P.O.Box 2345, Beijing 100023,China World J Gastroenterol  2002 October 15;8(5):863-867
Email: wcjd@public.bta.net.cn WJG  ISSN 1007-9327  CN 14-1219/ R
http:// www.wjgnet.com Copyright © 2002 by The WJG Press

Preparation of human single chain Fv antibody against hepatitis C virus E2 protein and its identification in immunohistochemistry

Yan-Wei Zhong, Jun Cheng, Gang Wang, Shuang-Shuang Shi, Li Li, Ling-Xia Zhang, Ju-Mei Chen

Full Article PDF


Yan-Wei Zhong, Jun Cheng, Gang Wang, Shuang-Shuang Shi, Li Li, Ling-Xia Zhang, Ju-Mei Chen, Gene Therapy Research Center, Institute of Infectious Diseases, 302 Hospital of PLA, 26 Fengtai Road, Beijing 100039, China
Supported by the National Natural Science Foundation of China, No.39900130
Correspondence to: Yan-Wei Zhong, Gene Therapy Research Center, Institute of Infectious Diseases, 302 Hospital of PLA, 26 Fengtai Road, Beijing 100039, China. zyw@genetherapy.com.cn
Telephone: +86-10-66933392 Fax: +86-10-63801283
Received 2002-01-28 Accepted 2002-03-05


Abstract
AIM:
To screen human single chain Fv antibody (scFv) against hepatitis C virus E2 antigen and identify its application in immunohistochemistry.

METHODS: The phage antibody library was panned by HCV E2 antigen, which was coated in microtiter plate. After five rounds of biopanning,56 phage clones were identified specific to HCV E2 antigen. The selected scFv clones were digested by SfiI/NotI and DNA was sequenced. Then it was subcloned into the vector pCANTAB5E for expression as E-tagged soluble scFv. The liver tissue sections from normal person and patients with chronic hepatitis B and chronic hepatitis C were immunostained with HCV E2 scFv antibody.

RESULTS:
The data of scFv-E2 DNA digestion and DNA sequencing showed that the scFv gene is composed of 750 bp. ELISA and immunohistochemistry demonstrated that the human single chain Fv antibody against hepatitis C E2 antigen has a specific binding character with hepatitis virus E2 antigen and paraffin-embedded tissue, but did not react with liver tissues from healthy persons or patients with chronic hepatitis B.

CONCLUSION:
We have successfully screened and identified HCV E2 scFv and the scFv could be used in the immunostaining of liver tissue sections from patients with chronic hepatitis C.

Zhong YW, Cheng J, Wang G, Shi SS, Li L, Zhang LX, Chen JM. Preparation of human single chain Fv antibody against hepatitis C virus E2 protein and its identification in immunohistochemistry.World J Gastroenterol 2002; 8(5):863-867



INTRODUCTION
Hepatitis C virus (HCV) has been identified as the major etiological agent of post-transfusion non-A non-B hepatitis[1-10], responsible for most cases of non-A non-B hepatitis. Hepatitis C is a disease of clinical importance because of its high infection rate in blood donors and its persistence as chronic infections which may lead to cirrhosis and hepatocellular carcinoma in the long term[11-26]. The variability of the HCV genome has difficulties in serological detection and vaccine design. Recent advance in phage technology offers a means of cloning human anti-HCV antibodies of a defined specificity that may have potential therapeutic use[27]. We now report the generation of phage display antibody using phage antibody library. From this library we obtained specific single-chain Fv antibody that recognizes the viral envelope protein E2, using HCV E2 protein as the immobilized antigen and proceeding immunohistochemistry.

MATERIALS AND METHODS
Materials
Humanized scFv antibody phage library in which the variable region coding gene of VL and VH were amplified by polymerase chain reaction (PCR) with degenerate primers and connected with a glycine linker [(Gly4Ser)3] was widely used in the screen and identification of humanized scFv to various antigens[28-34]. The recombinant HCV E2 protein was purchased from Virostat Co, USA. Phage M13K07 was purchased from Pharmacia Co., Sweden. Other reagents used in this experiment are all domestic products of analytical grade.

