepatic stellate cell line. This increased level of miR-141 stimulated virus replication and production by direct inhibition of the tumorsuppressor DLC-1 [51]. MiR-491 stimulated HCV replication in HCVinfected Huh-7 cells by inhibiting the PI3K/Akt pathway [52]. Other interesting findings have reported the stimulatory effect of miR-192 and miR-215 on HCV replication [52]. The induction of miR-296 by IFNβ directly inhibits HCV replication in infected Huh7 cells by Data are shown as log10 ratio and reflect the difference in expression between Huh-7.5 cells transfected with HCV genotype 1b RNA and miRNAs: miR-602 and miR-323-5p, and controls: un-transfected Huh-7.5 cells, transfected Huh-7.5 cells with ΔNC with and without HCV genotype 1b RNA, and miRNAs: miR-602 and miR-323-5p without HCV genotype 1b RNA. Huh-7.5 cells transfected with hsa-miR-602 and HCV genotype 1b RNA, inhibited HCV genotype 1b RNA accumulation once the cells were selected after 8 weeks of puromycin selection (after 4 weeks of selection the relative mRNA abundance was 49 copies/mL, after 8 weeks of selection the relative mRNA abundance was 30 copies/mL). Whereas, Huh-7.5 cells transfected with hsa-miR-323-5p and HCV genotype 1b RNA, showed a gradual increase in HCV viral load over 16 weeks of puromycin selection (after 4 weeks of selection the relative mRNA abundance was 32 copies/mL, after 8 weeks of selection the relative mRNA abundance was 120 copies/mL). Negative controls: Huh-7.5 cells transfected with ΔNC, hsa-miR-602, and hsa-miR-323-5p showed no HCV genotype 1b mRNA accumulation, as they were not transfected with HCV genotype 1b RNA. Huh-7.5 cells transfected with ΔNC and HCV genotype 1b RNA (negative control) and only HCV genotype 1b RNA (positive control) showed a steady increase in HCV viral load over the 16 weeks of puromycin selection and without puromycin, respectively. Similar results were seen in Huh-7.5 cells transfected with miR-602, miR-323-5p and ΔNC with and without HCV genotype 1b RNA, after 12 weeks and 16 weeks without puromycin (data not shown). Relative HCV mRNA abundance was analyzed using the 2(−ΔΔCt) method, using the β-actin expression level as a HKG.
1b RNA viral load in selected transfected Huh-7.5 cells was analyzed using qRT-PCR, before selection, after 1 week, 4 weeks, 8 weeks, 12 weeks and 16 weeks of puromycin selection, and after 12 weeks and 16 weeks without puromycin. Huh-7.5 cells that were transfected with miR-602 and HCV genotype 1b, showed a decrease in HCV viral load once the transfected Huh-7.5 cells were selected after week 8 of puromycin selection (30 copies/mL). A further decrease in HCV viral load was observed after 12 weeks (3 copies/mL) and 16 weeks (0.63 copies/mL) of puromycin selection in Huh-7.5 cells transfected with miR-602 and HCV genotype 1b. It was also observed that over 16 weeks of puromycin selection, the HCV viral load increased in Huh-7.5 cells transfected with miR-323-5p and HCV genotype 1b (before selection: 13.45 copies/mL and 16 weeks selection: 282 copies/mL). Huh-7.5 cells that were transfected with ΔNC and HCV genotype 1b RNA, and only HCV genotype 1b RNA (not subjected to puromycin after transfection because the RNA was not cloned in vector), showed a gradual increase in HCV viral load over 16 weeks with and without puromycin selection ( Figure 8). Approximately, similar results were seen in Huh-7.5 cells transfected with miR-602, miR-323-5p and ΔNC with HCV genotype 1b, after 12 weeks and 16 weeks without puromycin (data not shown).

