[Immunology of HCV infection: the causes of impaired cellular immune response and the effect of antiviral treatment]
| Autor: | Gabriella, Pár, Tímea, Berki, László, Pálinkás, Péter, Balogh, László, Szereday, Melinda, Halász, Júlia, Szekeres-Barthó, Attila, Miseta, Géza, Hegedus, Gyula, Mózsik, Béla, Hunyady, Alajos, Pár |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Pore Forming Cytotoxic Proteins Hepacivirus Interferon alpha-2 Antiviral Agents Monocytes Polyethylene Glycols Tetraspanin 28 Interferon-gamma Th2 Cells Antigens CD Ribavirin Humans Lymphocytes Aged Membrane Glycoproteins Perforin Tumor Necrosis Factor-alpha Interleukins Interferon-alpha Middle Aged Th1 Cells Flow Cytometry Hepatitis C Recombinant Proteins Killer Cells Natural DNA Viral Cytokines RNA Viral Drug Therapy Combination Female |
| Zdroj: | Orvosi hetilap. 147(13) |
| ISSN: | 0030-6002 |
| Popis: | The outcome of HCV infection and the response to antiviral treatment depend on both viral and host factors. Host immune response contributes not only to viral control, clinical recovery and protective immunity, but also to chronic hepatitis and liver cirrhosis. Establishing immunological status and identifying pretreatment immunological factors associated with better response to therapy might be of importance in the understanding of the successful immune response and in the future of combination therapy to HCV infection.The authors delivered a review on the immunology of HCV infection and characterized the cause of impaired cellular immune response in chronic HCV infection. Natural killer (NK) cell activity, perforin and the inhibitory CD81 HCV co-receptor expression, and Th1/Th2 cytokine production of the monocytes and lymphocytes have been investigated.42 patients with chronic hepatitis C, out of them 25 being on interferon (PEG-IFN) + ribavirin (RBV) therapy, 12 sustained virological responders, 26 HCV carriers with normal transaminase values and 22 healthy controls were studied. NK cell activity, perforin and CD81 expression, the IFNgamma, TNFalpha, IL-2 (Th1) and IL-4, IL-6, IL-10 (Th2) production of LPS stimulated monocytes and PMA + ionomycine stimulated lymphocytes were measured by flow-cytometry.In patients with chronic hepatitis C we demonstrated decreased NK cell activity associated with increased CD81 expression. The perforin expression of lymphocytes was also impaired in HCV patients. The pretreatment capacity of the macrophages to produce TNFalpha was predictive for sustained virological response. This increased TNFalpha production of the monocytes counteracted the observed impaired Th1 type cytokine production of the lymphocytes. IL-10 and IL-4 production showed positive correlation with HCV RNA levels, and negative correlation with histological activity index was noted. PEG-IFN + RBV treatment increased NK activity, perforin expression, Th1 type cytokine production of thr lymphocytes and downregulated CD81 expression inducing effective cellular immune response against HCV. The author's results provide further data to understand the causes of impaired cellular immune response in chronic HCV hepatitis and may be useful in the developement of immunotherapy as an adjunctive treatment to cure patients with chronic hepatitis C. |
| Databáze: | OpenAIRE |
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