Biopanning
The phage library was amplified in 37 . The host E. coli TG1was infected with phage M13K07 and incubated at 37 for 12 hours, the phage in the supernatant was harvested and concentrated by PEG. Culture plate (Nunc) was coated with recombinant HCV E2 protein at the concentration of 80 mg/L. The coating buffer was 0.05 mol/L NaHCO3, pH 9.6. The plate was blocked with BSA at the concentration of 20 g/L for 2 hours and the concentrated phages were added to the well of the plate, incubated at the room temperature for 90 min. The plates were washed 20 times with PBST and PBS buffer respectively. The bound phage was eluted by the 0.1M of triethylamine, and neutralized with 1M Tris buffer (pH 7.4). Recovered phages were used to infect the host E. coli TG1 at the log phase growth and HCV E2 protein-binding phages were amplified. The procedure of absorption-elution-amplification was repeated 5 times.

Identification of phage clones
After 5 rounds of biopanning, 56 phage clones were selected randomly. The clones grew in 400 ml 2×TY-AMP-Glu at 37 overnight. The culture was transformed to another Eppendorf tube when its A600 nm reached 0.5. The culture was continued at
30
overnight after adding helper phage. ELISA for determining the supernatants was repeated at least two times. The cross-reaction of the supernatants to the BSA antigen was conducted. According to the ELISA results to the HCV E2 and BSA, one clone with high reaction to HCV E2 and low reaction to BSA was selected.

Sequencing analysis
The plasmid DNA was prepared using Wizard plus minipreps DNA Purification System (Promega Co., USA) and sequenced using ABI automated DNA sequencing machine.

Expression of human HCV E2-scFv in E.coli
The selected HCV E2 scFv clone was subcloned as SfiI/NotI fragments into the vector pCANTAB5E for expression as E-tagged soluble scFv. DNA digestion and electrophoresis confirmed the recombinant vector pCANTAB5E-E2-scFv. Competent E. coli XL1-Blue was transformed with pCANTAB5E-E2-scFv and transformed XL1-Blue was induced by IPTG for 20 h. The E. coli was harvested by centrifugation at 10 000rpm. The culture supernatant was rendered for ELISA test according to the standard procedure. In ELISA detection, Nunc plate was coated with 1mg/well of recombinant HCV E2 antigen and blocked with 2 % bovine serum albumin (BSA) at 37 for 2 h. The supernatants from induced and non-induced transformed E. coli were added and incubated at 37 for 2 h. The plate was washed with PBS buffer, and 100 ml of HRP/anti-E Tag 1:4000 ratio diluted in PBS buffer containing 1 % BSA was added, and incubated at 37 for 1 h. The substrate solution was added and A450nm value was measured.

Immunohistochemical identification of scFv in liver tissue
Paraffin-embedded liver tissue slices were from patients with positive anti-HCV antibodies and HCV-RNA. After deactivating endogenous hyperoxidase, these slices were submersed in the methanol solution with 0.5 % H2O2 in the room temperature. Fifty min later, they were washed with PBS buffer for 3 times,5 % BSA was added and slices were stored overnight at 4 . Self-made scFv primary anti- HCV E2 single-chain antibodies were diluted at 1:100 ratio and added on to the slice. They were kept in the 37 incubator for 1 h, then 4 refrigerator overnight. HRP-sheep anti-M13 antibodies (diluted to 1:200) solutions were dropped on to the tissue sections, incubated at 37 for 40 min. After washing 3 times with PBS buffer, DAB solutions (9 mg DAB, 13.5 ml Tris.cl, 1.5 ml CoCl2, 15 ml 30 % H2O2) were dropped on to the tissue sections at room temperature. After ten minutes, the slices were washed with PBS buffer for 3 times again, and 1 % heamatin solution was used to stain the cell nucleus. Gradient ethanol was utilized to dehydrate and dimethylbenzene to clear the sections, then neutral resin to envelope them. The resultant slices were observed under microscope. The controls were set as follows: 1) PBS buffer instead of anti- HCV E2 scFv; 2) HBsAg, HBcAg double-positive liver tissue sections; and 3) Normal liver tissue sections.

