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Many individuals infected with hepatitis C will fail to clear the virus in the acute phase...

Many individuals infected with hepatitis C will fail to clear the virus in the acute phase of infection and progress to chronic infection. Which factors are most likely to contribute to this failure to clear hepatitis C infection? (select two answers)

MHC with high affinity for immunogenic peptides derived from hepatitis C.

Neutralizing antibodies against HCV proteins.

Cytotoxic T lymphocyte exhaustion.

A robust interferon response.

A high rate of viral mutation.

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Answer #1

Hepatitis C infection is one of major health problem in world. It has two stages : acute and chronic. If the acute stage persists for more than 6 months it becomes chronic infection. The two reasons for hepatitis C virus that prevents its clearance in acute stage are:

1. Neutralizing antibodies against HCV proteins.

The E2 glycoprotein of hepatitis C virus (HCV) mediates viral attachment and entry into target hepatocytes and elicits neutralizing antibodies in infected patients.

2. Cytotoxic T lymphocyte exhaustion

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