Discussion
Recognition of HCV as a major etiologic agent of chronic hepatitis, liver cirrhosis, and hepatocellular carcinoma (HCC) worldwide, has increased the medical importance of HCV, and stimulated research into developing strategies for the screening, diagnosis, prevention and treatment of HCV associated disease. Genotyping helps to inform those providing treatment in selection of appropriate therapy since each genotype responds differently to different therapeutic modalities [45]. miRNAs are small, endogenous, noncoding RNAs that direct post-transcriptional regulation of gene expression by binding to partially complementary sites within the 3' untranslated region of target messenger RNAs (mRNAs), resulting in translational repression or mRNA deadenylation and degradation [46]. miRNAs have been directly targeting the viral RNA [50]. The expression of miRs: -351, -431 and -448 is also induced by IFNβ, thus these miRNAs possess an inhibitory effect on HCV replication through direct targeting the viral RNA [49]. Also expression of miRs: -130, -146, -200, -192 and -194 are modified by HCV infection in several models as reported by different studies [51,[53][54][55][56][57]. Interestingly, miR-192 and -194 are also liverspecific miRNAs [58,59] and are associated with SVR in CHC patients [51]. Finally, miR-21, which is associated with liver regeneration [60] and HCC [61], is increased in HCV-infected livers and Huh-7.5 cells [56,62]. Despite these promising potentials, these miRNAs are not as intensively studied as miR-122.
IFN-α possesses indirect antiviral activity by stimulating genes that can lead to a non-virus-specific antiviral response, whereas RNAi can directly interfere with viral entry and replication through targeting the viral RNA genome or mRNA of cellular factors. Based on their complementary antiviral mechanisms, a study demonstrated that combining RNAi (LV-shIRES) with IFN-α may prevent therapeutic resistance, and promote enhanced antiviral activity [63]. Moreover, the additional combination of ribavirin to RNAi and IFN-α may further improve the therapeutic aspects of treatment for CHC [63]. Another study has shown that interferon beta (IFN-β) treatment leads to a significant reduction in the expression of miR-122 [64], a liver specific miRNA essential for HCV replication [27]. Hence, studies should be directed to other host specific miRNAs as future drug targets which regulate HCV expression.
In the present study, we profiled the In vitro expression of 704 miRNA sequences in the human miRNA genome (miRNome) (Sanger mirBASE Release 14), using Huh-7.5 cells (liver cells) transfected with HCV genotype 1b RNA, which is globally prevalent [38]. Differential expression of miRNAs was evaluated and results demonstrated that miR-602 was up-regulated 1256.32 fold and miR-323-5p was downregulated -2182.03 fold in microarray profiling. We also aligned HCV genome (NC_004102) with miR-602 and miR-323-5p, and found that miR-602 sequence exhibited 59.4% identity and miR-323-5p sequence exhibited 66.7% identity with HCV sequence. Further we also validated the differential expression results of miR-602 and miR-323-5p obtained from microarray profiling by qRT-PCR. The relative expression of miR-602 and miR-323-5p in Huh-7.5 cells transfected with HCV genotype 1b RNA was 1209.33 copies/mL and -2088.01 copies/mL, respectively, confirming the microarray differential expression results for miR-602 and miR-323-5p. Here, we also show that these 2 miRNAs are normally expressed in un-transfected Huh-7.5 cells and the relative intracellular expression of mir-602 and miR-323-5p is 188.71/mL and 2179.83/mL, respectively. It can be seen that the intracellular expression of miR-602 in un-transfected Huh-7.5 cells is low (188.71/mL), but when Huh-7.5 cells are transfected with HCV genotype 1b RNA the expression of miR-602 is up-regulated. Intracellular expression of miR-323-5p is high (2179.83/mL) in un-transfected Huh-7.5 cells, but when Huh-7.5 cells are transfected with HCV genotype 1b RNA, the expression of miR-323-5p is down-regulated. Hence, our results show that both miRNAs, miR-602 and miR-323-5p are intra-cellularly expressed in untransfected Huh-7.5 cells and differentially expressed in Huh-7.5 cells transfected with HCV genotype 1b RNA by microarray PCR and qRT-PCR. We also show that HCV genotype 1b RNA accumulation increased for miR-602 and decreased for miR-323-5p in transfected Huh-7.5 cells with synthetic miRNA inhibitors directed against miR-602 and miR-323-5p on day 4 (96 hours) after electroporation, indicating that these miRNAs are essential for HCV genotype 1b replication.