RESULTS
Screening and identification phage clones
Using HCV E2 protein as immobilized antigen, the humanized scFv phage library was biopanned. After 5 rounds of biopanning, 56 phage clones were selected randomly. ELISA and cross-reaction of these clones to BSA confirmed their specificity to HCV E2. Among the 56 phage clones, 16 showed good reactivity to the recombinant HCV E2 protein with high A value in the ELISA. In the cross-reaction screen, 6 among the 16 showed low cross-reaction with BSA. The combined results indicated that 1 of the 6 showed the highest reaction to HCV E2 protein and lowest reaction to BSA. One clone has been selected for further DNA digestion and sequence analysis. The DNA sequence digestion was made by SfiI/NotI in Figure 1. Its nucleic acid sequence and deduced amino acid sequence about HCV-E2-scFv fragment are shown in Figure 2.

Figure 1
Restriction map of HCV E2-scFv by SfiI/NotI digestion. A,B: HCV E2-scFv; C: DNA Marker

ATG GCC CAG GTG CAG CTG GTG CAG TCT GGG GCT GAG GTG AAG AAG CCT GGG GCC
  M     A    Q     V     Q      L     V     Q     S     G     A     E     V     K     K     P     G     A
TCA GTG AAG GTT TCC TGC AAG GCT TCT GGA TAC ACC TTC ACT AGC TAT GCT ATG
  S     V     K     V     S     C     K     A     S     G     Y      T     F     T     S     Y     A     M
CAT TGG GTG CGC CAG GCC CCC GGA CAA AGG CTT GAG TGG ATG GGA TGG ATC AAC
  H     W     V     R     Q     A     P     G     Q     R     L     E     W     M     G    W    I     N
GCT GGC AAT GGT AAC ACA AAA TAT TCA CAG AAG TTC CAG GGC AGA GTC ACC ATT
  A     G     N     G     N     T     K     Y      S     Q     K     F     Q     G     R     V     T     I
ACC AGG GAC ACA TCC GCG AGC ACA GCC TAC ATG GAG CTG AGC AGC CTG AGA TCT
  T     R     D     T     S     A     S     T     A     Y     M     E      L     S     S     L     R     S
GAA GAC ACG GCC GTG TAT TAC TGT GCA AGA TCG AGT GGG CCG ATG CAT CGT GAG
  E     D     T     A     V     Y     Y     C     A     R     S     S     G     P     M     H     R     E
TGG GGC CAA GGT ACC CTG GTC ACC GTG TCG AGA GGT GGA GGC GGT TCA GGC GGA
  W     G     Q     G     T     L     V     T     V     S     R     G     G     G     G     S     G     G
GGT GGC TCT GGC GGT GGC GGA TCG TCT GAG CTG ACT CAG GAC CCT GCT GTG TCT
  G     G     S     G     G     G     G     S     S     E      L     T     Q     D     P     A     V     S
GTG GCC TTG GGA CAG ACA GTC AGG ATC ACA TGC CAA GGA GAC AGC CTC AGA AGC
  V     A     L     G     Q     T     V      R     I     T     C     Q     G     D     S     L     R     S
TAT TAT GCA AGC TGG TAC CAG CAG AAG CCA GGA CAG GCC CCT GTA CTT GTC ATC
  Y     Y     A     S     W     Y     Q     Q     K     P     G     Q     A     P     V     L     V     I
TAT GGT AAA AAC AAC CGG CCC TCA GGG ATC CCA GAC CGA TTC TCT GGC TCC AGC
  Y     G     K     N     N     R     P     S     G      I      P     D     R     F     S     G     S     S
TCA GGA AAC ACA GCT TCC TTG ACC ATC ACT GGG GCT CAG GCG GAA GAT GAG GCT
  S     G     N     T     A     S     L      T     I      T     G     A     Q     A     E     D     E     A
GAC TAT TAC TGT AAC TCC CGG GAC AGC AGT GGT AAC CAT GTG GTA TTC GGC GGA
  D     Y     Y     C     N     S     R     D     S     S     G     N     H     V     V     F     G     G
GGG ACC AAG CTG ACC GTC CTA GGT GCG GCC GCA GAA CAA AAA CTC ATC TCA GAA
  G     T     K     L      T     V     L     G     A     A     A     E     Q      K     L     I     S     E
GAG GAT CTG AAT GGG GCC GCA TAG
  E     D      L     N     G     A     A     *

