Peripheral T-lymphocyte subpopulations in different clinical stages of chronic HBV infection correlate with HBV load

作者: Jing You , Lin Zhuang , Yi-Feng Zhang , Hong-Ying Chen , Hutcha Sriplung

DOI: 10.3748/WJG.15.3382

关键词:

摘要: AIM: To characterize the peripheral T-cell subpopulation profiles and their correlation with hepatitis B virus (HBV) replication in different clinical stages of chronic HBV infection. METHODS: A total 422 patients infection were enrolled this study. The divided into three stages: immune-tolerant stage, immune active immune-inactive carrier stage. Composition subpopulations was determined by flow cytometry. markers detected enzyme-linked immunosorbent assay. Serum DNA load assessed quantitative real-time polymerase chain reaction. RESULTS: CD8+ T-cells significantly higher at stage than immune-active -inactive (36.87 ± 7.58 vs 34.37 9.07, 36.87 28.09 5.64, P < 0.001). blood contained more CD4+ 30.23 6.35, 9.07 30.92 7.40, 0.01), whereas normal controls less (28.09 5.64 36.85 6.06, 24.02 4.35 38.94 3.39, 0.01). ANOVA linear trend test showed that increased a high viral (39.41 7.36, 33.83 7.50, 31.81 5.95 26.89 5.71, 0.001), while low (37.45 6.14, 33.33 5.61, 31.58 6.99 27.56 5.49, Multiple regression analysis displayed log copies still maintained its highly significant coefficients for subpopulations, strongest predictors variations CD3+, cells CD4+/CD8+ ratio after adjustment age HBV-infection, maternal HBV-infection status, presence e antigen mutation. CONCLUSION: Differences can be found infection. impairment is associated load.

参考文章(67)
K Kajino, A R Jilbert, J Saputelli, C E Aldrich, J Cullen, W S Mason, Woodchuck hepatitis virus infections: very rapid recovery after a prolonged viremia and infection of virtually every hepatocyte. Journal of Virology. ,vol. 68, pp. 5792- 5803 ,(1994) , 10.1128/JVI.68.9.5792-5803.1994
I. Nicholas Crispe, Amy E. Juedes, Wajahat Z. Mehal, Selective retention of activated CD8+ T cells by the normal liver. Journal of Immunology. ,vol. 163, pp. 3202- 3210 ,(1999)
Michael J. Fuller, Allan J. Zajac, Ablation of CD8 and CD4 T Cell Responses by High Viral Loads Journal of Immunology. ,vol. 170, pp. 477- 486 ,(2003) , 10.4049/JIMMUNOL.170.1.477
A R Jilbert, T T Wu, J M England, P M Hall, N Z Carp, A P O'Connell, W S Mason, Rapid resolution of duck hepatitis B virus infections occurs after massive hepatocellular involvement. Journal of Virology. ,vol. 66, pp. 1377- 1388 ,(1992) , 10.1128/JVI.66.3.1377-1388.1992
F V Chisari, S Kakumu, A Theofilopoulos, P Fowler, D Kono, J Chung, T Ishikawa, Polyclonality and Multispecificity of the CTL Response to a Single Viral Epitope Journal of Immunology. ,vol. 161, pp. 5842- 5850 ,(1998)
Mark Selby, Christine Dong, Ann Erickson, Peter Parham, Michael Houghton, Christopher M. Walker, Stewart Cooper, Hepatitis C virus envelope glycoprotein E1 originates in the endoplasmic reticulum and requires cytoplasmic processing for presentation by class I MHC molecules. Journal of Immunology. ,vol. 162, pp. 669- 676 ,(1999)
David R. Milich, Janice L. Hughes, Joyce E. Jones, Margaret K. Chen, The Secreted Hepatitis B Precore Antigen Can Modulate the Immune Response to the Nucleocapsid: A Mechanism for Persistence Journal of Immunology. ,vol. 160, pp. 2013- 2021 ,(1998)
M. PERNOLLET, E. JOUVIN-MARCHE, V. LEROY, I. VIGAN, J.-P. ZARSKI, P. N. MARCHE, Simultaneous evaluation of lymphocyte subpopulations in the liver and in peripheral blood mononuclear cells of HCV‐infected patients: relationship with histological lesions Clinical and Experimental Immunology. ,vol. 130, pp. 518- 525 ,(2002) , 10.1046/J.1365-2249.2002.01996.X
Giovanni Carella, Lucienne Chatenoud, Francoise Degos, Marie-Anne Bach, Regulatory T cell-subset imbalance in chronic active hepatitis Journal of Clinical Immunology. ,vol. 2, pp. 93- 100 ,(1982) , 10.1007/BF00916892