Hence, to study the anti-HCV effect of these 2 miRNAs on HCV genotype 1b replication, which were differentially expressed in microarray profiling and qRT-PCR and showed differential levels of intracellular expression in un-transfected Huh-7.5 cells, we transfected the Huh-7.5 cells with mir-602 and miR-323-5p with and without HCV genotype 1b RNA. We observed that over 16 weeks with and without puromycin selection, the HCV viral load increased in Huh-7.5 cells transfected with miR-323-5p, which was down-regulated -2182.03 fold in microarray profiling and -2088.01 copies/mL by qRT-PCR, and showed intracellular expression of 2179.83 copies/mL. HCV viral load decreased in Huh-7.5 cells transfected with miR-602, which was upregulated 1256.32 fold in microarray profiling and 1209.33 copies/mL by qRT-PCR, showed intracellular expression of 188.71/mL. Once the transfected Huh-7.5 cells with miR-602 and HCV genotype 1b RNA were selected after 8 weeks (30 copies/mL), the HCV viral load further decreased after 12 weeks (3 copies/mL) and 16 weeks (0.63 copies/mL) with and without puromycin. Huh-7.5 cells that were transfected with ΔNC and HCV genotype 1b RNA, and only HCV genotype 1b RNA, showed a gradual increase in HCV viral load over 16 weeks with and without puromycin selection, indicating that the vector pEGP had no effect on HCV replication.
A study investigated the relationship of miR-602 with HBV associated chronic hepatitis, liver cirrhosis and HCC [65], and it was found that miR-602 was overexpressed and inhibition of miR-602 expression in HepG2 (liver cells) increased the expression of RASSF1A. It is also reported that HBV up-regulated expression of miR-602 blocks the function of RASSF1A, a crucial tumor suppressor protein [66]. Similarly our microarray profile and qRT-PCR analyses also shows that when Huh-7.5 cells were transfected with HCV genotype 1b RNA, miR-602 was up-regulated 1256.32 fold and 1209.33 copies/ mL, respectively, and when intracellular expression of mir-602 was sequestered with Synthetic miRNA Inhibitors directed for miR-602, resulted in an increased accumulation of HCV genotype 1b RNA. We further show that when Huh-7.5 cells are transfected with miR-602 and HCV genotype 1b RNA, the HCV viral load decreased. A recent study has shown that miR-323-5p was down-regulated in both the HCC-post HCV positive group and in the HCV positive group, relative to the control group [67]. Our microarray profiling and qRT-PCR analyses also validate these results, as we also observed that miR-323-5p which was down-regulated -2182.03 fold and -2088.01 copies/mL, respectively, but when Huh-7.5 cells were transfected with miR-323-5p and HCV genotype 1b RNA, the HCV viral load increased.
According to a previous report, stabilizing the viral RNA requires base pairing between the miR-122 "seed sequence" nt 2 to 7 and two sequences near the 5' end of the HCV RNA S1 and S2 [27]. It is also reported that several viral miRNAs show sequence similarities but lack a conserved miRNA seed region [68]. Here, we show that both mir-602 and miR-323-5p showed sequence similarities of 59.4% and 66.7% identity with HCV but lacked the conserved seed sequence region of 2 to 7 nt. In spite of the lack of similarity in the conserved seed sequence, Huh-7.5 cells transfected with miR-602 and HCV genotype 1b did inhibit HCV accumulation in the liver cells.

Conclusions
In conclusion, our results suggest that hsa-miR-602 may be used as a potential therapeutic biomarker to inhibit HCV genotype 1b infection, and hsa-miR-602 and hsa-miR-323-5p are involved in an early stage of HCV genotype 1b-mediated infection and can be potential early diagnostic detection markers.