Figure 2
Nucleic acid and deduced amino acid sequences of scFv for HCV E2 protein GenBank accession number for this sequence is AF317001

Figure 3
Absorbances of HCV-E2-scFv binding to E2 antigen by ELISA. (a). supernant from induced XL1-blue transformed with pCANTAB5E-E2-scFv; (b). posive control; (c). supernant from non-induced XL1-blue transformed with pCANTAB5E-E2-scFv, d. negtive control

Expression of human HCV-E2-scFv in E. coli.
The expressed HCV-E2-scFv antibody from E. coli XL1-blue transformed by pCANTAB5E and induced by IPTG was confirmed by ELISA as shown in Figure3. The recombinant HCV E2 antigen was taken as the positive control. The protein from induced and non-induced E. coli XL1-blue transformed by expression vector was positive. But the protein derived from the E. coli non-transformed by pCANTAB5E- HCV E2- scFv was negative. These results indicated that the soluble form of human HCV E2- scFv antibody has been successfully expressed in this procedure.

Immunostaining of HCV E2 antigen of liver tissue sections
The different sections from liver tissues of healthy persons and patients with chronic hepatitis B or C were immunostained. The positive immunostaining was seen only in the liver tissue section of patients with chronic hepatitis C, but not in the liver tissue of normal person and patients with chronic hepatitis B as seen in (Figure 4A). The HCV E2 antigen was mainly located in the cytoplasm of the hepatocytes infected by HCV virus (Figure 4B).

Figure 4 A. Immunohistochemistry of liver tissue from health person. B. Immunohistochemistry of liver tissue from patients with chronic hepatitis C E2 antigen was detected in the cytoplasm of some liver cells

DISCUSSION
HCV is the etiological agent responsible for most cases of non-A non-B hepatitis. It is a blood-related disease of clinical importance since a large number of cases developed chronic infections which may lead to cirrhosis and hepatocellular carcinoma. The variability of the HCV genome has posed serious problems in serological detection of HCV and vaccine design[27-38]. The possibility of using neutralizing antibodies in passive immunization is also hampered by the existence of genotypes and quasispecies[39-50]. To circumvent this, it is possible to envisage the use of cross reactive antibodies with a broad reactivity directed against functionally conserved surface domains common to various genotypes. There has been in vitro and in vivo evidence that HCV infection elicits a neutralizing antibody response in humans. The virus envelope protein is the primary target for the host immune system. Despite the high variability of the HCV envelope sequence, certain domains of biological importance, e.g. ligands required in viral attachment to host cell receptors, have to be preserved. Antibody specific for the envelope E2 protein has been shown to be cross-reactive HCV E2 and to be able to block viral attachment to cultured human fibroblast cells. However, attept to obtain human monoclonal anti -HCV antibodies is an urgency.
      Phage library is a powerful tool for the selection of important and useful antibody specificities espeacially for getting humanized scFv[51-53]. It has many advantages. First, it is the only method to get specific antibody by passing the immunization step. It can mimic the maturation procedure of human antibody in vivo, so it is possible to get high affinity antibody from this selection. Second, the scFv with a low molecular weight, can make it potentially applicable in the clinical diagnosis and treatment of both infectious disease and cancer. Finally, it has no Fc fragment, so the backgroud is very low.
      The phage technology offers a means of cloning human anti-HCV antibodies of a defined specificity that may be potential for therapeutic and diagnostic use. In this report, we have obtained anti-HCV E2 scFv by affinity selection and purified recombinant hepatitis C virus E2 as coating antigen from synthetic phage display antibody library. After 5 rounds of selection, 56 clones were evaluated by enzyme-linked immunosorbent assay (ELISA). One phage clone was selected from 56 clones according to the highest A450 nm value in the ELISA identification and lowest cross-reaction to the bovine serum albumin (BSA). The coding fragments of scFv were sequenced. The affinity and specificity of scFv were evaluated by ELISA and immunohistochemistry. HCV E2-scFv DNA digestion and sequence data showed that the scFv gene is composed of 750 bp. ELISA and immunohistochemistry demonstrated that the human single chain Fv antibody against HCV E2 antigen has a specific binding activity with hepatitis C virus E2 antigen. This study illustrated the feasibility of using antibody-engineering technology with the phage display library that may be useful for future therapeutic and detection purpose.

