0), 5 mM EDTA, 10 mM dithiothreitol, 0.05 mM pyridoxal 5-phosphate, 0.05 mM Verteporfin in vitro palmitoyl-CoA, and 0.06 mM L-[14C]serine in the presence of NA808. After a 15-minute incubation at 37°C, 0.3 mL chloroform/methanol (1:2,
v/v), 0.1 mL phosphate-buffered saline, and 0.1 mL chloroform were added and mixed well. The extracts were spotted on TLC plates and chromatographed. Radioactive spots were evaluated by using a Bio-imager. Chimeric mice were purchased from PhoenixBio Co., Ltd. (Hiroshima, Japan). The mice were generated by transplanting human primary hepatocytes into severe combined immunodeficient mice carrying the urokinase plasminogen activator transgene controlled by an albumin promoter (Alb-uPA). HCG9 (genotype 1a, GenBank accession number AB520610), HCR6 (genotype 1b, AY045702), HCR24 (genotype 2a, AY746460), HCV-TYMM (genotype 3a, AB792683), and HCVgenotype4a/KM
(genotype 4a, AB795432) were intravenously injected into the chimeric mice with humanized liver at 104 (for HCR6, HCR24, HCV-TYMM, and HCVgenotype4a/KM) or 106 (for HCR6 and HCG9) copies/mouse. After 4 weeks, the HCV RNA levels in the mice sera had reached approximately 108 copies/mL for HCG9 and HCV-TYMM and approximately 107 copies/mL for HCR6, HCR24, and HCVgenotype4a/KM. The protocols for animal experiments were approved Fluorouracil by our institutional ethics committee. The animals received humane care according to National Institutes of Health guidelines. Patients gave written informed consent before
collection of blood or tissue samples. Treatment was started 12 weeks after HCV inoculation and continued for 14 days. Each treatment group contained at least 3 animals. NA808, PEG-IFN, RO-9187, HCV-796, and telaprevir were administered alone or in combination to chimeric mice infected with HCV genotype 1a (HCG9), genotype 1b (HCR6), genotype 2a (HCR24), genotype 3a (HCV-TYMM), or genotype 4a (HCVgenotype4a/KM). Blood samples and liver samples were collected according to the protocols shown in Supplementary Table 1. All DAAs were used at suboptimal doses to allow the demonstration of synergy when administered in combination therapy. Total RNA was purified from 1 μL chimeric mouse serum by using SepaGene RV-R (Sanko selleck chemicals llc Junyaku Co., Ltd., Tokyo, Japan) and total RNA was prepared from liver tissue by the acid guanidinium thiocyanate-phenol-chloroform extraction method. HCV RNA was quantified by quantitative real-time PCR using techniques reported previously.15 This technique has a lower limit of detection of approximately 4000 copies/mL for serum. Therefore, all samples in which HCV RNA was undetectable were assigned this minimum value. Statistical analysis was performed using the Student t test. A P value <.05 was considered statistically significant.
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