REFERENCES
1    Assy N, Minuk G. A comparison between previous and present histologic assessments of chronic hepatitis C viral infections in
      humans. World J Gastroenterol 1999; 5:107-110
2    Caselmann WH, Serwe M, Lehmann T, Ludwig J, Sproat BS, Engels JW. Design, delivery and efficacy testing of therapeutic
      nucleic acids used to inhibit hepatitis C virus gene expression in vitro and in vivo. World J Gastroenterol 2000; 6: 626-629
3    Cheng JL, Liu BL, Zhang Y, Tong WB, Yan Z, Feng BF. Hepatitis C virus in human B lymphocytes transformed by Epstein-Barr
      virus in vitro by in situ reverse Transcriptase polymerase chain reaction. World J Gastroenterol 2001; 7: 370-375
4    Dai YM, Shou ZP, Ni CR, Wang NJ, Zhang SP. Localization of HCV RNA and capsid protein in human hepatocellular carcinoma.
      World J Gastroenterol 2000; 6:136-137
5    Deng ZL, Ma Y, Yuan L, Teng PK. The importance of hepatitis C as a risk factor for hepatocellular carcinoma in Guangxi. World
      J Gastroenterol 2000; 6(Suppl 3):75
6    Feng DY, Chen RX, Peng Y, Zheng H, Yan YH. Effect of HCV NS3 protein on p53 protein expression in hepatocarcinogenesis.
      World J Gastroenterol 1999; 5:45-46
7    Gao JE,Tao QM, Guo JP, Ji HP, Lang ZW, Ji Y, Feng BF. Preparation and application of monoclonal antibodies against hepatitis C
      virus nonstructural proteins. World J Gastroenterol 1997; 3: 114-116
8    Huang F, Zhao GZ, Li Y. HCV genotypes in hepatitis C patients and their clinical significances.
      World J Gastroenterol 1999; 5: 547-549
9    Li LF, Zhou Y, Xia S, Zhao LL, Wang ZX, Wang CQ. The epidemiologic feature of HCV prevalence in Fujian.
      World J Gastroenterol 2000; 6(Suppl 3):80
10  Maier KP. Iron, HCV and the liver. World J Gastroenterol 1997; 3: 61-63
11  Song ZQ, Hao F, Min F, Ma QY, Liu GD. Hepatitis C virus infection of human hepatoma cell line 7721 in vitro. World J
      Gastroenterol 2001; 7: 685-689
12  Sun DG, Liu CY, Meng ZD, Sun YD, Wang SC, Yang YQ, Liang ZL, Zhuang H. A prospective study of vertical transmission of
      hepatitis C virus. World J Gastroenterol 1997; 3: 111-113
13  Tang BZ, Zhuang L, You J, Zhang HB, Zhang L. Seven years follow up on trial of Interferon alpha in patients with HCV RNA
      positive chronic hepatitis C. World J Gastroenterol 2000; 6(Suppl 3):68
14  Zhao YY, Yang HY, Liu GX, Li ZQ, Liu L, He LL, Deng WJ. Hepatitis C virus infection in patients with primary liver cancer. Xin
      Xiaohuabingxue Zazhi 1996; 4(Suppl 5): 43-44
15  Tang ZY, Qi JY, Shen HX, Yang DL, Hao LJ. Short- and long-term effect of interferon therapy in chronic hepatitis C. World J
      Gastroenterol 1997; 3: 77
16  Wietzke Braun P, Meier V, Braun F, Ramadori G. Combination of
ow-dose?ribavirin and interferon alfa 2a therapy followed
      by interferon alfa 2a monotherapy in chronic HCV infected non responders and relapsers after interferon alfa 2a monotherapy.
      World J Gastroenterol 2001; 7: 222-227
17  Worman HJ, Lin F. Molecular biology of liver disorders: the hepatitis C virus and molecular targets for drug development.
      World J Gastroenterol 2000; 6:465-469
18  Worman HJ, Lin F. Molecular biology of liver disorders: the hepatitis C virus and molecular targets for drug development.
      World J Gastroenterol 2000; 6:465-469
19  Xiao LY, Yan XJ, Mi MR, Han FC, Hou Y. Preliminary study of a dot immunogold filtration assay for rapid detection of anti- HCV
      IgG. World J Gastroenterol 1999; 5: 349-350
20  Yan FM, Chen AS, Hao F, Zhao XP, Gu CH, Zhao LB, Yang DL, Hao LJ. Hepatitis C virus may infect extrahepatic tissues in
      patients with hepatitis C. World J Gastroenterol 2000; 6:805-811
21  Yang JM, Wang RQ, Bu BG, Zhou ZC, Fang DC, Luo YH. Effect of HCV infection on expression of several cancer associated gene
      products in HCC. World J Gastroenterol 1999; 5: 25-27
22  Yu SJ. A comparative study on proliferating activity between HBV related and HCV related small HCC. World J Gastroenterol
      1997; 3: 236-237
23  Zhang LF, Peng WW, Yao JL, Tang YH. Immunohistochemical detection of HCV infection in patients with hepatocellular
      carcinoma and other liver diseases. World J Gastroenterol 1998; 4:64-65
24  Zhang SL, Liang XS, Lin SM, Qiu PC. Relation between viremia level and liver disease in patients with chronic HCV infection.
      World J Gastroenterol 1996; 2: 115-117
25  Zhou P, Cai Q, Chen YC, Zhang MS, Guan J, Li XJ. Hepatitis C virus RNA detection in serum and peripheral blood mononuclear
      cells of patients with hepatitis C. World J Gastroenterol 1997; 3:108-110
26  Zhu FL, Lu HY, Li Z, Qi ZT. Cloning and expression of NS3 cDNA fragment of HCV genome of Hebei isolate in E. coli.
      World J Gastroenterol 1998; 4: 165-168
27  Zhong Y, Cheng J, Shi S, Xia X, Wang G, Yang J, Chen J. Screening and characterization of human phage antibody to hepatitis
      virus C core antigen. Zhonghua Gangzhangbing Zazhi 2001; 9: 217-219
28  Zhong YW, Chen J, Shi SS, Wang G, Dong J, Xia XB, Yang JZ, Chen JM. Screening and expression of human phage antibody to
      hepatitis virus C NS5A antigen. Chinese J Traditional Western Med 2001; 2: 97-99
29  Chen J, Zhong YW, Shi SS. Screening and characterization of human phage antibody to hepatitis virus C NS5A antigen.
      Zhonghua Shiyan He Linchuangbingduxue Zazhi 2001; 15: 216-218
30  Zhong Y, Cheng J, Liu Y, Dong J, Yang J, Zhang L. Expression of human single-chain variable fragment antibody against
      non-structural protein 3 of hepatitis C virus antigen in E.coli. Zhonghua Gangzhangbing Zazhi 2000; 8:171-173
31  Zhong YW, Chen J, Xia XB, Wang G, Yang JZ, Chen JM. Screening and characterization of human phage antibody to hepatitis
      virus C NS4A antigen. Immunological J 2000; 16: 422-428
32  Zhong Y, Wang S, Zhao J. The preparation of human single-chain Fv antibody specifically against hepatitis C virus NS3 antigen
      and its application in histochemistry. Zhonghua Shiyan Yu Bingduxue Zazhi 2001; 15:186-188
33  Zhong YW, Chen J, Liu Y, Dong J, Yang JZ, Zhang LX. Expression of soluble human single chain Fv antibody to hepatitis C NS 3
      antigen in E.coli. Ganzhang Zhazhi 1999; 4: 71-73
34  Zhong YW, Chen J, Liu Y, Dong J, Yang JZ, Zhang LX. Screening and characterization of human phage antibody with
      single-chain variable fragment specific to hepatitis C nonstructural 3 protein. Zhonghua Chuanranbing Zazhi 2000; 18: 84-87
35  He YW, Liu W, Zen LL, Xiong KJ, Luo DD. Effect of interferon in combinationwith ribavirin on the plus and minus strands of HCV
      RNA in patients with chronic hepatitis C. China Natl J New Gastroenterol 1996; 2: 179-181
36  Wei L, Wang Y, Chen HS, Tao QM. Sequencing of hepatitis C virus cDNA with polymerase chain reaction directed sequencing.
      China Natl J New Gastroenterol 1997; 3: 12-15
37  Worman HJ,Feng L, Mamiya N, Mustacchia PJ.Molecular biology and the diagnosis and treatment of liver diseases.
      World J Gastroenterol 1998; 4: 185-191
38  Chen MY, Huang ZQ, Chen LZ, Gao YB, Peng RY, Wang DW. Detection of hepatitis C virus NS5 protein and genome in Chinese
      carcinoma of the extrahepatic bile duct and its significance. World J Gastroenterol 2000; 6: 800-804
39  Han FC, Hou Y, Yan XJ, Xiao LY, Guo YH. Dot immunogold filtration assay for rapid detection of anti HAV IgM in Chinese.
      World J Gastroenterol 2000; 6: 400-401
40  Liu LH, Xiao WH, Liu WW. Effect of 5-Aza-2? deoxycytidine on the P16 tumor suppressor gene in hepatocellular carcinoma cell
      line HepG2. World J Gastroenterol 2001; 7: 131-135
41  Meier V, Mihm S, Ramadori G. HCV-RNA positivity in peripheral blood mononuclear cells of patients with chronic HCV infection:
      does it really mean viral replication? World J Gastroenterol 2001; 7: 228-234
42  Si XH, Yang LJ. Extraction and purification of TGFβ and its effect on the induction of apoptosis of hepatocytes. World J
      Gastroenterol 2001; 7: 527-531
43  Wang NS, Liao LT, Zhu YJ, Pan W, Fang F. Follow-up study of hepatitis C virus infection in uremic patients on maintenance
      hemodialysis for 30 months. World J Gastroenterol 2000;6:888-892
44  Yan J, Dennin RH. A high frequency of GBV-C/HGV coinfection in hepatitis C patientsin Germany.
      World J Gastroenterol 2000; 6: 833-841
45  Chen S, Wang YM, Li CM, Fang YF.Molecular epidemiology of HCV infection in intravenous drug abusers. Shijie Huaren Xiaohua
      Zazhi 2001; 9: 526-528
46  Ding HL, Cheng H, Fu ZZ, Deng QL, Yan L, Yan T. The relationship of
lmp2 and DR3 genes with susceptibility to type
      diabetes mellitus in south China Han population. World J Gastroenterol 2000; 6: 111-114
47  Huang F, Zhao GZ, Li Y. HCV genotypes in hepatitis C patients and their clinical significances.
      World J Gastroenterol 1999; 5: 547-549
48  Su YH, Zhu SN, Lu SL, Gu YH. HCV genotypes expression in hepatocellular carcinoma by reverse transcription in situ
      polymerase chain reaction. Shijie Huaren Xiaohua Zazhi 2000; 8: 874-878
49  Wang PZ, Zhou YX. Study on hepatitis C virus genotyping in Xi'an area. Shijie Huaren Xiaohua Zazhi 1999; 7: 757-759
50  Yan XB, Wu WY, Wei L. Clinical features of infection with different genotypes of hepatitis C virus.
      Huaren Xiaohua Zazhi 1998; 6: 653-655
51  Marks JD, Hoogenboom HR, Bonnert TP, McCafferty J, Griffiths AD, Winter G. By-immunization human antibodies from V-gene
      libraries displayed on phage. J Mol Biol 1991; 222: 581-597
52  Hoogenboom HR, de Bruine AP, Hufton SE, Hoet RM, Arends JW, Roovers RC. Anti-body phage display technology and its
      applications. Immunotechnology 1998; 4: 1-20
53  Lamarre A, Talbot PJ. Characterization of phage-displayed recombinant anti-idiotypic antibody fragments against coronavirus
      neutralizing monoclonal antibodies. Viral Immunol 1997; 10: 175-182

Edited by Ma JY